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0005 AURORA AVENUE
jXJ iTTIV W" U� Mi -All tat IT 0 smy OEM&M I Gm Tilc� xf WAT3.2 soon loP, 1 � w 'I 41 q i !jl a—on,Qq py WS".0 J V IT, i� IF" W, A_qQ I�P Tf lqjilg.�g- OR SM, ig __M 0! %ran *NEW. W.. ZVI t .3 ij qf g!� MR 1� 71 rgp� X �21 WMA WOMMA Ap MINI 1�1�41.11 Jtz i i_� "join i _11�.� i �q ,-`"i .1-6 Owl. Kv wgw gnu am -0 WNW Im -A, -�A ........... ........ AN, q, N w jt ir"NA "'TIE U,Il N4 A Is m5w;- "N At BAN Pf, U 4:�4i t��,pfl QWOQ,, Q NP fi UTK 'A, IV Qlol 7 7".7,l 7 man IRN INS 110 4,U`V il�l "an A q ;-Jfi �i,. 1�1`4,`Mi'Z_TYfi,N j4 .JZ3" V e' Q Hy"lly, A WME J Q A—WR Argen R�, 0 MAN- 0 PP 1� IP "Na z rwr 4.V A i lzn;Nl WO , WON 'Rf ��,i VM Qw"Al-amwny U DU '"AN w U MR T w"11111, py IS 031TT N MAWS 11 11S Roam R f ;�E 1 7 E, �Y Slit)— B A A I P.O. BOX 345' FR,,-`%.!vI,ING-HAAI, TI/fA 0 17W 01 ' 08) A�v - -> ?�w 085- W. u 4 A"A__ Please Fax to A N f .atention: Sent 1"roin B arry./Do ima Totol Pqu I ,es incl. Cover:___ Con-unenits... otiLC D�� nph. G> r' - ywi ,t' *car ,_ H. you do not receive aH ofthe pages pl( ase cc-ill (508 5 1 ;r 6;. 01 1i '97 2 `ji:i • -.` jSS(_ t ir t 9yJ1 Ifs 4 CAPE LAND CONSTRUCTION i AND SEPTIC SERVICE HYA%,,',;i~~ MASS. 02601 (6.17) 778.0684 5Y yl,,......_'.�vH m•" __ ..r.,.. _ __ i I -- --- P+ a ------ �. r _ I TAX _ t rTOTAL r Al, 1782 MU-'=T � are or)Parli"w by this bli(. - r , BRRY SHo CAPE LAND CONSTRUCTION AND SEPTIC SERVICE Jennies Patti HYAINNIS, MASS. 02,601 (617) 778-0684 DA T % e Z� CASH ,C().c P.bdr,OUT -- ------- ------- f A-ve 15 FA, T, TAX { Er QUERY PROPERTY: QUERY END `- QUERY' PROPERTY PENTAMATION-------------------------- --------- --------------------------- 01/15/97 CELFID2.51 .1.19— GEO ID 16204 LOT/BLOCK 5 LC30 DBA PROPERTY ADDRESS_ __ ;bWNER SHORE 5- - ~- AURORA_AVENUE 7 BARRY A P 0 BOX 2525 Centerville FRAMINGHAM MA 01701 PHONE DISTRICT CO DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY (NOTES) ZONING DIST/ZOC RD-1 SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? # BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 12632 .4 OPER/MGR NAME WET LANDS MULT ADDRESS USE 101 (N) EXT / (P) REVIOUS / NO (T) ES / PER(M) ITS / (V) IOLATIONS / (G) EOBASE / (E) XIT a,),, � 0 L 1 ,ey [ ] [Ra51• 119 . ] LOC]•6015 AURORA AVENUE CTY] 10 TDS] 300 CO KEY] 162040 ----MAILING ADDRESS------- PCA] 1011 PCS] 00 YR] 00 PARENT] 0 SHORE, BARRY A MAP] AREA150AC JV1324857 MTG12012 P 0 BOX 2525 SP1] SP21 SP31 UT11 UT21 . 29 SQ FT] 1872 FRAMINGHAM MA 01701 AYB11969 EYB11975 OBS] CONST] 0000 LAND 26000 IMP 65100 OTHER 900 ----LEGAL DESCRIPTION---- TRUE MKT 92000 REA CLASSIFIED #LAND 1 26, 000 ASD LND 26000 ASD IMP 65100 ASD OTH 900 #BLDG (S) -CARD-1 1 65, 100 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 900 TAX EXEMPT #PL 5 AURORA AVE RESIDENT'L 92000 92000 92000 #DL LOT 5 LC30367A OPEN SPACE #RR 0055 0104 COMMERCIAL #SR PHINNEY' S LANE INDUSTRIAL EXEMPTIONS SALE] 04/87 PRICE] 125000 ORB] C110537 AFD] I A LAST ACTIVITY] 07/10/96 PCR] Y S R251 119.. A P P R A I S A L D A T A KEY 162040 SHORE.; BARRY A LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RD- 1 26, 000 900 65, 100 1 A-COST 92, 000 B-MKT 83 , 000 BY 00/ BY ME 10/89 C-INCOME PCA=1011 PCS=00 SIZE= 1872 JUST-VAL 92 , 000 LEV=300 CONST-C 0 ----COMPARISON TO CONTROL AREA 50AC -- TREND EXCEEDS STANDARD NEIGHBORHOOD 50AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 260001 102000 LAND-MEAN -750 920001 75048 IMPROVED-MEAN -130 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1000] LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP] ADJS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] 7, l}IZ._ tS_...RY SHUREAS"- t�f,.,t a ae PROPERTY AT 5 AUPORA a { r. - SCALE: l' _ 30 SEPT: 20, 1960 LOB' 8 7 1 lit na717, r }ram{ 1 f t Nio t � � n ty4 d��a f �n� �ILID[PB1PP 'ggam Si ,4 I)GES NOT FLOOD PdiZARD ZONE, AS CIDINIcMMIED !rrR lNSLplNre RATE MAP` ---THIS PLAN 1S TO BE USED ONLY. -,'JA k S PLAN 8 S 6 of REcd ILL OF AN M%T#C WN t BRANT S. PAVORTH ASSOC. 00 s ` kii i�zs�r.i.M"'RI ! ..,,h+wueu�auwrsa�v+ww�.,ersri='mr.,riu�un:,. +yae�,�uren�'>m�a*a'scrs�rr� Official Website of The Town of Barnstable - Property Lookup Page 1 of 4 Select Language Assessing Division Property Lookup Results - 2017 367 Main Street,Hyannis,MA.02601 BACK TO SEARCH<< Print Friendly Owner Information-Map/Block/Lot:251/119/-Use Code:1010 Owner Owner Name as of 1/1/16 SHORE,BARRY A TR Map/Block/Lot GIS MAPS PO BOX 845 251/119/ Property Address FRAMINGHAM,MA.01701 5 AURORA AVENUE Co-Owner Name SHORE INV REALTY TRUST r Village:Centerville Town Sewer At Address:No GIs Zoning Value:RD-1 Assessed Values 2017-Map/Block/Lot:251/119/-Use Code:1010 2017 Appraised Value 2017 Assessed ValuePast Comparisons Building $121,700 $121,700 Year Assessed Value Value: Extra $32,700 $32,700 2016-$264,200 Features: 2015-$254,900 2014-$253,400 - .. 2013-$253,400 Outbuildings:$2,600 $2,600, 2012-$261,200 ` 2011-$261,900 Land Value: $106,500 $106,500 2010-$250,300 2009-$287,300 2017 Totals $263,500 $263,500 2008-$298,800 „ 2007-$321,600 Residential Exemption Received=$90,532 Tax Information 2017-Map/Block/Lot:251/119/-Use Code:1010 Taxes C.O.M.M.FD Tax(Residential) $321.47 Community Preservation Act Tax $49.50 Fiscal Year 2017 TAX RATES HERE Town Tax(Residential) $1,650.11 $2,021.08 Sales History-Map/Block/Lot:251 1 1191-Use Code:1010 History: Owner: Sale Date Book/Page: Sale Price: http://www.towTiofbamstable.us/Assessing/propertydisplayscreen l 7.asp?ap=0&searchparce... 6/1/2017 Official Website of The Town of Barnstable,Property Lookup Page 2 of 4 S HORE,BARRY A TR 2009-09-01 C189433 $1 SHORE,BARRY A 1987-04-21 C110537 $125000 BECKER,TRUDY&SHORE,BARRY A1986 12-30 C109506 $125000 ZAINO,SUSANNE M 1986-11-12 C108757 $1 ZAINO,GREGORY P 1985-12-17 C104610 $89900 WIER,WILLIAM J 1984-11-14 C99025 $72000 GULDEN,JOHN D 1969-05-22 C45598 $0 Photos 251/119/-Use Code:1010 t�\ r Sketches-Map/Block/Lot:251/119/-Use Code:1010 AsBuilt Card N/A Constructions Details-Map/Block/Lot:251 1 119/-Use Code:1010 Building Details. Land Building value $121,700 Bedrooms 4 Bedrooms USE CODE 1010 Replacement Cost $164,413 Bathrooms 2 Full-0 Half Lot Size(Acres) 0.29 Model Residential Total Rooms 6 Rooms Appraised $106,500 Value Style Cape Cod Heat Fuel Gas Assessed $ Value 106,500 Grade Average Heat Type Hot Air Year Built 1969 AC Type None Effective 26 Interior Floors Carpet _ depreciation Stories 1 314 Interior Walls Drywall Stories Living Area sq/ft 1,586 Exterior Walls Wood Shingle Gross Area sqlft 3,466 Roof Gable/Hip Structure Roof Cover 1 hlftp://www.townofbamstable.us/Assessing/propertydisplayscreenl 7.asp?ap=0&searchparce... 6/1/2017 Official Website of The Town of Barnstable-Property Lookup Page 3 of 4 Asph/F GIs/Crop Outbuildings&Extra Features-Map/Block/Lot:251/119/-Use Code:1010 Code Description Units/SQ ft Appraised Value Assessed Value FPL2 Fireplace 1.5 1 $4,100 - $4,100 stones BMT Basement- 1056 $21,500 $21,500 Unfinished SHED Shed 126 $1,200 $1,200 FEP Enclosed porch- 144 $7,100 $7,100 roof,ceiling PAT2 Patio-Good 154 $1,400 $1,400 +, Sketch Legend Property Sketch Legend B2N Bam-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished)FUS Second Story Living Area SPE Pool Enclosure (Finished) BRN Barn GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLIP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story (Unfinished) i FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio 4Print Friendly Contact Director of Assessing Jeffrey Rudziak �P 508-862-4022 F 508-8624722 8:30a.m.to 4:30p.m. http://www.townofbamstable.us/Assessing/propertydisplayscreenl 7.asp?ap=0&searchparce... 6/1/2017 Official Website of The Town of Barnstable - Property Lookup Page 4 of 4 Public Records Ann Quirk Request Public Records P 508-862-4022 367 Main Street Hyannis,MA.02601 Helpful Links to Downloads �I Abatements SALES LISTINGS i Barnstable FD Residential C.O.M.M FD Residential i Commercial-industrial- Mixed Use Cotuit FD Residential Hyannis FD Residential Townwide Condominium W.Barnstable FD Residential Exemptions Parcel Consolidation Questions about values t FY17 Combined Tax Rates Town Land Use Codes Helpful Maps All Town Maps Flood Insurance Maps Property Maps FYI 17 Tax Maps ° r Owned and Operated by The Town of Barnstable-Information Technology Home I Departments&Services I Boards&Committees I Residents&Visitors I Doing Business I Town Calendar I Phone Directory I Employment Email Town Hall http://www.townofbamstable.us/Assessing/Propertydisplayscreenl 7.asp?ap=O&searchparce... 6/1/2017 y PROJEC 22 NAME: a,, ov, kq�4_�_ ADDRESS: Qom, -�-er;.� ,t � � y � • PERMIT# -Z)O 1 L b--- �. y PERMIT DATE: LARGE ROLLED PLANS ARE IN: BOX 6 `-�. SLOT �. 4 Data entered in MAPS program -on: Z �� BY: U t q/4files/forms/archive W° { J .+ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �� � Parcel m Application # Health Division 7 324S f it/SEPTIC Issued SEPTIC SYSTEM MUST 6E , Conservation Division ��(, DNS Ail I?.I �'v' fir Application Fee )NMI s'i, Planning Dept. ENVIiZO1MV,'EN Al AND Permit Fee `U'( ' ,°..,, TOWN REGULATIUNS Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Yd Village & 1- ) liv- Owner s�ay-c- Address 5�tom✓ Telephone 617 r _r�1�— 3 4 3 'T Permit Request �' �`�lU t �. )1� t7 Square feet: 1 st floor: existing Oproposed 2nd floor: existing proposed .-Total_new a_ , Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type (,�a�� l +' �' . z Lot Size Grandfathered: ❑Yes 0 No If yes,Atahporting d`acum�tation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) .2t, � w Age of Existing Struct e Historic House: ❑Yes VNo On ighway�❑YR �o rro Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) ✓ Basement Unfinished Area(sq.ft) 9 Number of-Baths: Full: existing new Half: existing r new Number of::Vedrooms: existing new Total Room Count (not incl ding baths): existing new First Floor Room Count Heat Type and Fuel: ;Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes vlfNo Fireplaces: Existing -! New '' Existing wood/coal stove: ❑Yes b No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Y Telephone Number Address anIV►/ License # 6 6� / J u it Home Improvement Contractor# Worker's Compensation # boo, ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO e SIGNATURE DATE 6 / y FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. ADDRESS VILLAGE �. OWNER n' - t v DATE OF INSPECTION: FOUNDATION FRAME mcfRoz,3115,49 INSULATION - FIREPLACE f . ELECTRICAL: ROUGH r FINAL PLUMBING: ROUGH FINAL j e ✓J �,r / GAS: ROUGH FINAL -' FINAL BUILDING S S� T /"S DATE CLOSED OUT , ASSOCIATION PLAN NO. The Cammanwea&h of Massachraset Deparfmq& fIkdkNtrIa[Acddwts e Office of ficvad atiatrs -coo Wash'ingtaa, fr et - Briton,M4 02M. N".mass gov/rlia Workers' Compensafaon 149arance AMdavit:BVRders/Contrar-to rsMectridans/Plumberg A licant Information P ease Print L Name ' •Address: ' � � ��i G �/�� .. - - . Crty/ efZip: Phone.I .� , b ire u an employer? Check the appropriate bum 7�� f ect(requn e 1• I Mn a.employer with=� :¢• ❑ I am a general eo�ractor and I �•• - employees(fan and/or part 1.* .have Iced$=sub=c❑ntra�.� canstrncti m2.❑ I am a'sole pmpdrtar or partner_ fisted on the-aftached sheet deling Ship and have no employees These sab-c have ti Demolition worlang forme ally capaelip, employees-and have w❑r)=, [No workers' comp,insurance act.m ,re# 9, []Bn1d�g addition reused J 5. El We area corporation and its, 10.0 El fians Electrical repairs or addi 3.❑ I am a homeowner doing an.work officers have exercised then nuw.¢ l£ [No WWI=, comp, right o Per==ption MGI, 11. Phmmbing repairs:�r additions i❑ rrrance required.]t n: 152, §I(4), and we have no 12.0 Roafrepairs employees. [No workers' . 13.0 Other comp.insurance req-cdJ *A31Y aPPH-nt ihd checks box#1 mast also M out fho section below showing their workers,compmsatiaa policy information.t Homeowners who submit fbis afdavit iadirafmg 1hey ate doing all work and thin biz outside contractozs.mast submit a.now affidavit indiraliag such. $Contractors that cbrc&this box oust attached an additional sheet showing am name of fbe ha sub coatractms and sffit whether arnot those entities ye employees IF lb-sub-coatracinr�have ecnployees,they mustpruvidt fheir work=,c off �•P cynamber. I aM an ernplayer that is providing warkers'compensation insurance for my employees. Bduv s the poncy and jab site . . information, i . Insurance Company Name: - Policy#or Self ins:I ic.1 6, gxpiratioaDate: Job Site Address: Chy/State/Zip; li tf arh a copy of the workers' compensation policy declara$on page(shnvPing rile policy 1zmn6er and eapira#ian date). Faflure,to.secure coverage as regairedUnder Section.25A ofMCrL c• 152 can lead to the ' ositicm of fine lip to $1,500.00 and/or one-year p � . dal penalties of'a � , as Well as civil. enalties in the form of a STOP'FORK ORDER and.EL EM of up to$250.00 a daY against thq violator..Be advised that a cagy of this statement may be forwarded to the Office I lve ons of the!)IAA for insma„ce co veriEcaiian of I do hereb3'c Y r e s penalties ofpeTjwy that the information.provided above is true ii correct Date; 2� /C Phone OffWiz(use only. Do not write in this area to be conpigted by city or town affrrial Chy or Town: PermiflLicirznse.# Issuing 'nffhodty(circle one): 1.Board of Health 2.Bm'Idiag Degai fineut 3.CitylTOWIL Clerk 4.Electrical Inspector 5.PlmnhIn Inspector ti. Other Contact Person: Phone#: j a Town ofBar-nstable Rgvlatory Service4 BMW Thoa�et�.COikr,Diemetor Building Diwisku Tam Perry,BuDding Cosowjrsjvaer 200 Main Str a gyenriis,MA 02601 wntiv.t�wa.bsraatabla,m®.ug Office: 508-B62-4038 F= 501-790-523D Property Owner.Nltast COMplete and Sign This Section fTsrxIcer _ :3 Owner of the spa ajr,:.-p,.or erty . herebp a�hcuiz� to Lct on=7 b� is LU=M=ralasc•e to WOrk amt3 prized by this zald =Mjx (Addttess of Job)I cPoo.I fences and alarms are the responsibility of the afp qc=.t, ,pools ante 001 to be filled before fence is installed and pools a e..ra(.r try be utilfzed uatil all dal it�spcctions are perfonned and accept ad, atuxe�Of _ of App�caa: - f3 en- � .Ptjnt Name 01 Date Q:��:n�a�°�sszcaeeooLs . b d80 b0 00 40 oaf Massachusetts -De,partment.of Public Safety'. ., Board of Building•Regulations.and Standard.,% R' w yConstruction Supervisor ` License: CS-050234 MICHAEL OELUOA 1: 568 SANTUIT RIY COTUIT MA 02635 c ExP iration . „ commissioner 07/09/2016 . Office of Consumer Affairs&Busy ,ess Regulation I ME IMPROVEMENT CONTRACTOR i e istratio : 405548 ` Type: I xpiratfon 7/17/201.63 DBA WIN•J` VILLA E CRAFT BUII)DIN &REM'DELING its : 1 �i Michael Deluga 568SANTUIT,RID �tyi��' I COTUIT,MA 02635 Undereerctxry License or,,registr#tionryalid for individul use only T Obefore the expiration date. If found return to: ffice of Consumer Affairs and Business Regulation 10.Park Plaza y Suite 51,70 Boston,MA 02116 i . Not valid w4,,,,ithoutsi" - DEC-22-2014 11:37 FROM:E]LL BISHJP 9416979e67 TO:15oe4286319 P.1.1 1221=4 Q r�{InkWebrnelt CenturyUnk Webmaii wobishappe@Dernbargrnaii.com Pwd. Proposed Addition-Lateral Loadsj®� From : William 131shop a%robishoppe@embargrnail. m> Fri, Dec 19, 2014 08:32 AM Subjeet : Fwd: Proposed Ac idition-Lateral Loads To ,.,villagecraftbuilder;@camcast.net i From: "William Bishop" <m bishoppe@embargmail.co >To: Wlagecraftbualders@cor tcastnet Sent: Friday, December 19 2014 8:02:31 AM Subject: RE: proposed Ad,iition-Lateral Loads Mr. Mike ®eluga Village Craft Builders, RE: 5 Aurora Avenue Centerville, MA Dear Mr. Deluga; I have reviewed the design of the addition with respect to lateral ad resistance and fed,it to be acceptable_ The nri&l desip o Fthe additiion refs on both the new roof and new fbor/foundation piers to resist the added latent wind L ads.Mote that the plan calls for�=plywood sheathing at the interior beating wal(originally e6s*e)tenor wall}to emend to the underside of the new roof diaphragm and the the new roof diaphragm is att ached to the origimi roofnear th ridge. Ibis interior Wan acts as a shear wall delivoeY4 load from the add tion roof"pi ragm to the existing foundation. The new.floor is connected to the cxist r,floor at the foundation/rim as well as be° g supported by the new foundation piers. This combiation ofthe roof and for diaphragm and their cornccdvity to the cx6jing structure and new piers provides adequate support for the lateral wind bad caused by the addi ion. I trust that this.addrf sses yc ur inquiry. If You have further questions or comments please call me directly. Very truly yours, lWilliam A, Bishop, P Structural Engineer i r - 0112012014 15:00 Malcolm&Parson s Ins. Agency P.001 e,007 WORKERS COMPEN;ATIOWAAND EMPLOYERS LIABILITY INSUHANGE POUCY INFORMATION PAGE Assooi 3t+ed Employers Insuranee (Company 54'third Ave roue, Burlington, Massachusetts 01803-0970•- - (800)876.2765 NCCI NO 409Ss POLICY NO. ACC-5000500061 14.2013A PRIOR No. L VICC5G06114 .*2012 ITEM y 1. The Insured: Michael.Delu a 9 DBA: Village Craft Building 8'Remodeling Mail!ng address: 568 Sarituit Road FEIN:--**2146 . ;. Cotuit,UA 02635 r Lscal Enlity Type: Sole P•opdetor Other workpiaces not shown above: 2. The policy pahod is from 12/23/2013_to 12/23,12014 12:01 a,m.standard time at the insured's mailing address. ,. 3. A. Workers Compensation Ineuran(e: Pam One of the policy applies to the Workers Compensation Law of the states listed here: AIA B. Employers'Liability Irr:eurtnce:F art Two of the policy applies to wurk in each state listed in item s.A. The !Imils of liability under Part l wo are: Bodily Injury by Accident $ 1`J0,000 each accidant Bodily Injury by Disease $ ----- 500,000 policy finnit Bodily Injury by Disease $ i00,000 each employee C. Other States Insurance: Covere)e Replaced by endorsement WC 20 0$06 A D. This Policy includes these'Endo,someMs and Schedules: SEE SCHEDULE 4. Th3 premiun,for this poliov will be d6 terrnlned by our Manuals of Rules,Classifications, Rates and'Rating Hans, All Information required below Is subs act to verification and change by audit. Classifications Premium Basis Rates Carla I Estimated i'er5tQ0 ' Estima.tad i No. l Total Annual Of Annual R�munerztion. Remur rat�cn Premium INTRA 355380 j ! INTER SEE!CLASS CODE SCHEDU' E Minimum Premium $500 Total Estimated Annual Premium 54,5E2 GOV ; GOV Deposit Premium $i,177 STATE ;CLASSi , MA 5645 ^ MA,Assessment ChB. _—•.-- — $4,208.00 x 3.4000% $143 TNs policy,including all endorsermar•ts,is ha!31by countersigned by � � `__fit' 10/24/20,13__ %�rlZed Slgnaiure Liao Ser/Ice Office: Malcolm&Parsons Insur;ancra Agency Inc 54 Third Avenue 6 Freeman Street-P 0 Box 527 3urlington Iv1A D1803 Stoughton, MA 02072 WC 00 00 01 A(7.11) 11141A"oopyrlgMtl material or era National Council,n compomsatlon tnsurancQ, used With ite Psrmida,on. paw . �,�t" ^7Wa`~•�`'S�`r«�'rf1.��Ri frS;�. .:arR,�j',�..�usnj�aa4� �, .,.,n�' ,w 4�r a>:IY„3f_4�u14'}Jle,. U�t�2-. - �tj^f7��� � .�t-1 .r" 'Sts' a t4!I - h e ,{7 1• r H v s � CIA ((f r 1y J !� 1 ,fir i j6r gg�'}a,U 4 !e S �Ttv3 [ r. 8 � 6J � t IW� d �F - r, �wi•Y.iYI: �aA.A _i�r � � i f 3e g qAl NI jw��r�'fir'.��3�'3•"rN° �U P�'ap' �f xrf Vf w,'M_,5'e•��° ��1t�� �d�' I *,�Ml�i'�. �r�1 @c���t Rom°{��:� 7 ( yA ca VERVE !. 5 Agf;A`t' A3'RI& t. ;'>. till, �� � SEPT MMt tni vow t y"�. r� �Sr'L ��I ✓ �.��tF�.a,iuT� V - +r�r 5 ��+ �! � �� v��� ' �1 a fir,•bY�'�- �,+'�e; •2 Ip^1;�s~ b{ .. !. 1 - EY.� ��¢^ri.. t _ Sul !.l}a fl s ,f oar a .�.. n�r..� S.a"r i!��tue 14T.(f'.. h :-ys� y n '^:%tma.Y�. En!r,Ip d�f,•a.. k�{fh* lf. h` wwpp � - r iir;4i;" i'ni�xa+T"rw - �;- - .. "D BYLAW '{...4 !W VALAWN51. f`3`7pNrtlt Fl.g^j n4 (''YI J,(,Y• "' � 1114�9�'+c Flp e PAZARD ZONE, '�.q,tC w1F5MDvw Y IL 'f Sr i t�da 67 rpu �f L AN �a HOSE LINEK Al- Acy _a M�r•AM^f, VOMUMTH SAW �`I f/,}t��.7•tl ly+. 'fit Yj� 1 -�. _ - - . ,m.•tYEYs,r:.rs.ahsAlrif t::�vY.l'r.at.J,-I.I r rMt fl.!'il+�`�iP.075i1� ; ..�..LYuw.F:xF.NJt✓.c.t.�L1..VItl.,J..YwNL.tlfCJIfN Y.r315fMlIYli4aalt.Wl'Mr�n1.••••aet�fl w.. L�) e� r.11____ ., , ' 1=1=4 Ce*r)Unkvu&. MaIi CenturyLink Webmail wobishoppe@embargmail.00m Fwd: Proposed-Addition-Lateral Loads From :William Bishop <wobishoppe@embargmail.com> Fri, Dec 19, 2014 08:32 AM Subject : Fwd: Proposed Addition-Lateral Loads To :villagecraftbuilders@comcastnet = C) 59 From: "William Bishop" <wobishoppe@embargmail.com> To: villagecraftbulders@comcastnet Sent: Friday, December 19, 2014 8:02:31 AM Subject: RE:.Proposed Addition-Lateral Loads Mr. Mike Deluga Village Craft Builders RE: 5 Aurora Avenue Centerville, MA Dear Mr. Deluga; I have reviewed the design of the addition with respect to lateral bad resistance and find it to be acceptable. The original design of the addition relies on both the new roof and new for/foundation piers to resist the added lateral wind bads.Note that the plan calls for the plywood sheathing at the interior bearing wall(origin*existing exterior wall)to extend to the underside of the new roof diaphragm and the the new roof diaphragm is attached to the original roof near the ridge. Ibis interior wall acts as a shear wall delivering bad from the addition roof diaphragm to the existing foundation The new for is comhected to the existing floor at the fouralationhvn as well as being supported by the new%undatmn piers. This combination ofthe roof and for diaphragms and their comhectiv ty to the existing structure and new piers provides adequate support for the lateral wind bads caused by the addition. I trust that this aooresses your inquiry. If you have further questions or comments please call me dir p Very truly y ur , w William O. & p E Structural gi r �o� y PRO E'S\o 1.. Parcel PermitPe V v Engineering Dept. (3rd floor) Map 1 �`'� rmit# House# ,� �J Date Issued Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30).&7� OA q t '� ee cfo) Ee - or/School Admin. Bldg.) �F1HE ` Planning Board SEPTIC SY BE CE ,t�' 19 TOWN OF BA"STA4k1kR0N Building Permit Application TOWN REGULATIONS /Prof eetAddress 5 Aurora Avenue ( b� J Village Centerville, MA ///Owner Barry A. Shore Address 5 Aurora Ave, Centerville MA /TT lephone`A _ ng rmit Request Remodel Kitchpn Rxisting Home ,e First Floor square feet Second Floor square feet Construction Type stimated Project Cost $ $10,0 0 0 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ® Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes W No On Old King's Highway ❑Yes ❑No Basement Type: W Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing 2 New — Half: Existing — New,No. of Bedrooms: Existing 3 New — Total Room Count(not including baths): Existing 6 New — First Floor Room Count 4 Heat Type and Fuel: )ta Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) r Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information le Na e Robert J. Meisterman ✓`Telephone Number 508 238 5712 Address 820 Washington Street License# #056832 S o. F a s t� MA n 7,�7 S,,. �Z Home Improvement Contractor# .,.. #102 4 7.3- Xorker's Compensation# _#R G P 2 6 4 5 8 9 0 2 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWIIUEXISTING,AS WEL)�AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE /���� DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) /' f //i { fi •�--aa.� _ � may, ■ fiFOR OFFICIAL USE ONLY a fI PERMIT NO. rA�'� 5 � J DATE ISSUED MAP/PARCF,-L NO. s :C • ADDRESS = VILLAGE OWNER ' r - F DATE OF INSPECTION: Y s F FOUNDATION . FRAME v l J ' INSULATION FIREPLACE in ELECTRICAL: RQPgi FINAL• PLUMBING: R'll, r FINAL , ME, GAS: R, . • . FINAL i t FINAL BUILDING DATE CLOSED OUT;'°' a3 bV• _ ASSOCIATION PLAN iiV I • These 2 windows will be Block and the bay window from the back of the house will be instaaled here (Location to be decided) - - 66 ---��30 - - 81 1/2 323 1/2E 33 - --48 -- -30 - --35 - --- - —T 0 Q� 0 j All the Tile Carpet needs to be ripped N We might have to add W4"Ply to the ca ! side to make the 2 floor even N U 1824 46 I � qoS PN. CO I 33 Imo-26--� t cro O I MVI A /S B1 f 33 - 72 4� 39 IC 144" OR I 30 u - ire Change slider to I UT m .` french doors C 0 I Ii I. ® 281/2 60 288/2 The bay vA"o-W w e move Replace with 60" Box Window Fioorpplan A-shore A01 'January 6, 1997 --253 1/2 -177 1/2 - -33 43 1 - N F N N r -7 46 N �-26 ` N \� 00 LO CI) 0 -33 72 39 - F 144 LZ F 117 Fl6©rplan Untitled December 19, 1996 r ' The Commonwealth of Alassachusetts Department of Industrial Accidents ^ 1 t V Office o/investigallms 600 N•ashinrton Street _ Bo.vton, A1ass. 02111 `- Workers' Compensation Insurance Affidavit - �ppltcant information: Please PRINT'leg �lv name• Robert J. Mei sterman r ,� e location. 820 Washington Street cit. So. Easton, MA 02375 phone# 508 238 5712 I am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. company name: Assurance Company of America address: P.O. BOX 17067 sits: Bal .imorp, MD 190-1 Phone#: 617 871 5050 insurance co. Agency Shenkel & Co. Insurance rolics,# RGP 26458902 [� l am a sole proprietor, general contractor, or homeowner(circle ate) and have hired the contractors listed below who have the following workers' compensation polices: compare• name: address: city: ohnne#: insurance co. nnlicv# compare• nntnc: address rits phone#- insurance co policy# Attach additional sheet if tieccssar y "��- _ ��"FT ^ 'z r`�'='77 ^ -- - ----... .------- ---- � ` � — - a--,�r..._.....si...�aaf?li .=-:,1�.:'Y�t��rr;.�Y!...Ir�.r�: Failure to secure cover:tec as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a tine up to S1.500.00 andiur une s cars' imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and n fine of S100.00 a day against me. 1 understand that a cope of this statement ntai be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby cerrif[•under the pains and penalties of perjure•that the information provided above is true and correct. /,,..�� Y Signature ���iZ �J,mad Date Print name Phone# ,olTicial use only do not write in this area to be completed by cit} or town official city or town: permiUliccnse# riBuiiding Department �^ Licensing Huard t M check if immediate response is required ❑Selectmen's Office t r. (:]Ilcalth Department contact person: phone#: M01her �.. i. �. �PJAI - Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers* compensation for their ennplrnres. As quoted from the "law". an etnploree is defined as every person in the service of another`under any contract of hire, express or implied. oral or written. An enrplo*Ver is defined as an individual. partnership, association. corporation or other legal entity, or any two or i ore the foregoing en-a,ued in a joint enterprise, and including the le-al representatives of a deceased emplover. or the receiver or trustee of an individual , partnership. association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling hou: or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance of- renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any 1 applicant .who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter hz been presented to the contracting authority. . Applicants Please fill in the workers- compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. you are required you have am questions reaardin the law' or if q not the Department of Industrial Accidents. Should - q � g to obtain a workers- compensation police, please call the Department at the number listed below. Citv or-Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out ill the event the Office of Investigations leas to contact you regarding the applicant. Plea. be sure to fill in the perm it/]icense number wliich will be used as a reference number. The affidavits may 've returned tc the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any question please do not hesitate to ;,give us a call. Tile Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 r: cr UM ;i.:;<.;:.;;;:.;:.;;;:.;F?R�?�1�14�" ,.,:>:N1.1hAli:::::..:::::::::::.;:.::.;;:.;::.;:.;;;:.:.;:.::::::::.:::::::::.::::::::::::::.:................................... > .Atl D.... RGP 26458902 02273035 150 0003985637-0011_000011 ANNUAL BRANCH 19 MD INS HARTFORD RENEWAL EFF 07/06/1996 ASSURANCE COMPANY OF AMERICA ` SPECIALTY CONTRACTORS POLICYsM COMMON ;DECLARATIONS RESIDENTIAL GENERAL CONTRACTORS.PROGRAM This policy consists of the declarations as well as the coverage forms and endorsements listed on the Forms and Endorsements Applicable List. NAMED INSURED AND MAILING ADDRESS AGENCY NAME AND MAILING ADDRESS SAFEWAY DEVELOPMENT CORP. PAUL M. SHENKEL & CO., NC.. RJM DEVELOPMENT CO. , RJM REALTY TRUST 17 ACCORD PARK DRIVE 1632 TURNPIKE STREET NORWELL MA 02061-1629 SUITE 9 (617) 871-5050 CANTON MA 02021 POLICY PERIOD BRANCH NAME AND ADDRESS MD INS HARTFORD FROM TO P 0 BOX 5084 07/06/1996 _ 07/06/1997 HARTFORD CT 06102 (203).251-6100 12:01 am 12:01 am [BUSINESS ENTITY: CORPORATION POLICY PREMIUMS In return for the payment of the premium, and subject.to all the terms of this policy, we., agree with you to provide the insurance as stated in this policy. This policy consists of the following coverage parts. This premium may be subject to adjustment. r PREMIUM COMMERCIAL PROPERTY COVERAGE PART $ 156.00 COMMERCIAL GENERAL LIABILITY COVERAGE PART $ 2,678.00 PREMIUM SIZE CREDIT $ 29.00— TOTAL POLICY PREMIUM $ 2;805.00 Countersigned by Authorized Representative Date Includes copyrighted material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services Office, Inc., 1984. COMMON Copyright, Maryland Casualty Company, 1993. 760006 Ed. 10-93 INSURED'S COPY 04/29/1996 °p 1"ME The Town of Barnstable &AMSTnsM M' . Department of Health Safety and Environmental Services �prFDWw'�a�0 Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen 1 Fax: 508-790-6230 Building Commissioner For office use only 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. Type of Work: Kitchen Renovation Est.Cost $10,000 Address of Work: 5 Aurora Avenue Centerville MA /Owner's Name Barry A. Shore ✓ Date of Permit Application: 1/8/97 l 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 I hereby apply for a permit as the agen of the owner: 1/8/97 Date Contractor Name Registration No. OR Date Owner's Name y lip y _ OEPRRIMEHI Of PUBLIC S0 E0 • COHSiRUCIIOH SUPERVISOR LICENSE OU - Hone _- , air th do lE In Maso m oui- Hubac- Expires: Ci OS6B3"1 OF%Ii/199i CEI;}/19+6 !. t' iae;;i 'r;i.�: Restricted lo: 1G ROBE RI J MEI('IERMAN. 100 10RENG Ru ONION, Mh 0 021 a,..,.�•'� v,.�, ` � '', -fc ier pt�,.T��:���,� r�?r��`'..^i'+Y t�`�vs�'y'''-��;r''�fc�,-�.z^'`�tC,.���,.�a'�uts>�°"��,:.�f'.i.,:�ti�.nr�!o trn�i,4�:�„y�. +[w t;m,,,�,�v,�i.,�`'��.f,�,+�kty X£A.v� ?r.`.s���I.v3r���.�ra�k"rw..z `��yy 3I�I1HOME 1MPROVEMEN:Ti CON:TRG70RS REGI g81 �• �z.�,tR'�',M�#x�-:..,lr�e•:.+'+r :n♦'..a =k}.•.- ,, wart �;•;' ,!'.,s .+ E"4 {^*- •+. z ctar.d of�>�Buil�ding RegulavlonV,-ands ,} to nda -iSci t + `t«f y,, a r_ '�. A•-s *S § C> [�r17. w ',tY" �'' @ w �' �' �. t ,.�, o '� _ ,�,:�. Wyk 6�` "• - d'. c y Sr 'z''ta ,!1,�y �i�s. b z tt .6r '�'dY "�' '?' >.., :�',Ashburton rolace "-0 R°o ,One , �`. f'' "' L ;F ,� M' -:T :Bosto:n'",����tMa�ssachusetts '�kO. ZIOS �' � r .P. ,,, 1� i.AV�. # ...� fie.. 4,�� t i� r�+ Y t t4a t axC C 4 a; to y a xC :,12 Irk c e� '3a'3ry� rs HOHE,.IMPROVEMEN'7..CON7RACI'70R. �• t �n I �f_t Utz , £ yyt .iE ,c. t 'R �gf 'T� �fjr r "JEr t., rts't Reg;istrati.on 102473" 7Expiraton07/,02/98 al ,I � t , t < � r ;, �� _ • - ,y r '°' f nye a ° -.5� \x' gv t itk r t J `r n,t f,. Type INDIVIDUAL :' M r r517 �ru a � € ,� s, �r� .Rsa hrd nls?�i tyYl Nu` +'� I4� � 1 N�y� " 4 r �,. a r t;k }'#'ta, �a"; a'`^,e ,'�'F7a"{I r'�' 'r`�_ .• `4r r r Y!'1t6N��'E�1�I��ki� `�h. � r + a Imo: 73. � �f �t -� Regtstratzon=� :nY`h fitte4 fi'.. ���'z'��� M1 ���lt�byx�`:C,�"'*?r5�y,���. sdt +:.,{`7� g���".vr� �. �a 'a•`N I'=�: s'Aypa INDIVIDUAL n t x' s aax ,!' r �_ " t� � 71v i�a a�a� #�� tt��fi �tl��l : � ,,����Ezpiranon ,.�OI/02/98�`"a :. �ROBERT J :HEI5TE�RMAN*,—g 4°�,� :+; �"� >� 1 ' , � •. a� }. 1032 T u r n p i ke ,St t Surte #9 .* .,. I . n t,�* y,. E �r >:• ,,: t�.•i tC a> fakTi e' F. +t -t.'sl e ro 5 n r. Canton HA 02021., z Yw ' t �! � � 11rtROBERT`"..5 J NEISTERNAN , pyi k °tx� � 4 Xw '. Zt+# P tk V Y s# 'a+s � 1 K+y � �.�ca..S'f 4{ �':�,� 3'''5.�:I'� a�•}'x+' '�'�7, � ik`x` �' `� N,s.3'� -. .� : ,�.�"`}: - � ' sF t + i .r+y.. Sys jz I isi k- - _ a, � .r�" !3'�",`1•.+�nrt'"�(' 'af�.�:'' i^",..4N"�.,'�.���J.�"."..�s t+a`.al,'� �I'- �''y�ADMINl�8_,F'rRATOR D�"!��P r ��e ��•+K�.i y h s:' k,� v � 'z `• s :z 'r. 3 tt ay�t xx r. , . Itli, t' ak '71lgliz T t' F 'tRIST RISE rit 4 ;. fit` 1 , -� Division of Thielsch Engineering,Inc. ;;{ �fI l at s i" 13 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island02910 DIVISSTA Thursday, July 12, 2012 Town of Barnstable Thomas Perry, CBO 200 Main Street Hyannis, MA 02601 RE: 5 Aurora Avenue; Centerville, MA 02632 Barnstable Building Permit#: 201203857 Dear Mr. Perry, This affidavit is to certify that all work completed at 5 Aurora Avenue; Centerville, MA 02632, has been inspected by a certified Building Performance Institute (BPI) inspector. The following weatherization/energy saving measures were completed: ➢ Performed 16 man-hours of air sealing, included all appropriate blower door tests, combustion safety tests and procedures. ➢ Seal heating and/or cooling ducts within designated unheated areas. Start at the largest ducts near the air handler. Highest priorities are disconnected ducts and large holes. Seal carefully all wall and floor cavities in use as returns. Apply mastic to all take-offs and duct size transitions. Seal all boots to ceilings and floors. 3 Man Hours. ➢ Install a 10" layer of R-37 dense packed'Class 1 Cellulose to 160 square feet of kneewall floor attic space. Driil and plug or lift and replace flooring as appropriate. ➢ Install 1050 square feet of R49 kraft faced fiberglass to the basement ceiling. ➢ Install R-8 faced fiberglass insulation to the exposed heating and/or cooling ducts in certain non conditioned areas. Total to be installed is 300.0 square feet. See Energy Specialist's sketch and notes. All work performed meets or exceeds Federal and State Requirements. Sincerely, Erik J. Nerstheimer RISE Engineering Residential Installations Department RISE Engineering; A Division of Thielsch Engineering CSL 1004591HIC 120979 401-784-3700 . 800-422-5365 . Fax 401-784-3710 CASE #: 93466 CHECK #: 61 � 153 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 251 Parcel 119 Application d 1/ Health Division Date Issued ih ba Conservation Division Application Fee `; $50.00__, Planning Dept. Permit Fee $35 00� , Date Definitive Plan Approved by Planning Board Q� 7h//z Historic - OKH _ Preservation / Hyannis Project Street.Address 5 AURORA AVENUE; CENTERVILLE, MA 02632 Village_CENTERVILLE Owner BARRY A SHORE Address 5 AURORA AVENUE; CENTERVILLE, MA Telephone 508-877-0857 Permit Request WEATHERIZATION WORK: PERFORM AIR SEALING MEASURES; SEAL HEATING/COOLING DUCTS; INSTALL CELLULOSE, INSULATION TO KNEE WALL FLOOR; INSTALL FIBERGLASS INSULATION TO BASEMENT CEILING; SEE ATTACHED COPY OF XXX CONTRACT FOR MORE INFORMATION.. Square feet: 1 st floor: existing proposed 2nd floor: existing _proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation $4,317.90 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 Rooms Count w . j - Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other �= c.M Central Air: ❑Yes ❑ No Fireplaces: Existing_ New Existing wood%coal stove_0 Yeses❑ No ....` •Z Detached garage: ❑ existing ❑ new size__Pool: ❑ existing ❑ new size Barn: ❑ existing ❑..new �s1ze_ Attached garage: ❑ existing U new size _Shed: ❑ existing ❑ new size _ Other: k Zoning Board of Appeals Authorization. ❑ Appeal # _ Recorded Ll Commercial ❑Yes ❑ No If yes, site plan review# Current Use RESIDENTIAL _ Proposed Use _ SAME APPLICANT INFORMATION (BUILDER OR HOMEOWNER) RISE ENGINEERING: A DIVISION OF Name THIELSCH ENGINEERING Telephone Number 401-784-3700 EXT. 6133 1341 ELMWOOD AVENUE Address CRANSTON, RI 02910 License # CSSL-IC 100459 EXP. 3/28/14 Home Improvement Contractor#120979 EXP. 3/25/14 Worker's Compensation # 3730961-01 EXP. 1/1/13 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO YARMOUTH TRANSFER TAT N; 50 WPRKSHOP ROAD; S. YARMOUTH, MA 02664 . SIGNATURE DATE ,G ERIK NERSTHEIMER FOR RISE ENGINEERING # FOR OFFICIAL USE ONLY t APPLICATION# t,MAP/PARCEL NO. 7' ADDRESS VILLAGE t- OWNER DATE OF INSPECTION: FOUNDATION r FRAME INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL -:GAS-m I ROUGH L FINAL „FINAL BUILDING ;. DATE CLOSED OUT s ' ASSOCIATION PLAN NO. The Commonwealth of Massachusetts PrintoForm -Department of Industrial Accidents Office of Investigations I Congress Street,Suite 100 Boston, MA 02114-2017 -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 EXT. 613.3 Are you an employer?Check the appropriate box: ' Type.of project(required): 1.2 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 g• ❑ Demolition workingfor me in an capacity., employees and have workers' , Y p tY•- _ 9. ❑ Building addition [No workers' comp.insurance comp. insurance.$ required.] 5: ❑ We are a corporation and its 10:❑Electrical repairs or additions q ] 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.7 Other comp. insurance required.] *Any 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 hire outside contractors must submit a new affidavit,indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation'insurance for my employees. Below is the policy and job site information. Insurance Company Name: THE PRESTON AGENCY,INC. Policy#or Self-ins.Lic.4'3730961=01 Expiration Date: 01/01/13 Job Site Address: 5 AURORA AVENUE City/State/Zip:Centerville, MA 02632 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 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of ` Investigations of the DIA for insurance coverage verification. 01 I do hereby certi unde the ins an.0enalties!dXglug that the information provided abo a is tr ce and correct. Si ature: ._. — -..___. _ - _ Date ___._ _. -/6_. :_ Phone#: Official use only. Do not write in this area,.to be completed by city or town official, City or Town: Permit/License# v Issuing Authority(circle one): ' 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: JM-16-2005 03:34AM FROM- T-713 P:002/002 F-675 RISE EqGMIERMG Fadaral t0 s os sin A RI Contractor Rogtatra0an No ales diviaime ofT4lelacb Eoginari AAAConlractor RegFfiravon me 1"979 . %, CT CoNmclar RaglatraUon No b?0126. - 1341 b-wool Avmuc,Cranston,RI02910 c�ou?i4JT0� VAX(401)784•z710 CONTRACT I S B Z�r� Page PROGRAM TONS CONTRA"is CHIMED wm:o nma$me . tlIG1N!lf1�lN6 CLC-RCS "aNa•me"Tmare.a.NrfoK.vgtK.e ammumn Bury Shone DATE clime (508)977-0857 10/2812011 . 0934" sernca:Teraar eKiQro{rAEQ► .. S Avro1Ts Avenue 5 Aurora Avenue aaavea crrr,aTATLaw �unvo arrr,e*AT@.af �� CUntc ills,MA 02632 } "` " Ce>1i�mr vil le,MA 02632 ' JOB DESCR PTYON 1'toridc labor arld atatariab m SeW UM of ygur Rome agaipst wa"].mt us air wimp. This wat will be rasa of tpeClil tools and diagpwA 0M- to astno that perforta in ea t clo with tfre Maleads tobtused toseal Yonrhaae Gill be left wil6 a hahFful lever ofd.e»l,u, n+d I k ndoor sir quality. Your hoate nap hWJVde caulks.trams.aeatbastTippitlg and other products. Primary areas for seating imiude air laaka6o attiw.�aresrerb,a4aahod garages and Odler on6eatcd arcm(w;Tldor✓s am nix generally addressed.) Rm BUCK wiB PWVW labor and mawrids to Dal deat6rg and/or costing ducts wittuo designated taltaated ueaT. This wok wiq be parfoQn+ed a Wa taro of li70 per tarn per horn,which;adudeS materials. 3 ram,houia. ;. 5210.00 Provide labaa a d-oatwaials to inWU a 10"layer ofdenae,pa led R•37,Clan t CODUfose added 10160 3q m trot of knell floor. : �w . , x lJ34.40 Prtaide labor Dad-attrials b figsQll 1050 sgUM feet of R-19 farad f ugkn insviatim to the bmant at ceiling i - Pw*tde tabor and mactisb to irgtatl lR4 row Insuletioa To the exposed heating and/or cooling in certain nos corrdidoned $1.753.50 alert,. Total to be srtmlkd is 300.0 square ' P. • ' RLSS ETIOp100rirrg will appiyan appdieeme,eligible Wt mives TO tills consort. YouwiU $000.00bt biped only 1heNet timount CuTrtmty,for eligible Uamurea,the Caps Lfaht Compact of n 75yf inamive,nol to exceed$2,000 Per Caleadea Year. 43,330.00 ECG C D � �•� . 17EAWlEEMtBrt N fifltYlCEB.COWLEM tN ACCO"ANcr-VAT r A86vE spirwiCatlONa.FQR THE aVrQ Of NOV Zfll, N Hundred EiBfrly.SevaTrr 8 90N00 Dollars $9117.80 /-rllaMEMMUAIta114-sm ar agEENQ�6 1 WfTOMW A0R 10"MRAMOVNT DUNG PULLamwitssr upi/V&&ofeNARf380 rend TNLV'ON AIR aaLANCEarTan>e DRTa.aiM Reveres POa atPORT NFORMR1DNnM fAeARAaTlae,aNwTa Os r�elaroRAWI .. 8a10.4re,.M000IfrryICTOA ReggTAATqR. NOT B10N TNIS CONTRACT IF THERE ARE ANY BLANK 9pACE9 aYtlrolmRnawrroie.wsewo�r-Mo ��� ._ WaTOaaa KelPrlLApiE. /f/J 9 were Tres menueraaT aarMgtAasr ttl lA l/NOT mcU mD%V TNIM: ✓✓ 'f I ►. DATE OF Aeta►rAMea - Aa WARCe of CORTAACT-INC"a"PRCEa OAT1oPACT aPEC/1t ArnOM6AliO eaNp1110lN An aAra. CaT f O us MR Aire sQrNaT Aet�FlT "I,ARE AVtrrORllaa/OOo TM6TrpaK t.4 AT:1NaClne0.MYMWf PrM1l.as MAoa�OYriIMQPMOYQ' , Z-d- 916099L905 89£:O LS L L l0 AON THIEL-1 CERTIFICATE .0F �LIABILITY,INSURANCE OP ID:-27 DATE ww"DDIYYYY) 01/_13/12' 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. lk 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). + , [East ODUCER _ - . 401-886-8000 CONTACT e Preston Agency,Inc. NAME: 50 Division Rd Suite 303 401-885-1700 HONE Ert: ac No Box 810 Greenwich,RI 028184..810,.... ADDRESS: dith A.Wright CPCU AAI ARM .- -INSURER(S)AFFORDING COVERAGE -NAIC 0 ! • - +' INSURER A:Zurich-American INSURED Thielsch Engineering,Inc:. INSURER B American Guarantee&,Liabili Thielsch Group Inc. ty HI Tech Realty Inc. INSURER C:Twin City Fire-Hartford - Trent Theroux 195 Frances Avenue INSURER D:North American Capacity 195 - - Cranston,RI 02910 INSURER E:` INSURER F COVERAGES CERTIFICATE - NUMBER:'` ..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 - - POLICY EFF POLICY EXP LTR POLICY NUMBER MMIOD/YYYY MMIDDIYYYY LIMITS GENERAL LIABILITYEACH OCCURRENCE E 1,000,00 A X COMMERCIAL GENERAL LIABILITY X 3730962-01 01/01/12 01/01/13 DAMAGE:TO RFNTED-- - 'PREMISES(Ea occurrence) $ 300,00 CLAIMS-MADE OCCUR : - .• MED EXP(Any one person) E 5,00( PERSONAL BADVINJURY E 11000,00 GENERAL AGGREGATE E 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 POLICY rX PRO LOC Emp Ben. E 1,000,00C AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 2,000,00 E . A X ANY AUTO r' 3730963-01 , 01/01/12 01101113' BODILY INJURY(Per person) E ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Pe r b N N- O 0 ED AUTOS v HIRED AUTOS WN PROPERTY DAMAGE Per accident Er E X UMBRELLA LIAR X OCCUR :: - EACH OCCURRENCE E 10,000,000 B EXCESSLIAB.` CLAIMS-MADE AUC-4857188-01 �` 01/01/12 01/01/13 ` AGGREGATE E 10,000,000 ^ DED RETENTION E 5 • WORKERS COMPENSATION T RY LAMIT. OER .AND EMPLOYERS'LIABILITY - YIN' ' " X _ t A ANY PROPRIETOR/PARTNER/EXECUTIVE ' .N I A 3730961-01 01/01IM2 •01101/13 E:L.EACHACCIDENT E 1,000,00 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.LDISEASE-EAEMPLOYE E 1,000,00 I(yes,describe under r ., y .. DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,00 C Property Section 02UUNHE6930 01/01/12 01/01/13 Pro e p rtY � see belo p Professional Liab DVL000026802•- 01101/12 O1/01/13 Prof Liab 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AttacKACORD 101',Additional Remarks Schedule,If more space Is required) - - - - When required by a written contract CERTIFICATE HOLDER CANCELLATION TWNHARW SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town Of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Division ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis,MA 02601 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD- 9 9 0 D Details r Page 1 of 1 Licensee Details _ Demographic Information , Full Name: ERIK S. NERSTHEIMER, Gender: M Owner Name: a" . License Address Information Address: 228 Gleaner Chapel Rd. : Address 2: y City: North Scituate State: RI ipcode: 02857. - Count : United States ` License Information License No: CSSL-100459 License Type: CSSL-IC -Insulation Contractor Profession: Building Licenses Date of Last Renewal: 4/24/2012, Issue Date: 5/6/2009 . Expiration Date: 3/28/2014" License Status: "Active Today's Date: 4/25/2012 Secondary License: zH Doing Business As: Status Change: 18 Prerequisite Information • � r Licensee: NERSTHEIMER",ERIK S.',, Relationship: Attribute Of s License No: CSSL-100459 ' Discipline p No Discipline Information Documentum y we ' . enc htt ://elicense.0 h s.stateima.us/Ve Prification/Details.as x?a id=Y1&lice id... 4/25/2012 . P g Y_ - nse— Office of Consumer Affairs d Business Regulation. -- 10 Park Plaza - Suite 5170 LM Boston, Massachusetts•02116 Home Improvement :Contractor Registration JUN 20 X12, `y Registration: 120979 Type: Supplement Card THIELSCH ENGINE 'RING - Expiration: .3Y25�2014, ; . .1341 ELMWOOD AVE: CRANSTON, RI 02910 Update Address and return card.Mark reason for change.: SCA 1 0 20M-05/1 1 Address E] Renewal Employment 0 Lost Card- GFxe7 amaarrroecrll�o��C �rt.ac/zci�elt MCC of Consumer Affairs&Business Regulation g License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation egistration i120979. _ TYPe 10 Park Plaza-Suite 5170 Expiration 3/25/2014 : Supplement Card Boston,MA 02116 - THIELSCH ENGINEERING ERIK NERSTHEIMER. 1341 ELMWOOD AVE:`, CRANSTON, RI 02910 Undersecretary Not valid without signature t Con{ro1 No. 3 4 2 4.4 THE COMMONWEALTH OF MASSACHUSETTS 5 DEPARTMENT OF LABOR DIVISION.OF OCCUPATIONAL SAFETY 19 STANIFORD STREET, BosToN,MAsSACAUSETTS 02114 LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER • '. h y RISE Engineering A-Divislion of Thielseh Engineering, Inc. . 1341. Elmwood Avenue Cranston, RI 02910 WAIVER: LW000672 EXPIRES: ' 'Apri115,2015 IN ACCORDANCE WITH 111,:§ 197(B)(b)AND 454 CMR-22.03(3)(b),� THIS LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER IS ISSUED BY THE DIV. OF OCCUPATIONAL SAFETY TO THE CONTRACTOR t ABOVE FOR THE PURPOSE OF PERFORMING LEAD-SAFE RENOVATION } WORK. y ,. THIS LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER MUST Y BE MAINTAINED BY THE CONTRACTOR IN ACCORDANCE WITH M.G,L. C. 111, § 19713(b)'AND 454 CMR 22.04.WHEN.:PERFORMING LEAD-SAFE - `" RENOVATION WORK. HEATHER E. ROWE,ACTING COMMISSIONER L Printed on Recycled Paper -a r h