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HomeMy WebLinkAbout0057 BREZNER LANE 5{ t }'�ih ,i� .,•F }�� #t r _ ai� t 4A w � I. 'S.r. '�' t.. :i s'r�•"- .i. �..�, j�.�... '° nab ;',� rt. A tf" Sri a�" ,•,A,.r r.,. _.. 7 a R.. ,a t r,;'.' l�e.�.,,�9 .r. .. � �y. ,. 1""i :, r91r( �- �� +, ;i•'r..a � ,• . .. C:...;'. ', r ii, �: f ',L. t ��, x;�. ,, �R.� i�.,�, ,:,�' ,,.:_.- . . _ '.._„ .z. ti4 .�a�t, .�- �,• `�;-..'?- E..,�,.',. 'A .,r 'Fs µ:.r.h1.• � •t.�'1 - �+ ..Y{ '`,+�,�. `'`%'_ rv:..�"rC d 1r r a 6 . +'F V • , k s , e o. • : t 106001 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 2 (,� Application # ®y 7 Map 3 Parcel ` Health Division Date Issued !lU Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board 2J 1Z//oO!dam Historic - OKH Preservation/Hyannis - - Project Street Address 57 Brezner LANE Village Centerville Owner Katherine Connolly Address 57 Brenner Lane Telephone 1508)771-7873 Permit Request Air sealing, install 1200sq ft of R-19 to -attic, install 1 insulated cover for the attic access folding stair, , install 10 soffit vents Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1976.00 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: � . Q Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ; C Commercial ❑Yes ❑ No If yes, site plan review# NO �+ s Current Use Proposed Use u APPLICANT INFORMATION 0- M (BUILDER OR HOMEOWNER) Name RISE Engineering Telephone Number 09Ssami_gaga (401)784-3700 Address _RTRE Rng;na� License # 100459 1341 Elmwood Avenue Cranston, RI 02910 Home Improvement Contractor# 120979 Worker's Compensation # VJr✓a-Zli-a5q��� (�� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO RI Resource Recover t SIGNATURE DATE 2/1/10 Erik Nerstheimer for RISE Engineering Y� FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: 1 FOUNDATION 1 FRAME INSULATION 4 FIREPLACE A ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 'I LR1( F DATE CLOSED OUT ASSOCIATION PLAN NO. r The Comramra`om wealtkof IVY 6�a,c,h usefts Department of In dusyrial A cciden6 ®ffgce of lnv6dga dons 600 Washingion SSkreel Boston, 02111 , www.mass.govldia : . Workers' Compensation Nnsll ra nce Affidavit- Builders/Contlract®Il°s/ElecirIlIlcIla>ms/PdnnIln&>e>rS AppiicaIlnt Information � Please PIl ink�&i➢y 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 1-800-42275365 r Are you an employer?Check the appropriate box:,: Type of project(trealuired): , 1.9 I am a employer with "4• ❑ I am a general'contractor and I 6. ❑New"construction employees(full and/or part-time).* have hired the sub-contractors' 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. I"' 7. ❑Rem6deling .k ship and have no employees These sub-contractors have 8. RJ Demolition working for me in any capacity. workers',comp,insurance. 9. 0 Building addition f.` ,[No workers' comp. insurance 5. ❑ We are a corporation and its ` required.] 'officers have,exercised their 10.R Electri6afr6pairs or additions 3.❑ 1.am a homeowner doing all work-'' right of exemption per MGL 11.0 Plumbing repairs or additions .myself. [No workers' comp: , "c. 152, §1(4),and we have no 12.❑hoof repairs ' insurance required.] t '.'' 'employees,[No workers' comp. insurance required.] 13. X Other Ir'sulat i on " Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy,information. i Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicatingsuch. +Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy infoilnation.. I am an employer that is providing workers'comp nsatlon insurance for my enWloyees. Below is the policy sand job site information. F � Insurance Company_Name: The Preston Agency Policy#or Self-ins. Lic..# WC2-Z11-259874-019 Expiration Date. 04/01/.-10 Job Site Address /k` I�JYe.z City/State/Zip' ,, n Attach a copy of the workers' compensation policy declaration page(showing the policy number and e$pin.on dai6). Failure to secure coverage as required under Section,25fA 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 v✓ell as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded:to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cent sin , r the `iris an penaldes of fie 'ry that the informs lion provided above is true and correct.s Si natur X�,,/. Date: - `Qe: Erik Nerstheimer for RISE Enggineering N 'Phone#: 401-78473700 or 1-800-422-5365 Ext. 133 ~� ®fficial use 'only. Igo not write in this area,to be completed by city or town offaciaL ' .City or Town: Perrnit/I.icense# Issuing Authority(circle one): ' 1.Board of Health 2:Builditng I)epartaneaat 3.City/ 'own Clerk 4.Electr:ical Inspector A5.Plumbing Anspector 6.Othea x• Coeatact Person-- Phone#:: ' MC CERTIFICATE OF LIABILITY INSURANCE OPID7 DATEWMIDD1YYYY) PRODUCER 10 15 09 The Preston Agency, Inc, THIS CERTIFICATE IS ISSUE;TH][E:L-1 S A MATTER OF INFORMATIO 1350 Division Rd Suite 303 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO Box een AL TH COVERAGE CERTIFICATE DE-D By p DOES NOT p�IE�BELOND W East Greenwich RI 02818-0810 Phone: 401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE INSURED NAIL# INSURER A: Hartford Tlnderrrit®rs XAS. Co Thielsch Engineering, Inc Hartford�1t, lusuranoe co Thielsch Group Inc. INSURER B: Hi Tech Realty Inc. INSURER C: LDS,mutual r„a,,� �� Cranston Frances Avenue INSURER D. North American Capacity Cranston RI 02910 COVERAGES INSURER E: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NS TYPE OF INSURANCE POLICY NUMBER ]DATE �� t�1dTS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY 02UUNTD5678 04/01/09 04/01/10 PREMISES aooauer>ce) S3pp,0p0 CLAIMS MADE lil OCCUR MED EX (Any one Person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEML AGGREGATE LIMIT APPLIES PER: POLICY X JPERCOT- LOC PRODUCTS-COMPIOPAGG $2,000,000 Ben. 1,000,000 AUTOMOBILE LIABLLTT1r - B X ANY AUTO 02UENTD4850 04/01/09' 04/01/10 Emp COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (P-Pe—) HIRED AUTOS ,. NON-OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN . EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $10,000 000 B X OCCUR CLAIMS MADE 02XEiUUF6573 04/01/09 04/O1/10 AGGREGATE $10,000,000 0DEDUCTIBLE X RETENTION $10,000 $ WORKERS COMPENSATION AND $ EMPLOYERS LUMU TY X TORY LIMITS ER C ANY PROPRIETORIPARTNER/D(ECUTIVE WC2- Zll-259874-019 04/01/09 04/01/10 EL EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? If es,descri1*under E.L.DISEASE-EA EMPLOYE s 500,000 SPECIAL PROVISIONS bebw OTHER EL DISEASE-POLICY LIMIT $500 000 D Professional Liab DVL000025902 04/13/09 04/01/10 Prof Liao 'A Leased/Rented E 2,000,000 02UUNTD5678 04/01/09 04/01/10 E t 0 DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEiYCLES 1 EXCLUSIONS ADDED BY ENDORSEMENT/SPECAL PIIOVISIONS *Except 10 days for non payment of premium. Holder is included as an additional insured when required by a written contract with respect to the General Liability coverage. CERTIFICATE HOLDER CANCELLATION TWNQARB SHOULD ANY OF IIHE ABOVE DESCRY POLICIES BE CANCELLED BEFORE THE EXPIRATION DA7ETHERWTWESMGNSUvmwujLBWAVORTomw, *30 DAYS WRITTEN NOTICE TO THE CERTFICATE HOLDER NANO TO THE LEFT,BUT FAILURE TO DO 90 SHALL WrM NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE WSURER,ITS AGENTS OR REPRTSENTATIVEL wow?, ACORD 25(2001108) 9 0 AC D CORPORATION 1 RISE ENGINEERING deraI ID#05-0405629 I Contractor Registration No 8186 ; A division of Thielsch Engineering D A Contractor Registration No 120079 Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,RI DEC 10 _ l I (401)784-3700 FAX(401)7 ONTRACT 3 ge 1 RISECONTRACT IS ENTERED INTO BETWEEN RISE • - ENGINEERING AND THE CUSTOMER FOR WORK AS ENIGIINEERING - ` DESCRIBED BELOW. t CUSTOMER PHONE "` a:. y� DATE , Client# Katherine K Connolly (508)771-7873 12/01/2009 106001 - L SERVICE STREET BILLING STREET , 57 Bremer Lane Po Box.756 SERVICE CITY,STATE,ZIP - _BILLING CITY,STATE,ZIP Centerville,MA 02632 Centerville,MA 02632 JOB DESCRIPTION R 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. 6 man hours. $396.00 RISE Engineering will provide labor and materials to install a 6"layer of R-19 unfaced fiberglass Batts to 1200 square feet of attic space. $1,250.00 RISE Engineering will provide labor and materials to install an easily moved;rigid foam insulating cover for the attic access folding stair. The cover has integral weatherstripp ing to restrict air leakage. $160.00 RISE Engineering will provide labor and materials to install .10_4" X 16"rectangular aluminum soffit vents to increase ventilation in attic areas. n .. a $170.00 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible measures,the Cape Light Compact offers 75%incentive,not to exceed$2,000 per caland6-year. C'R R $1,482.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Four Hundred Ninety-Four&00/100 Dollars $494.00 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY - UNPAID BALANCE AFTER 30 DAYS,SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. ` DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES II t UTHOR G U •RISE ENGINEERING CUSTOMER ACCEPTANCE N E:THI C TRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTA � CsGGu Ar A 3- Y rz ! ACCEPTANCE OF CONTRACT•THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE � SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE rage 1 0I 1 The Official Website of the Executive Office of Public Safety and'Security (FOPS) Mass.Gov Home Public Safety Department ®f Public Safety Licensee Complaints License Type Construction Supervisor License# 100459 Restriction WS,IC Name Erik Nerstheimer City, State,Zip North Scituate, RI,02857 Expiration Date 3/28/2012 Status Current No complaints found for this Licensee. Back To Search Board of Building Regulations and Standards U.Cense or registration valid for individiil use only HOME IMPROVEMENT CONTRACTOR I' before the expiration date. If found return to: Registratioi:- 120979 Board of Building Regulations and Standards Ezpirafi:on:_ 325/2010 one Ashburton Place Rm 1301 _==TYP:e"_Supplement Card _ PA!'sirin, 4a.021.0$ . -HIELSCH ENGINEEk?<I:NG= 'RIK NERSTHEIMER` 341 ELMWOOD.AVE` :RANSTON, RI Admmisti.itor Not valid without signatgre - V - hrtp://db-.state.ma.us/dps/licdetails.asp?txtSearchLN=CSL100459 0MA/1) L 4 ��QyOFTHE TO�yo� TOWN OF BARNSTABLE i • i BAflHSTAHLB, i "6 9 BUILDING INSPECTOR o ,. APPLICATION FOR PERMIT TO ..........l.&e....... .................................................. TYPEOF CONSTRUCTION ...........!., .fir.. .r»..'.................................................................................................. .............pe.e...........1..............19 .:... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..........�:.`.. .....�....�..�............ ../>...e2 ,► ev .. ( a �r�I ��•R j. ...... ... .. ................................................. Proposed Use ......... ` s c�p �, c ......... Zoning District .......... ..a.'.)................................................Fire District ....6�:n.r........................................................... Name of Owner ...:I�`�:�?.x► ?. �......: 7.e y'.' `,...................Address ��v'v, +..�.� r 1 y 3..... ....... ...) ....�.?":".... . Nameof Builder ....................................................................Address .................................................................................... Name of Architect ..................................Address ...... Number of Rooms ...........41....................................................Foundation .gm.Y.p.cO..... v.. ?!..c..s........ .�.��........... Exterior S 2 / , .......... 1�...............��,�.......................................Roofing ... •r ....F. /.j......................................... Floors .............. ........................................................Interior ........�.i�,v�.�!.:.....��..........................:..................... ��/ Heating ................................................y.....................Plumbing ........6..1t.L:...t.....c3.....11........!................................ Fireplace ...................1/. ................................................Approximate Cost ........ Y Difinitive Plan Approved by Planning Board ---------------____-----------19-__----:- 43 17 Diagram of Lot and Building with Dimensions /0 4 /65 � 0 w ~ J /Sr �, � �:��� S per-• �1 O00 `\ M cp (,2v C] L u- C) s O Lu !� O Z � Q aU) CL- LOT Li_ ::D .J J U) U) U 33/ L1ct) � Lcl v adz o � a_ < car u, C� ~ fQ � Qa I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ......... ......................... . ............ ........................... Henry, Kenneth No ...15$?.. Permit for .......one..st'0z7,....... single family dwelling ............................................................................... Location $rezner Dane .......... .................................................. Centerville } !V Owner Kenneth Henry IV ........... ............................................ ... Type of Construction frame ......................... ................. ....... ... ..................... .............. Plot ............................ Lot .......#57................. � 1� Permit Granted December 7 ..19 71 ......... .......... �� F�AJI�v �, Date of Inspection .., 7.2'...........19 d �1S elxi Date Completed ....... ..... .... .................19 PERMIT REFUSED .................................. .... ..... ......... 19 CY ............................................................................... 4 ............................................................................... } ............................................................................... Approved.................................................. 19 ............................................................................... ...............................................................................