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HomeMy WebLinkAbout0066 BUCKSKIN PATH CIA ' - - V J t Y. s, '.u. � _ G ,. f .,. _ .. .: _. �� - ,. - ,. ,. ., � :: .. - .:. , .. � �... ,. ... .. � .. � � e .. � . �e '. .. - Wow TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1 Parcel.. 6ql Application #�� ����� Health=Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board 911 ho LPJ 0 oil' Historic - OKH _ Preservation/ Hyannis Project Street Address Village -IcryII -e-- Owner wo Address By Telephone 50K -1-1 - 435 Permit Request _ O S LLI L if, G4-hrC . C 12 "ra pea) Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation C1 9 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �� r'V;II/1 P�P'i�G Telephone Number 4 S/4 - Old Address 1 :�1)41 El rywy-DrA b f, License # i'(fXl��SI� 121 m.�,10 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE VO FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE . OWNER DATE OF.INSPECTION: a FOUNDATION FRAME p� INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ti PLUMBING: ROUGH FINAL GAS: ROUGH FINAL Y FINAL BUILDING 0 DATE CLOSED OUT ASSOCIATION PLAN NO. t i The Commonwealth of Massachusetts - Department of Industrial Accidents _ Office of Investigations ° 600 Washington Street Boston, Mass. 02111 www.mass.gov4a Workers' Compensation Insurance affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information - Please Print Legibly Dame(Business/Organization/Individual) RISE Engineering a division of Thielac z Engineering Address: 1341 Elmwood Avenue City/State/Zip: Cranston; RI 02910 Phone#: (401)784-3700.or 1-800-422-5365 Are you an employer? Check the appropriate box: Type of project(required): 1. N I am an employer with 4. ❑ I am a general contractor and I 6. ❑New construction ` employees(full and/or part time).* have hired the sub-contractors 7. ❑Remodeling 2:❑ I am a sole proprietor or partner- listed on the attached sheet, ship and have no employees t 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. ❑ I am a homeowner doing all work officers have exercised their 11. ❑Plumbing repairs or additions myself [No workers' comp. right of exemption.perm MCL insurance required] t c. 152,§ 1(4),and we have no 12. ❑Roof.repairs employees. [no workers' 13. T& Other Insulate comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContactors that check this box must attach an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors bave employees,then m. ust 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 Policy#or Se1f-ins:Lie.#: 3730961`00 _ j Expiration Date: 1/1/11 Job Site Address: l ��Vti� - _ City/State/Zip — . Attach a ccipy of the workers' compensation policy declaration page(showing the policy number and expiration(date), Failure,to secure coverage as required under Section 25a of MGL 152 can lead to the imposition of criminal penalties of a fibie up tor$11,500.00 and/or one year imprisonment as well as civil penalties ir.►fne form of a STOP WORK ORDER and a fine of $250.00 a.day.aga.inst violator: Be advised that a copy of this statement maybe forwarded to the Office of InveS.6gations of the I)IA for cover ae v r1TYcation. � �. I do herby certi itnd he ns p' realties of perjury that°the.information provided above is true and.correct.' ,S�ntZture: ..-.�c��'��LS Print Name: Erik Ner_s, heimL(-,-r_ Phone#.(401� 4-370Q or 1-800-_ 2? Officiai use only D0 nai write h.1 this area to he.omjvleted by city nr town officiaX City or Town: �etn1it17,ic:ense�: lssuin Autbor+ty(circle one): 1.Board o4.Headi 2. Building Depirtiit.ent 1.0ty/'1i ovilrii Clerk. 4, Electri,�al Inspector '5:JPlumbing inspector - 6.Other r Contact person: Pht, e, _s ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID 47 DATE(MM/oory(y) THIEL-1 09/13/10 PRODUCER - - THIS CERTIFICATE 1S ISSUED AS A MA"iTER 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 81'*0 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. East oreenwich RI. 02818-0810 Phone: 401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE NAIL INSURED INSURERA: Zurich-American Ins CO, :4 Thielsch Engineering, Inc INSURER B:. A-1-- C;U ra t.s s Ll.bil'Lty KiTech 6altyGroup Inc. INSURERC: North American Capacity Hi Tech Realty Inc'. ' r Frances Avenue Canston RI 0291.0 INSURERD: Hartford Insurance Company -Cranston ' INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ASOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING '.ANY REQUIREMENT,TERM 09 CONDITION OF ANY CONTRACT OR OTHER OOCLIMEPIT WITH RESPECTTO WHICF.I THIS CERTIFICATE MAY BE ISSUED OR WAY PERTAIN,THE INSURANCE-AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT'TOALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I Uu LTR iNSR TrPE OF INSURANCE POLICY NUMBER GATE(MMlDOMI) DATE( per) LIMITS ' GENERAL LIABILITY EACH OCCURRENCE' 1 11000,O O 0 A X COMMLAIMSMIAL MADE LLIAOCCY 3'J3Q962-OOr 04/O1/10 O1/01/11 FREn•IISES(Eaooccurer,ce) z 300;000 CLAIMS MADE. OCCUR, MED EXP(Any.one poison) $-.;10,000 - _ PERSONAL$ADV INJURY s 1,000,000 - __ GENERAL AGGREGAIE 5 2,000 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS"COMP/OP.AGG' $ 2,000,000 ~ POLICY X 'Ro LOC E - _ mp 'Ben. 1,000,000 AUTOMOBILE LIABILITY - A X MY AUTO 3730963-00 04'/01/10 4 01/01/11 COMBINED SINGLE LIMIT s 2 000,000 (Ea accident) ALL OWNED AUTOS — t SCHEDULED AUTOS - BODILY 4JJURY(Per person) HIRED ALTros BODILY INJURY - IJON OVAJC AUTOS _ (Per acodord). , PROPERTY OAI,nAGE - - (Por xcii7enl} GARAGE LIAB;LTTY AUTO ONLY-EAACCIDENT $ . ANY AUTO - OTHER TH°.N EA.ACC 5 A.UTO.ONLY: AGG b EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE ; j Q p Q Q,p Q Q B X occuR rCLAIMS MADEUlMM 9263.637-00 04/01/10 01'/01/11 .,GGREGarE s10,000,000 -- DEDucTIeI,E — — ---'s X RETENTION s 1D 0 0 0 y WORKERS COMPENSATION AND ' I . X.TURYt_IMITS ER - EMPLOYERS'LIABILITY --- A. 3"7. 96�1=00 04/01/ 0 , . ./11 E.L. 1 :vJT`PROPRIETGR/PARTNEP./EYFCUi UE 30 1 01/O1 L EACH ,000,000 OFFICER/MEMBEREXCLU'DEDi p F E.L.DISEASE EA EEIMIEP10Y]EI31,.000,000 IYyes.-dsscribe under - `--SPECIAL PROVISIONS bolov -F.L.D15EASE PO •f 1,000,0001, OTHER - - - C iPLofessional. .Liab DVT000626800 04/01/'10 04/O1/11 Prof Liao 2,0OO,00 D teased%RBntedE(lp 02UUNT05678 04/01/10 04/01/11. Equipment 100,000''. :'.:..GESLRIPiIDN_DF:OPERATIONSJ LOCA710 NS f YEHIC!ES-/FXGLIJSIONS%ADDEO BY ENDORSEMENT/SPECIAL PROVISIONS ' "• " CERTIFICATE HOLDER CANCELLATIONS H _ - S UULD ANY OF T1;E AJUVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION " DATE THEREOF,THE ISSUING INSURER'MILL ENDEAVOR TO MAIL 10- DAYS WRII EW' NOTICE TO THE.CERTIFICATE HOLDER NAMED TO'THE LEFT.BUT FAILURE TO b0 SO,SHALL. IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON THE IPISURER.ITS AGENTS OR y ,... ...,„..- .. ,. ..• i REPRESENTATIVES. ] _- Il _ AUTHORf7E0 REP RES E v � b J, ACORD 25(2001/08) _ c��. L�ACORD CORPORATION 1968 y •,�I,s..r ).f4"+,�,tdl�-.7.' ; d j:l,� -:]i1�. ei6.r'I tY �'' �.) F�Et}}`Fqj— PIiIEL".;L .:,. tAt �!��" dd,M� f.x Lip �'+• -.S>f l r)._,h.b,..plan-Y -).56111 f.Ns' ,'�u� 15.6:�..S.�if.at�t"f- _t{t I-�.....,.,...., ..... '�:,c: .�4,:1-r.; .._ Also. for RISE Engineering, a division of Thielnch Engineering,. Inc. Gaskell Associates.; .4 division of Thielsch Engineering, •Inc. BAL Laboratory; .a division of Thiel.sch Engineering, Inc. ESS Laboratory, a division of Thielsch Engineering, Inc. ALCO Engineering, a division of Thielsch Engineering, Iris. Water Management Services, a division of Thielech Engineering, Inc. i O Ice o �hsmer Kdan usines�eglatjon o .10 Park Plaza-- mite 5170 Boston ll��ssallhusetts 02116 Home Improve, contractor Registration -= Registration: 120979 Type: Supplement Card z J' k Expiration.: 3/25/2012. THIELSCHt ENGINEERING r ERIK NERSTHEIMER 1341 ELMWOOD AVE. a CRANSTON, RI 02910 — �r'!'�•�t Svc v� Update Address and return card.Mark reason for change. E] Address' 0 Renewal F-J.'Employment F] Lost Card PPS-CA1 Co 50M-04/04-G101216 ✓/e T�omunwouuea .a�/�aaaacfu�aeka 4 Office.of Consumer Affairs&Bu iness Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registrati6nt:ZQ79 Type: 10 Park Plaza-Suite 5170 Expira g 12 Supplement Card Boston,Mk,62116 THIELSCH ENGI ---1601 ERIK NERSTH 1341 ELMWOOD CRANSTON, RI 0 Undersecretary Not valid without signature r,abe 10I i The Official VUebsi'te 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 t! 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 S arch _ > . r Board of Building Regulations and Standari63 � HOME I Li.Cense or registration vapid for individl,l use onl} IMPROVE MENT CONTRACTOR i. b'efore the expiration date. ff found return to: ! Registration 120979 J30ard of Building Regulations and Standards Expiration _3125/2010 ,. y• One Ashburton Place Rm 130E -ype Supaiemeni Card Tit?stun,Ma. 021.08, ELSCH ENGItNEERING ` K NERST HEIMER__ - d", S 1 ELMWOOD AVE aNSTON, Rt02910' Admrn�sti:. for - R € Not valid without s>gn #r7e - a , .f � f ,:s � 7 bpi F ���'� F •� 4'., # .. _ .. ri ,p /efbb.St tc .ma.i x F� mv WE N. ...... 4531 1 1 'RISE ENGINELM NG aabral ID#06-0405629 i RI Contractor Registration No 8186 A division of Thielsch Engineering MA Contractor Registration No 120979 CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,RI 02910 (401)784-3700 FAX(401)784-3710 CONTRACT Page 1 IS - f THIS CONTRACT IS ENTERED INTO BETWEEN RISE - ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW , CUSTOMER ItI HONE - DATE client Beverly A Wage i I u y` 508)778-4357 07/14/2010 111084 SERVICE STREET —i IWNO STREET - 66 Buckskin Path J U L 20 2010 6 6 Buckskin Pt SERVICE CITY,STATE,ZIP - t LUNG CITY,STATE,ZIP Centerville,MA 02632 entervil,MA 02632 JOB DESCRIPTION RISE Engineering will provide labor and materials to install a 9.25"layer of R-30 unfaced fiberglass batts to 1140 square feet of attic space. $1,995.00 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.). -$1,995.00 l r r WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***00/Dollars $0.00 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 EO DAYS.SEA REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. - DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES n t J RE-RISEEdGINEERING - CUSTOMER ACCE FANCE E:71d18�COM17"2AC1'MIAI'BE NfTHORAWN BY US IF HOT EXECUTED WITHIN DATE OF ACCk;PT,4NL'E — --5 --.---_-- - ACCEPTANCE"OF CTIVTRACT-T�+'AW F PRICES,SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY TO US AND ARE HERESY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. - - AS SPECIFIED.PAYX FN r VVIU.BE MAVE 43 OUTLINED ABOVE .. I rk, , Assessor's map and lot number .. �. l.d...l.., .... SEPTIC SYSTEM M(iST BE :/he ./1 LED IN NC'E 0 1, ` i�j INSTAL ' COAAPLIA SewageT Permit number :........... . y ; . .."F WITH AI)TICLE If STD<TE E J THE C? SANITA Y COr",7 TOWN. O F �B ARN° T-TAB ' "'' BASHSTOD}�y B UUDING ' INSPECTOR ti6 9 Mph a'" C7i cl� r s:J : I I C 4�: s c� APPLICATION FOR PERMIT TO . .....:...:........ ................................................... ......... .. ...............................:.... TYPE OF CONSTRUCTION ...............�Lln?.®.... 'E'!• � ................................................................ .... 2 ......19.2Z TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location U f.:..........................:.................. ..... .... .. .. ...... ........ s�� . Proposed Use .......................E ........... ... ... S C11�..... (!`r ..:,1.'. Zoning District . i............................................................Fire District ... .......................................................... Name of Owner �,Q �r.�� / Gcl �p�o �JOC.E�SiE�/i1/ /��T/l�j...! f/� ......................... .......... .....................Address . .. ....... ....... .........................:..... Name of Builder ... ...... Of�/t/�S'O/ ..........Address ...... D....® %r/lS Name of Architect .............. jJN ...................................Address Number of Rooms :............0 .........................................Foundation T N.....-...... .... .. Exterior ...6 v, .......5 /!L/��« .....................Roofing ..........%4. i` C ..�S. /�/r�� C........ Floors ....... ...................................................Interior ..........ie : ......................................... ............................. Heating 4 Q* r ..................Plumbing .1"0 � Fireplace ........ / ......................................................Approximate Cost 3Oa . ............................... Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ...... ..J�.......SQ . ........... . Diagram of Lot and Building with Dimensions Fee ��s SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 0 ' I I r I hereby agree to conform to all the Rules and Regu lotions of the Town of Barnstab regarding the above construction. Name ....... ....... .......................................... ... l Riley, Edward N` 1466 Permif. add to single o ................. '-for;. ................................ family, :dwelling's, ....... ......... ... ......... .................. 5 _ Location i 66 Buckskin Path Centerville a.. f' ....... � ....................................... ............ { t Edward Riley G Owner ................................................... ........... Type of Construction ..............frame............................ ............................. ............................ _ ........... y i Plot ...... .................. Lot ......... ................. Si tember 16 77 r Permit Granted ' ....19 ' e Date of Inspection ......./..1,../.............:.......19 .Date\Completed't...�.U! l.;!{/.� .. ... .19 <tT PERMIT«REFUSED r ii t : . ..... . . ............ 19 r 7 '7 ............................. . ...... �� . ........... .....F........ ......................... ........................................................ ............... ...... .... ... . .............................. .... f Approved . • - ;,� f , • .r r . s _ Assessor's ma and lot number I �. / 7 Sewage Permit number � OF7NET� TOWN OF BARNSTABLE i BAUSTAUS, i 9� oa�a�e� [� BUILDING INSPECTOR -r APPLICATION FOR PERMIT TO ............................................................................................................................. TYPEOF CONSTRUCTION ......................E ..................:............................................. ........... .....�................ � ....:192 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........::....i..., �/Cif.Sk'//t/ /�i�T/� C�E�2/ ...................................................................................... ................................................................................ ProposedUsed-5� 1.............................. ................................:.../�^^.....:....!............... ....................................... Zoning District I r- .....Fire District l., 14 ......:..................................................... `.. ,.............................................................. Name of Owner •��/,tJf��P� ^>/ley Address ........la+ro ............................................................................ Name of Builder ...F. /C....... °Sr- ..........Address ............................................ Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ............ N�.........................................Foundation J.--���!/© .............................................................................. Exterior ... iC/�.Cd '.... yE .......................Roofing ..... •.... ., ........ Floors faiOT- .Interior ....!/ L- .............................................. ..........................:.......................................................... Heating ..... /C/IJ..G!f- Plumbing ........:newt ............................................................. Fireplace ............/t/CJ!'s/......................................................Approximate Cost Definitive Plan Approved by Planning Board -----------_----__-----------19________, Area 2�� Sf, ��......Pv.. . .............. Diagram of Lot and Building with Dimensions Fee -�""µ^� ................. ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH N � i s � I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam ................. .............................................................. Riley, Edward A-170-49 No 19607i permit for ..,, add to singl family dwelling ...................................................................... ........ Location 66 Buckskin Path ........................................... .. .......... Centerville Owner Edward Riley .................................................................. Type of Constructi n ............frame ............................................................................... Plot ........................ Lot ................................ September 16 77 Permit Granted"!. !........................19 Date of Insp ction ....................................19 Date Complet d ......................................19 PERMIT REFUSED ................................. ............................. 19 .... .o. C/................. ..................................... ..................................... ..................................... ....................................... Approved ................................................ 19