HomeMy WebLinkAbout0034 EBEN SMITH ROAD . r
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December 29, 2015
DEPT
Town of Barnstable DECATTENTION. BOLDING DEPARTMENT E 80
200 Main Street T O 415
Hyannis, MA 02601 wNOFSARNSTq
BLE
RE: 34 Eben Smith Road, CentervilleT 1
Permit No.: 201505487
Our Job No.: JB-0261730
NOTICE OF.CANCELLATION, '
This letter is to certify our proposal to install.Solar(PV)at the above-referenced property has been
moved into a cancellation status. -
SolarCity Corporation and Charles W: Marble will not be moving forward with the proposed
installation at this time. We would greatly appreciate reimbursement for the permitting fees paid,'.
but understand that the town will not refund any fees.
If you have any questions or concerns,please don't hesitate to contact me.
Thank you for your attention to`this matter:
Sincerely,
Cheryl Gruenstern
Cheryl Gruenstern
Permit Coordinator }
SolarCity Corporation
cgruenstern@solarcity.com
Telephone: (508)64M397
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 1`�1 Parcel �1 Application #o� Z
Health Division Date Issued
Conservation Division Application Fee o�
Planning Dept. Permit Fee ,95 .b0
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street Address '34 Ebc11, W,`y�oaA
Village �\C_
Owner Address ZLk acun \�Zvck&
Telephone SD`� 19. (,9�� C•eA--er�, Mkt t IJ`► - Ua.(o 3.-L
Permit Request r 1s o�—, r h w�W qv\
c c ��G' s n (�
1 nc w v� G cc 4LI o?. (oS- V-�V ID Rr,,�s
Square feet: 1 st floor: existing _ proposed i 2nd floor: existing proposed Total new
Zoning District �C Flood Plain Groundwater Overlay
Project Valuation ( . SLx) Construction Type 3
Lot Size Grandfathered: ❑Yes A No If yes, attach supporting documentation.
Dwelling Type: Single Family d Two Family ❑ Multi-Family(# units)
Age of Existing Structure 35 rs 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: ExistingW New Existing wood/coal stove: ❑Yes ❑�AN/�o22
"Detached garage: ❑existing ❑ new sizeOPool: ❑ existing ❑ new size Barn: ❑,:existing 0-new.�sizdW
Attached garage: ❑ existing ❑ new siz Shed: ❑ existing ❑ new size Ag-0-ther y
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes *No If yes, site plan review#
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Current Use::34S\At4,k1 Proposed Use d cju n -
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name C J i S ImP Telephone Number
Address 6 �f s r� f� License # C S
A I's V 0d-6(oC) Home Improvement Contractor#
EmailS cJd 4-•c c_ c Worker's Compensation # 1 A1,_
ALL CO RUCTION DEBRIS RESU NG OM THIS PROJECT WILL B=TAKENTO � ,wM05 �
SIGNATURE DAT 7_0q.
FOR OFFICIAL USE ONLY
t
APPLICATION#
DATE ISSUED
4/
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
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ASSOCIATION PLAN NO.
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x 44' X... t�s � � x+,�>, 1�x��- r �'"•�I`"����' ...4""�M �,,w `k������ �. �' -%""S3�h.
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OWNER AUTHORIZATION �' 4
Job ID: QZ6030
Location: .
e � Aor�� as Owner of the subject property
]hereby authorize &objrCky Core—MC 168572/ M&big IlIl36 IDS,to act on my
behalf, in all matters relative to work authorized by this building permit application and
signed contract.
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Signature of Owner: :
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rAi1,4)1 a t% ec?.? f�! f .:(Ayr "o
`�f4:'.dt; ..1 °,�A'R _rd.gr Gt,�•�p)%-sal y 't �a.',A4:3H1S � . f.i• ,a , t,. ,+ 3% asp
:Sir,`% t�,3yr
110673 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map (� l Parcel. Application # /,o iO 94 (e
Health Division Date Issued C�
Conservation Division Application Fee
Planning Dept. Permit Fee,
Date Definitive Plan Approved by Planning Board ;;� 'r* '�.`` 1r '' _ !',1, INN
Historic - OKH _ Preservation /Hyannis
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Project Street Address 34 Eben Smith Road
Village Centerville
Owner Charles Marble Address 14 Maple Ridge Dr, Burlington MA
Telephone 508-248-1027
Permit Request air sealing, insulate attic. (R-23) , install 1 thermadome, install 2
insulntpd exhaust hoses
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 206o 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 RISE Engineering Telephone Number 401-784-3700
Address 1341 Elmwood Ave, Cranston, RI 02910 License # 100459
Home Improvement Contractor# 120979
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
Erik Nerstheimer for RISE Engineering
S - _
FOR OFFICIAL USE ONLY
APPLICATION#
t
s DATE ISSUED .,
.MAP/PARCEL NO.
ADDRESS VILLAGE
i
OWNER
i
4
DATE OF INSPECTION:
i:,=FOUNDATION,' -_
FRAME
INSULATION', Adlqliq
4 FIREPLACE
S
ELECTRICAL: ROUGH FINAL
r PLUMBING: ROUGH FINAL
{
ROUGH ;Tt-, P FINAL
S
z
f
DATE CLOSED OUT
.f
ASSOCIATION PLAN NO.
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4.
RISE ENGINEERING Federal ID n 05-0406629
RI Contractor Registration No 8186
A division of Thielseh Engineering MA Contractor Registration No 120979
CT Contractor Registration No 620120
1341 Elmwood Avenue,Cranston;R102910 T�RA
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(401)784-3700 FAX(401)784-3710 CON 1 RAC t
_Page .I-
R *e i V�`'M E THIS CONTRACT IS ENTERED INTO BETWEEN RISE
ENGINEERING AND THE CUSTOMER FOR WORK AS
ENGINEERING DESCRIBED BELOW
CUSTOMER PHONE - DATE Client#
Charles W Marble (508)428-1027 06/2912010 110673
SERVICE STREET - - BILLING STREET'
34 Eben-smith Road 14 Maple Ridge Dr '
SERVICE CITY,STATE,LP BILLING CITY,STATE,ZIP
Centerville,MA 02632 Burlington,MA 01803
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. 2 man hours.
$132.00 .
RISE Engineering will provide labor and materials to install a 7"layer of R-23 Class 1 Cellulose added to 1468 square feet of open attic space.
$1,468.00
RISE Engineering will provide labor and materials to insulate the back of the basement door with 1"rigid fiberglass board and seal the door
edge with weatherstripping to restrict air leakage.
$100.00
RISE Engineering will provide labor and materials to install an easily moved,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 2insulated exhaust hose w\roof mounted flapper vent to exhaust existing bathroom
fan(s). ,
$200.00
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 100%incentive for air sealing.
-$132.00
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 calander year.
$1,446.00
WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF
***Four Hundred Eighty-Two&001100 Dollars $482.00
UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL INTEREST OF 1%W1LL BE CHARGED MONTHLY ON ANY
UNPAID BALANCE AFTER 30 DAYS,SEE TYERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
AUTHORIZED SIGNATURE-RISE ENGINEERING CUSTOMER ACCEPTANCE 9
NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN - DATE OF ACCEPTANCE
ACCEPTANCE OF CONTRACT- E 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
5�
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The Commonw'ealtfz of Magsikhusetts
Departpnent.1f1a dustrial Accidents.
off C:e Oj.Investigatlons.
600.Wash ington street
Boston, Mass. 02111 A
www.mass.govl dia',�'
Workers' Compensation-Insurance Affidavit 'Builders/Contractors/Electricians/Plumbers
Applicant Information , please Print Legibly
Name(Business/brganizatioiAndividual): RISE Engineering`a division of Thiel' h n ineerj ng
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Address: 1341 Elmwood Avenue
r yr
City/State/Zip: Cranston,•'RI 02.910E Phone#:y(401)784-3700 or 1-800-422-5365
Are you an employer? Check the appropriate box: s _Type of project(required):
1. 0 I am an employer with 4. ❑ I am a general contractor and I 6:.0 New construction
employees(full and/or part time).*t ,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 These sub-contractors have. 8.-D.Demolition
working for me in any capacity. , ' employees and have workers"- 9. D Building addaho n'
[No workers'comp.insurance `comp.insurance $''? r 5
required] 5:0 zwe are"a corporation and its;.' , 6 ❑Electrical repairs or'additions
3. ❑ I am a homeowner doing all work, ' k' •,officers have exercised their 11: 0 Plumbing repairs or additions
myself [No workers' comp.. •,. right of exemptioi perm MGL r insurance required] t "c. 152, § 1(4),and we have no . 12;ElRoof repairs
_
employees: [no workers' ;
13. Tl,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. T
$Contactors that check this box must attach an additional sheet showing thename of the sub-contractors and state whether or not those entities have employees.'If
the.sub-contractors have employees,they must provide their workers'com
P.
policy number.. i
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 A ency:_
Policy#or.Self-ins.Lic:#: 3730961`=00 h Expiration Date'
w
Job Site Address:. - City/State/Zip: I
Attach a copy of the workers':eompensatfon,policy declaration pagef(showing the policy number and expiration(date):
Failure to secure coverage as re urider Sectlon.25a of MGL 152 can?lead to the imposition of criminal penalties of a fme'
up to$1,500.00 and/or one year,imprisonnlert as welt as'•civil penalties in:the form of a STOP WORK ORDER and a fine of
$250.00 a.day against violator.Be °rdvised that a copy of this statement maybe forwarded to the Office of Investigations of the.
DIA for coves e verification.
�F
I do herby certi and the ins enalties of perjury that the'iriformation provided above is true and.correct.
Sz r>ature: f Date .
' � �' = ..tee .,• . , .; ,. � g.
Prin2Name: s Erik Nersthei Rhone#. +0 784700 422-55u xtl3' --
-Official use only a Do not:svi'Ie in .this arecZ to be coml►lete oy c1tv cot-,Jol,01i o ff�t!ad`
City or Town; ;Issuing Authority(circle one):
lug
11.Board of Death 2. ietaslding D lzaTbuterit 3. City./To)izt Clerk- 4.MecaxiCa! ectalr 5.Plumbing Inspector '
i.Other '
ri
Contact persona:_--- _ eN— I'hene-ft.
i
i, ACQRA CERTIFICATE OF LIABILITY 11N1SURANCE OP ID 97 DATE(MMIDDIYT(Y)
_ ._ __ THIFL-1 09/13/l0
PRODUCER �r T!41 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
The Ps.es toTi 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 THE COVERAGE AFFORDED BY THE POLICIES BELOW.
East Greenwich RI 02818-0810
Phone: 401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE NgIC#:
INSURED "- ! INSURERA: Zurich-American Ins. CO, -
I
Thielsch Erigineerin.g; Inc INSURERS:. \u.rdcan outrsnt.. s L7.bi 1'ity
Thielsch C3roup Inc. INSURER North American Capacity
Hi Tech Realty Inc.
195 Frances Avenue
Cranston RI 02910
INSURER0: Hartford Insurance Company
Avenue-Cranston
INSURER E'
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED"ED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
AN(REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUM61T'WITH RESPECTTO 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.
IFTSR'�(OD .
LTR INSRC TYPE OF INSURANCE POLICY NUMBER DATE(MMIDD/YY) DATE( M) LIMITS
GENERAL LIABILITY - EACH OCCURRENCE 11 0 0 0,0 0 0
X COMMERCIALGENERALLIA8ILITY 3730962-00 04/O1/10 �01/01/11 PREMISES(Eaocccuranca)- a_300,000
CLAIMS MADE Fil OCCUR MED EXP(Any.one person) i 10,00 0
• - PERSONAL&ADV INJURY S 1,000,000 -
GENERAL AGGREGATE S 2,000,000
GEN'C AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG $ 2,0 0 0,0 0 0
POLICY X "JET LOG -
Emp Ben. 1000,000
AUTOMOBIL E LIABILfTY - -X ANY AUTO -
COMBINED"SINGLE LIMIT g 2 000,0.00
37309'63=00 z r 04/01/10 O1/01/11 (Ea accident)
ALL OWNED AUTOS - - ---
SCHEDULED AUTOS - BODILY persoonn))INALIRY
(Per per �
HIRED AUTOS - - -- —
80PILY INJURY
NON-OWNED AUTOS I (Per acc�da,nll: - -
PROPERTY DAMAGE
(Per acciaenl) -
GARAGELIABILITY - AUTO ONLY-EA ACCIDENT S -
ANY AUTO -
- OTHERTTLar! EAACC '$
AUTO.ONLY: AGG $ .
EXCESS(UMBRELLALIAB1LfTY - EACH OCCURRENCE ; 10,000,000
B X OCCUR CLAIMS UMB 9263637-00 04/01/10 01/01/11• AGGREGATE 510,000;000
- DEDUCTIBLE ---_
3
X RETENTION 410,0 0 0 y i
WORKERS COMPENSATION AND .< - -
A vdYPROPRIETOR/PARTNERYEXECUTIVE 373.0961-00 04/01/10 Ol./01/11 .L.EAC I_CCID F.F.
EIAPLOYERS'LIABILITY I - - -- -
E.L.'EACH ACCIDEiJT 3 1,0 0 0,0 0 0
OFFICER/MEMBEREXCLUDED? - 4 - E.L.DISEASE-EA EMPLOYEE !1 1,00O.,000
If yes,aeSc6be under
SPECIAL PROVISIONS beloH - - - E.L.DISEASE-PdLIr'Y LIMIT S 1,000,000
OTHER - .. -. - ,., •_ -_:,
c Professional Liab DVL000026.800 04r/01/10 04%01/11 Prof Liab 2,000,000 "
D Leased/Rented Egp 02UUNTD5678 04/01'/10 04/01/11 Equipment 100,000 -
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
'� --• - -- "- - -- -- --, - SHOULD ANY OF;.TRE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION -
DATE TItEREOP,THE ISSUING MSURER WILL ENDEAVOR TO M.;IL 1.O D_lYS`WRITTEN - -
- NOTICE TO THE CERT'1FICATC-HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL -
IMPGSC NO OBLIGATION LIABILITY S AGENTS
OR bF Ar Y 1S�NG UPON '�INSURER,ITS OR
REPRESFNTATNIES. i
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A18o for
RISE Engineering, a division .of ThielBch Eng.ineering;. inc.
Ga8ke11 Associates.; a division of ThielBch Eng.ineering,: Inc. _
BAL Laboratory,- :a division of Thielsch'Engineering, 'Inc.
ESS Laboratory, a division of Thielsch Engineering,. Inc.'
ALCO Engineering, a division of Thiel,sch Engineering; Inc. -
Water Management Services, a division of ThielBch Engineering, Inc. '
{
rr/V� O lce o nsumer aid; an usmess e u anon _ n
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10 Park Plaza-• Suite 5170
Boston, ssachusetts 02116 _,-
Home Improve ontractor Registration
Registration; 120979
Type: Supplement Card . ;
z w Expiration: 3/25/2012
THIELSCH ENGINEERING M
ERIK NERSTHEIMER a
1341 ELMWOOD AVE.,
VE -
CRANSTON, RI 02910
Update Address and return card.Mark reason for change
Address E] Renewal Employment Lost Card
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DPS-CA1 0 50M-04/04-G101216
,per �le C�anvmo.uaecz�/a�/�craaac�ivaetta
Office of Consumer Affairs&Bu§siness 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.
Registration�g79 Type: 10 Park Plaza-Suite 5170'
Expira —12 Supplement Card Boston;MA 02116'
THIELSCH ENt
ERIK NERSTH
•^ d - - ._
1341 ELMWOOD � --
�.
CRANSTON; RI 029
Undersecretary Not valid without signature
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The Official Website of the Executive Office of Public Safety and Security (EOPS)
Mass.Gov Home
Public Safety
Department of 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
6czc>lzcwel,7� . . i
Board of Biiildino Regulations and Standarri' f
License or registration val dfor individ0 use only
HOME IMPROVEMENT CONTRACTOR I, before the expiration date. If found return to:
Registration:: 12097g Board of Building Regulations and Standards
_ 1
Expiration 3j25/2010 One Ashburton Place Rm 1301
tTY!?e 'uPP1emerii Card T^'wo l�la. OZ3.0$
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ECSCH ENGhNEE.I;LN '=__"
K NERSTHEWER- -ice=
1 ELMWOOD-AVE
\NSTON,R.I 02910
f Not valid without signztcre
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Town of Barnstable *Permit# '7 54-1
OFSHE TO�� Expires 6 months front issue date
i Regulatory Services Fee
grAHM
9 MASS. �� Thomas F.Geiler,Director
165
n Hwy � Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601 /�y-®R s
Office: 508-862-4038 6'" '
Fax: 5OS-796-6230 S PEMT APPLICATION - RESIDENTIAL OAS Z A 2004
E XPRES .
Not Valid without Red X--Press Imprint TOWN OF B
Map/parcel Number
Property Address
Value of Work
esidential
Owner's Name&Address C.� �S
LgZ ® 7Cs
Contractor's Nam
� � 31U-11 g Telephone Number
rovement Contractor License#(if applicable)^ G �
HomeImp }
Constructi Supervisor's License#(if applicable)
orknian's Compensation Insurance
Check one:
I araydie proprietor
1,pdthe Homeowner
have Worker's Compensation Insurance
Insurance Company Name q q
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
[] Re-roof(stripping old shingles) All construction debris will be taken to
�]Re-roof(not stripping. Going over existing layers of roof)
[] Re-side
ef'Replacement Windows. U-Value �6 (maximum.44)
*where required: issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
Home Improve t Contractors License is required.....
Signature
Q:Forms:expmtrg
Revise053003
Town of Barnstable
Regulatory Services
.�' Thomas F.Geller,Director
9� AS& ��� Building Division
AlED � Tom Perry, Building Commissloner
200 Main Street, Hyannis,MA 02601 .
www.town.b arnstable.ma.us
Fax: 508-790-6230
Office; 509-862-4038
Property owner Must Complete and Sign This Section
If Using ABuilder
n�� `/yl as owner of the subject property
l�
to act on my behalf:*
hereby authorize
in matter, rel
ative to work authorized by this bundin.g pest application for.
al],
p I
l�
(Address of Job)
at
Signature of Owner .
print Name
f
an 063-A-047 XF20863
40-45 DH
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Argon/Low E SC;
NdmW�Shatlon S S
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ftufaktnr stipulates W ffrese rdro conform to applicable NRIC procedures for detenrwrN
wh*aaW mW per•NFRC ratings are detsnnined far a fixed set of erMror>r vnW
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Itm: Pius 04,! :�; :s,/19-
r.#:33671290100011 40199 HS
f Building Regulations and Standards
Board o
HOME iMPROVEMENI CONTRACTOR
Registration: 126893
r
Expiration: 81312004 +
Type: Supplement Card
Rome Depot At-Home Services
MARK AUOETTE
3200 COBB GALLERIA PKWY#26 ��,,+ r.✓
A TANTA,GA 30339 Administrator ;
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINAL (S)
M AC&, -,L
DATA
Asse'ssor's map and'lot 'l umber f ✓ ✓ ?
/ Bpi TH E T�6
:Sewage Permit number .. ............ ......e ..................... ro
F/ r li 3B) STULE, i
House number ... : ..�:�..T ... ab
9
�O,o� 79•' 9
A,
T
L D I EC T�
.1`.-
APPLICATION FOR PERMIT TO ........................
,
` TYPE OF CONSTRUCTION ..............................
.. ... . ........ 19........
TO THE INSPECTOR OF BUILD
The undersigned hereby:applies for a .permiY'pccording/to the following information:
Location �G 'f ..... ......b........ t::`��... ��.. !. ''.:'.r. ... .:`� .....` . .. .... ........ . . ....
. ..... .... . •tea . . � - _. -
ProposedUse .. ... r`......E/:: :.... ......... ....... .................. ........ ..... ................. ...... ........: ......... ......... •... - ....
ZoningDistrict ......................................................... Fire District ....................................................
/ {
Nameof. Owner..... ........: ,........ ........... .. Address ......... ........ ................................ ..
Name of Builder ..............
• .. ...::...... ......:.. ......... .........:........Address .......... ..................:. .........
Name of Architect,... ...... ...... :..::....:..: Address ,.. . .:...., .
Number of` Rooms ......... ...Foundation
Exterior ...,:w:::::: a ::...a•....::..........•............... ....... c..O.
r r`� ,Roofing f tom, i
t
Floors• ...........
rL . %� '�� ... . ... ... ....................Interior ......... ......... .. ...:.:......... ......:.: :... . .... ..
Heating ... Plumbing ... . . .� ...... ..........................r '�
Fireplace' :.;. 7�Ir<.f r��lf? ,.........Approximate Cost ....C�'•,Y f .......................................'
Definitive Plan Approved by Planning Board _____________________ 19 _____ Area '
Diagram of Lot and. Building:with Dimensions Fee
SUBJECT„TO..APPROVAL OF BOARD LOF HEALTH
r 1
I hereby agree to conform'.to=all: the Rules and.Regulations :of the Town of Barnstable regarding the.above.
,construction
.dry , ♦� �d9/� c
Name � G. a�F
-. l ` r.
SMALL, ALAN ' A°c171-159
No .� �.41... Permit for ... <<ne, Story.
..... ingle...Family..Dwelling................
Location ..Lot #2.7. ....0 3. ....
4 E.ben. ...Smith. R&.
.. . .. . .. .... .. ..... .
Centerville
... ............................................................................... .
Owner ....Alan Small
...................................................
Type of Construction .Frame
...........................
................................................................................
Plot ........................ Lot .....
/.......................
Decemb 9, 80
Permit Granted ............ 19
............. .......
Date of Inspection ........../.....................19
Date Completed ........ ..........................19
PERMIT REFUSED
.............. . .......................... .,,... 19
y. . .... .......................................
....................... .....sl�l��. ..
............Dow.. ......t.f t .............
...............................................................................
Approved ................................................ 19
............................................................................... a
...............................................................................
01
„�•`"`'e s TOWN-AY BARNSTABLE permit No _=_:'_�L7�t
_
Building Inspector >
aaUnaat # 'Cash
♦0 �Y6 ,
WAY
OCCUPANCY PERMIT :Bond
".No building nor structure shall be erected, and,n,o-land, building or structure shall be
used for a; new, different, changed, or-enlarged use witGut"•a Building:__P..ermit therefor
first having been obtained from,the Building Inspector,:No building.shall be occupied until,-a
certificate of occupancy has-i been issued. by the Building Inspector."
Issued to Alan Small Address LenteT'vil7le
lot #270 14 Mom Smith Road, nt eririfle -
Wiring Inspector / Inspection date
Plumbin Easpector— ��+ J� h Inspection date' / �a
g /d/`�/� x ! ". p / (>
Gas Inspector / J a Inspection date
1.fEngineering Department —f _ Inspection date
THIS PERMIT WILL NOT;BE'VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL'
SIGNED BY..THE •BUILDING INSPECTOR UPON SATISFACTORY •COMPLIANCE WITH`-,TOWN
REQUIREMENTS. ;
�101�' Building Inspector
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� Assessor's map and lot- number � �/C s ^ -•„ -� �.";^ .`
�F.TME
t
Sewage Permit number .:..... . � ... r...,l
................
SEPTI t TE :.
.House number C SYSTEM
....................... o ,
t INSTALLED IN CO
TOWN OF BARNST RT -*T" IT`� 5
L CODE A." C ,.
TOWN REGULATIONS
BUILDING. INSPECTOR
APPLICATION 'FOR PERMIT TO ..... . ............:::................... ..................................................................... .........
f TYPE OF CONSTRUCTION ........ ....................w ... ......... -.�.././.........................
t„ ................................19.
TO THE INSPECTOR OF BUILDINGS
The undersigned;hereby applies.for=a�permit.according Itol the following inf rmation,
Location ...../' ..`....,...�-.7d...... ..^ ...... :...... .�. ......:...
Proposed'' Use . . ..... ...................................... ................ ......... F ................................................................
ZoningDistrict ............................. .....................................Fire District .............................................................................. .
Name of Owner .. ... . ..... ...................................................Address
Nomeof Builder ......../ ..................<.�.................................:.....Address .........:............................................................... ..........
Name of Architect Address................ ............. .....................................................................
Number of Ro ms ............................................ Foundation
Exterior Roofing ` C 'J•�.................. .........
Floors ........o ........................ ........... j V,,t " /� { ...... ..........
Heating `....f`".,: ,.l%�....................... .........................Plumbing .:
Fireplace . . 1 ................... ...............................Approximate Cost I / . G,� 'r + ....... ......
Definitive Plan Approve by Planning Board ________________________________19---- . Area 1. ........:Q ......t
Diagram of Lot and Building with Dimensions Fee 6/.....,..
SUBJECT TO APPROVAL OF. BOARD OF HEALTH f
, s '
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ..... ...... .. .... . .................................
'",,.SMALL, AL-A—N
22741 One Story .
.
"No ................. Permit for ....................................
Single Family Dwelling
...............................................................................
Location ,Lot...#.2.7.0....3.4...E.b.en Smith Road
. .. .. .. .........................
Centerville ,
................................
Owner ...?�j.-n Small
.......................................................
Type'of Construction Frame..............................
................................................................................
Plot .............................. Lot ................................
December 9, 80
Permit Granted ........................................19
Date of Inspection,.... 19
Date C pleted ........ 19 0
PERMIT REFUSED
........................ 19
.........................................
M
............... ........S,
....V,.. ........................................
fnW
tom....................... ....... ........................................
C1
. .............. . ..........................................
................
..............................................
fi
.............................Approved ........ ......... ig
' e....�„��C......�T..
.............