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HomeMy WebLinkAbout0038 EAGLESTONE WAY �� .�' ��, ��. 0 �� J � 4 ? _ 113043 ti4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map 0✓`4 Parcel d Application Health Division " Date Issued " Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic -' OKH — Preservation / Hyannis Project Street Address 38 Eaglestone way Village Cotuit Owner Jnnet'Cincc to Address Game Telephone 508-428-1801 . Permit Request insulate open attic (R-30) , attic access hatch and the kneewall access hatch Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1628 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 Wry;h Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other - F Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: 0 Yes:13 No Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑'":new :size_ F: Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 1 "71 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 License.# 100459 Home Improvement Contractor# 120979 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ll " Erik Nerstheimer for RISE Eng. FOR OFFICIAL USE ONLY `APPLICATION# DATE ISSUED t MAP/PARCEL NO. 4 ADDRESS VILLAGE It OWNER r DATE OF INSPECTION: 4 FOUNDATIONk -`' I FRAME i INSULATION . It 4 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL in GAS: » w ROUGH t . - _`a FINAL t ; �� FJNAL BUILDING" 1` ` c>(k f _-,DATE.CLOSED OUT z - ASSOCIATION PLAN NO. i I r I The Commonwealth of Massachusetts Department of Industrial Accidents, Office of Investigations 600 Washington Street Boston,Mass. 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): RISE Engineering a division_of -Thielscii Engineering Address: 1341 Elmwood Avenue City/State/Zip: Cranston, RI 02910 Phone#: (401)784-37.00 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 These sub-contractors have 8. ❑'Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp. insurance. $ 9. ❑Building addition 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 myself [No workers' comp. right of exemption perm MGL 11% ❑Plumbing repairs or additions insurance required] t c. 152, § 1(4),and we have no ' 12. ❑Roof repairs employees. [no`workers' comp,insurance required.] 13. 1 -0ther Insulate' *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. $Contactors 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 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 Policy#or Self-ins.Lic.#: 3730961-0 E Expiration Date:`'" 1/1/12- . fob Site Address: City/State/Zip: C,, 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 25'of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one year imprisonment as wellras civil penalties in the form of a STOP WORK ORDER and a fine of $250.00 a.day against violator. Be advised that a copy of this statement maybe forwarded,to the Office of Investigations of the DIA for coverage verification. Ido herby certi and thens i~ enalties ofperjury that the informationprovided above is true and.correct. Signature: 'r Date: I Print Name: Erik Nerstheimer Phone#:(401)784=3700 or 1-800 422 '165 ext113 Official use only Do not write in this area to be completed by-city or town official City or Town: Permit/license#: Issuing Authority(circle one): 1.Board of Heath 2. Building Department 3.City/To"Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: .'Phone#: OP ID' 31 ACORN" DATE(MMIDDIYYYY) `.� CERTIFICATE OF LIABILITY INSURANCE 12/30/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER 401-886-8000 CONTACT NAME: The Preston Agency,Inc. 401-886-1700 PHONE FAx 1350 Division Rd Suite 303 A/c No Ext: AIc'No): PO BOX 810 E-MAIL ADDRESS: East Greenwich,R102818-0810 cUSSToreER ID a:THIEL-1 ' INSURER(S)AFFORDING COVERAGE NAIC p INSURED ThieIsch Engineering,Inc INSURER A:Zurich-American Ins Co. Thielsch Group Inc. INSURERB:American Guarantee&Liability Tech Realty Inc. 1 INSURER C:North American Capacity 95 Frances Avenue p ty ' Cranston,RI 02910 INSURER D:Hartford Insurance Company . y INSURERE: i 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE -POLICY NUMBER - MMIDD/1'YYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A, X COMM ERCIAL GENERAL LIABILITY 3730962-01 01/01/11 01/01/12 PREMISES(Ea occurrence) $ 300,00 CLAIMS-MADE XI OCCUR MED EXP(Any one person) " : $ 10,00 PERSONAL BADVINJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 POLICY X jECT PRO LOc jEmp Ben. $ 1,000,00 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT. - A X ANY AUTO Y 3730963-01: ' 01/01/11 01/01/12 (Ea accident) $ 2,000,00 ALL OWNED AUTOS BODILY INJURY(Per person) $ " SCHEDULED AUTOS` ° ' }• BODILY INJURY(Per accident) .$ PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NONOWNED AUTOS $ UMBRELLA LIAB X OCCUR • - EACH OCCURRENCE $ 10,000,00 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000-00 B .. AUC-4857188-00 01/01/11 Ov01/12 DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION - - X VbC STATU- AND EMPLOYERS'LIABILITY - YIN 1 RY IMI - R - A ANY PROPRIETOR/PARTNER/EXECUTIVE 3730961-01. 01/01/11 01/01/12 E.L.EACH ACCIDENT $ .1,000,00 OFFICER/MEMBER EXCLUDED? .❑ N/A - (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 C Professional Liab DVL000026800 04/01/10 04/01/11 ,Prof Liab 2,000,000 p Leased/Rented Eqp 02UUNTD5678 01/01/11 01/01/12 Equipment 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) - CERTIFICATE HOLDER CANCELLATION r TOWN SHOULD ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE' WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS:` AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. i`ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD I THIEF-1 PAGE 2 NOTEPAD INSURED'S NAME Thielsch Engineering,Inc OP ID:31 DATE 12/30/10 RIr n�9gineerintg,a division of Thielsch En meerin ,Inc. gk;ell Associa es a divisio QTT Thiels hn9ineenhInc. aboratory,a Ivjsjon o Thjelscn in€enn ,Ir�c.oratory,a ivipiQno Thl lsch n meerin ,Inc ngmeerin division off Thb�isch ginee m ,Inc. : Water MaiSageme�l ervices,a division of �Ielsch E�igineering,Inc. S 1 " 1 91.rte O ice o nsumer�ai�4nu sin4seegjueIationO _ - 10 Park Plaza- Suite 5170 Boston, ssachusetts 02116 Home Improve ontractor Registration • ' Registration: 120979 Type: Supplement Card Expiration; 3/25/2012 -THIELSCH ENGINEERING ERIK NERSTHEIMER m .1341. ELMWOOD AVE. ° CRANSTON, RI 02910. Update Address and return card.Mark reason for change. Address Renewal ,Employment Q'Lost Card DPS-CAI it 50M-04/04-G101216 ,per �/ze ��ea/!! o ./�aaaac�ivaelt Y �\ 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 Registrati6n�nbq79 Type: 10 Park Plaza-Suite 5170 Expira - -12 Supplement Card Boston,MA 02116 THIELSCH ENCAt ._ ERIK NERSTH _ /* 1341 ELMWOOD CRANSTON; RI 029 Undersecretary Not valid without signature , Licensee Details Page 1 of l 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 4 http://db.state.ma.us/dps/licdetails.asp?txtSearchLN=CSt100459'' 1/7/20.11 , ,v x Y In NAT 24531.- 1 t f " ", t r y °1 r RISE Ei NGE4EERING Federal ID#0"405629 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 ,3 a (401)784 3700 , FAX(401)784-3710 1�UNM C� Page . I - - ., - - THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS- E'N�+ E�:Rfil rt DESCRIBED BELOW ENGINEERING -CUSTOMER ! - PHONE ,' DATE Client# Janet G Cincotta (508)428-1801 10/19/2010 113043 SERVICE STREET. _ - BILLING STREET - 38 Eaglestone Way 38 Eaglestone Way SERVICE CITY,STATE,LP BILLING CITY,STATE,ZIP Cotuit,MA 02635 Cotuit,MA 02635' a, JOB DESCRIPTION RISE Engineering will provide labor and materials to install a 9"layer of R-30 Class 1 Cellulose added to 1380 square feet of open attic space. $1,518.00 RISE Engineering will provide labor and materials to install insulation and weatherstripping to 1 attic access hatch(es). $25.00 RISE Engineering will provide labor and materials to insulate the back of 1 existing kneewall access hatch(es)with 2.5"rigid fiberglass board insulation,and seal the edge of the hatch with weatherstripping. $85.00 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;221.00 - F2 5 49 \ WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF "Tour Hundred Seven S 001100 Dollars $407.00 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER S0 SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES a _ XrERACCEPTANCE, AUTHORIZED SIGJ-RISE ENGINEERING _ - NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN 2.4116 - .' ACCEPTANCE OF CONTRACT!THE VI PRICES,9 CIFICAnoNs AND CONDITIONS ARE �1_6 SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE GJ . �q�o V N �ySN OFov . JOCHARDA. 4 RAXTER a •. Ah 810ii LJ�IO GE,eTi�/EO t=X—A / 7-1-IAT Tf�� �v�clp,a.TiaJ LDG t1T/OTC/ Coro W,OWN yE�2E0.C/COS-!pL YS SCA Pl�I,/99¢7`�/ SETBA G,tc �EQUi eE�1E�c/TS a,-• 7.z/,G7 4:4 AAl .2E�'E,eE�t/CE• Z,412A/STA$LG A000/O /,S /Yol- Lor 6, �D c'A TES lyi7'�//.c./ Tye i'e B,e 4G5 P. 73 ,Q4 X7;E,2 B-QSEo av,Q,v . s�-E,2Ep �,�,o sueYEYa /NST,eU�1.��c/T Sl1eY6Y O,�,,s-E-TS syowy 5.�.%vt� ,tlo7-•8� . �`'J�4SS. �./A/,�s .4Pi�I-ICAA17+ X11L1 E✓C�iTT 6a.LTaOX-3-rYLE sca,Ge: %y S�kc)55 ECTIQLZ, ASPtiaLt gX f2' 8 S}�in�/eS bond- zky` from ra f*crs (L'dv d) / Y6 R r 0 P PLATE' iy"sm-IoNd rr w,H oew X t 2 O t , y'x ./ poS`r, C'x h!~ PyRUN s��' caX pf-y�ood i�NbT& ,ALL OC-kWW 't VOor'd5 -(alb d�Ir�LASfana� A R I_F - END E C E V AT I Oiy„ M—F.-V AX 16 N - - z AIPAall roof P;s��, AR a l01 r5' 0 �Cecbrs e! 3�K0./r1�7 , c•�c�efe black /„�.� �A�So tncLv/>ES: L _ l� �Lo�r1 bo,y -a-.3hu�trS , } _ __ a c- s 50 2�1 COMMONWEALTH DEPARTMENT OF PUBUC SAFETY OF ONE ASHBORTON.PLACE MASSACHUSETTS BOSTON,MA 02108 L IC'E;°aS-- I EXPIRATION DATE d EFFECTIVE DATE UC-NO. i RESTRICTIONS ,` .- o3i31/1.9Y4 045135 'y I ,+`. JA z PO B 70$ m S pEN�Jr.S MA a26 pHoro IBusnyG- NLYI FEE:i y;.; {! ! NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY 3 y?f.•, .� STAMPED-OR-SIGNATURE OF THE COMMISSIONER _ HEIGHT: THIS DOCUMENT MUST BE SIGNATURE OF LICENSEE 1 - •l T "^'1•t\Ct CARRIEDONTHEPERSONOF a4 e. THE HOLDER WHEN EN, a;17? MISSIONER - °•�R\B DINT GAGED INTHISOCCUPATION. . DTM - - - I HOME IMPROVEMENT CONTRACTOR Registration `109374 Type - INDIVIDUAL EXPiratiOn 09/11/96 PINE HARBOR BUILDING CO? INC JAMES 0. McGRATH 00 BOX,108/110.GT WESTERN RD ADMINIST� J DCITNTS ?T 01660 \ <j . - The Town of Barnstable sAerrsrAatE. : T Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 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: � Est.Cost - Address of Work: 3 S I b Al Ce- "J (T"1 Owner Name: -J C.�— Date of Permit Application: `S I hereby certifv 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 agent of the owner: Date Contract me Registration No. OR Date er's r J_:r/T.:r43TTT O r- IN D L1�CC7D. - s Gno ,v S1T�31`T BOSTOi\'. -MASS. CI-3US -_3 S 02111 - -WORKEZS'COlvtPlNsAT'ION MSURANCEAF?D"IT with s prinapsl plscc of bw nc slresidrnacsr: nL5- do hcrcb ccrci «-stylSccc2ipl 4 ' Y 6-.undcr chc pains=nd pen:&�afpctf nry;zh?t: l zm sn crnploycrprovidins chc followingworkcrs',compcnsauon covcra form _ job. b'c ycmployccs Korkrng on CY2 - i 3 nsur2ncc an ComP Y Policy,N umber . f 3 2 sole propriet0r.2nd have nooncworkin' forme - J i 2m:sole proprietor,gcncrJ eonzr.aor or homcov nU(e;rdc one)end h:vc hired the eoniaaors lute -who hzwc zhc foIlowiag workcs ompmszaoa insurincx poliacr d bclo•.� N—'mc of Conu<czor Insur-.-ncc Comp<nylPoiicr N=ba ?��mc ofConzr�aor ; x- Ins cc Co:a�nylpolicy 1~iombcr rat ofConu=czor ;nsurznccC,--mpanylPolicyNamba homcox-v perforning A- 6cwork mysdL ?�07 I'I<_c be s�+r c L_t.�3c�<ece•r<a�.Ze erploypuseer to Lo=:aCtmsacc,e ccu%Aa:ot ocee a�ect ea= L'-clt��e of mot r�ot<L�Lc<c rciu «.,e:le«L to c sJ�o e<siL<s a oa tSe�coeols=ppaetrrstt tSer<to ter Doc Fcoer_11j'be<r_ploTets`Lee tie t7o1<a s:tioc Act CL C.1 SJ.«,CL 1011,appl;ct:oo br c Lecicv.. cc foe a f:e<as< P 'Y<";L<ee<L c l<r:3:::r c cf cr_:)oKe celct tie t7ociceei Coczp<osat;oa Aa- .c a � :nl t}; � c:n kc:&l cnoc t'iOc ir�e<esf:cl;oaAsc of:I wr.f�oine__3 ep•ecas, vrleS<eior.254 cf 1/CL 1 52 _lSt C.tG _7ue <: �:11n i_7r cn�ct crvp to one),�o-nl cr•r,pcs tcic:L,&fc=r Sccp vvcL-Orecr=nl= f�ac cf S 2 00.00 2 Z=Y zt.:�nu rat nc" `S �yof .19 Liccn c crmirzcc r . - 1�ccn:orlPurnirzot -3 7 7.,7 ssessor's Office(1st floor) Map 0 S4 Lot db 9 OrO 1R Permit#_ Date Issued — Conservation Office 4th floor 5 1 ' KBoard of Health Ord floor q—q,?S r S ,� 04 EnQinccrine Dept Ord floor) House# I 4r}rnrrl�-' . I 3 �t+sreeis, t Dc airt ard 19 a�a A licatio rocessed 8:30-9:30 a.m. & 1:00-2:00 .m TOWN OF BARNSTABLE Building Permit Application Project Street Address Villa�e l_,tJ jV / . 0- 63rnre District Owner / hlpN. a J iY2�T t✓ IYCV Address t%,�f �,� C,v,451 Telephone S7J U G v j C�, /77_ V-1&3 x-. Permit Request: �U Zoning District Flood Plain Water Pro c ion Lot Size Grandfathered Zoning Board of A is Authorization Recorded Current Use Proposed Use Construction Type Eiistin2 Information Farni �}Dwellin T e Single famil Multi-family Age of structure Basement tvce Historic House Finished Old Kin g's Highway Unfinished Number of Baths No of Bedrooms Total Room Count not including baths First Floor Heat Tyne and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds � Other Builder Information Name Telephone number Address License# Home Improvement Contractor# Worker's Compensation # t NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �ro'e t Cost o2/a 0 0 Fee If S�-� �SIGNA i DATE BUILDI RMIT DENIED FOR THE FOLLOWING REASON(S) .7-0� BPERM T 4- VN 5/22/95 r3'777"r t� 054.009.008 38 Eaglestone Way Cotuit Owner: Anthony & Janet Cincotta r N � i r `�..�•`ew TOWN OF BARNSTABLE BUILDING DEPARTMENT _ IAIIST = TOWN OFFICE BUILDING VASL 039, 9 HYANNIS, MASS. 02601 MEMO T0: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by Building Permit #..........I............................�-...... .,, ............. ...........................................................» .....»................ »». .. »» issuedto /' :.. . ............................................»....._...»...» .»»..».»......»..»»..»»»»» C� Please release the performance bond. 59 TMf TOWN OF BARNSTABLE 3 of � Permit No. ......:......... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ................ \Ml q ejm X HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Janet and Tony Cincotta Address 38 Eaglestone Way (Lot #6) Cotuit, MA USE GROUP FIRE GRADING OCCUPANCY LOAD 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. f� January .��.. ... .... 19..95........... ....................... BuilVing Inspector !!! y� .ram .e.,.-..r BUXI)IN PER MIT TOWN OF BARNSTABLE, MASSACi1USE�'FS A-054 009.C)UL l�� c���5� S.s-�LC.LiUer ��; DATE 1 19 94 PERMIT NO. APPLICANT tiJ11.1. L'.V+'Y1tC - ADDRESS 0- �O'~j'�Z'0° cotult, IKA Vi.:9,ri (NO.) (STREET) ICONTR'S LICENSE) Build dwelling li J t:jng'L amity G�welling NUMBER OF l PERMIT TO O STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) lot 9b 38 Eagles to ee,% ay, Gotuit ZONING RF AT (LOCATION) DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK,. - SIZE ` ' BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage #94-495 BOND AREA OR 1766 sq. jt. 4.40,000 PERMIT 208.50 VOLUME ESTIMATED COST FEE (CUBIC/SQUARE FEET) - - -Janet 6 Tony Cincotta -'OWNER Fledfleia, ME BUILD) ADDRESS BY THIS PERMIT.CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY,OR PERMANENTLY. ENCROACHMENTS O.N PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS 4/4RD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVAO PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ILA 2 2G/NG. 2 n /�11.S7v//G/ca.w Gtrii P�i�2.. \0* HEATING INSPECTION APPROVALS /INEERIN EPpJRTMENT 2 BOARD OF EA OTHER 7 ` SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE APRA.NGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT iS ISSUED AS NOTED ABOVE. NOTIFICATION. �1 to FNa. M %OV { .IONA � , ;. a f G'E.2T/.cY 7-1-IA7- T.yE �ov,viJ,ariaJ La :,471OA/ CoTvIT S.�/oGtWN;yE.2E0.C/COyIf�L YS �//Ty .S'CAL G— I ��SD pA72=- /99¢ ,�EQUi.2E�-lE�c/TS o.� T.y�c �~or�riN.ac •�•C�4�t! .2EIC T3A2�IsT�B[.G A/-/o /s Abr l�r�i7'y/�/ Zor Thies .cLoaao�/y, P- Be 4G5 P. 73 �ir�ST,eUiy.�tir,sU,2�EY� Tye .eE�/sTE.2Eo ,�,qc% 5'uei�,�'Ya� O'c�SETS Sya/it/ S.�UL� - �SJ-E•2Y/.G,C,�a �JQSS. 7-2:v L vt,e�T7' r, R CO MM ONTWEALTH OF MASSACHUSETTS,, D EI'AR:NIENT O F I-ND USTRIAL ACCI D ENT'S ` 600 V?ASHrNGTO?�� STR James pOSTOIN, M-ASSACHUSETTS 02111 �c--t:ss one WORIaRS' COMPENSATION INSURANCE AFFIDAVIT (l1censee/perrn1ncc) with a principal place of business/residcncc at: id, (City/State/Zip do hereby terrify, under the pains and penalties of perjury, that: ( ] 1 am an employer providing the following workers' compcnsation coverage for my employees working on this :job: . Insurance Company Policy Number ( J^1 am a Solt proprietor and havc no onc working for mc. ( j I am z sole proprietor, general contractor or homcowncr (circle onc) and have hired the contractors listed bclo", who have the following workers' compensation insurance policies: Name of Contractor Insurance Company/Policy Number Namc .of Contractor lnsurancc Company/Policy Number Name of Contractor Insurance Company/Policy Number 0 1 am a homeowner performing all the work.mysclf. NOTE: Please be ax•uc that wbilc bomcowncrs wbo employ persons to do maintenance,construction or repair work on dwelling of not more thin three units in which the homcowncr also resides or on the grounds appurtenant thereto arc not€cnerally considered to be crnploycrs under the Workcrs' compcnsation Act(GL C. 152,sca. 1(5)), application by a homcowncr for a license or permit may evidence the Icgal status of,an employer under the Workers'Compensation Act 1 understand that a copy of this statement wi0 be forwarded to the Department of Industrial Accidents'Of5cc of Insurance for eovergc verification and that falurc to secure covcmgc as required under Scction 25A of MGL 152 ezn lead to the imposition of in penalties eonsisrino cf: fmc of up to S1500.00 andJor imprisonment of up to onc ye:.:and u�:: penalties in the form of a Stop Work Ordcr and fine of S100.00 a day against me. Signed this — Y kk dayof Lzf"fc�l 19, L/ Licensee/Pcrmirtcc Licensor/Purnitior �,•'" O Z T. ­145ACVt P177 w - - _ I PQq�tPJGE� I , , 71, ` I I ; .. , . Z {.. _- , 000F r ' s i I is 'C'f I i 4`• I Ii OF Ir I o ; I SULLIVAPY71 1 No. 29733 �� . ! .\i ,. i. 1. ass! N i. ONAL E :r I 1 f I i , , ' 1N OF Mq S•' �p WILLIAM N Y E. ,yJ CEIZT!'r1CD plwbT' .4oJ NO.s 9E��0 L 1 C G lz►t t=�( , ;-!AT T t-1 G ?ZoP, �6 V d_1o�u!71 (Za kj c 'C�'Et�I�3 GONLPL.KS W IT" Tt-li StD-sLtt- c-- IL 1.ID .SLY1�tiCtG' :KC-Qc�tRENt�i.lT t7i T61 w Qof zs3 �T7�4�-mac ,n.�t o is .-I�!►,J ' 'CCZ MCI T 4t l:Tt�t v-1 -VIA✓ V:'LCDOD R-41 �A'('t GP •Cl` l� n.� XT�tZ , t.IYF t�tC Q 0�T T:aSL--A' . ry ir slS 17LAJ I ' p . Ic 1�XQSs, I , APP t_l ClS.tJ �� �A�.1 _. � n� .i L.Ow 3. .4�40. G/� A-SCE% � .410 i �V � 23 ,� 1... f-: USE• 15'dU 64L •rAtlJk- i�'iP�aL PITS� USE. 2 � -•�`".i.t`4 i \ ! ' ' ' i" 5UVA/ALL, AQX_-A -. , S.F. cJ�� v✓� �7 ��L _ I i ' Sir' 2.S • !.•RD. vErG +r 1 ' , U � j•BOr rc)AA ae eA W�, w0 f :s�:. :,� ' :t:•c� Ss= SOU c .PD : t:'t �EfZGOL&TI00 GZ4TE : .� uJ 2.mitJ• 02 Lj_ S% - � OF �jg33q` t� OF WIU.IAM' C. } N Y E SUPLLIVAN ,A No. 19334 No.29733 sS�OAfAI xv ,JOp" Q� � 2 IGOU wu ►M 457,° E G1�1.. . �51 . :46A- LsAa1. r PIT WIT-W. wawa Oz � � - M , C•t�t�'••TIT=IEID PL O'T". ' - -- - LOCATION 3 t,.Jo scALE WA.'(t�. A'T I E l;- GGRTIP q T1-4AT T14G— SUow�J �L.I�tJ Rr��RE�.IG� �uv. ScTt,.,&CK �'t:4�t�E�ccwTe. of Tµ� owtJ cc= A7G 13AYTCtZ t2CGt5'lttZED 1-��.1G._ uZ\jaYL)V-.f, Tt-1 l 5 P LAW ! e, tJOT V ASQ_-V 01.4 AW 05TCV VIIU o .�Ilr( S`�. srev.uc,l.:< euc:��L.� [It(✓ c�F�,ET�, 511ai�t� ANnL,I GA.I-JT' ► t v1.� �Puer .'TTA COMMONWEALTH DEPARTMENT OF PUBLIC SAFEI Y ONE ASHBORTON PLACE �artatgt_�.:.oesasaCOPIrAt MASSACHUSETTS BOSTON,MA 02108 Massaohutatti8tetrealldln8 ^odr tt�omir `�� LICENSE /a Cause t �Ith/allwnant �� CONSTR. SUPERVISO EXPIRATION DATE FOR PROTECTION AGAINST 03/17/1 996 EFFECTIVE DATE LIC-NO. THEFT, PUT RIGHT THUMB RESTRICTIONS T. 0 6/30/1 9 9 3 01 2 9�5 PRINT IN APPROPRIATE NONE D a BOX ON LICENSE. G WILLIAM T EVERITT t D P O i3 X 13 4 0 o BLASTING OPERATORS = COTUIT MA 02635 r.m MUST INCLUDE PHOTO. PHOTO(BLASTING OPR ONLY) FEf 00.00 7�0 s 0/��Jnn Y NOT VALID UNTIL SIGNED BY LICENSEE AND Oi FILIALLY HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMIS BIONER f SIGN NAME IN FULL ABOVE SIGNATURE LINE THIS DOCUMENT MUST BE NATUIE OF LICENSEE CARRIED ON THE PERSON OF. ���/y - .. THE HOLDER WHEN EN- SIGNER OTHERS-RIGHT THUMB PRINT GAGEDINTHISOCCUPATION. r. -�L1GIY) i -,1 -il - 1 _ �Al , eviin l: i ustom — - --- - -- .� esignsw 1 0.• r - �--,-- ... ,... .�- ._,,_,. .,.;. �I+e^`�,jfi..nn:,•, - _ ,. - '.r��;et)!?;�4 e~.�;..fi1TjT ..T^�..:/,�' ., '•`*.'?•r::�_' � - -' ::Ja.uaennce . � ' .. _ :etas•. _J- J .. 'r T �• �� a -�'Tt�i I1Lle'RION� - .aawtac— •o+�+�s� _ .. . 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WITH TITLE 5 • 1i BA 13T� LZ Sewage Perm mbar E�Ii6iR®NI�ENT�aI COnE , ,V ■A$& Engineering Department( rd floor): TOWN REGI LX5=3N- �7t0 30 House number Definitive Plan Approved by.Planning Board _ ;19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF ; BARNS ABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Lk St&—L -A 1-1 t l� y TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Urr EN 5VN�' W Ae) OD-ru i tar Proposed Use Zoning District RE Fire District enmo V� Name of OWnerQf--'t' `� OU'4 Ai Address �'1 �1t�1��i f+�►dac5� Name of Builder W%L_\— Address l X `--,Skko Name of Architect Q Address Number of Rooms r Foundation � '���� �� +' �s� 1?,V6-S Exterior Roofing #A1- 7— Floors Interior Heating r `�ii �� of ice. Plumbing�C' , er— Fireplace ���i� Approximate Cost© 000 1D Area Diagram of Lot and Building with Dimensions Fee ,Ei -C;-A"6f WV1, OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. V �Name f Construction Supervisor's License 01a 7 55 CINCOTTA, JANET & TONY 38 EAGLESTONE WAY, COTUIT No_.. Permit For 1 z Story Single Family Dwelling Lot #6, 38 Eaglestone Way . . ` Location a f t'Cotuit. - t Owner ` Janet & .Tony Cincotta Type of Construction Frame Plot ` Lot I { Permit Granted Sept. 2 6, 19-` 94 , Date of Inspection !® 19 , /,/ �� '. Date Completed 19 .r w y r 1 1 • t c a " 3� Office came only The CommoniLeolt f lossoehusetts Parnit No. D epa rrm en t of Public Safety Occupancy&Foe Checked '•w BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:W 3/M (leavebl") APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance With the Mauachusetts Electrical Code. 527 C R 12: (PLEASE PRINT IN INK OR TYPE ALL INFORHATION) Date 11 TOWN OF BARNSTABLE ., �th inspector of Wires: The undersigned applies for a permit -ttoo perforo the eleZrtr Sl`wor ib below. Location (Street & Number) L 1 � � v Owner or Tenant p 1 c Owner's Address Is this permit in conjunction with a tuilding permit: Yes W No ❑ (Check Appropriate Box) Purpose of Building T.,� 1 P,,C_-e Utility Authorization NO. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters IED Number of Feeders and Ampacity 1�—. t P-rui Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers TKVA1 o No. of Lighting Fixtures Above In- 8 B Swimming Pool grnd. ❑ grnd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Bat ery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices at Total Total He No. of Disposals No, of Km s Tons KW No. of Sounding Devices No. of Dishwashers Space/Area Heating KW No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local Municipal ry ❑ Connect ❑Other Connection No. of Water Heaters KW. No, of No. of Low Voltage Signs Ballasts Wiring No. Hydro Massage Iubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Li bilit Insurance Policy including Completed Operations Coverage or i substantial A equivalent. YES NO[] I have submitted valid proof of same to this office. YES NO 0 % If you have the ked YES, please indicate the type of coverage by cnecking the appropriate box. 17 INSURANCE CND ❑ OILER ❑ (Please Specify) xpiration ate Estimated Value of Electrical Work S q Go 3 Work to Start Inspection Date Requested: Rough Final LT Signed under the penalties of per Jury: l FIRM NAME_ r LIC.-HO. (0 Licensee I. j 6; Signature LIC„�®/ -47 Address 'Gk1 6� ��pes�t? - Bus. Tel. No. �--- C-� � Alt. Tel. No. ok � O OWNER'S INSURANCE WAIVER: I am aware that the Lic nsee does not have the insurance co rage or is sub- hat equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S Signature of Owner or Agent t _ APPLICATION FOR PERMIT TO INSTALL AND REQUEST FOR ELECTRICAL SERVICE - Inspector of Wires Wiring Permit#___ �COM/Electric# 3,042 Town of 7fN.SrL7 Massachusetts Building Permit # Date � �� !iYt Customer: IVIV on (Street #) AA i Lot# in the village of utility pole number or underground number- Customer's billing address !L36 Olaf :b,52� ®B � m i Temporary New installation X Change of service Starting date < /9 Job description W i►/B�.! dtLYY) Gt✓ifh Q lJ4'/ ,, Sr�Jr-is>�' 4 Service entrance voltage M,�O, o� Amperage Phase Wire size(cu.or®Conductor per phase Number of meters1_�Water heater Offgpeak: Yes_No— Estimated load:Electric heat kw,lights kw,Range 6 dryer Motors, H.P.&Phase 1 Ready for first inspection V/49041 ' Ready for final inspection �►✓/�� ��/ Electrical Contractor t! 11 C. AO.—dP J Liic.. # � 'S� Telephone# ' Address— Additional GtfiD�+/NG2 a! �✓i ! lI/y7 � �z ^ Additional Remarks: n nn p Do Not Write Below This Line oI A'A TRICAL WIRIN T INSPECTION CERTIFICATE OF WIRES INSPECTIONS j' DATE FEE CHARGE Temporary Service ) -•• f Roughing in Service and Meter t Off Peak Meter :.,.. Vol Final Approval �.!lrs»"�'`P 95f� Disapproved' r`. 'For the following reasons .a&5! ggkn! �i CERTIFICATE OF INSPECTION Date To the COMMONWEALTH;ELECTRIC COMPANY.The installation described above has been.completed and has this day been inspect pd and approval granted for connection to your service. % - Inspector o Wires WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue CA 46 INSPECTOR'S NOTICE MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) ATTACHED 2 65 �/�gj;6Q & , Mass. Date �/ 19 9y City, Town Permit Building Owner's AT: Location Name Type of Occupancy:r` / ,P New Renovation ❑ Replacement ❑ FIXTURES Plans ❑ Submitted: Yes ❑ No z i q � q z Y H q q q O Z q W >t .Jd q Z q < ¢ ¢ = q i O _Z q sf q m q Z ¢ >• < r N Z ¢ 6 O t Q 3 M Z O ¢ q W ¢ < O < q Z ¢ d ¢ O LL O ¢ W 0 F„ W < q O J q ¢ cc J u < s 3 = 4 Z s # Y o o ~ _z _i < W tc X W Z O q F- rq < < O < J J < ¢ ¢. ¢ <Ile O < h t 3 SUB—BSMT. • • BASEMENT • 0 1ST FLOOR 2 2 0 2NDFLOOR SRDFLOOR 4THFLOOR IL 0 STH FLOOR BTHFLOOR 7TH FLOOR STHFLOOR Lit (Print or Type) f� Installing Company Name/ Check One: Certificate Corp. !- Address ' r /VDU Tf --- T � Partnership t�,r��,� /�l ��d ems•'" ❑ Firm/Company Business Telephone Name Name of Licensed Plumber I hereby certify that all or the details and information I have submitted(or entered)in ahovc applicatinn are true and eccutale to the best of my knowledge and that all Plumbing work and installations Ixrformcd under Petmit issued for utis application will be in compliance with all pertinent pro• triaions of the Massachuselts State Plumbing Code and Chapter 142 of the f:cnetal Laws. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Signature of Owner Agent T have a curre t liability insurance policy to include completed operations cove rage.era e. ., g By Title Signaitr e or Licensed Plum City/Town: 43 Type of Plumbing License APPROVED (OFFICE USE ONLY) License Number , Master ❑ Journeyman 12f r f r 1 - r a