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HomeMy WebLinkAbout0011 GROVE STREET l/ �-�.� l � i 106364 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION � �' Olo Ili Map 0 Parcel Application # � Z> 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 11 Grove Street Village Cotuit Owner Thomas Klein Address 11 Grove Street Telephone 617-921-0485 Permit Request air sealing, duct sealing, install 800sq ft of R-38 to open attic space insulate 1 attic access hatch, install 6 soffit vents, 160sg ft of R-6 to exposed heating/ cooling ducts Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2957 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 Enginonrino Telephone Number 401-784-4700 _ �t^+''^s�'fifiy .+'4� CDµ.me t; —n Address 1341 Elmwood Avenue Cranston RI 02910 License # 100459 ZE11, "— Home Improvement Contractor# F 12097 ;. R Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO OF SIGNATURE DATE 2/23/10 Erik Nerstheimer for RISE Engineering FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME t INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT f ASSOCIATION PLAN NO. tj. 03/18/2010 13:04 FAX 401 784 3710 RISE ENGINEERING 002/002 RISE ENC:IN�ERING I� �� (� 0 Federal ID 005-0405629 RI Contractor Reglatratlon No 8186 D li ty A divlslon of Thieisch Engineering j I `MA Contractor Registration No ZO979 II CT Contractor Registration No 820120 1341 Elmwood Avenue,Cranston, DEC 2 DEC - 7 2= /� (40t)7843700 FAX(401 44 10 " CONTRACT Rage R I S E T1113 CONYRACT 13 ENTERED INTO B9TW6CN RM �•° - - ' ENOINE&RIN0 AND THE CU3TOM6R FOR WORK AS ENGINEERING DESCRBTED BELOW,, CUSTOMER PHONE. - DATE .: Clk"a . Thomas P Klein (617)921-0485 12/03/2009 106364 SCRVICE STREET - BILLING STREET 1 Grove Street P b Box 386 SERVICF,CIW.STATE,ZIP • . ....___ -_-R BILLING CfTY,STATE.ZIP. Cotuit,MA 02635 Cotuit,MA 02635 - JOB DESCRIPTION . RISE Engineering will provide labor and materials to seal areas of your humu uguinsl wasteful,cxu,.,s air leakage, This work will be performed in concert with the osc of special tools and diugnoslic tests Lo unsure that your home will be left with a healthful level of air exchange and indoor air quality.MaleriAb to be used to seal your home can include caulks•foams weatherstripping and other pruducbs. Primary swas for scolutg include air leakage to attics,bascotcnts and other unheated areas(windows are not generally addressed,) This work will be,performed at the;rate or$66 per man per hour.which includes materials and Testing. 10 man hours, $660.011 RISE Engineering will provide labor and materials to seal heating and/nr Cooling duCls within designated unhealed,areus. This work will be perrormed at the rate of$75 per man per hour,which includes materials. 2 mat►hours $150.00 RISE Friginecring will provide labor and materials ro install a'11'layer oflt-38 C'luss I Cellulose added to 800 square fcctofopcnattic space. $960.00 RTSE Engineering will provide,labor and materials Lo install insulation and weatherstripping to 1 attic access hatch(es).: $25.0() RISE F;nginccring will provide labor and materials to install(6 4" X 16"rcottnbular aluminum soffit vents to increase ventilation in anic �.. areas. � I Z ' $102.00 RISE Engineering will provide labor and materials to install R-6 faced lihergless insulation to the exposed heating and/or cooling ducts in - certain non conditinned areas. Total to be installed is 160.0 square feet. u $400.00 RISF F.ngillecrulg Will apply all applicahle,eligible iliccntives to this contract. You will be billed only the Net amount. Currently_for eligible measures-the Cape light Compact of ers 75%incentive,not to exceed$2,000'per cdlallder year: $1.722.70 WE AGREE 04Egt28Y TO FURNISH SERVICES•COMP4ETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF "*Five Hundred Seventy-Four& 30/100 Dollars $574.30 41 UPON FINAL INVECTION AND APPROVAL BY RISE ENOINBPRING.CUSTOMER AGREES TO REMIT AMOUNT DUC•IN FULL INTEREST OF I'A WILL BE CHARGED MONTHLY ON ANY " UNPAID&AVWCE AFTER 80 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON OUARANTEEK,NIGHTS OF RECISION.BCHEDULINO,AND CONTRACTOR REGISTRATION, DO NOT SIGN TN18 CONTRACT IF THERE ARE ANY BLANK SPACES YHOyIffD 81 -RISE ENOfNEERINO / MOTE:T A C.94TRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE 1` / i _ • - _ ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPEC"CATION8 AND CONDITIONS ARE DAYS. - - - SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE RISE ENGINEERING Federal ID a 05-0405629 RI Contractor Registration No 8186 A division of Thielsch Engineering MA Contractor Registration No 120979 CT Contractor Registration No 620120 1 „ 1341 Elmwood Avenue,Cranston,RI02910 . t` (401)784-3700 FAX(401)784-3710 CONTRACT Page 1. THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW CUSTOMER PHONE DATE Client N Thomas P Klein (617)921-0485 12/21/2009 106364 SERVICE STREET BILLING STREET - 11 Grove Street P O Box 386 SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Cotuit,MA 02635 Cotuit,MA 02635 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. 10 man hours. 3 $660.00 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. 10 man hours.' $660.00 RISE Engineering will provide labor and materials to seal heating and/or cooling ducts within designated unheated areas. This work will be performed at the rate of$75 per man per hour,which includes materials. 2 man hours. $150.00 RISE Engineering will provide labor and materials to install a 1 I"layer of R-38 Class 1 Cellulose added to 800 square feet of open attic space.• $960.00 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 install(6 4" X 16"white rectangular aluminum soffit vents to increase ventilation in attic areas. s $102.00 RISE Engineering will provide labor and materials to install R-6 faced fiberglass insulation to the exposed heating and/or cooling ducts in certain non conditioned areas. Total to be installed is 160.0 square feet. $400.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF *"Two Thousand Nine Hundred Fifty-Seven &00/100 Dollars, $2,957.00 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. b0 NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AUTHORIZED SIGNATURE-RISE ENGINEERING - CUSTOMER ACCEPTANCE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE 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 j r L The Commonwealth wealth of Mlassachmsetts v Department of Industrial Accidents { Office of lnva sdg adorn 600 Washington Street Boston,AM 02111 UV bwrvW.Mass.gov/dtt¢ W®Irkelrs9 COMPensation Rnsu ranee Affidavit. Buflders/Contr-%et0lrS/E➢ectlri&ans/Numbers A1212➢ieant Infolr>I 2flon Please ]hint Lepi➢ ly 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 1-800-422-5365 Are you an employer?(Check the appropriate box: `Type of project(requi red)`. 1.0 I am a employer with 4. ❑ 1 am a general contractor and 1 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. 1 7. ❑ Remodeling ship and have no employees These sub-contractors have, .. 8. '�Demolition working for me in any capacity. workers' comp, insurance. 9. []Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all.work right of exemption per MGL 1 l.E] Plumbing repairs or additions .myself, [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers'• . comp insurance required.] 13.N Other Insulation `Any applicant that checks box#I must also fill out,the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating:they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp. policy infointation. J'am an employer that is providing workers'compensation insurance'for my employees. Below is the policy and job site information. Insurance Company Name: ThLe -Preston Agency Policy#or Self-.ins.Lic. #: WC2-Z11-259874-019' Expiration Date: 04/01/ 10 Job Site Address: City/State/Zip: Attach a copy of the workers' conmpensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage-verification. I do hereby certun the ins am penalPies of perjury that the information provided above is tree and correct. w Signature: - .,. Dater F . Erik Nerstheimer for RISE Engineering Phone#: 401-784-3700 or 1-800-422-5365 Ext. 133 Official use only. 'Do not write in this area, to be completed by city or town official ' City or Town: Permit/License# Issuing Auttliority(circle one): 1.Board of Health 2. Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.®thee Contact Person: Phone#: rage l OI l T�-ie Official Website of the Executive Office of Public Safety and Security(EOPS) Mass.Gov Home { t Public Safety t Department of Public Safety Licensee Complaints License Type Construction Supervisor License k 100459 Restriction WS,IC Name Erik Nerstheimer Y. City, State,Zip North Scituate, RI, 02857. Expiration Date 3/28/2012 Status Current y f No complaints found for this Licensee. Back To Search �1ze.U�d�maru�ea�l� o�,�aac�u�etCa • { :. _ . . _ .. ... Board of Building Regulations and Standarit`s r Lkense or registration valid for individlil use only HOME IMPROVEMENT CONTRACTOR i. before the expiration date. If found return to: Registr,.`ations. 120979 Board of Building Regulations and Standards EzpiTatio:n:_325/2010 one Ashburton Place Rm 1301 Iemerit Card ��?str3n,.n1a.021,08 -HIELSCH ENGINEER<ING _ti .RIK NERSTHEIMER-_'-"` 341 ELMWOOD AVE`` :RANSTON, RI 02910 r j'..: — --- --- Admin.isti uor, E� Not valid without signajrre ` _ -, a . R. • .. hrtp://db.state.ma.us/dps/licdetails'asp?txtSearchLN=CSL100459 AC®RD CERTIFICATE OF LIABILITY INSURANCE OP ID 27 DA�E'*"D,YYYY) PRODUCER THIEL-1 lO 15 09 The Preston Agency, Inc. THIS CERTIFICATE.IS ISSUED AS A MATTER OF INFORMATIO 1350 Division Rd Suite 303 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO Box 810 East Greenwich RI 02818-0810 •THIS CERT FICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE pOl IC1ES BELOW Phone: 401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE - NAIC# INSURED INSURER A: Bamford Underwriters rms. Co Thielach Engineering, Inc 114SURER B: Bartford casualty xneuranoe Thielsch Group Inc. co Hi Tech Realty Inc. INSURER C: Y>fttual Tne»amae Group Cranston Frances Avenue Cranston RI 02910 INSURER D: North American ci :' INSURER E: - COVERAGES - 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. DIM 0 LTR NS TYPE OF INSURANCE POLICY NUMBER GENERAL LIAWLny LIMITS $ A X COMMERGAL GENERAL UABIU EACH OCCURRENCE 1 000"000 LIABILITY 02UUNTD5678 04/O1/09 04/O1/10 PREMISES aooa ) $300,000 CLAIMS MADE OCCUR MED EXP(Arty one Person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $Z,OOO,OOO GEN L AGGREGATE LIMIT APPLIES PER: EEC Loc AILIT Emp PRODUCTS-COMP/OP AGG $2,000,POLICY[X 000 AUTOMOBILE LBY Ban. 1,000,000 B X ANY AUTO OZUENTD485O COMBINED SINGLE $1,000,000 UMIT 04/01/09 04/01/10 (Ea accident) ALL OWNED AUTOS . SCHEDULED AUTOS b BODILY INJURY $ HIRED AUTOS NON-OWNED AUTOS BODILY INJURY $ (Per accident) a PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ' ANY AUTO . OTHER THAN, EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $10,00O 000 H X OCCUR CLAIMS MADE 02XHUUF6573 04/01/09. 04/01/10 AGGREGATE $10,000,000 DEDUCTIBLE X RETENTION $10' 000 $ $ WORKERS COMPENSATION AND X MITS ER C EMPLOYERS'LIABILITY TORY LI ANY PROPRIETORIPARTNERIEXECUTIVE WC2—Zll-259874-019 04/01/09 04/01/10 EL EACH ACCIDENT $500,000 OFFICERIMEMBER EXCLUDED? If yes,describe under E.L.DISEASE-EA EMPLOYE $500 000 w , SPECIAL PROVISIONS bek OTHER EL DISEASE-POLICY LIMIT $500 OOO D Professional Liab DVL000025902 „ 04/13/09 04/01/10 Prof Liab 2,000,000 A Leased/Rented Zqp 02UUNTD5678 04/01/09 04/01/10 Equipment. 100 000 DESCRIPTION OF OPERATIONS I LOCATKINS I VBICLES!EXCLUSIONS ADO®BY BUIORSE11111131IT/SPECAL PRDNISgILS *Except 10 days for non payment of premium. Holder is included as an additional insured when required by. a written contract with respect to they General Liability coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRY POLICIES BE CAMM.UM BEFORE THE EXPIRATION DA.M THEREOF,Tiff SIG INSURER w&L ENDEAVOR To MALL *30 DAYS wwffEN NOTICE TO THE CIEIU CATE HOLDER HAYED TO THE LEFT,BUT FMAM TO DO SO SHALL NPOSE NO OBUGAWN OR LIABILITY OF ANY KIND UPON THE YISURK ITS AGENTS OR ENTATM?S, 011 AIIi110N>ffp ACORD 25(2001/08) 0AC D CORPORATION 1 �. iOR �rt i!,ltl6G °rhle.lsch �i711 .: Y•° G� ai1'C_�'1� L% 7 Also for RISE Engineering, a division of Thielsch Engineering, Inc. Gaskell Associates, a division of Thielsch Engineering, Inc. SAL Laboratory, a division of Thielsch Engineering, Inc. ESS Laboratory, a division of Thielsch.Engineering, Inc. ALCO Engineering, a division of Thielsch Engineering, Inc. Water Management Services, a division of Thielsch Engineering, Inc. ' a d r TOWN OF BARNSTABLE w BUILDING PERMIT PARCEL ITS 020 111 GROBASE ID 880 ADDRESS 11 GROVE STREET PHONE COTUIT ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 90896 DESCRIPTION POOL SHED 12' X 32' PERMIT TYPE BUILDA TITLE NEW BUILDING PERMIT ACCES CONTRACTORS: PROPERTY,.OWNER _ Department of ARCHITECTS: Regulatory Services TOTAL FEES: $85.00 BOND CONSTRUCTION COSTS $5,000.00 t�lE 328 OTHER NONRESIDENTIAL BLDG 1 PRIVATE +► aaxi MBLE, Mass. 1639. Fp MA'S A BUILDIN�G��fG�f DIVIS ON BY - DATE ISSUED 03/20/2006 EXPIRATION DATE � ,_:.. � ,. � < 4 TOWN,.,��' BARi�3 SABLE 5. ,� j BUILDING PERMIT L t PARCEL ID" 20 Ill GRQMASE ID 3+80-' _ ,._9P.DRESS .11 GROVE STREET PHONE COTUIT ZIP LOT ' ` BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT = .t 9 C. IPT'ION POOL SHED 12' X 32' PERMIT TYPE B A TITLE NEW BUILDING PERMIT .'ACCES CONTRACTORS- PROPERTT-NOWNER -Department of ,- ARCHIT�, S Regulatory Services TOTAL PEES: TOO Oc i BOND p1G CONSTRUCTION COSTS $5,000.00 3 ,PTO�� ii�$E4 T IAL BLDG I PRI V ATE ` ,.O {/ * BARNSrABLE, MASS. 1659. BUIiING DIVI IO ATE ISSUED 03/20 f 2.006 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER.THE BUILDING CODE,MUST BE APPROVED 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 OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND INHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A.CERTIFICATE OF.00CU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET 9 I BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS II 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH' 1�1 OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. t BUILDING PERMIT . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 1 1 Permit# 16`69.6 Health Division v/ ©� a Date Issued '�j tl - Conservation Division Fee 01b Tax Collector O Application Fee iU0 Treasurer , Planning Dept. f�O Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis e Project Street Address I I P.6VF- 5 i ' Village Owner 'TtJc ` Address VyF;'t,LESi. Telephone Permit Request `i~ zL— _s�H EP 12> 2e Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwatera0verlay Construction Type VV0z1 Lot Size ©, 4- AC a r Grandfathered: ❑Yes ❑ No If yes, attach supporting do(umentation.;i ,W Dwelling Type: Single Family ' Two Family ❑ Multi-Family(#units) s Age of Existing Structure Historic House: ❑Yes )d No On Old King's High ay: ❑Y4s No,. Basement Type: ❑ Full ❑Crawl '❑Walkout A Other I16AF£�- Basement Finished Area(sq.ft.) 4A, Basement Unfinished Area(sq.ft) fy/p 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:%A Li Oil ❑ Electrica. ,O Other Central Air: ❑Yes No Fireplaces: Existing New Existing wood/coal stove: . ❑Yes %16 No Detached garage:'❑existing O'new size 9tJ, Pool existing 0 new size - Barn:❑existing ❑new size Attached`garage:0existing ❑new size Shed: 0 existing new size Other: ' Zoning:Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes"site plan review# Current Use Proposed Use o x- �r BUILDER INFORMATION Name' /(l Telephone Number 9 Z Address License# { !n" M 4 Z 4? L Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE DATE r � /�� r - • FOR OFFICIAL USE ONLY .R r PERM.iT NO. DATE ISSUED r p MAP/PARCEL NO. ADDRESS VILLAGE ; OWNER DATE OF INSPECTION: /�,' "•,. FOUNDATION _ I k FRAME . �O7ail INSULATION �Vill /CR 0 FIREP ELE-I ICAL: ROUGH FINAL j PLUMBING: ROUGH FINAL ` r GAS: ROUGH FINAL ' FINAL BUILDING DATE CLOSED OUT ` r ASSOCIATION PLAN NO. Town of Barnstable ° ( Regulatory Services _ Thomas F.Geiler,Director Q ntnss. 9v'OTF1659. � F Building Division , Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 - www.town.barnstable.ma.us Office: 508-862-4038 Fax:` 508-790-6230 Permit no. Date AFFIDAVIT �. HOME IMPROVEMENT CONTRACTOR LAW i 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: 5-Hr-D CQN e.2uC,T10N Estimated Cost 500-0 Address of Work: Al G2oVE Sr Owner's Name: ToIOM A..5 11L� nd Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name ? d"4; /L Q:forms:homeaffidav ` -` The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations < 600 Washington.street, 7`h Floor Boston,Mass. 02111 Workers'Com ensation Insurance.Affidavit:Buildin /Plumbing/Electrical Contractors' RRIM M Mal MR MEN M, name: aM'� address: city Pn/GGGCS L.F� state:' M'� zip.' CIAR'L -phone# 4)2_9 V-O4ke., work site location(full address):. 0'� G�2eVt . .ST. (a?7�iT'j }mod I am a homeowner performing all work myself. ' Project Type: New Construction[]Remodel I am a solewp�ro netor and have no one workin to an capacity. ❑Building Addition . �?�`"' ?"#T'F �` �� ;"'.. r�°' ir.i .;4x �;*''";� "'^ i `':�a`'"rn .: '"lw�•' I am an employer providing workers' compensation for my employees working on this job. company name: address:' city: phone#• Insurance co. D01JCV i�•��e3a��•(+�t:�:. :ard=n�c:3:r'�kxirx�: ..,:'�r�+1�rFv�''':^s<'�' .nr�;iC,.�3;r%N:'�:�aYe�...:�•4A�'is;4x�"�..�;::r�ia•,!�'�ls:�:ti#:�••xiE�-:a..r.:k�a�'t?�.u,�.tia`"K`•'�i�i � ❑ I am a sole proprietor,general contractor;or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: address city phone#• insurance co. policy# 77 q 5A2. •rr•.: �w y(R »y.� �+,,p;... r.,• � rX>IY:�'i f:f '��iY`Y..•'Y'9i:.t.'. :t'�.r}si•�. J".',`'S n.'i�Si>. .:.�. .'�:�ii;:'F LiY7:A :�sA�.CY�f.i�;•j•�y lltl3�.•i{i�Ll:9A>..• 4�•.:}'it� 1r.•�r^'�:`nfe:T'1'.L'.S��Xl`.Y.r��.y.:b•.�J lr�uiti,�1'.'i.ST• '�F y. ' company name; address: city phone#•. insurance CO. Rio fk;�itdiiiOMM1� et ��3, • ice. a t ata�}x' ';: Failure to secure coverage as required under Section 25A of MGM 152 can lead to the Imposition of criminal penalties of a fine up to sl;509.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of s100.00 a day against me. I understand that a- copy of this statement maybe forwarded to the Office of investigations of the DIA for coverage verification. ' r do hereby certify under the pains andpenalties ofperiury that the information provided above is true and correc4 /Z0 Signature_ w�zZ Date Print name Flo"" �.di� Phone# official use only do not write In this area to be completed by clty or town official city or town: permit/license# ❑Building Department ❑check if immediate res onse is required ❑Licensing Board P 9 ❑Selectmen's Office contact person: phone#; ❑Health Department ❑Other. (revised Sept 2003) ' t Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all-employers to provide workers' compensation for their . employees. As quoted from the"law",an employee is defined as every person in the service of another under.any. contract of hire,express or implied;oral or written. ' An employer is defined as an individual,partnership, association,corporation or other legal entity`,or any two or more of- the foregoing engaged in a joint'enterprise;and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the..dwelling house of, another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds. or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. q ppq Yew } X Il..n "1:a, F ' L1r F ` i} .•Fti�S_� S .0 °:f.a'•(',,,� .L'YAfTk'+ft{f glzz,;�y, Applicants Please fill in 'the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be PP Y P Y , submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law" or if you are required to obtain a workers' compensation policy,please call the Department at the number listed.below. i ":_ :,'�'+> f.,u.Jrr xas"� .r., s MINE-�rxt.,s. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference.number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for.you cooperation and should you have any questions, please do not hesitate to give us a call. r ,e a •e•7 n i w .�a•�`ry5,,�.t,'`t'4 3` 3':l '" �� %,�7,�{,�'i'ei"f '9e �� ••".,t +yj'*�`� '.s,'•: a.� rat �� .�• ,''�,:.' �CK:�*uut�,.c'r'.��-�f• ,•��,.-.•,�: ^'� �::4J 0. FR��., .?� �,� •-.>.X. i .J�� _�� � �� �' ;��- •�a...3tn=:::t_y'.�^„x• �.watitfrta�.' .aw,�§�,+%��,����%fuw ::.i,•� The Department's address,telephone and fax.number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7t'Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617)727-4900 ext.406 . PP-�PGSER ' I 1 /0 7 00 l9aoo GROVE ST K __ -- Town of Barnstable Regulatory Services t AMSTeeM $ Thomas F.Geller,Director l .0� Building Division Argo a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 . www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE JOB LOCATION: V �� 6i c�-TL•,T number street q village "HOMEOWNER": TYo�-IAS I a#J name home phone# work phone# CURRENT MAII iNG ADDRESS: 2 b rAj7-6 N/ 1, n,LgSxk Md 02 4jP Z city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there'is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the • State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner perfomung work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supeivisor." rt Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that helshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms•homeexempt ' li Single 1-3/4" x 7-1/4" VERSA-LAM® 2.0 3100 SP Roof Beam1R1301 BC CALC®9.2 Design Report-US 3 spans I No cantilevers 10/12 slope Wednesday, December 21,2005 09:24 Build 141 File Name: BC CALC Project Job Name: Klein Pool Shed Description:RB01 Address: 11 Grove St Specifier: Botello Lumber City,State,Zip:Cotuit, Ma Designer. Same Customer: Tom Klein Company: Code reports: ESR-1040 Misc: Ridge Beam 1--lo 12 � �, � -::'' �µ ,.r� � ,a .� � '+w'-'•Y p�'^,�' � 449 A- _ _ '�•�_. 10-00-00 12-00-00 10.00.0D BO,3-1/2- B1,3-1/2" B2,3-1/2- B3,3-1/2- DL 364 Ibs DL 1133 Ibs DL 1133 Ibs DL 364 this SL 703 Ibs SL 1934 Ibs SL 1934 Ibs SL 703 Ibs Total Horizontal Product Length=32-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf.Area Left 00-00-00 32-00-00 15 psf 25 psf 06-00-00 Controls Summary value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 2097 ft-Ibs 43.5% 115% 193 3-Intemal Completeness and accuracy of input must Neg. Moment -3157 ft-Ibs 65.5% 115% 196 2-Right be verified by anyone who would rely on End Shear 848 Ibs 30.6% 115% 193 1 -Left output as evidence of suitability for Cont. Shear 1371 Ibs 49.5% 115% 195 2-Left Particular application.Output here based on building code-accepted design properties Total Load Defl. U377(0.382") 47.8% 194 2 and analysis methods.Installation of BOISE Live Load Defl. U475(0.303") 50.5% 194 2 engineered wood products must be in Total Neg. Defl. -0.097" 12.9% 193 2 accordance with current Installation Guide Max Deft. Q.382" 38.2% 194 2 and applicable building codes.To obtain Installation Guide or ask questions,please Span/Depth 19.9 n/a 2 call(800)232-0788 before installation. %Allow %Allow BC CALC®,BC FRAMER®,AJSTm, Bearing Supports Dim.(L x W) Value Support Member Material ALUOIST®,BC RIM BOARD-,BCI®, BO Post 3-1/2"x 1-3/4" 1067 Ibs n/a 23.2% Unspecified BOISE GLULAM'"' SIMPLE FRAMING B1 Post 3-1/2"x 1-3/4" 3067 Ibs n/a 66.8/o SYSTEM®,VERSA-LAM®,VERSA-RIM ° Unspecified P PLUS®,VERSA-RIM®, B2 Post 3-1/2"x 1-3/4" 3067 Ibs n/a 66.8% Unspecified VERSA-STRAND-,VERSA-STUD@ are B3 Post 3-1/2"x 1-3/4" 1067 Ibs n/a 23.2% Unspecified trademarks of Boise Wood Products, L.L.C. Cautions Column at Bearing BO analyzed for bearing only,column analysis has not been performed. Column at Bearing B1 analyzed for bearing only, column analysis has not been performed. Column at Bearing B2 analyzed for bearing only, column analysis has not been performed. Column at Bearing B3 analyzed for bearing only, column analysis has not been performed. Notes Design meets Code minimum(U180)Total load deflection criteria. Design meets Code minimum(U240) Live load deflection criteria. Design meets arbitrary(1")Maximum load deflection criteria. Member Slope=0, consider drainage. Page 1 of 1 5 14:1 5 P2oPG5ED . O I Foc)C-r-Ae>Am a � VIC GROVEET 5d -40, 40 GoTv\.T enF. \11W I N �,A, i; The Town of Barnstable ...� Inspection Department N.. 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner August 11, 1993 Mr. Richard J. Thomson 80 Wheaton Drive Attleboro, MA 02703 RE: A=020-111 11 Grove Street, Cotuit Building Permit #36035 7/16/93 Dear Mr. Thomson: An inspection of the above referenced property on August loth revealed that the swimming pool fence does not comply with ARTICLE XI of the Town of Barnstable General Ordinances. 'The fence must be at least four (4) feet in height (a copy -of Article XI is enclosed) . In addition, the front yard setback does not appear to meet the thirty (30) foot requirement. Please contact this office immediately re the above matter. Very truly yours, Alfred Martin Building Inspector AEM/gr cc: - James Kiggen Enc. Certified mail: P 375 771 594 R.R.R. �F ZHE T�� - v ti To wn f Barnstable o a nstable of Zoning oar o Board f Appeals' ' anxrrsenst.E' ' 230 South Street,Hyannis,Massachusetts 02601 "°4 it �00p (508) 790-6290 Fax (508) 790-6454 r ArfD MA'S a November 23, 1993 x Mr. Joseph Daluz Building Commissioner Inspection Department 367 Main Street F ' Hyannis MA 02601a Dear Sir: r The Zoning Board °of• Appeals, at their- meeting , of November 18, 1993, directed me to -send_you "a- letter calling attention to a fence at the intersection of School Street and Grove Street and referencing Section -.4-5. 1 , (Vision Clearance on Corner Lots) of the zoning ordinance.-, _y , y - This seeming violation was brought to the attention of the Board .when an .appeal -,was made on behalf of - Vantage . Pools, Richard Thomson - - Sincerely, g Clerk v " r. 4 ,A. s ; The Town of Barnstable ...1 Inspection Department o r►r�� i67 , 367 Main Street, Hyannis, MA 02601 � 508-790-6227 Joseph D. DaLuz Building Commissioner TO: Thomas Mullen, Superintendent Department of Public Works FROM: Joseph D. DaLuz, Building Commissioner SUBJECT: Vision Clearance/Corner Lot A=020-111 ' 11 Grove Street, Cotuit DATE: November 29, 1993 Please have the. Engineering Division mark the street layout at the above referenced location. This office is in receipt ` of a request from the Zoning Board of Appeals fora . determination re a .possible violation. The property owner has a variance petition pending before the Board of Appeals and I would. appreciate the "street location as soon as possible in order to :comply'with ,their request for information. t cc: Zoning Board of Appeals y - 1�1 _15� �21 y2 TOWN of BANNS TABLE DEPARTMENT of PUBLI G,WORKS C&V1 A INT11hVIJ/RY REPORT Date ITime .ec'd By Name , Div ID Code Last Name p/ � w First Name treet �� �-/`,� Dept/:Agency ORIGINATOR Town tate ZIP Telephone lHome [Work Description: COMPLAINT OR -7-Vo A4_� >-W 77 INQUIRY s - �C iotJ SG ouc_ S M ,C-7' �'c�7-v �- COMPLAINT StreetAdress, Building, Etc: LOCATION TPrecinct ADM �10 HWY 030 - S&G ESO DIY SECT ENO 020 'SW 040 WPC 060 OTHER EFERP,ED ,tion Advice: —; <6 _ ,/a VI o Lq r-1 o 17"�-.S. FOP b cuxi o S Zo,v1K/G 0e_0.1 ACTION /r ,e .mow 70Aa 7-DaudJ Z. o o% I /3- /3 -3 Referred By: Date DATA Complaint Action: pate ENTRY ,ode Code Entered Description: . s ACT I ON TAKEN Interim Report 0 Final Report 0 Additional Info Attached 0 ,ode kupervisor's i 9 Date PATA ,Closed Follow-Up pate �ITPY a1 Date ntered DIST: WHITE - Action Division File. PINK - Final Action Report YELLOW - Interim Action, Report F GOLD - DPW ADMIN Suspense ;File 6-90 iy �v D 1p J COTUIT W r '`--' T 1 OOL ��T a� �. �� LOCUS 70 m PLAN / G 257-27 ~ ROAD TAKING. /BRYANTS BA Y A. M. 20-135 LOT ,37 O 0 , POOL LOCUS MAP PLAN REF 125-123 & 257-27 DEED REF. 19224-233 ' ZONING: ."RF" SETBACKS. 30'-15'-15' FLOOD ZONE.• -PANEL NUMBER: 250001 0021 D DATED.• 07-02-92 o '4. �' PLOT PLAN OF LAND 1 LOCATED AT VJ Q r � .11 GROVE STREET COTUIT, MA. DECK r " � PREPARED FOR- DECK � .*AAAA4 ���P�SN Or h1�csr w TOM KLEIN ►� 0 �o� P�G\sTERFo MAY 31, 2006 _ STEPHEN C B. (`V� J. FN17) AREA=17295S. F' �'�. DOYLE ti e #37a � ® REV AUGUST 09, 2006 -111 °y�P REV A. M. 0 �� S REV.• Q LO`T 35 Q� YANKE'E LAND SUR VE'YDRS & CONSULTANTS 1 GRAPHIC SCALE P. O. BOX 265 QQ £ 20 0 10 20. 40 UNIT 1, 40 INDUSTRY ROAD MARSTONS MILLS, MA 02648 (FND) TEL• 508—428—0055 FAX '508—420—5553 / 1 inch 20 ft. SHEET I OF 1 JOB # 54080 JF I ........... t — — .:a AE -414 , a9; __ +p lyQllAIVQ�F.s O�t7�� bPE` - �RiBLsj�_N SeASC L4 3L s =�Z'1 to 63 • u 0 _ * - p f TwwLi .? t4$ 2Wrr1 D.Tv..B 1_ . I i N � Z oa ; f 1 i i -- ' iLAI _---— ---------.._.._ . ILI • --- ' - -�ar5� 2-�xP� _; fir; �.-- - tf .i: _ _ SoA►cs-�3� -=�rlaFts� _ ton 1 Ii?i1 `tvLt%1-2`'4$- TWO — ie _. _1R�11i�, Q - _ -'- - - Z l I .n1 f _.._ .. 00 i .. to __# " +fiat .o-rv�� �,►v>`y 5C446-w3e, Woo" "wti2AZ . t --ullto Trim • O N I II'I s � �I I I �•, 9" 9:�t 3I y ; -WrRlb46 SW TLATA