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0265 BEARSE'S WAY
��J� �� ��� �_ .�..�: s • .�_ � x � ,'` �� �— r � C I � \v �� �� I!, s 1 i I _ _ _ __ ._.. v. _ - -- J TOWN OF BARNSTAB R I S E 2013 MAY 0 0 M Division of Thielsch Engineering,Inc. h 1 1' ' i1 a 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island 02910 DIVjSI May 1, 2013 Thomas Perry, CBO Town of Barnstable Building Division 200 Main Street Hyannis, MA 02601 Re: Insulation permits Dear Mr. Perry, This affidavit is to certify that all insulation work completed for 265 Bearse's Way has been inspected by a Building Performance Institute (BPI) certified Professional. All work performed meets or exceeds Federal and State requirement. Sincerely Erik Nerstheimer Supervisor of Installations, BPI certified Building Analyst Professional and Envelope Professional, RISE Engineering, a division of Thielsch Engineering, Inc. 1341 Elmwood Avenue Cranston, RI 02910 1 . . 401-784-3700 •800-422-5365 •Fax401-784-3710 o� pie- 4 ��8b1SN�d8�0 NM01 �,f+e Town of Barnstable *Permit# CU 2 CQ Fapires 6 mo fr�yw issue date . Regulatory Services F ' SPABLE ' Thomas F.Geiler,Director prED MA��'44 S3UdmX . Building Division Tom.Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma us Office: 508-862-4038 Fax. 508-790-6230 EXPRESS PERAUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X--Press Imprint Map/parcel Number lVJ Property.Address (c� �/: j�f � r • � 'tJ � [(Residential Value of Work 5-O0,0 D Minimum fee of$35.00 for work under`$6000.00 Owner's Name&Address Sfh 4 4 14/ Contractor's Name /� (� C✓�t -r� Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ?Y_ �rkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [+'I have Worker's Compensation Insurance rc',9� 1ti.S&i460,e G a v Insurance Company Name ZUL�iL�/ ill . Workman's Comp.Policy z/39,5-1971/' Copy of Insurance Compliance.Certificate must accompany each permit. Permit Request(check box). ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) [OR-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red Sand inspections required. Separate Electrical&Fire Permits required. *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. A copy of the Home Improvement Contractors License&Construction Supervisors License is r quired. SIGNATURE: ✓� G. %J r�` , \WPFILES\FORMS\building permit forms\EXPRESS.doe DVarbnertt�r,jlndrusf nl Accidenft Office of lnvestiga ions y _ 600 Wash*g n street vat n, fri 92111 wnw.mass.govldia W,ttrke,I-s' Compensation IusnranCe Affidavit: Builders/Contractoi-s/Electilici.�ns/Phmbers Apphcant Infbi motion Please Prim L.egibI Name(Businesd�tion&diviaoai): Address: City/state/Zip 65, Phone o riat�c.btsz: Are n an employer. CTaeck ths=apI p Type of project(required): �l contractor and I l ❑ i am a employee with �. I am.a� 6_ ❑New construction employees(full and/or gamine)_* have Itired the sub-contrack)is 7.El I am a sole grapriehoi or Partner- . listed on the attached sheet. 7. ❑Remodeling Ship and have no employees These�-eoirhac#ors have g_ ❑Demolition woBcinU for me in any'capacity employees and have workers' g ❑Budding addition (No workers'comp_insurance corals_msurauce X 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions resprired_] 3.❑ I am a homeowner doing all work officers have exercised dear 1 l- Plumbing repairs or additions myself [No workers'comp_ right of exe option per ivfGL 12 Roof repairs insurance required.] c. I52,§1(4),and we have no empto o workers' 13_ Other ccmp.insurance required.] *Any applicant that checim box#1:nm-t also fill out the section bebaw dooming their wvAere compensation policy in€—tion Homeowners who submit this affidsvit m&cating they are doing in trrod and then hie outside contractors.=submit anew affidavit indick ng such: IContraaors that check this box must attached an additioml sheet showing the name of the sub-cmur--ton sod am whether or not d ose entities bRv--e . employees. If the sob--ont maors have empla}Ms,they amst.pruvide their Wwker'tamp.policF number. I am an empioyei that is prm Ong workers'congwFuafion,immrrurce for Tray eve pl rem Below is the policy Sod job sets it formation. Insurance Company Name: Z7 a A,0,5,rc Policy or pelf lira_Lie. # ZZ0j3 y 57l���/�� 2 Expiration Date: a/ / / Job site Ads3iPss_ �G /L1�S/ cityrstatelzig` 5` i_r Attach a copy of the workers'compensation poslicy declaration page(showing the policy,nuImber and expiration slate). Failure to secure coverage as required un6er Section 25A of MGL c. 152 can lead to the imposition of criminal penawes of a . fine up to$1,500-00'and1or one-yeas'imprisonment,as well as civil Pmabies in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the.violatbr.,Be a&ised that copy of this swement may be Rwvmdz'd to the Office of Irryest gations of doe DIA for insa ce co--mrage veri5mfim ; 3 dfl he74r ccj Pmns7d pass rr. 'p that the inforartafro;n prm ided above is and correct f `G — Date_ y Phone# ©fficial we early. Do not writs in this user,tv be muipWed by d or leaves official City or Town: PermitfUcense It ring Authority(circle one): Department 3. !Towel Clerk 4.E3ectrical Inspector 5.Plumbing luspecto r . 1.Board.of Health. ...Bw1 ' �" 6.other Contact Person: Phone#: �oF THE r + BARNSDOLK MASS. ,�� Town of Barnstable Argo MAC s Regulatory Services Thomas F. Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02661 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize l` ( ' 1'1-W 6Wto act on my behalf, in all matters relative to work authorized by this building permit application for: �-R0u (Address of Job) ko' g 11,3 Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on,the reverse side. l• NOTICE N NOTICE TO a TO A EMPLOYEES EMPLOYEES 7 �W + � V 0,9M Sv� The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-7274900 — http://www.mass.gov/dia As required by Massachusetts General Law, Chapter 152,Sections 21,22&30, this will give you notice that I (we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: ZURICH-AMERICAN INSURANCE GROUP NAME OF INSURANCE COMPANY P.O. BOX 1450 MIDDLEBORO, MA 02344-1450 ADDRESS OF INSURANCE COMPANY (6ZZUB-4395P74-9-12) 10-01-12 TO 10-01 -13 POLICY NUMBER EFFECTIVE DATES DOWLING & ONEIL INS AGCY PO BOX 1990 ° HYANNIS MA 02601 NAME OF INSURANCE AGENT ADDRESS PHONE# m— o:- CAUTHEN, BILLY E 86 BETH LANE HYANNIS ° MA 02601 EMPLOYER ADDRESS EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE MEDICAL TREATMENT ^s The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the I NAME OF HOSPITAL ADDRESS 008980 W20P1G02 TO BE POSTED BY EMPLOYER � i�i�aac�chueetGy�^; — cefmo a uuea lil ad ulahon erAffa►rs&Busi office of Cnsu ENT , Type: OVE M IM PR OME ggis trat►on ,:16609„ ind ividual ivi dual 04 61,2 i Xpiration THE CAt1N .1 �'} BILL ' A . BILLY CAUTHEN e'- r f 86 BETH LANE �` Undersecreta Y YANNIS,MA 02601 H 1 - ►►►tmcnt ol`pill) IC 5afct) 1�lassachusctts Dcl ' ulatiuns and 5tand�►rus Board Of Built- Rc��� License Construction Supervisor( License: CS 9975 �A BILLY E CAUTHEN 86 BETH LN 02601 HYANNIS,MA Expiration: 811312013 1683 (`unu»i"iuncr :yx ►chusctts- Dcp of Public :tl-tmcrtt S,tfct� s . M.tsSi Rc.,ulations and Stand.►r'(is License Bo.tco°n Bu'ction Supervisor Lcense: CS 9975 i s ?. �. BILLY E 86 BETH L MA 0�601 HYANNIS, expiration: 811312p13 1683 ('unun�siuncr J r � cl dzZZt>° Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services. Fee ., $35.00 Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press imprint Map/parcel Number ✓ O -55 Property Address 265 BEARSES WAY; HYANNIS, MA 02601 X❑ Residential Value of Work $6,504.00 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address SANDRA HOLMES• 265 BEARSES WAY• HYANNIS, NA 02601 Contractor's Name RISE, ENGINEERING; A DIV. OF THIELSCH Telephone Number 401-784-3700 ENGINEERING ome Improvement Contractor License#(if applicable) 120979; EXP. 3/25/12 construction Supervisor's License#(if applicable) - 100459; EXP. 3/28/12 EPA LEAD—SAFE CERT. #NAT-24531-1 _NWorkman's Compensation Insurance ��RESS �� � Check one: ❑ I am a sole proprietor ❑ I am the Homeowner 0 I have Worker's Compensation Insurance TOWN OF BARNSTABLE nsurance Company Name THE PRESTON AGENCY Norkman's Comp.Policy# 3.730961-0 1- EXP. 1/1/ 12 ;opy of Insurance Compliance Certificate must be on file. ermit 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 © Replacement Windows. U-Value .30 (maximum.44) QTY: 12 — NO SIZE, HEADER, OR STRUCTURAL CHANGES •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. ATTACHED COPY OF CONTRACT me r vement tractors License is required. COPY OF LICENSE ATTACHED IGNATURE: Forms:expmtrg ERIK NERSTHEIMER FOR RISE ENGINEERING wicen7 t4os 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/Organizationgndividual): RISE Engineering a division of Thiel ch Engineering Address: 1341. Elmwood Avenue City/State/Zip: Cranston, RI 02910 Phone#: (401)784-3700 or 1-800-422-5365 Are you an employer?Check the appropriate box: Type of project(required): 1. N I am an employer with 4. ❑ 1 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' 9. ❑Building addition [No workers' comp.insurance comp.insurance. $ required] 5.0 We are a corporation and its 10. ❑Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11. ❑Plumbing repairs or additions myself [No workers' comp. right of exemption perm MGL insurance required]t c. 152,§ 1(4),and we have no 12. ❑Roof repairs employees. [no workers'comp.insurance required.] 13. N Other REPLACEMENT WINDOW *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—01 Expiration Date: 1/1/12 Job Site Address: 265 BEARSES WAY City/State/Zip: HYANNIS, MA 02601 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 25a 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 well as 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. I do herby certi and the ins enalties ofperjury that the informa 'on provided above is true and correct. Signature: Date: 1"Ild 7 A// Print Name: Erik Nerstheimer Phone#:(401)784-3700 or 1-800-422-5365 extIl� .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/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: Phone#: I �F%HETO Town of Barnstable regulatory Services r r • BARNSTAUM MASS. �+, Thomas F. Geiler,Director rFnr�+a Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using .A Builder 1, SANDRA HOLMES , as Owner of the subject property hereby authorize RISE ENGINEERING; A DIVISION OF THIELSCH to act on my behalf, in all matters relative to work authorized by this building permit application for: 265 BEARSES WAY; HYANNIS, MA (Address of Job) SEE COPY OF SIGNED CONTRACT ATTACHED — DATED 3/10/11 Signature of Owner - Date Print.Name If Property Owner is applying for permit please complete the Homeo"ers.License Exemption Form on the reverse side. I RISE ENGINEERING C 0 FS edBrat l00 soso562s I Contracto Registration No 8186 A division ol"Uhielseh Engineering Contractor Registration No 1209 T Contractor Registration No 620120 1341,Elmwood Avenue,(ramtim, 2 MAR � �': 2011 (401)784-3700. FAX(401 4 10 CONTRACT . Page R I S E r- - - THIS CONTRACT ENTERED INTO BETWEEN RISE - - - - ! - ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING OE8CRIBED BELOW ' ... _ - .. .PHONE. . . - DATE :CIbM N CUSTOMER - - - Sandra Holmes �-'--('508)775-71 17 03110/201 1 109144 SERVICE STREET - .BILLING STREET - - - 265 [3earses Way �65 Bearses.Wa SERVICE CITY;STATE,LP _ BILLING-CITY,STATE,LP - - - Hyannis,,MA 02601 Hyannis; MA 02601 35 ory JOB DESCRIPTION RISii 1;?ngineering will install(12)new I•larvev Classic double hung replacement windows white. Window features include: '�. White vinvi.fully welded sashes and frames . § lx)uhle Low 1;,Solar Han 70:glass,Argon filled,.mects federal Incentive Package(U.30)".F.nLrgy Star?: § Block and tackle balanus lix easy opening §. lilt-in Ability of the top and lxritom sashes for easy cleaning Locks and night vent latches. Charcoal aluminum latching halt screens Additional options include:grids to match existing the cost for replacing 6 sills is included and may be hacked out if not needed. additional sills$90 each if.needed,exterior window trim$1 l0 each if needed. Work will include the removai.and disposal of the old windows-and storms.Installation of the new windows w•ith.insulationand.caulking applied as needed to provide a weather tight seal. Homeowner's responsibilities: Any cost for the.repair.orreplacement:of rotted or damaged wood: Any staining,painting and surface prep of new trim or existing surfaces.Removal and:re-installation of"interior,window treatments such as blinds.curtains and shutters will also he the client's responsibility-. 50%due as deposit balance due upon completion: 504.00 WE AGREE HEREBY TO FURNISH SERVICES.-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF-: ***Six ThousandFive Hundred Four&00/100 D011ars $6,504,00. 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 RECtI51".SCHEDUUNG,,AND CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY LANK SPACES IZE I U -RISE ENGINEERING •CUSTOMER ACCEPTANCE OTE• CONTRACT MAY WITHDRAWN BY U8 IF NOT EXECUTED WITHIN DATE OF ACCEPTANCEZT/V.—P \ ACCEPTANCE OF CONTRACT- RICES,SPECIFICATIONS AND CONDITIONS ARE li - - SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO GO THE WORK - .DAYS. _ - - AS SPECIFIED..PAYMENT WILL BE MADE AS OUTLINED ABOVE - Q � OP ID: 31 ACORO' DATE(MMfOD/YYYY) 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. PHONE FAX 401-885=1700 A/C No Ext: A/C No): 1350 Division Rd Suite 303 E-MAIL PO BOX 810 ADDRESS: East Greenwich,RI 02818-0810 CUSTOMER ID#:THIEL-1 INSURER(S)AFFORDING COVERAGE NAIC# INSURED Th)elsch Engineering,Inc INSURER A:Zurich-American Ins Co. Thielsch Group Inc. INSURERB:American Guarantee 8r Liability Hi Tech Realty Inc. 195 Frances Avenue INSURER c:North American Capacity Cranston,RI 02910 INSURER D:Hartford Insurance Company INSURER E: 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 1N.ZR r V4 nPOLICY NUMBER MM/DD/YYYYI (MMIDDIYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY 3730962-01 01/01/11 01/01/12 PREMISES Ea occurrence $ 300,00 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 POLICY X PRoi JEC LOc Emp Ben. $ 1,000,00 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,00 A X ANY AUTO 3730963-01 01/01/11 01/01/12 (Ea accident) ALL OWNED AUTOS BODILY INJURY(Per person) $ BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per accident) $ NON-OWNED AUTOS $ $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,00 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 B AUC-4857188-00 01/01111 01/01112 DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMIT ER A ANY PROPRIETOR/PARTNER/EXECUTIVE r-- 3730961-01 01/01111 01/01/12 E.L.EACH ACCIDENT $ 1,000,00 OFFICERIMEMBER EXCLUDED? ❑ N/A (Mandatory In NH)If E.L.DISEASE-EA EMPLOYE $ 1,000,00 yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 C Professional Liab DVL000026800 04/01/10 04/0111.1 Prof Liab 2,000,00 D Leased/Rented Eqp 02UUNTD5678 01/01/11 01/01/12 Equipment 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION TOWN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Division ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD Licensee Details Page 1 of 1 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 AlaNs _+ ' Bua►'tl nl'BuildinUt rar'trrrOlt of Pub)i construction S Re.ul:rtion�, License:-.CS uPervisor <end Stand:irc)s .. nse:-.CS SL 100459 SPecialt Restricted Y License a to: INS ER►K NERS THE►MER 28 G ~ 228 GLEANED CHAP H SC17 EL ROAD .. ATE R►02857 nuul„ Expiration: 3/28/ 2012 Tr#' 100459 http://db.state.ma.us/dps/licdetails.asp?bdSearchLN=CSL100459 4/20/2011 3TIte _ O l ce o onsumer aiand usiness e u an on g 10 Park Plaza - Suite 5170 wM Boston, ssachusetts 02116 Home Improve •. `` ontractor Registration w ° Registration: 120979 Type: Supplement Card Expiration: 3/25/2012 THIELSCH ENGINEERING -- ERIK NERSTHEIMER r 1341 ELMWOOD AVE. � • w CRANSTON, RI 02910 - �.� Update Address and return card.Mark reason for change. Address Renewal Employment n Lost Card DPS-CAI Co 50M-04/04-G101216 �1ie -�om�rcauuealCfi �,/�,craaacjivaP,llb 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: ,h, Office of Consumer Affairs and Business Regulation Registration; 79 Type: 10 Park Plaza-Suite 5170 Expira .V--2T�-2:012 Supplement Card Boston,MA 02116 THIELSCH ENGUM- t = a 1, ERIK NERSTHEI�UI 1341 ELMWOOD A-V8.: CRANSTON, RI Undersecretary Not valid without signature 109,144 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel:. (_�� Application Health Division Date Issued Ce Conservation Division Application Fee Planning Dept. Permit Fee. Date Definitive Plan Approved by Planning Board P/Z Historic - OKH Preservation/Hyannis Project Street Address Sandra-tjutmaS 265 Bearses Way Village Hyannis Owner Sandra Holmes Address same Telephone 509-775-7117 Permit Request air sealing, insulate attic area Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay CD Project Valuation 2696 Construction Type = j Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. d , 7'.1 Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway:O Ye!-�❑ 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 _ DATEII,�l� Erik Nerstheimer RISE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION t 'FRAME INSULATION c FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 12' GAS: ROUGH FINAL FINAL BUILDING Ilk DATE CLOSED OUT ASSOCIATION PLAN NO. 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 Thiel ch Engineering Address: 1341 Elmwood Avenue City/State/Zip: Cranston, RI 02910 Phone#: (401)784-3700 or 1-800-422-5365 Are you an employer?Check the appropriate box: 'type of project(required): 1. N I am an employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors 7. ❑.Remodeling 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' g. ❑Building addition [No workers'comp.insurance comp. insurance. # required] 5.0 We are a corporation and its 10. ❑Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11. ❑Plumbing repairs or additions myself [No workers' comp. right of exemption perm MGL insurance required] t c. 152, § 1(4),and we have no 12. ❑Roof repairs employees. [no workers' .13.N 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. $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.#: 3730961-00 Expiration Date: 1/1/11 W Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the polic number and expiration(date). Failure to secure coverage as required under Section 25a of MGL 152 can lead to the imposition of criminal penalties of a 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 $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. I do herby certi and the ins enalties of perjury that the information provided above is true and.correct. Si nature: '` Date: Print Name: Erik Nerstheimer 1 Phone#:(401)784-3700 or 1-800-422— 365 x l 33 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): l.Board of Heath 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person Phone f , C-08D CERTIFICATE OF LIABILITY INSURANCE OP ID 47 DATE(MM/DDlNryy) PRODUCER THIEL-1 04/13/10 The P THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Preston Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1350 Division Rd Suite 303 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 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 IN NAIC SURED INSURERA: Zurich—AmeriCan Ins Co. _—I Thielsch Engineering, Inc NSURER B:. tw.r.lc.n Cusr>ot.. a 11.b111ty H iiTech GIOUp Inc. INSURER North American Capacity Hi Tech Realty Inc. _ 19S Frances Avenue Craranston RZ 02910 INSURERD: Hartford Insurance Company INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWI-niSTA1DINC _ ANY RECUIREMENT•TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT`NITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR WAY 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 - IF]SR�{OT7L LTR INSRC TYPE OF INSURANCE POLICY NUMBER DATE(MMIODIYY) DATE I� MWD6//YYY) LIMITS _ GENERAL LIABILITY " { EACH OCCURRENCE 1 1,0 0 0,0 0 0 A 1 X COMMERCIAL GENERAL LIABILITY 3730962-00 04/01/10 O1 O1 11 �7E / / / PREMISES iEa occurencej _ S 3_0 0,0 0 0 CLAIMS MADE a OCCUR MED EXP(Any.one person) S' 10 r 0 0 0 PERSONAL S ADV IM.:URY g 1,0 0 0,000 GENERAL AGGREGATE s 2,0 0 0,0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG $ 2,00 0,O-0 0 POLICY XJECaT LOC Emp Ben. 1,000,000 COMB AUTOMOBILE LIABILITY k X ANY AUTO 3730963-00 04/01/10 0.1/01/11 (Ea GLELIMIT g2,000,000 - (Ea accident) ALL OWNED AUTOS -- BODILY INJURY g.SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY _ NON OYJNED AUTOS (Per acodenll a (PROPERTY DAMAGE g (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OINER THAv j CA ACC S AUTO.DNLY: AGG S EXCESS(UMBRELLA LIABILfTY EACH OCCURRENCE $ 10,000,000 B X OCCUR E�CLAIMS MADE UMB 9 2 6 3 6 3 7—0 0 04/01/10 01/01/11 AGGREGATE 510,000,000 DEDUCTIBLE S „{ RETENTION S 10,0 0 0 y WORHERS COMPENSATION AND - 77 EIAPIDYERS'L UT'Y IABI X TOR Y LIMITS E.P. A ANY PROPRIETOR/PARTNER/FY•ECUTIVE 3730961-00 04/01/10 0l./O1/11. -E.L.EACH ACCIDENT s 1,000,000 OFFICER/MEMBER EXCLUDED'? E.L.DISEASE-EA EMPLOYEE $1 ()00,000 It yes,oescflbe under , SPECIAL PROV15IONS below EL.OISEA.SE-POLIr_'Y LIMIT 5 1,000,0 0 0 OTHER CiProfessional Liab DVL000026800 04/01/10 04/01/11 Prof Liab 2,000,000 D � Leased/Rented Eqp 02UUNTD5678 04/01/10 1 04/01/11 Equipment 100,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES/EXCLUSIONS ADDEO BY ENOORSEMENT 1 SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE OESCRIBEO POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN ' NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY)LINO UPON THE INSURER.ITS AGENTS OR .. REPRESENTATIVES. AUTHORgED REPRESE V - j ACORD 25(2001/08) ACORD CORPORATION 1988 s. � �,H„�` �`It��URED�SA!IAMEI�:Thiel�c�y��ri�yi�nee�,�'�gJ�ahZing��1F,�i alit*i�'y4�f�:0P ID 2711� l,, �i „ DA?E,04/12/10 Also for RISE Engineering, a division of Thielsch Engineering,. Inc. -Saskell Associates.; a division of Thielsch Eng.ineering,. Inc. BAL Laboratory, .a division of Thielsch Engineering, Inc. ASS Laboratory, a division of Thielsch Engineering, Inca ALCO Engineering, a division of Thielsch Engineering, Inc. Water Management Services, a division of Thielsch Engineering, Inc. 91te w O ice oMns=mer�f�A(an usiness e u anon g 10 Park Plaza - Suite 5170 Boston, ,ssachusetts 02116 Home Improve ontractor Registration Registration: 120979 M Type: Supplement Card Expiration: 3/25/2012 THIELSCH ENGINEERING ERIK NERSTHEIMER 1341 ELMWOOD AVE. =� CRANSTON, RI 02910 � 4 �r'•�,k sv$�, Update Address and return card.Mark reason for change. Address 0 Renewal F] Employment ❑ Lost Card DPS-CAI Co 5OM-04/04-G101216 ,per fie ell.nxooziisec� o�/�aaaacc�zuoelld 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 s Regulation Registration, 079 Type: 10 Park Plaza-Suite 5170 Expira "" :{'12 Supplement Card Boston,MA 02116 THIELSCH ENC - I ERIK NERSTHE T :y 1341 ELMWOOD =� CRANSTON, RI 029T _ =� Undersecretary Not valid without signature rage 1 0I 1 The Official Website of the Executive Office of Public Safety and Security (FOPS) Mass,Gov Home Public Safety Department of Public Safety Licensee Complaints License Type Construction Supervisor License# 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 o Search v� �ze.�o�r�r,:cYrtusP.cr�Cl O�✓/jr!aQba;c:,�u�ueb6 -.. . -. Board of 1311ildino Re.ulations and Standarit3 g I Lkense or reEistration valid for individi�l use only HOME IMPROVEMENT CONTRACTOR i. l ;s before the expiration date. If found return to: Registrati.on;: 120979 Board of Building Regulations and Standards 0 P __ 3�25/201 Ez`.rrat:i:o ' One Ashburton Place Rm]30X Type T.up'plemeni Card l4,1. 021.0-8 P I E L S C H E N G lh!E-Ef�,'j.N IK NERSTHEIMER °'-` tl ELMW000_A�%E ANSTON, RI (2910 Admtn.isti atiior Not valid without sign-: , e 1 t-tp://db.State.ma-us/dps/licdetalls.asp?t)(tSearchT,N=r.c�T inn,1so i � u +n;b E( ' w • ��� ,C"5 MT. y jf A L 4� • r WSJ ['�T RISE ENGMERI NG Federal ID#05-0405629 RI Contractor Registration No 8186 A division of Thielsch Engineering ra MA Contractor Registration No 120979 i\4A6! CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston, 2 x` (401)784 3700 FAX(401) 0 ®gNT CT �g .I _ PEAR 2 '3 2010 i � age 1 IS CONTRACT IS ENTERED INTO BETWEEN RISE GINEERING AND THE CUSTOMER FOR WORK AS E 1tTU 1N E E R I!N G SCRIBED BELOW CUSTOMER - PHONE DATE Client# Sandra Holmes (508)775-7117 O/16/2010 109144 SERVICE STREET BILLING STREET 265 Bearses Way 265 Bearses Wa SERVICE CRY,STATE,ZIP BILLING CITY,STATE,LP Hyannis,MA 02601 Hyannis,MA 02601 JOB DESCPJP'TION 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. 22 man hours. $1,452.00 RISE Engineering will provide labor and materials to install a—8.5"layer of R-30 Class I Cellulose added to 222 square feet of floored attic space. $266.40 RISE Engineering will provide labor and materials to install 3.5"R-13 faced fiberglass batt insulation to 150 square feet of kneewall area. $165.00 RISE Engineering will provide labor and materials to insulate the back of 1 set(s)of kneewall drawers and seal the drawers against air leakage. $100.00 RISE Engineering will provide labor and materials to install a 14"layer of R-49 Class 1 Cellulose added to 448 square feet of open attic space. $627.20 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. -$2,384.70 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Three.Hundred Ten&90/100 Dollars $310.90 UPON FINAL INSPECTION AND APPROVALjtY-RI ;ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER SD AYS.SEE9fVVft�FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY"NKACES - h T Rl=NTRACT •RISE ENGINEERINO CUS p NOTE:THAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE s " ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK t DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE y�ftNEt�� TOWN - OF BARNSTABLE t DADd9TADLKUL i '�0 6 9•F�� MASSACHUSETTS 0 04, -3 1 Solid Fuel Stove Permit DATE OF APT ICATION ................ ........`9 . ? `Z l ISSU NG PERMIT .. ....�.........� ...... / T NAME owner F• w` `` 11^ ( ) ..........................1........3 ....... .� 4�:.�,:h. NAME (Installer) .......:�-�4�...!�1......�?�:5.�...:............................. ADDRESS ................ 5 ....r� `rs ,s..............:.. !!.h'SADDRESS ...................................................................................................................... STOVE TYPE V......S.I ... ......... rV �.......... CHIMNEY: NEW ........................ EXISTING ... Manufacturery............ '���.................................................. CHIMNEY: Masonry ............................................................................................. Mass. Approval �........................................................................................................... CHIMNEY: Metal ................................................................................................... This is to certify that the above installer has permission to install a solid fuel burning appliance at the listed address in accordance with an application on file with the Fire Department, ................................................................................................... and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made under the authority thereof. Issued B �/� ..................................Title .............. Date Permit to install expires 60 days after issue date Stove Go,jt or ie,r Stove Clearance 1-46 .� IF}:;!: N y S O D` ............................................................................................................................................................................................. Floor fP� .................................................. ............ Smoke Pipe �� w � ... ...................... ................................................. Smoke Pipe Clearance �........o%G'� Chimney ............................ �......................................................................................................................................................................................................................... SmokeDetector .........................lyl....f..�......................................................................................................................................................... ........................................................................ The undersigned hereby certifies th t the installation of solid fuel burning stove and equipment made under an of permit dated .......����9a�..... has been made in accordance with provisions of the Commonwealth of Massachusetts State Building Code now currently in effect and pertaining thereto ... !v. U�s�.... ..................................... Installer INSTALLATION APPROVED ......f..l....? ..................... By: */6�0 Title: ....... date WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT Date / _ /V Hour 16, To WHILE YOU WERE OUT M --,) 2 1 Of ��� 1 / Phone Area Code Phone Number Telephoned eturned Call I I Left Package Please Call vi Was In Please See Me Will Call Again Will Return Important Message I Signed AVERY FORM NO.50-736 RINTED IN USA The Town of Barnstable Department of Health, Safety and Environmental Services eB . ` Building Division NAM 1639. ��� 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: /0 ., �J Name: Address: °� rkJ Village: Type of Business:_A o �4141esfq .. Jn_ Map/Lot: INTENT: It is the intent of this section to allow the residents o Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance, provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit, located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or. one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I.the undersigned,have read and agree with the above restrictions for my home occupation I am registering. /o a�!' Applicant: / Mot Date: Q e Town of Barnstable Department of Health Safety and Environmental Services 1639. �••� Building Division ` 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen t Fax: 508-790-6230 Building Commissioner TOWN OF BARNSTABLE Pest 3s`I7 3 SOLID FUEL STOVE PERMIT Date: /a-,S-9p Fee:�aS.v-a Owner: . �t1i i ��Ci�(�k e e Phone: 7'T g'4' ,S3 Address: l0 5 6 eq r-5 e-S W Village: S, Map/Parcel: C 5 Date: Stove A. New/Used B. Type: &4iant/Circulating C. Manufacturer: „ SS t) �� !/ ( Lab. No. D. Model No.: Chimney A. New/Existing f existing,please note date of last cleaning ra Q Nc�J em 6 e r^ B. Flue Size 4 C. Are other appliances attached to Flue? a D. Pre-far Type and Manufacturer r.e- fkajk 1 S+� E. Masonry: Lined/Unlined Hearth { A. Materials: 13*r 1 L K S h e�� 1-54g',rn(t5 4 c c B. Sub Floor Construction: 5 a Vn Installer Name: �►� � <e� ,'I G ,e S h e` ddress: I-Wa V1 n r "S q'l g' " S3 Phone: Location o Installation: APPROVED BY: Please make checks payable to the Town of Barnstable 16 CFI 1 631 - 2- *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Stove.doc 310 Assessor's mr-? and number ................................................ d l �umb TH E TOE O Sewc�e Pemit number ...l.1s-cM-AlQ..4!1r... Z BAUSTABLE, i House number ................................................................./,, 9O NAG& i639• 00 'EOYPY a� TOWN OF BARN�STABLF �K, BUILDISN,G 31pNSPESCTORr APPLICATION FOR PERMIT TO .... f 1�: �' '' �" �:� + r} f f C{ . E;.J)r' TYPE OF CONSTRUCTION ............ :.�. ?.!? :..::.`.t ..... : :::% .:....Y {! f ?.a ........................: r ...... 1IR........ . ............. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according}to the following information: Location ..... 7... ..... tC'! . r......... J/A t. ......................... . ........... ................................ Proposed,Use .... "• (• ?} ti Y 1 .. ....: ..::?................................................................. ZoningDistrict ........................................................................Fire District ............................................................................... rya: T Name of Owner r11,Q �:.. •?x.?..: ! .d.. d. f..) ()......Address ..: •fir..: ...�1 � +'a.� C.F .S .....00-V.................. Name of Builder � '... 4? Address .........a.. ........................................................ Name of .Architect . ..........................Address ..... CF•.fit..�?....................................................... • ,r Number of RoomsF�aff/ ?�F n...£,�it•� Foundation .... .. �.'„*?.t: . .......hC ..................... ................. v Exterior .....la! �`�) c% � f ..,......................................................................Roofing ........... ...�...........;.... ... .....�1,•�r•7" Floors ................ ......................Interior .......! .*.'t.t V)",!f;�..1.. ................................................. Heating '�`�' �. ' �.... .................. ......... .Plumbing .............. ............................................................. � w f Fireplace; ............:.. ........ ........................................ —Approximate Cost ................. C?.�.:��..................................... Definitive Plan Approved by Planning Board ________________________________19________. Area ..... Diagram of Lot and Building with QimensionsC� ` Fee -..`,,. . ., .................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 4/0 - - - 0 , I hereby agree to conform to all the Rules and Regulations of`the Town of Barnstable regarding the above construction. TName .......... ' SICZI,ZANO, SAM --33172 ADDIT-No Permit for ----- ----- ' '~~ ....... ..D.W.qlliRg............. . 265 Bearoeo Way ' ^°~."= --.--.-------..=.------- ' Hyannis ^—`-----------------r-----'' ' S�m Sioio1 aom Ovvner ------- ----------..' ' � .......... Frame ' Tvo6 of Construction .......................................... - � � ---.�----.-------.—.`---.------ ' ' � Plot ............................ Lot ................................ - . . . 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N � o, LATOO� BUILDING ]AS:PECTOR APPLICATION FOR PERMIT TO .......P— a. d.... `� l.,C`Ye�.�. .d. ..... ......... . 1.. z.)2y TYPE OF CONSTRUCTION A L?. . _ �CR.:i:`!�.C�..'..Y F'S l E. ..2.KQ./...... ... u xz.'5-....... >..............19X/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... z 5....... a.�'....S:.........(�C�C ... .. ....................................I.............. ............................... Proposed Use ....e XEx. l �'r' l..G.a.n........ �f: ...�.��(.h .....f L�. ................................................................. ZoningDistrict .........................................................................Fire District ..j.............�............................�............................... Name of Owner r'r �r..,?.47�!?..: i`C in./>.aa:Y..�......Address ..9Z.6. tC......! �Q �':. .....4)0..y................... Nameof Builder SCe7l. ...............................................Address ........ ........................................................ Name of Architect �-?�..� �' ....... .S.0............ ........... .............. ................Address ....... ....................... Number of Rooms ....... ®YIL°.WN.Foundation ..... 1 ' t.., . ...........:�?<�.��.................. Exterior ......W.DC1.d..........................................................Roofing .........1. ..c. ' �1./.........-�.�.!-�`(. 1 e.................. Floors ........e�L,.�a.()d.........................................................Interior ....... r .�nL��.� ` ... .... `..'.....",_':--.Piumbing ................ "d. .Yj.. `................................................ Fireplace ..:..........?.G?!'I :....................................................Approximate Cost ........... ✓. ) �............................................ Definitive Plan Approved by Planning Board ________________________________19--------. Area ....... d.''.'�a....................... Diagram of Lot and Building with Dimensions Alan 1, tachn Fee ........ �............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 410 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .-1% ��- .......... SICILIANO, SA:A 23172 DA/I0N No .. ............. Permit for .................................... .I ....................... ,,Sin..le Family Dwelling .............................................................................. j. Location ...Bearses Way .......................... ....................... Hyannis /J.................... ......................................................... Jt Sam Sici,liano Owner .............................................. .................. Frame 4 Type of Construction .......................................... /V ...................... ......................................................... AK Plot ............................ Lot.................. 11 'June -8, — 81 Permit Granted ....................................119 Date of Anspection ............................. .....19 Date Completed ?h 71k.2.. .....19 PERMIT REFUSED -f, _17 ................ #. ....... .............. 19................ ................ -:;,.. • ......... ......... ....... r -or ................................. 2 .............. .............................t....... ......... ....................... Approvi ...... ...................... ........... 19 .............................. .................................................. .............. ...... ................................ ..................... Ar s