Loading...
HomeMy WebLinkAbout0023 GOOSE POINT ROAD PC r I i, • -� �� Q� Town of Barnstable ;(R, M ,Aa, Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept tom' Msa ®/ Posted Until Final Inspection Has Been Made. uosa,/.VPermit eoiu °F Where a Certificate of Occupancy is Required, such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-17=3605 Applicant Name: VENGREN, DANIEL R Approvals Date Issued: 11/02/2017 Current Use: Structure Permit Type: Building-Addition/Alteration- Residential Expiration Date: 05/02/2018 Foundation: Location: 23 GOOSE POINT ROAD,a ERi/M;lrf- V Map/Lot: 252-083-%W YOD Zoning District: SPLIT Sheathing: Owner on Record: VENGREN, DANIEL R Contractor Name: Framing: 1 Address: 23 GOOSE POINT ROAD Contractor Licenser 2 CENTERVILLE, MA 02632 Est. Project Cost: $ 2,100.00 Chimney: Description: framing old garage door in and putting window in lower front siding Permit Fee: $85.00 replacing front door Fee Paid: $85.00 Insulation: Project Review Req: GARAGE DOOR TO WINDOWS AND REPLACE FRONT DOOR Date: 11/2/2017 Final: ONLY. s Plumbing/Gas Rough Plumbing: - Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6..nsulation Low Voltage Final: 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING`PERMIT APPLICATIONA�L ' e Map Parcel d 0 3 400 . Application # "17- 36.65— Health Division Date Issued / 2J -Me— Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address S 1 4 §4 Village = 41 Owner fL�� Address rm + Telephone Permit Re uest P A C) 1 Qolac�,4A k,-]k1),S4 w Square feet: 1 st floor: V isting proposed •12 floor: existing proposed Total new Zoning District Flood Plain Gr. undwater Overlay Project Valuatio 15D Construction Type Lot Size �4 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family nits) 9 g Y Age of Existing St 7�ul re t-� i&n'Historic House: ❑Yes o On Old Kin 's Hi hwa : ❑Yes ZNo Basement Type: l ❑ Crawl ❑Walkout ❑ Other C Basement Finished Area (sq.ft.) 140o Basement Unfinished Area(sq.ft) 5 Number of Baths: Full: existing 02 new Half: existing new Number of Bedrooms: existing _new Total Room Count (noZa�,, J ding baths): existing new First % . om Count Heat Type and Fuel: Oil ❑ I vva ypElectric ❑ er ®gypp Central Air: ❑Yes No Fireplaces: Existing New i tin v�o� al stove: ❑Yes /No p g g 1A �'�®l etached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ 9fir6,' Q exis ing ❑ new size_ Aga ar ge: existing ❑ new size _Shed: ❑ existing ❑ new size — Other: 4. X tiOTo 6`M Zoning Board of Appeals A horization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Use. Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) —' Name �u Telephone Number �—M Address (9-3 �� V&N�4 License# � ome Improvement Contractor# Email �"� C-0 poca1 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECTWILL BE TArEN TO a W�f!A CL_ SIGNATURE4 .DATE 1� i FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. f ADDRESS VILLAGE OWNER t DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE >r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Town of Barnstable Building Department Services Brian Florence,CBO Building Commissioner su►awsrwau. ` • 200 Main Street, Hyannis,MA 02601 �MASIL . www.town.barnstable.ma.us 1639. p PIS Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE: O 1 Please Print JOB LOCATION: nuo "HOMEWNER": 15 \ ` b�-�t nam � Jbpm phone#� � � work phone#, CURRENT MAILING ADDRESS: 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 laud 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"h eowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection pro s and re nts and that he/she will comply with said procedures and requirements. S ature 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 performing 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 supervisor." 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 he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit fomu\EXPRESS.doc 08/16/17 i Town of Barnstable Building Department Services ` Brian Florence,CBO 639. w Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section - If Using A Builder as Owner of the subject property hereby authorize to act on my behalf in all matters relative to work authorized by this building permit application for. (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS Rev:0&/16/17 �7ze Camrrrrra�x�c�etzt�sjf1•�assr�ulrusetts Dvivaffmit c�,fra&a-trid Acdderrts la ce af1MWS69atEV= . 600 Washingim&treet Baston,MA 021I1 ' tvfvru�rras�,gtrvfiiiri Warlwers' Cmmpenmfim t Insurmce A fHdavit:EaUdeislCuntra.darsMect dccian&Thmihers AppHzant1nfqr=fiGu Please Print Le �tI Nmm �tJc1 St'jc1ILO �� Address: CL • CityfStatrMF., Phone-- Are you an employer?Cb '.ekthe appropriate bow ' Type of project r .��- L El am a 1 with. $ ❑I our a general contmctor and I employeeslayees(full autlfor part-limef* 1mve hired.fhe sir-contmdos 6. ❑New 1 ( �lion 2.❑I am a sole propiletor orparhmr- Tisfed on the attached sheet.. i- ❑RPrrmodeliztg sltip and have icy employees. . Thte sob-confractars haae g-,❑Demolition why forme is airy capacity. employees andhave worlmre 9. ❑B,uildiug additica IN! WO&MM' Cam-irAM=nce comp-RISUEREDMI 5. ❑ We are a corporaf an and its 10❑Eleefacal repairs or additions 3-12 I am a bomeouner doing all words offcets have eRRrdsed fiu5ir I❑Plumbingrepairs or additiora. myseLf[No warkers',=F- might of exemption per MGL 12❑Roofrepaim i asmznce reT iced-]t c.152,§1M andwe have no employees-[NO wori=e 13_❑Other cam_=mracce regdaed-J •A-f appFicmt do t chedshoa fl maw also SIl ort tfi�sectEoaheIow dng dim u or7sas'ca�pe�satia�poT�y infurmsrio� fi ffn�eoa+aerswLo SabD1?t dais�d2�'II ig thv_y ue•daing 8g WaO�audfimahixe a4t57$�rm,f,vrerney��salrovtaaem�d�t fna,'F9�sacs.. fCaanactm bout ebedctbis bmc mast zmrly d sir addiK—sl sheet sbouing themame of the sub-cam=rctDm snd stye whMber araat rbnse emitieshave emp3oyees.Ifthesab-cantactesL:ve employees,tFtey�stpmuidetheu Starkers'camp.pay amnben I am art emplgw diatispratztii W warders conpewdian hwirance for my*cHTfoyees Rebiv is Mepofiry and jolt arts iaforaudiarL In�.ceCagtpasrg�Fa�e: PORGY 4 or Self-irm.Lic-4 F�gisatrouDate: " Job Tife Address~ Citg/Stafe� p: Attach a copy of the workers'compensationpolicg-declaration page(showing the policy,number and empu-ation date). FailF m to serum coverage as requirednuder Section 25A of MGL a 157 can lead to the imposition of crimi ml penalties of a fne up to$UOO Oa anNar cne-year impriso--nt as weA as civil penalties in tfie fo=of a STOP WORK ORDER and a fine of up to$ZSQDO a dap against the violater- Be ad,.dsed that a copy of this statement shag be forwarded to the Of of Inestrgadons o€the DIA.far ihs wance coverage imdfr-tziart Ida Fcer c nud�tlx andpsrrah`iesu.�pc�crythattheuiforma&aprm, abot a true :d carrect e Date: Phone'i � - -b ReA — OBicidumanfy. Dv tint a1•rite its tins area,€a be t rriup�etc�rI lip tafy rarteti�i rr rcuiL City orTowu: PermhUcense9 issaing-knflmr€ty(circle one): L Board of d3 .'�.I3n€ ng Deparhvnt S.# ,�Ftrtgn Clerk ,Electrical FaspectnF S.Plumhmg l�spettor 6.Other Conbet Person: Phone#: — -- —- 6 a at ion and 1st Cti€�)Is • . Goal Laws 152 req�es all�Ioy=`tn Provide WotlM°� for their emploY� this ,an�Iayee is defined as¢:cm y p=6n.m die sous ce of anotU er modes any contract°f � express or i plirA'oral or Wes+f assocr�ion,cmporajion or ofhet legal mffy,or any two or more An�Ivyer is defined as-an,mdi idoal,pminersbip, �ex a deceased employer,or$ie ofthebregoing=ga�maJoint ,and mclndmgfiie legal=pres receiYer or trustee of an individual,paft=Shrp, assoeiafinn or other legal entify,employing employees However the owner of a dwelling house having not more thin three apattmenfis andwho resides therein,err the occupant ofihe- &,M g house of another who e3Ploys persons to do males ce,r o„stract;on or rrpair wDil-on such dwelling house or 01:L the grotmds or bmIdmg ajpur�Ihm-eto sbaRnotbecaase of sash employmetbe deemedto be an employer." MOL ch apter 152,§25C(6)also stars flint"every state or local Heer"Ing agency shall Withhold Ihe,issaance err renewal of a Hcease or permit to operate a business or to consfract btuldmgs za thin cotnmonwealfh for my aPPlic=twho has notprod-aced acceptable evident$of compHtanm wiffi the insurance coveragerega'red.." A Iibhnally,M xL chapter 152.§25C(7)sta:b-ss-N63fli r site corms. nor;�ay ofifs political sabEvisi°ns SW enter into any contract for the pmfotmancd ofpnbho work tmhl acceptable evidence of compliancevrd'b.the c . regtzae�MtS of this chapter have been preseUted to fhe oautr�.authority:' Please fUl obf the wo3cem'compeasais on affidavit completely,by checking -boxes ffiat apply to your sitnation and,if s nam , ) d es an a ni m �Pith-theit eert�cate(s)of necessary,amply s s¢b-�ntractor() .e(� ( PhOIl ber(s)along insarfmcc umited UA ity Co=m3ies(LLC)or Lja i Liability pa t=ships(LIP)ono e=ployees other iban the members or par[ae are not r�q d to cagy Wore&compansafion Vince• �an LLC or 112 does have . empIoyees,apolicy isre�red. Be advised.f3tattLus a$dayiEmaybe snbmitfed to the Department of Industrial Accid�for CZMJH luation of inset anoe coverag- Alw be sure to sign and daft-the affidavit The affidavit should beretmaed to$e city or town fhat the application for the pema or license is being rup not the D epartmenf of In doe ial Axci d� - �dyot�have any(I a o�ns regar m flie Law or if you are rmlmird to obtain a wolic=' compensat ion pDHcy,please call the,Deparfrneatattheamber]is�below Self-ins�aed ��shoulden'o~rtheir self n,saran ce license iiumber on the appropriate line. City or Town Offs als r Please be sure that lit a affidavPt is complete and pried legibly. The Department has provided a space at the boffrrm of the affidavit for you to tilt ourt in the event the office oflnvestigations has to comactyoureg-r the applicant. Pleas a be sure to fl]in the peamiilIiccnsse number Which w71 be used as a reference rmmben In.addifion,an applicant t3>at must submit 3IIUYple p�'Ti°ense-PPlicahons is any given year,need only sabmit one affidavit indicaimg euse�t policy in��znation(af ne�essaly)and umdea"lob 5�te.A ida_ime the applicant shoulder"all ID cations is (�-y or town)„A copy of the-aff davitfiiat has been officially stamped or marked by the city or town maybe provided to the applicant as proofthat a valid affidavit is on fide for fotm�pits or licenses A n6w affidavit tmrst be:bIled orlf earls year.adhere a home owner or citizen is obtaining a license or pemit not related�any bnsiac C or commercial v�ff e Cie.a dog license orp=ah to bins leaves etc.)saidpeimu is NOT to eample a this affidavit Office o fffi g�inns Wotldhb--tb ti>ankyouinadv-2nce foryota cooperafion and sbou n ga ldyo have any estlons, please do nothe flab--to give us a call The Deparfineuf 8 d&csr,telephone and fax mmmbm- R CG=jQa' -ffiE ofMassachuREMR - �cif IrLdArt�d.�n� • f��of�•e�g�fiaJ� RQStmi�IA QI11 T(�-L161' -' -4• cxt 406 Q,r 1477 MA&WR Fax#617`27 7M xevised¢24-07 'Crdia f �;.�� a ���� � �� ,.�, . �l� �� �� �s �� 9 � ..� � - i ID a- L.Lj 0 C%4 C. 0:) Z .j W RL C:) cc 0 I d m 2 NINE N ✓ . �c dt J 5 Dater Thomas Perry, CBO Building Division 200 Main Street Hyannis, MA 02601 RE: Insulation Permits Dear Mr. Perry, This affidavit is to certify that/ r all workwork completed at. V CA AA has been inspected by a certified Buildir g Performance institute (BPI) Inspector. All work performed meets or exceeds federal and state requirements. Permit application number: 2013 D 112 Issue date: w 4, - f .3 Since Fr ci eehanr� Presi ent ` Frontier Energy Solutions, Inc. 01 Office: 774-237-0410 Email: fssfrontierenrgy@gmail.com ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION rov Map Parcel 1Q1� , LE Application # Health,Division � Y 28 1(; Date Issued 1. Conservation Division Application Fee DID �� � a , 2 Planning Dept. ._ -F Permit Fee Vr Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 3 C700f` -C-, �®N-J 1� Village V1 I vul Y12 AY2 k1( 1rA Owner c&Y)1e WG Address aS (7an5L2o4Ra C-�r�eU� Telephone ��— ` %a 5 Oa632. Permit Request cry— 0, OV �(nv, Square feet: 1 st floor: existing_ proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type 2 l Lot Sizes Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family : Two Family ❑ Multi-Family (# units) Age of Existing Structure lqj . _ Historic House: ❑Yes kNo On Old King's Highway: ❑Yes *No Basement Type: Id Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) a Sa Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: 3 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:�d 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 ' ° �`�C � Telephone Number 7 q' a3)— ®(4 1 0 Address a License # 10 59 y i J( � . �I\ 0�G31 Home Improvement Contractor# 160 t 5q Worker's Compensation # V\,) ^l a0-(,o 15315-n1 OA ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 16 t-�ol 3 FOR OFFICIAL USE ONLY X APPLICATION# < r I)ATE°ISSUED t � AMAP/PARCEL NO. '4 ADDRESS VILLAGE .r OWNER 4f S r DATE OF INSPECTION: �.wFOUNDATION Y FRAME t INSULATION FIREPLACE ". ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL .GAS: i - ROUGH FINAL ', �f: •FINAL BUILDLNG k x: k. �. Y ti 'D DATE CLOSED OUT 1. r ASSOCIATION PLAN NO. s • x t r Y Massachusetts-Department of Public Safety N/�ze Tea�xerzarrzaeall 'c/lt�a c/aruelt Office.of Consumer Affairs&13nsi ess Regolatroa Board of Building Regulationvand Standards • — MEIMPROVEMENT CONTRACTOR : Cbnstructton Supervisor"Spietaitti _ � anon 160854 TYPe License:CSSL Ilmm = - trS;`. - expiration g/BIZ014ZZ - PRANCIS S SB$APT � + FROiER ENERGY SOL:UT(ONS, 502 HARWIC$RD Brewster IN %..` _ -FRANCIS SHEEHAN ARWICH RD i 302H BREW TER MA 02631 � +�o Undersecretary i1Y= Expiration . commissioner 02/17/2016 i --- � Y` Restricted To:CSSWC-Insulation Contractor License or registration valid for individul use only before the expiration-date. Wfound return to - - Office of Consumer Affairs and-Business Regulation 10 Park Plaza-Suite 5170 - Boston,MA 02116 Failure to Possess a current edition of the Massachusetts State Building Code is cause for revocation of this license.. For DPS licensing information vurrxr of .slid out signature w s.c ,/Das t, . f The commonweakk ofMassackuselts Print_Form Depaai tment of Industrial Aeddents _; Duce oflnvestigafions � t -� I Congress Street,Srute 100 Boston,MA 02114-2017 www mass govldiar Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Auplicant Information Please Print Ledbly Frontier Energy Solutions-Inc; Name(Business/Organizadonftdividual):Frontier. Energy Harwich Road City/Stateizip:Brewster, MA 02631 Phone#:774-237-0410 Are you an employer?Check the appropriate box: Type of project(requires-.. 1_❑ I am a employer with 8 4_ ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time)-* have hired the sub-contractors 2❑ I am a sole proprietor or partner- listed on the attached sheet. 7_ Remodeling These sub-contractors have . 8_ stir and have no employees Demolition P ❑ working-for me in any capacity. employees and have workers' - 9__ Building addition [No workers'comp-insurance comp- required-] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am homeowner doing all officers have exercised their work 1 I.❑Plumbing repairs or additions myself[No workers'camp_ right of exemption per MGL 12_❑Roof repair insurance required.]t c 152,§1(4),and we have no Weath atfmfion employees.[No workers' 13_✓�Other comp.insurance.required.] ;Any applicant that checks box*1 must also fill out the section below showing their wodme compensation policy information. s Homeowners who submit this affidavit indicating they are doing all wont and then hue outside contractors must submit a new affidavit indicating sack :Contractors that cluck this box must attached an additional shed showing the name of the sub-contractors and state whe8ter or not those entities have employee& if the sub-contractors have employees,they must provide their workers'comp.policy number: I mn an employer that is providbig workers'compeusafton amrrmwe for my employees.. Below is the policy mid fob side ir0`brmatdon. Insurance Company Name:AIM Mutual Insurance Company Policy#or Self ins.Lic.#Y�C-100-6015315-2013A Expiration Date:3/14/2014 Job Site Address: �'j �?30 ��1 n Jl d City/StatelZip:l,AV-V(I(e.A A 3 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 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 tathe Office of Investigations of the DIA for insurance coverage verification.. I do hereby under the and errallies o that the information provided above is true and eavrreeL - Si l}dle atao(3. Phone#: '7 q'a 3 - . ©q 1 , Official use omly_ Do not write-in Ns area,to be completed by city or town offidat City or Town: Permit%License# Inning Authority(circle one): L Bbard of Health 2.Building Department-3.City/Town Clerk 4.Electrical.Inspector S.Phumbing Inspector 6.Other Contact Person: Phone#: - ac Rn� CERTIFICATE OF LIABILITY INSURANCE °�03K THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND COFFERS 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 WSURER(Sh AUTHOR® REPRESENTAMW OR PRODUCER,AND THE CERTIFICATE HOLDER. 11WORTANT:If the certificate holder Is an ADDITIONAL DISUR®,the pollcy(Ies)must he endorsed. R SUBROGATION IS WAN®,subject to the terms and conditions of the pO&W,certain po6tdss may mgwm an endorsement: A statement on this oer6til�te does chat corder rights to the certificate holder in lieu of such endors t(s). Jeffrey Ford PRODUCER00509-001 ($00)553-1t101 , (5ptt)398-0246 � . Rogers&Gray InsuranceAgency - 434Route 134 --._ South Dennis,MA 02660 1 cc tt A.LINL Mutual insurance Company 1INSUR$t'A- � INSURED - Fmnfier Energy SduffDns Inc -- --- _-- 502 Harwich Road — Brewster,MA 02631 � IMSURERF COVERAGES CERTIFICATE NUMBER:, REVISION TAUMBEIR; _THIS IS 70 CERTIFY T1iAT WE-POLICIES.OFA SURANCEUSTM-SELOW-HAIIEBEEN ISSUID_TO_tiE MURED-NANO-ABOVE.EGR-THE-POLCY-PERIOD - INDICATED_ NOiWI HSTANDING ANY RE=-RENEffr.TI�ifVl OR CONDITION OF ANY CONTRACT OR OTFIHt OOCUMHdT W17t1 RESPECT TO THE THIS CERTIFICATE MAY BE IV" OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEWN IS SUBJECT TO ALL 11�T13RAS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LWTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_ TYPE OF INSURANCE POLICY NUAABER LmalTs EACH OCCURRENCEGENERALLIAMUTY i S DAMAGETOR81iH) S \ CORAL GF3iERAL t.IABILTTY __ I rI®EXPLAnyanet ) S — GLARJfSMADE OCCUR PERSOM&ADVUVAIR1f S --- G'ENEMAGGRE" S AGGREGATELOOFAPPLIESPat PRODUCTS-COMPHlPAGYi S OLtC1f nRp - I COM86AID S____LE WFT S AUTOMOBILE LIABI InT j � r ANY ntrro 1 SODRY INJURY(Pe.�) s. ALLOVOIED, SCHEDULED AUTOS I I AUTOS - BODILY IAUURY(PwacadetW 1 S ' HWMMMN NONINID IsRGiYw�onAGE S TOS :. S .. O - �t is CLAAI.SMADES cSTA�t1 TH A D�i O1ft3iS� X 7ARY CCID °Ht Y E.LEAQiACC�@IF IS 1,000,000 A F Y. NIA VWC-900-MW15-2073A 3/14=3 3K4a014 EJ_D, _EpLEt�w DYff s j,000,000 ` PaIATroNS Lamer Ej--r ISEASE ICY Lldfll Is i,fl00,Ofl0 DESCFMYWNCFC04MTIMILOCATIOISIVEtBGLES(AuaehACORD1ttl.Ad iRonad=Scheddp-Eaore.sPa-Lst 1 CANCELLATION CERTIFICATE HOLDER Town of Sandwich .. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 16 Jan Sebastian Way THE EXPIRATION DATE THEREOF. NOTICE WILL BE DB.IVERED IN Sandwich,MA 02563 ACCORDANCE WITH THE POLICY PROVISIONS ` AUnrO�REPRE58�AT11/E �,.� Ms reserved. 19as-zaIo AcoRD coRFORATtoF. r+g ACORD 25(2010105) The ACORD name anti logo are registered marks of ACORD d61)Wiest i&ia St*e Housing-.. - +T�duiL MA 02601-M98 Ass i stan ce 1. (508)771 1-54W F(P.8)Ts 7f4:34� • =�'I5�on aAhn es r HOME OWNER WEATHERIZA-HON WORK PERMITS FUEL RELEASE: - PLEASE FML OUT AND SIGN TICS TORMIF YOU ARE i ....-................--................_..................... .-.... : fiHE A-MICANT-HOICTE a ......_.._.. - ..... - --- - .... -.-- I 'Dpt :e-I 'hereby consent to and agree"that w"eathezi-zation work may b e done by the'Weatheo�zation ogr of Housing Assistar.c,_Corporation (herein after reiearecl as 'Agency-)on the propextty logated at M a - r The weatherizationwork done wiR be based on proaramma�icpnonties and availabpfiq Ufoud�g and it may include aIl or some of the following measures_ Weatherpping&r?na.of windo.�vs and door s,ins�Iatzon of attics,sidewalk W basements,attic and other ventilation measures and_possibly replacement of badly deteriorated Windows-In > consideration of the weatbaization work to be done at my home I a,-ree to the fo.Ilowing_ I_ I give permission to the -Agency}its.agents and employees to travel onto"or across said property with Bach equipmeat and-materials as may be necessary to perform we aflia Cation work on said pio PertY 2_ "The Honsiug Assistance Corpo�afi v oa reserves the right to inspect the fael or ut ditp bin for the weatherized mait on an ongoing basis for no more than Eye (5)years after the weatheazation work is completed _ 's I have read the provisions o agreempt d fredy give my Consent- Home Owner (S ) ., (✓ Da;f= + Agent (si�nairn e} Date , HACpP=ovecl Weathesration Company, I LM Cali-ber Building&Remodeling Cafe CCId IIsulaiiOn Caere Save Ctesw L Con trnctio Frontier Energy S.olutious Lohr&Sons -Peter S�i"tli Resolu�o Enema oc o o tza on All Cape JD�aiion. R I S E Division of Thielsch Engineering,Inc. 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island 02910 N -4 May 1, 2013 z Thomas Perry, CBO Town of Barnstable Building Division 200 Main Street °` Hyannis, MA 02601 © rs Re: Insulation permits Dear Mr. Perry, This affidavit is to certify that all insulation work completed for 23 Goose Point Road 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 401-784-3700 •800-422-5365 •Fax 401-784-3710 13 L�GJ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map a.S 2- Parcel 033 140 Application #zfO j 7ulq Health Division Date Issued Conservation Division Application Fee 4650 Planning Dept. Permit Fee 35 Date Definitive Plan Approved by Planning Board ` D� �1t� L"_. Historic - OKH Preservation/ Hyannis Project Street Address 3 DQ,S e_-, 12D CA Village J'tVa. �c1�5 Owner NtVl1 P I V M O KV) Address 'YI,t Telephone Permit Request 1 V StCd V)C,-. )Ins lkatj b,pP.n a L insf l l (1 J!2p,rmactm nf-a I r7)o f- 0,01- Und (i D) SDEEL VE Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation D) U 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 -� a-3 Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove."0 Yes,❑ No Q vi Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑-new Yze_ 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) - NafAe _AS L n G Telephone Number 140I -7W `5-7 00 Ad.dress -_ 13 q l Q VY1wo o ri P/`e License # Q QQ 5 q Q,Mf)stDo , R I OD-910 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE =I-'�' - DATE it FOR OFFICIAL USE ONLY 4 t APPLICATION# DATE ISSUED MAR/PARCEL NO., ._ ADDRESS VILLAGE OWNER - DATE OF INSPECTION: r ; _FOUNDATION r r _ _ i a FRAME f s INSULATION ' FIREPLACE ,x ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ROUGH = t°=- FINAL .FINAL BUILDING{ : � 5 i DATE CLOSED OUT �N ASSOCIATION PLAN NO. z RISE ENGINEERING Federal ID#05-0405629 RI Contractor Registration No 8186 A division of Thielsch Engineering MA Contractor Registration No 120979 CT Contractor Registration No 620120 ' 1341 Elmwood Avenue,Cranston,RI 029 .E T®��+ (401)784-3700 FAX(401)784-3 I I�v� NOV 5 2(i0 IR B S- TRACT IS ENTERED INTO BETWEEN RISE RING ANDTHE CUSTOMER FOR WORK AS ENGINEERING RI ED BELOW CUSTOMER PHONE D E Client# Daniel Vengren (774)269-4825 1 /22/2010 113454 SERVICE STREET BILLING STREET 23 Goose-point Road 23 Goose-point Rd SERVICE CITY,STATE,LP BILLING CRY,STATE,ZIP Centerville,MA 02632 Centervil,MA 02632 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. $1,056.00 RISE Engineering will provide labor and materials to install a I V layer of R-38 Class 1 Cellulose added to 1300 square feet of open attic space. $1,560.00 RISE Engineering will'provide labor and materials to install an easily moved,insulating cover for the attic access folding stair. The cover has integral weatherstripp ing to restrict air leakage. $160.00 RISE Engineering will provide labor and materials to install(1)8"diameter roof vent(s)to increase ventilation in attic areas. The vent can be supplied in(circle color)black,brown,grey. .$70.00 RISE Engineering will provide labor and materials to install(10 4" X 16"rectangular aluminum soffit vents to increase ventilation in attic areas. .$170.00 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$2,600 per calander year. -$2,526.00 E (,D� E NOV " 5 2010 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ASO E SPECIFICATIONS.FOR THE SUM OF ***Four Hundred Ninety&00/100 Dollars $490.00 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 .SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING.AND CONTRACTOR REGISTRATION. UNPAID BALANCE AFTERA DAYS DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLAy SF*CES r AUA Afs -RISE ENGINEERING - CUSTOMER ACCEPTANCE TE:TH TRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE 1 111/7 N ACCEPTANCE OF CONTRACT-THE OYE PRICES,8PECIflCAT10N5 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 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/tndividual): 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(required): 1. X I am an employer with 4. 0 I am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors 7. 0 Remodeling 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub-contractors have 8. 0 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 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 Insulation 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-coutractors 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 Job Site Address: c> 3 (-_T)D0S e PD))'� #40 • City/State/Zip: 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.verific4,oon. Ido herby certify and thepains a enalties ofperjury that the information provided above is true and correct. Signature: Date: Print Name: Steve Hines Phone#:(401)•784-3700 or 1-800-422-5365 extIl7 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 I Contact person: Phone#: t ACORD CERTIFICATE OF LIABILITY INSURANCE IPID 4-1 DATE A E(MM/DDrYY(Y) PRODUCER THIEL-THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 3/10 04/1 The Preston Agency, I nc. ONLY AND CONFERS NO RIGHTS UPON T 1350 Division Rd Suite 303 HOLDER.THIS CERTIFICATETHEND,EXTENDOR ICATE PO Box 810 ALTER THE COVERAGE AFFORDED BY HE POLICIES BELOW, East Greenwich RI 02818-0810 Phone: 401-886-8000 Fax;401-8857.-1700 INSURERS AFFORDING COVERAGE INSURED NAIC NSURERn; Zurich—American Ins Co. Thielsch Engineering, Inc INSURERB'. Thielsch Group Inc. •=.i�.n CU12'.nL.. x W.bl City Hi Tech Raalty Inc, INSURERC: North American Capacity Cranston RI. 02910 n�ES Avenue INSURER Hartford Insurance Company Cra INSURER E' COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTVV TFiSTAnIDING ANY RECUIREI,AENT,TERM 09 CONDITION OF ANY CONTRACT OR OTHER DOCUMENT`NITH.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. ' InSR'F= LTR INSR TYPE OF INSURANCE POLICY NUMBER GATE(MMIDDlYY) _DATE lj LIMITS _ GENERAL LIABILITY EACH OCCURRENCE 5 1,0 0 0,0 0 0 A X COMMERCIAL GENERAL LIABILITY 3730962-00 Da/ol/10 01/01/11 pREMISES(Eaoccwencaj s300,000 CLAIMS MADE X�OCCUR'. MED EXP(Any,one parson) $1 D,0 0 0 PERSONALS A IN.;URY S 1,00 O,O 0 0 GENERAL AGGREGATE s 2,0 0 0,0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X jE 4 LpC PRODUCTS COMP/Op AGG $2,00o,000 AUTOMOBILEIIABILTtt Fsnp Ben. 1,000,000 X ANY AUTO 37309'63-00 04'/O1/10 01/01/1, COMBINED 2,000,000 SINGLEL1MlT s I (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) S _ HIRED AUTOS - WON•OYdJEU AUl"OS BODILY IN (Pei acc-dent) _ I PROPERTY 0,*AAGE — ?Per accibanq GARAGE LIABILITY ANY AUTO AUTO ONLY-EA ACCIDENT .1 OTHERTHAfJ EAACC $ AUTO ONLY AGG y EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE ; 10,000,000 $ X aC'UR CLAIMS LIMB 9263637-00 04'/01/1Q 01/01/11 AGGREGATE 110,000,000 'X]DEDUCTIBLE RETENTION S 10,0 0 0 WORKERS COMPENSATION AND WCS EMPLOYERS'tIABILITY _ X TORY I_IIATS ER A 'WY PROFRIETORIPARTNER/DIECUTIVE 3730961--00 04/01/10 01./01/11. C.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? - — It yes.describe under E.L.DISEASE-EA EMPLOYEE T 1,000, 00 0 SPECIAL PROVISIONS boles+OTHER E-L.DISEASE-POLICY LIMIT T 1,Q 0 Q,0 0 0 c Professional Liab DV1,000026800 04/01/10 04/01/11 Prof Liab 2,000,000 D � Leased/Rented Eqp 02WNTD5678 04/01/10 04/01/11 Equipment 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED 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 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORRED REPRESE V ACORD 25(2001108) @ACORD CORPORATION 1988 1)t{F{byIll. '�0: t � -. ��� S �,µ f � � t3 I�{•J,.F � 1 Y 1 A �r��y'�� i?:G r-.:x tl!!'t��jtn at�+`R l#'..�`�IIS, •,ial*� �'�. # a . I IVOTGR ••M �t� Ll.EDSrNAMi"iet `Lk1 �iae� gJ tr1+ 7OP1D 27r(9 �r�fii) - DACE Q4/12s%10 "still 'fA 4.. � tiF¢!i, ,.,.tta k.1.,�'r,?a'7',f7 s)! -.,,cY,d.::.?. ...� _.. .4�5, Al So for . RISE Engineering, neerin a division of Thielsch Engineering,. Inc. Gaskell Associates.; a division of Thielsch Engineering, Inc. BAL Labo.ra.tory. ; .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 Thielach Engineering, Inc. ttiCA 4 �r 91te Office of Consumer Affairs and usiness Regulation 10 Park Plaza - Suite 5170 Boston, Masmn usetts 0211.6 Home Improvementt •actor Registration Registration: 120979 Type: Private Corporation ;F Expiration: 3/25/2012 Tr# 292329 THIELSCH ENGINEERING 4 STEPHEN HIKES 1341 ELMWOOD AVE. ; CRANSTON, RI 02910 r Update Address and return card.Mark reason for change. ) `�'-- Address Renewal n Employment D Lost Card DPS-CA1 it 5OM-04/04-G101216 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPR•.VEMENT CONTRACTOR before the expiration date. If found return to: :, Office of Consumer Affairs and Business Regulation Registratio�i;;= ,;1Q097g 10 Park Plaza-Suite 5170 Expiratip 12a,��fl12 Tr# 292329 Boston MA 0211ui�__ — , T t< - .'.c�tation THIELSCH ENG"f STEPHEN HINE'•''tE :i 7 1341 ELMWOOD CRANSTON, RI 029T'EJ- "'µ Undersecretary �N valid without signature -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# 102935 Restriction 00 Name Stephen Hines City,State,Zip Jamestown,RI,02835 Expiration Date 6/23/2013 Status Current No complaints found:for this Licensee. Back To Search ��;d��;,$ I?tl��it� - ].��:�Si tt3�ll�d Eis` fit!°:•]! >ali��.��:,, f - Bo at ti of Building Rem_ �'']a�itH?.5 :fi9fi f 11Y3ti733?'tf �. nSe _icense: CS 102935 Restricted to: 00 - STEPHEN HINES 222 NARRAGANSETT AVENUE JAMESTOWN, RI 02835 _xPid ton: 6/23/2013 s.... 102935 i. s7''_ , i http://db.state.ma.us/dps/licdetails.asp?txtSearchLN=CSL102935 4/2/2010