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HomeMy WebLinkAbout0117 OLD TOWN ROAD i �� �� Tows-�.- Vim( . - - - -- 110136 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map y Parcel Application # 20 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address 117 old Town Road Village West Hyannisport Owner Tm r i a small Address s m� Telephone 508-775-8613 Permit Request air -,Paling, insulate kileewall, install 1 thprmadnmP Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2161 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: O-Yes Q 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 j new--- I 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 4o1784-37oo Address 1341 Elmwood AVe, Cranston, RI 02910-icense # 100459 Home Improvement Contractor# 120979 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE _ DATE Erik Nerstheimer for RISE J t j FOR OFFICIAL USE ONLY vAPPLICATION# DXTE'ISSUED -i MAP[PARCEL N0. . ADDRESS VILLAGE OWNER 4 f DATE OF INSPECTION: iQ).FOUNDATION } FRAME INSULATION s FIREPLACE s,. {. ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL 'r GAS: - :' x ROUGHS FINAL BUILDING' 1 _ i• DATE CLOSED OUT ASSOCIATION PLAN NO. ' t I r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations U. 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 Engineer;ng 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 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance. $ 9. ❑Building addition required] 5.❑ We are a corporation and its 10. ❑Electrical repairs or additions " 3. ❑ I am a homeowner doing all work officers have exercised their myself [No workers' comp. right of exemption perm MGL 11. ❑Plumbing repairs or additions insurance required]t c. 152, § 1(4),and we have no 12. ❑Roof repairs employees. [no workers' 13. 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.#: 3730961-01 Expiration Date: 1/1/12 Job Site Address: ����,( J. 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 verification. I do herby cerrtifje'undgrlthe ins enalties of perjury that the information provided above is true and.correct. Signature.* '` Date: Print Name: Erik Nerstheimer Phone#:(401)784-3700 or 1-800-422 '3h5 x 1 ll -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 d Phone#• r OP ID:31 `ACORO" (MMIDD/MMIDDI`(YW) CERTIFICATE OF LIABILITY INSURANCE DATE 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 CONT:CT NAME The Preston Agency,Inc. 401-885-1700 PHONE FAx 1350 Division Rd Suite 303 A/C No Ext: AIC No EMAIL PO BOX 810 ADDRESS: East Greenwich,RI 02818-0810 PRODUCER In a:THIEL-1 INSURER(S)AFFORDING COVERAGE NAIC III INSURED Thielsch Engineering,Inc INSURER A:Zuridh-American Ins Co. Thielsch Group Inc. INSURER B:American Guarantee 8r Liability Tech Realty Inc. 1 INSURER American Capacity 95 Frances Avenue p ty Cranston,RI 02910 wsURERD: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. DDLSUBR Y EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDDYIYYYY MMIDD/Y YYY LIMITS _ GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMM ERCRL GENERAL LIABILITY 3730962-01 01/01/11 01/01/12 PREMISES Eaocarrence $ 300,00 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 10,00 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 PRO- LOC IEmp Ben. $ 1,000,00 AUTOMOBILE LIABILITY F COMBINED SINGLE LIMIT A X ANY AUTO 3730963-01 01/01/11 01/01/12 (Ea accident) $ 2,000,00 ALL OVuNED AUTOS BODILY INJURY(Per person) $ SCHEDULED AUTOS BODILY INJURY(Per accident) $ PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OVuNED AUTOS $ $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,00 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,00 B. AUC-4857188-00 01/01/11 01/01/12 DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN T Y IM R -A ANY PROPRIETOR/PARTNER/EXECUTIVE 3730961-01 01/01/11 01/01/12 E.L.EACH ACCIDENT Is 1,000,00 OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,00 It ye describe under DESCs,RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 2,000,000 C Professional Liab DVL000026800 04/01/10 04101/11 Prof Llab D Leased/Rented Eqp 02UUNTD5678 01/01/11 01/01/12 Equipment 100,000 DESCRIPTION OF OPERATIONS I 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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE _ ©1988-2009 ACORD CORPORATION. All rights reserved. i ACORD 26(2009/09) The ACORD name and logo are registered marks of ACORD 'NOTEPADTHIEF-1 PAGE 2 QQ 9 INSURED'S NAME Thielsch Engineering,Inc OP ID:31 DATE 12l30/10 RISE Ern•ineerin a division of Thielsch En ineerin9 Inc. �a kell Associaf9es ad' f Thiels h�n ineering,Inc. A Laboratory,aivisjon o ohielsc n In�erin ,Inc. EE abb o to a dive I n o hi sc �n ineerin�.-Inc. A �En Ieein div�siohgschngineei`in ,Inc. ater Mabagemetit Services,a division of Thielsch E�igmeering,Inc. w ; r } f ' 91te je L O ice o nsumer faiVn usiness e u ation o g 10 Park Plaza - Suite 5170 Boston, ssachusetts 02116 Home Improve ontractor Registration Registration: 120979 M Type: Supplement Card Expiration: 3/2 512 0 1 2 THIELSCH ENGINEERING ERIK NERSTHEIMER 1341 ELMWOOD AVE. ° CRANSTON, RI 02910 A h� l���M Svey Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card PPS-CA1 is 50M-04/04-G101216 ' �1ee Toanainw�nurea�i �,� � 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: i Office of Consumer Affairs and Business Regulation - Registrationr 7y Type: 10 Park Plaza-Suite 5170 Ex ira 12 SuPPl.ement Card Boston MA 02116 - , THIELSCH EN = ERIK NERSTH _ jzp 1341 ELMWOOD CRANSTON; RI 029'f __ Undersecretary Not valid without signature t 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 t 4 http://db.state.ma.us/dps/licdetalls.asp?txtSearchLN=CSL100459 l/7/2011 I r NAT-24531 - 1 RISE ENGINEERING Federal ID#06-0405629 RI Contractor Registration No 8186 A division of Thielsch Engineering MA Contractor Registration No 120979 CT Contractor tracto Registration No 620120 1341 Elmwood Avenue,Cranston,RI 02910 (401)784-3700 FAX(401)784-3710 V®NT • Page 1 /"1, ("a V. (�� THIS CONTRACT IS ENTERED INTO BETWEEN RISE t\(J-, !L'•�C9 IL'�'3 ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW CUSTOMER PHONE DATE Chem 0 Lucia V SmallQ a 2 �� �� (508)775-8613 05/18/2010 110136 SERVICE.STREET BILLING STREET -t 117 Old-town Road 117 Old-town Rd C7 1 t SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP -�- West Hyannisport,MA 02672 )l�l U ,� �. JOB DESCRIPTION RISE Engineering will provide labor and materials to seal areas of your home against wasteful,excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality.Materials to be used to seal your home can include caulks,foams,weatherstripping and other products. Primary areas for sealing include air leakage to attics,basements and other unheated areas(windows are not generally addressed.) This work will be performed at the rate of$66 per man per hour,which includes materials and testing. 16 man hours. $1,056.00 -RISE Engineering will provide labor and materials to install 2.25"R-10 semi-rigid fiberglass board insulation to 350 square feet of kneewall area. $945.00 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 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.includes all of air sealing time also. $1,884.70 WE AGREE HEREBY TO FURNISH SERVICES,COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Two Hundred Seventy-Six.&30/100 Dollars $276.30 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 90 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. D OT SIGN THIS CONTRACT IF THERE ARE ANY B K SPACES AUTHOR G TUR 1 EERING STOMER CEPTANCE - •- N :TH13 ON T MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE a SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE 4 � 4 RISE ENGINEERING Federal ID u 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,R102910 -3700(401)784 4 Page 1 g THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW CUSTOMER PHONE DATE cliern S Lucia V Small (508)775-8613 05/18/2010 110136 SERVICE STREET - BILLING STREET 117 Old-town Road 117 Old-town Rd SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP - West Hyannisport,MA 02672 fir, g2g �G In l S .104 024111 JOB DESCRIPTION RISE Engineering will provide labor and materials to install 95 square feet of R-19 faced fiberglass insulation to the perimeter of the basement ceiling at the house sill.Home owner to make easy access to basement sills for this measure. $104.50 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 calarlder year. $78.37 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF 'Twenty-Six& 13/100 Dollars $26.13 UPON FINAL INSPECTION AN ROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER .SEE ERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGIS N. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY ELAN ACES ol- AU IZED SIGN RE-RICE ENGINEERING UST ER ACCEP ANCE OTE; MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHOR2ED TO DO THE WORK DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE s ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ; Map Parcel Permit# .h U Health Division Date Issued �� l Conservation Division Fee, J x Tax Collector %;v 1 * a �Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board " Historic-OKH Preservation/Hyannis 'Project Street Address Village ft"d/U o S �1'1✓� 'Owner e*-1 Address Telephone Permit Request �� S Square feet: 1 st floor: existing proposed 2nd floor:existing proposed ' Total new Estimated Project Cost 30 Zoning District Flood Plain Groundwater Overlay 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: O Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ' 0 Walkout -.0 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: 0 Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No ' Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:0 existing ❑new size Attached garage:0 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 BUILDER INFORMATION D Name FRASER CONSTRUCTION Telephone Number Address 71 TARAGON CIR. License# • • GOTUIT MA 02635- ' Home Improvement Contractor# 1 Worker's Compensation# ' CtJC/3%S/� �� �17 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ! . , FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ' .. �. -. F � - ' . .. •z 1 : -' + ... -r ; '# - • ' ' 4K�t }.may � •vh. MAP/PARCEL NO. ADDRESS' VILLAGE .s OWNER DATE OF INSPECTION FOUNDATION,t104 3, r •. FRAME } i '" � ". _ ; , - :3 .. �; � ` • { f INSULATION ._ •'' ' , . FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING:., ROUGH FINAL= GAS: ROUGH FINAL 4 y y _FINAL BUILDING • FJ •/ t i J of * ° - .w -- f r • t DATE CLOSED OUT r ASSOCIATION=PLAN NO. 1 + •1 I I 1 1 1 1 � � t , 11 i.:?)?,.1 "i t!11r.31!. +�.!LSLI:!i.� <G!//�i�li(!!lL��:✓/ �/6� �!�./I�L4 f3.G.�? ��'��..vi��.�/�///�i,/�/////.�i��/��� � �I e-u. • A ' • ■ 11 1 . 11 . 1 •a• . 11 1 . ' . 1 - 'y� 11 1 1 . . ••1 1 1 1. F r/ 1 I • 1 . . 11 � 11 I . ��. �• 1 . 1 . 1 _ .1 1' 20 1 . L' �// � r ////////' ///���//////%%/�/,:•.i�l///;/%%//// i /;':'''�%/%%�i:^i•��/o�'/f";;;:: �/�%'ii.',':,:,//;.'%!7/.:%//,��i�j�/';�/ aid./i /i-��/ %//%� /, _ 1 1 1 1 I - • • • 1 :d' IiDDRiljrr.r IfTMEAN- ---------- la 1 ■ Ali � �a,..� ..: fc,?:: :i..t�?��ky... ;,c...,.:?',.vay„»r,'Li', '.:::,, � ... .y.>.,.�o :Y:^!M1, e�^:;Y'�•..,....ca,r.�ir.,.1rM�:S�.�aiv,«co/:.yu. i I p QUEDWO U HOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standards One- Ashburton Place - Room 1301 Boston, Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR Registration 112536 Expiration 04/06/01 -�---- ------------- --- - - - " "- Type - DBA 9� HOME IMPROYEMENT CONTRACTOR Registration 112536 FRASER CONSTRUCTION co Type - ORA DEAN C _ FRASER r Expiration 04/06/01 71 TARRAGON CIR COTUIT MA 02635 i FRASER CONSTRUCTION co 0EAN C. FRASER TARRAGON CIR i� AD TUIT RA O2635 1 ep The Town of Barnstable . Department of Health Safety and Environmental Services Building-Divieion 367 Mein Sts*K Hyannis MA M601 Office: 508462-4038 Fax: 508-790.6230 Ralph Cresson Building'Counissioner Permit rro. . Date S —A�ITV AFFIDAVIT ROME 1MPROVEKW CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL& 142A requhu that the"�rsteucNoa,abradaus,movaaoa, ,modernindon,conversion, improvement,removal,domoiilon,or conift ion of an addWo to any ping ownw occupied bulldin8 containing at lead one but to mwe than hur dwoft units or to strucum whirls are adjacent to such residence orbufing be done by ngi omd convageM wilt corldn ennepdons,along wills other roquhmments. Type of WOIk: �.�� .,, Cost �] Address of Wo* li`7 Cr-ea 7&Zk� Owner's Name: lit/ ��M Si •M, Date of AppHOWow. �� 7 I.hereby certify that: Regisdadon is not requires far the fbpowing ronson(aj: pwo*exok"by law O1ob under$1,000 OBuilding not owuw6oacvpied O0WOW puUing own p Notice is hereby On d" OWNERS PUIMNG THEIR OWN PERMIT OR DRAMG WITS UNREGISTERED CONMACTORS FOR APPLICABLE HOME I1dMVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL e. 142A. SIGNED UNDER PENALTZS OF PBRIURY I hereby apply far a permit as the Ism ofthe owner: Deg C.cntsaQtorName • Registration No. OR Date Owner's Name gIbmw.-Affldw �As 6sor's map and lot number ............ "" ...... . Eft SYSTEM MUS TNe roe tN COMP Sewage Permit number .V.'.!✓..�d.�2. . .. ..fir .�Y.�'.. .� ��/�� ,����� y'w ITLE 5 i BAMSTAnLE, i House number .......................:..:.........................:............ ....... ENVIRONMENTA "'a. TOWN REGULA�� 39. C MAX TOWN. OF BARNSTABLE _ BUILDING INSPECTOR mod,. � ,-o , APPLICATIONFOR PERMIT TO :...............:....................F............................................ ........;................................. x TYPE OF CONSTRUCTION ........... ���✓. ....!�f.......��. .............. .................................... ..............:.�.......................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............ ... ..................y tJ`...... off.. ...•..................... ............ 'l N�/�'� ®.tm�................ A e a ProposedUse .......:..........:........ [/.%c%............................................................................................�.. ........... ZoningDistrict ............................................................Fire District ...............................:.............................................. Name of Owner fs �/'>'>pi5G�o/ ir✓.alf Address �7 ®•d v�./,f ....................: . ......................................................... y. ......................................... . �a�/s Ca..Address �J� -� •�vivu� Name of Builder ................... ... ....... ........ ..... .... Name of Architect i ✓✓ .. ?!a v ............Address .. ��^:.���'f.... �'` .... �✓.� r. .. Number of Rooms .... ^ ...................... C �'��✓ �� ...Roofing �i e / . Exterior ! ............................................. '........................................................ Floors '�� �� ..:Interior ��C'�-'...............':�.................................... �lG`.¢............................. ......................... Heating � � Plumbing................................................................ ............................................:...................................... Fireplace ..... a�..✓...�...`.�....�................. .a.............................. Approximate Cost ...... 6...�............................. ..... .Definitive Plan Approved by Planning Board _____________ ---_-----------19________., Area. ..........................................S Diagram of Lot and Building with Dimensions ej-4,, Fee S SUBJECT TO APPROVAL OF BOARD OF HEALTH F I I hereby agree to conform to all'the Rules and Regulations of the Town of Barnstable regarding the above construction. r N .... .. ................................................. X � SMALL, WILSON MR. & 0 22853 Permit for ADDIDTION SingleFamily Dwelling............................................................................ Location—11.7 Old---Town.-Road t West Hyannispdrt + ?........i.... & Mrs. Wilson Small - Mr. a Owner + - i Frame r Type of Construction .......................................... •. ............................................................................... € Plot ............................ Lotc ............................... F 2 February 17, 81 4 Permit Granted :................ Date of Inspection ....................................19 4 ' ..........f. e...................19 v Date Completed �� l� � Y f CO�Ld,�i e�aT�r� PERMIT REFUSED t .. ... 19 . ............... ............................... Y a, 1n; S M1 .. .�.�m1...`".`�. ............................... J W Approved ..................................... 19 - ;,.-As)$ "or's map and lot number ^............... P�'O� T OHO Sewage Permit number / BAS39TADLE, i House number I 9 MASa 00,0,1639 00 �FQ YPY a. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........... �'� '�`�' �' ............................................................................................................ TYPE OF CONSTRUCTION ...........��..':'t' .......... ..:............. ..................................... .... :�:•.......................................19 �.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location f' �-� �' .� �+' `��/' ��i�v%SJ�S �`'`a .................................................................................................................. ..,........................,.................................... . P . Proposed Use i�.'o,iv� .......................... ..................................................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner .a ....d ""a✓ ../....Address 'i°'...` ...� . %h/�. ........................ Name of Builder ^� -G' .. ?../.sr�- `dcT-'✓ <�..Address ..4-'� '`�•:`': .... ............. ..................................................... Name of Architect .�1`'' `�! .. '-e .."i 'a .............Address ...... `��-!.✓-r o -�i" Number of Rooms .................::'...'..........................................Foundation . ... .... Exierior ...G c-:� .f5. z1 s. .....................................Roofing Floors � .. .Interior ..... ....................................................................................... .................................::.................................. Heating .............. n.�'Gi.G .....................................Plumbing .................................................................................. Grv.,� fir : Fireplace .....................................` .......:'v...':........................Approximate Cost ......./ .:�"............................................. Definitive Plan Approved by Planning Board ---------------_---------------19--------. Area ..... ui ....-��. ............. Diagram of Lot and Building with Dimensions Fee . SUBJECT TO APPROVAL OF BOARD OF HEALTH t I z-a?' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name- ....yam -.................................................... SMALL, WILSON MR. & MRS. A 268-74 Ml 'o 22853..... Permit for „ADDITION Single Family Dwelling .................. Location 117 Old Town Road ......................................... West Hyannisport ............................................................................... Owner ..Mr. & Mrs. Wilson Small ............................................................... Type of Construction ,. Frame .......................... ................................................................................ i Plot ......................... . Lot ................................ Permit Granted ..February 17, 19 81 .......................... ...... Date of Inspection ....................................19 i Date Completed ......................................19 PERMIT REFUSED ................................................. .......... 19 ............................................ .................................. 1 � ......a......... �-�---. . ..Y............ Approved ................................................ 19 ............................................................................... ............................................................................... r .: T THE O wll - of Barnstable * '^ Permit# sA1 rSTAB LE « Expires 6 mo the from issue date 1639. MASS. Regulatory Services Jam- pC� iOTF� t 1% Thomas F.Geiler,Director Fee Building Division Tom Perry, Building Commissioner Office: 508-862-4038 200 Main Street, .Hyannis,MA 02601 ANT Fax: 508-79076230 NOV 1 5 2005 EXPRESS PERMIT APPLICATIONU RESIDENTIAL ONN0F F34RNSTgg �`��� Not Yalid witlzout Red X-Pr L� 4ap/parcel Numberu( ess Iinprinr ropertyAddressAld I M (� A Mn. Residential Value of work ?j f, 00 t '0 Minimum fee of$25.00 for work wner's Name&Address ' k under$6000.00 ,retractor's Name me Improvement Contractor License#(if ap licable Telephone Number D p istruction Supervisor's License#(if applicable) fl IVorlanan's Compensation Insurance (� Check one: ❑ i am a sole proprietor VI am the Homeowner I have Worker's Compensation Insurance 'ance Company Name _ V1 �G S _ e aman's Comp.Policy.# Of Insurance Compliance Certificate must be' on file. I Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will te .to... .. ._......- 7­7 ❑Re-roof(not stripping, Goiug over-existing layers of roof) ❑ Re-side LJ(Replacement Windows. U-Value , (maximum.44) *Where required: Issuance of this permit does not exempt co li ***Note: ance with th other town department regulations,i.e.Historic,Conservation,etc. Property Owner must sign Proper Home ty Owner Letter of Permi Improvement Contractors License is required. ssion. -- e r f� ¢pmtrg )04 -,.{ e„ w.�r'. �'i A�w BE COMFORTABLE ,. k� ��r �, r I s<Cocn_arson=°Centerkof Glass tU-Factor „ ., Glass Comparison-Total¢Urnt :U Factor x CY ,;i:.,� t xeLS i_: i :�^ windows reflect a commitment , xa i.- x 'x St PlyGem Lifestyles 1C.G1dJS k . .4a *a yt 'r3ia+s Y 3, r t» glei E2 Y ; ra k <, x. Ur home a comfortable oasts year x a sing Y �*a , + s w �r eiir» >a ,r:•�.4, . 3 fi tx , . . ,: to making your Y ux a '- to �« <.. R �, w �;. � � � �€C Clea Slnsulated GGus-718 �emU thtcknesr wnw a � �r� � �t GlearlrrsulatedGGur 7/8 otJeraUfhzckness round. + <� � ytk :: c3r rse .r" t nnl , ,.,s st Ets^ •,• u r FlardnCoaF rotttc)lbzrfEnutslaredglnss ti z r u M u Harc�Coat(P3 olttrc)Ylow E zns311atedl�lass „� 6#,W,K p �t, ,k „�PY a 3. 7 k q ��Y YrA� ys.,,xdly., -d ' , � +,I.c.«::.:,.xr •:7f� . s•v r r„r.. :t w..,wr : . x r ,z€k,, r i�a y :'r : Ze a1°So Coat.i''utter Loui E riuulated /aa s The Benefits of Low-Emissivity , €�aCoat(rptttt )Low =nsttr<tt�d8 „ .� � €r T v e v. �,R r` t; (Low-E Glass Systems =.:aM "tti� HtR+PlztiSoftCoat(;putt)vLozo-E = ;7 p � �� �Ht'R+P1:uSaftCoai(sputter)LowE �. Y se�+;�u� arc v e a "°Ts .w -aXY i"" ':�^ ,# �� . ' o ��znsulated gnus fslled wtth drgori gas � a v� i t ntstlatedglav filled u tth argon gas ; Less Transfer of Heat r?s: " > Soft Coat utter Low E ® iM >x rw,h.rMazutuSaftCoat:(sputtrrLoto�E e ` :t 4fMnxuus Hi R+Plus and Maxuus glass systems detect �� *ttyr R «} = :nsrilated liedithd on as` ' r d :ruulated glass ftlled with argon grin g rg g and block radiant heat-keeping it in your home ° x 7 " . Ma uus76So Coat( ur `t is '' €�. !�� �*. � ,� "" Maxuus 76rSorvCaat ,', t� �' ," .` ,3;�,1'�a �;af. r--• �e sP z a * Lozr E:rtntlaird lass lied' during the winter, and out of your home during �- ?.t�,��� ��,�;: .��utter'.),4LowE:nsulare�. ,� ,�� �..,. ,• � ;•s � I our insulated lass units with ` ^* ' �lled with a o>i ns• aar Y apwtrh argtii gat + � the summer. We fill g j . „�� I a"t' i�•�, a "'+ � �� ars. erer s. �� �r +� r�, ��. Iry'nr`� heavier-than-air inert argon gas which is about 40% denser than air* to resist the transfer of �� r� ^ ?�>L G.;� � '+�"*.LY; c�s�e.�iv2 .?r�rx,� *`•sy � rs kr Pr ,t :f"z" + k4>'� , ' .,; ba, _ :,,� -. €. -6.,r c.� +:¥...' x, aa',tw .Kk:; •);:;. a >i�',, �: r' -[�dlrie u4tlir,:nvt�c =/ a tlic UFat�r."11,w..•+.i s,t-: ^+ heat. The result Is Increased energy efficiency The%`wertheU'-Fnttbr'ilitgrearcrthe.tnru/attnnunGre RYalueutthernyern(R=//rnoftheUFacwr ...T �'�.A; +�`ty �;+^:_. ..t.,. :.^•-�.,,Z; ,i^^'••• .. ',::�?'. m'^ �-: ! ". %...� �._.a'�.• .. ? -:. t -+. ,,,>;rz t:' a*r :" :`.• 't?sty-`. ;; xs w"",'r,F...'r';.' "—• 't`:-t,,;;: .tTom['U»a Fxcmis_determmedper NFRC Ioo,(.;anorml Fnr_atmaan Rating�Couan!)l' em gld7irtg opnmrr ,y..:.,:.;� - and decreased uttllry expenses. d'CeN'rrr.afglassfucron�ta(eu(terdprr.�ndmur5l•rnnulanon rofew_dret�MLawrcnr�&r/�1ty Nan�[Ivborc+mrief); ��;���edw NFRC-100'mid Hi R+P4a miraaUENERGYSTAR,rrgu+m»rntr ry'�;, ,,, -t .v,.4r^�.:1T>::�a 'a: 'aX.rr->m:�«rtiwt�:si�ewd�.�..,s•°��,...r��i.a.°.,,t».u........s:.�M.>+tia :sA.t..s :;,�.,,.>.�.^�.,.,?'.a:*i«s:.�w5;t.`�.:,pis:::..H.w&.._':�:�:�.....r.... .....»s.wtas.:.,.. :�•!',.,:.�n.e.!3,.:- r Reduced Condensation With Hi R+Plus and Maxuus glass systems, window condensation is virtually eliminated. Choose your level of comfort Windows worthy of an industry leader ENERGY STAR products for the next 15 You can maintain higher interior humidity- years, our national energy bill would be increasing comfort while reducing utility bills. Features one lite of soft ENERGY STAR Window Program is a voluntary reduced by approximately$100 billion. The Enhanced Sound Control Hi R�"'I-p lu5 coat, 7/8" single-surface partnership between the U.S. Department of reduction in carbon dioxide.emissions would s v s r E M s multilayer vacuum-depo- Energy and participating window manufacturers. be equivalent to reducing gasoline consump- Combined with the noise absorbing qualities of sition Low-E insulated ENERGY STAR performance requirements are tai- tion by 120 billion gallons, taking 17 million multi-chambered vinyl frames and R-Core insula- glass unit with argon gas. Argon gas is 40% lored to fit the energy needs of the country's differ- cars off the road, or preserving 142 million tion,Hi R+Plus and Maxuus glass systems reduce denser than air* which means more energy ent regions - from northern states to southern acres of trees for the next 15 years.** exterior noise up to 300% better than single pane efficiency for your home. states.Your investment in ENERGY STAR windows windows. will pay for itself over time,and then the savings is PlyGem Lifestyles windows ... good for you, Reduced Photochemical Damage *Figure courtesy of Linde Gas, Inc. money in the bank every year! good for your home and good for the Damage to furnishings, carpets and draperies environment. results from a photochemical process influenced n/� Combines two lites of You'll be doing your part to help the environment. by:the level of visible light,the intensity of heat, M� UUSTM Low-E glass and an In fact, if all households and businesses bought the strength of infrared radiation,and the amount insulation chamber of of ultra-violet radiation.A Low-E coating's trans- argon gas. The 7/8" mission level of these factors is known as the dual-surface multila Yer vacuum-deposition Damage Weighted Transmission. The table Low-E glass units with argon gas makes ' below compares the damage blocking qualities these windows nearly five times more energy of Hi R+Plus and Maxuus 7.6 glass systems. efficient than single pane glass. w r per_ Is a triple pane assembly , - S 4 ^' ri t v.:. '^.+t`.rF-�,t cT. s»�:•aY', H IY — �` .x `• fDamagelNelghtedTransmisslon�� "�,��� MC7 UUS®combining two lites of Gln.rs Sy.crem multilayered vacuum- IizrulanngGlass Type Damage Tmnsmussonr a deposition Low-E glass Clear Insulating '64%1 with an interior glass substrate which provides two _ ' insulating chambers of argon as. The result is HI F +Plus,sr7t k k,•° ray 9 g g t �t o nearly six times more energy efficient than single Northern South/Central Maxuus 7:6 '3ury g �2 IO�1 '7. Mostly Heating Heating&Cooling r^�� ��r £ a� t t pane glass. : North/Central Southern r � a t DdmagrWeighfed Trazumur n measures the amou»t.'ofdamagmg,; , z Heating&Cooling Mostly Cooling wavelenggtrhr.Ehdi writ past through aglaiingYThrldi er the number thet ihigherrheprarectron FrgureJcaurteryofP�PGlndui�resn :.•,,. `*ENERGY STAR qualification is based on NFRC certified product ratings. 'Figures courtesy of Linde Gas,Inc. `� ,. '. Ii(1ti;(1`))_ ��r��5`�i;l•C•}l11`��:t.i.; ��.,_�.� �.Iai ;ell1trat.!t IT C'(6 0D Re;listialion: 100740 Plivale Corporation E xpiral ion: 6123/20DG CAPIZZI HOME IMPROVEMENT, INC_ Thomas CapjZ7 Jr. - - -�--- 1645 Newton Rd. __.. COfUit, 1AA 02635 —_ UpdAc Address snd return card.M;iri� reason for change. pp F-1 Address ❑ Renewed Employment ;Lost Cn ✓rlu.• 7��immwr: ,�',/l�aa,�c/u1aeC�.� IIoard of Building}2enulaiions and Standards license or registration vaalid for individul use only HOME IMPROVEMENT CONTRACTOR before theezpiration date. If found return to: 7 Registration: 10D740 Board of Building Regulations and Standards ` Expiration: 6/2312006 One Ashburton PlaceRm 1301 Type: Private Corporation Boston,MR.02308 CAPIZZI;-TOME IMPROVEMENT,I '1'rom2s Capi?zi,jr. 1645 NeAdon Rd. —� Coluit,IAA 02635 Administrator Not valid H ithout b�atu"r ` � ✓rie.Ur anr�na�urr��.;�[tiu�a:ci<uceel7.G I BOARD OF BUILDING REGULATIONS t License: CONSTRUCTION S r T. -� 1. NumbermCS 057032 I' Blrthd... fl9126/1963 p Ex Tres. 0,9%2612007 Restricietl 4 pD_ ' �s�13' hl��� THOMASX, CAP17Zi {� 1645 NEWTOWN RD., COTUIT, 'MA 02635� C /� _. Co _. .._... mmissioner i CAPIZZI HOME IMPROVEMENT INC. ' SPECIFICATIONS AND ESTIMATES PAGE 6 OF 6 `7//sue STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT d OWN THE PROPERTY LOCATED AT IN 1 ��`�J U/ MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: Cri 01&44 APPLICANT'S ADDRESS: 1645 NEWTOW4 RD. , COTUIT, MA 02635 APPLICANT'S TELEPHONE: 508/428-9518 RESPONSIBLE OFFICER: , RESPONSIBLE OFFICER ADDRESS: , RESPONSIBLE OFFICER TELEPHONE: zi, ACCEPTED BY DATE THIS PAGE IS VRT Ot AND IN ONFORMANCE WITH PROPOSAL # III'-2 Y/C F 1-2 b V'.,,,.L V Y,D ' V, G 0 A I, T.WV Y- E L11 I i IT B X 0 b 0 a 4 VCCUbLED RA W/l E Y,E,2.1)0 V, IN Fl OLLIGEN lETL UE2WA�IPFE OUTCH' YI)DER22: YE2b0X216'lT 0 Lir,I C"FT', Vbbl.T.`VV.L 2 TETIEF.ifli-il-'E 2NO V"38-32 1,8, 15111 r'l G10.1, 2 VDDEF,22: v,- P/1—TUT T' UT Tv FE22EE,t?. J]UbbllOill: [1.2 2 Fll* 2 D D B E8 2 IT2 2 1 2 1('M V I j j2i B.C, 0 t"i rA,1 E 2 1 D D Y.E 2 P, 'JeAVIDKE ofi, OMMEIS: Bf.11MVIC CODE' d.o VFJITL ME V 1311ITT Tf(? J-,F!,Ll`j.jT IA VCC0!fDVZCE NOU CA9 -IRT. I. (1111L, vief&S,511221(Nll lo VIL T-fl UF ?,L J-1 �- JFDIMIC CGJ)E` 1.0 YC T lj:' �,J' f'o III NUFDT�IC LEErvill U VC.001YURCE' P'11211 a'M\ (MB 90 X-71- E f-.1 V!,H V f,,,I,H 0 B I N E D 54 0MV, 11ir.: T)EC"I'Mi'll 1,0 C V j,I'M Vd, OE W11110KINVITOR W VLWIL -11IOB, V Will.tTlyle 'bL:FiwlL ,UVIE OL bvcE Q of.. CWLI I if ORE IiibbC)AERE-A If, I Y C