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HomeMy WebLinkAbout0144 OLD YARMOUTH ROAD eA TOWN OF BARN T.�Bf R I S E 0 A ff: f 0 Division of Thielsch Engineering,Inc. 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island 02910 k 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 144 O1d.Yarmouth 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 ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 105381 Map Parcel Application # D lg( Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee 0- Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address 144 01d Yarmouth Road Village Hyannis Owner Cheryl Freeman Address same Telephone 918-260-6803 Permit Request air sealing, install 304sq ft of Class I Cellulose to sloped ceilings, 532sq ft of R-19 to attic, insulate crawlspace perimeter wall, remove 532sq ft of batt style insulation from the attic area Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3198 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil 0 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) b e�a ry Name RISE Engineering Telephone Number 401-784-3700 Address 1341 Elmwood Ave, Cranston, RI 02910 License # -- . 100459 Home Improvement Contractor# 12o979 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �` DATE 3/31/10 Erik Nerstheimer for RISE I: i FOR OFFICIAL USE ONLY r 4' APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. xY r y. . The Commonwealth of Massach.msetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 021111 �,UVd ➢www.mass.gov1di II _ Workers' cCO mpensafion Insurance Affidavit. Builders/Cont ra.etoirs/E➢ect iricnans/PRunmbelrs ➢cant Information 11 Name (Business/Organization/Individual): RISE Engineering; A Division of Thielsch Engineering Address: 1341 Elmwood Avenue City/State/Zip: Cranston, RI 02910 Phone #: 401-784-3700 or 1-800-422-5365 Are you an employpir?Check the appropriate box: Type of project(required): 1. I am a 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.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 1 7. ❑Remodeling ship and have no employees These sub-contractors have & ❑ DemoJition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their I0.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per 1\4GL 11.❑Plumbing repairs or additions .myself. [l\To workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13.0 Other Insulation Any applicant That checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy infonnation. l am an employer that is providing workers'compensation insurance for nay employees. Below is the policy aria job site information. Insurance Company Name: The Preston Agency Policy#or Self-.ins.Lic. #: WC2—Zl l-259874-019 Expiration Date: 04/01/ 1.0 _ Job Site Address: old /,' ` City/State/Zip: :S Attach a copy of the workers' compensatio policy declar(�ation pig¢(showing the poflicy 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert[ Pun d the rins an 'penalties of perjury that the information provided above is trace and correct. �sy Signature: .. ar? rP`'u� '"-`` _� � `'� ^�-� Date Erik Nerstheimer for RISE Enggineering Phone#: 401-784-3700 or 1-800-422-5365 Ext. 133 Official use only. Do not write in this area, to be completed by city or town official City or'Town: Permit/License# Issuing Authority(circle one): 1. ;Board of Health 2. Building Department 3.City/'Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: a' rage 1 OI 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#t 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 Board of Building Regulations and StandaiiN I'' Li.Cense or registration vat d for individW use only HOME IMPROVEMENT CONTRACTOR I before the expiration date. If found return to: Registration:. 120979 Board of Building Regulations and Standards j Ezpi%a?i'on`_3 25/2010 One Ashburton Place Run 1301 ype"S`Upplemeni Card '.t?st0l),lala. 02108 HIELSCH ENGINE=ERING,�.==_ RIK NERSTHEIMER- 341 ELMWOOD.AVE.```= 1 RANSTON, RI 02910 '•--"� :F--�;. !1 Admin,isti:aaor rreNot valid without sign^t ------- http://db-state.Ma.us/dps/licdetalls.asp?txtSearchLN=CSL100459 o/,)n/1)nnn AC080 CERTIFICATE OF LIABILITY INSURANCE OP ID 27 DATE(MMrpMN" PRODUCER THIEL-1 10 15 09 The Preston Agency, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMIATIO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1350 Division Rd Suite 303 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 610 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW East Greenwich RI 02818-0810 Phone: 401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Hartford Underwriters Ina. co Thielsch Engineering, Inc INSURERB:Thielsch Group Inc Hartford , Tra„� ,,, e co . 1 Hi Tech Realty Inc. INSURERC: Liberty awtnal Tnsuranm Group195 Frances Avenue Cranston RI 02910 INSURER D: North American Capacity Cranston COVERAGES INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSRI TYPE OF INSURANCE POLICY NUMBER DATE 7DALJIfITS GENERAL LIABILITYEACH OCCURRENCE $1,000,000 �+ X COMMERCIAL GENERALUABIUTY p2UUNTD5678 04/O1/09PREMISES10 —(EaooaLence) $3pp,ppp CLAIMS MADE OCCUR MED EXP(Any one Person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY EXPRODUCTS-COMP/OPAGG $2,OOO,OOO ERC LOC Ben. 1,000,000 AUTOMOBILE LUlB1UTY Emp B X ANY AUTO 02UENM4850 ((COMBINED t)INGLE LIMIT04/O1/09 04/O1/10 $ 1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS (BO L 'INJURY $ HIRED AUTOS NON-OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY-EA ACCIDENT OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA UABIUTY EACH OCCURRENCE $10,000 000 B X OCCUR CLAIMS MADE 02XHUUF6573 04/01/09 04/01/10 AGGREGATE $10,000,000 DEDUCTIBLE X RETENTION $10 000. $ WORKERS COMPENSATION AND ' EMPLOYERS'LIABILITY X THY UWTS ER C ANY PROPRIETOR/PARTNERIEXECUTIVE WC2-Z11-259874-019 04/01/09 04/01/10 EL EACH ACCIDENT $500,000 OFFICERIMEMBER EXCLUDED? If yes,describe under E.L.DISEASE-EA EMPLOYEE $500,000 SPECIAL PROVISIONS below OTHER E.L.DISEASE-POLICY LIMIT $500 D Professional Liab DVL000025902 04/13/09 04/01/10 Prof Liab 2,000,000 A Leased/Rented Eqp 02UUNTD5678 04/01/09 04/01/10 Equipment 100 000 DESCRIPTION OF OPERATIONS JLDCATK WIS I VEHEXCLUSIONSYCLES I EXCLUSIONS ADDED By ENDORSEMENT'1 SPECYLL PROM KNS *Except 10 days for non payment of premium. Holder is included as an additional insured when required by a written contract with respect to the General Liability coverage. CERTIFICATE HOLDER CANCELLATION TWNQAKB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE BMW INISURERWRI ENDEAVOR To MAIL *30 DAYS WRITTEN NOTICE TO THE CERTMFICATE HOLDER NAMED TO THE LEFT,BUT FAILWM TO DO SO SHALL IMPOSE NO OBLIGATION OR UABIUTY OF ANY KI ID UPON THE DSURER,ITS AGENTS OR REI RESENTA-1111,68. AUINORM ACORD 25(2001108) OACORD CORPORATION 1 i6/A7IG �CS�.�V7.1 iY' Also for RISE Engineering, a division of Thielsch Engineering, Inc.. Gaskell Associates, a division of Thielsch Engineering, Inc. BAL Laboratory, a division of Thielsch Engineering, Inc. ESS Laboratory, a division of Thielsch.Engineering, Inc. ALCO Engineering, a division of Thielsch Engineering, Inc, Water Management Services, a division of Thielsch Engineering, Inc. v . , RISE ENGINEERING Federal ID#05-0405629 ILA ram.;., � E 0 V F. Contractor Registration No 8186 A division of Thielsc6 Engineering Contractor Registration No 120Z0979 Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,RI (401)784-3700 FAX 1 �' 1 %0i0 IONTRACT T IS CONTRACT IS ENTERED INTO.BETWEEN RISE E GINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING tL' —e.�_�._ SCRIBED BELOW CUSTOMER PHONE DATE Client# Cheryl Freeman (918)260-6803 02/06/2010 105381 SERVICE STREET BILLING STREET 144 Old Yarmouth Road 144 Old Yarmouth Road SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Hyannis,MA 02601 Hyannis,MA 02601 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. 20.5 man hours. $1,353.00 RISE Engineering will provide labor and materials to install Class 1 Cellulose blown in to 304 square feet of sloped ceilings. $608.00 RISE Engineering will provide labor and materials to install a 6 layer of R-19 faced fiberglass batts to 532 square knee wall slopes adding proper vents. $665.00 RISE Engineering will provide labor and materials to install 84 square feet of R-10 rigid fiberglass insulation board to the crawlspace perimeter wall,and R-19 Kraft faced fiberglass to the band joist and house sill. $226.80 RISE Engineering will remove 532 square feet of batt style insulation from the attic area. $345.80 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for households where total income is less than or equal to 80%of median income, the Cape Light Compact offers 100%incentive toward eligible measures(not to exceed$2,000 total incentive.). -$1,845.60 RISE Engineering will apply all 100%airsealing incentive. $1,353.00 WE AGREE HEREBY TO FURNISH SERVICES_COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***001®ollars $0.00 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 AF,7R 30 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. 1 DO NOT SIGN THIS CONTRACT IF THERE ARE ANY 41 B N SPACES , 41 -CP AUTHORIZED SIGNATURE-RISE ENGINEERING CUSTOMER ACCEPTANCE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE 70 ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE ` ` � ,t` C yof7HEto�� TOWN OF BARNSTABLE BARNSTABLE, 639*M A.6.On , BUILDING INSPECTOR 4/, A x;o ow? 'Dpt-� 0 APPLICATION FOR PERMIT TO ...... > .................................. ........................................................................ TYPE OF CONSTRUCTION ............ .T/A0.0 ....................... /.OjL�................................................ . .............19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......... ........0.1d...... ......R.�,............................ ........................................... ProposedUse ...................... �...................................................................................................................................... ZoningDistrict .,......................................................................Fire District .............................................................................. Name of Owner ................... oF Name of Builder ...Address ........ ................................................ Nameof Architect ..... ...................... .............. ...................Address .................................................................................... Number of Rooms .......x.. I L o. C K ........... ,............ Exterior ........... vAly1r. r.....r C..............Roofing ........ J-ra. ....... .................. Floors ........... ..........................................................Interior ....... .r�r-V......AW/ .?YS......................... Heating ..... &.... e—......IC.. ...Ir.........................Plumbing ..... 71 r.......0... W710 FAI. Fireplace ..................................................................................Approximat Cost .......... ....................................... �c Difinitive Plan Approved by Planning Board --------------------------------19-------- - Diagram of Lot and Building with Dimensions LLr LLJ (D �) _j < Ad 0 < La r (z. z jr .0 A LLJ L>l--J LLI < G , , 0 (D 0 �m , Q la 2�1 0" < O� I M a- Li- U-i CL 0 cl) 0 < 0z) Lu Z >: 01 0 0 0 >-I of (/I Z,:9(" MLIJ V) U) 15-0 LJJ z 71 (-f) (D < a_ 3: LU Z 0 U) < ry Ld CL. < U Ljj I-- :j LLI Z 7-L) 0z n YA r 1-7-7 0 U TAI I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Freeman, Challes L. DEC 3 1970 No 12666.... Permit for ......add to dwelling . ....................... ............................................................................... Location ..........199. 01d Yarmouth Road .............................................. ..........................4Annis ............................................. Owner ...............Charles L...Fr-eema.n........... Type of Construction ............. r.QLMV!.................. --Q ................................................................................ Plot ............................ Lot ................................ ()6"1 Permit Granted ....... October 2.... .....19 69- ....................... Date of Inspection ....... ...196� Date Completed ......................................19 PERMIT REFUSED 19................................................................ ............................................................................... .......................................................................... ............................................................................... ............................................................................... Approved .......................................... 19 ............................................................................... ............................................................................... ��!� T"E o� TOWN OF BARNSTABLE i SAMSTAR i 9� pAM BUILDING INSPECTOR APPLICATION FOR PERMIT TO . .... ....... ......... ................. yc . d'?. ..............................'i.M, .................. ........... TYPE OF CONSTRUCTION ............... .. f' .............. ... ........... .......... ....... .................................. z y. i' 6 TO THE INSPECTOR OF BUILDINGS: The undersigrf6cl-hiieby-applies for a permit according to the following inform•tion: Location .... ...d......5./. .,, .. . . ................ . ............. ... , ;......... .............. Proposed Use w. '".................................................... Zoning District ...... ...........:....................................Fire District .................................................. Name of Owner ..... i . �M.................Address ............. ...... Name of Builder ! . ...............Address Nameof Architect ............:................................... ...:.............Address .................................................................................... / a Number of Rooms ..........fcV....... ........................................ ..Foundation -• .._ �„ _, y 1 Exterior ... 15 . i9. ................................Roofing ...... .5 y!G7 /Mep 7 Floors ..................................................Interior tom. ../',�A .............................., . Heating Fireplace .../otand .........................................................Approximate Cos ........... .a®d....................................... Diagram of Building with Dimensions. ' e- e =� �D I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. „s Name .. ........ ..... . . .. ........ ..... .. .... ... ... ` Best, Otis ---_ , No U�I4� � Permit add..to-----. ,`=. . ---..—..--.�.--. ~ � --..����f�..������pg--__________. ° Location ,— IO0 Old Yarmouth Road � | -------------------' � ° -------.gy ......................................... zr Owner ......... ` Type of Construction ....... ....................... / -----^--'—^----------------'' nc* Lot [ . . � ( ' March �8 6� Permit Granted -------------]P�~ ~° , { Date of Inspection ------------l9 . \ Dote Completed ------------'l9 ' . PERMIT REFUSED � l9 Y� -------^--`-----^----' }� ----.-------..------.----.--. ' ......................^^^��......^...���'����^���� � � . � ----.....------...------.—..--... J � � � .------~--^--...--.--....----.. � � � x � \ Approved ................................................ lQ / . r / |. '------'—^----^—'------''---'—'- � � � -------`-----.—.------....--.., | t | ' �