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
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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 .......... .......................................
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Difinitive Plan Approved by Planning Board --------------------------------19-------- -
Diagram of Lot and Building with Dimensions
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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
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No U�I4� � Permit add..to-----. ,`=. . ---..—..--.�.--.
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Location ,— IO0 Old Yarmouth Road � |
-------------------' �
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-------.gy .........................................
zr
Owner .........
`
Type of Construction ....... .......................
/
-----^--'—^----------------''
nc* Lot [ .
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March �8 6�
Permit Granted -------------]P�~ ~° ,
{
Date of Inspection ------------l9
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Dote Completed ------------'l9
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PERMIT REFUSED
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