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HomeMy WebLinkAbout1160 PHINNEY'S LANE (10) 7e-087 I a \ o R I S E Division of Thielsch Engineering,Inc. 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island02910 Thursday, September 20, 2012 Town of Barnstable Thomas Perry, CBO 200 Main Street Hyannis, MA 02601 Permit Cancellation Request Barnstable Building Permit#: 201203873 Dear Mr. Perry, RISE Engineering is requesting the cancellation of the enclosed building permit issued for: Anna Griswo-l-d;-11-60 Phinney..s-Lane Unit 2D;-Hyannis MA-02601v(Arbor-TerraceTCondos)} It has been determined that another company will be installing the weatherization work, not RISE Engineering. If you have any questions,please contact me at 1-800-422-5365, X6133. Sincerely, Erik J.Nerstheimer; Field Supervisor RISE Engineering Residential Installations Department RISE Engineering; A Division of Thielsch Engineering ' CSL 1004591HIC 120979 y 1 LIS- 1 401-784-3700 . 800-422-5365 . Fax 401-784-3710 1, E7) I R I S E Division of Thielsch Engineering,Inc. 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island 02910 Wednesday, September 19, 2012 Town of Barnstable �• Thomas Perry, CBO 200 Main Street ! "N' Hyannis, MA 02601 RE: 1160 Phinney's Lane #41); Hyannis, MA 02601 (Arbor Terrace Condos) Barnstable Building Permit#:201203867 Dear Mr. Perry, This affidavit is to certify that all work completed at 1160`Phinney's Lane #41); Hyannis, MA 02601 (Arbor Terrace Condos), has been inspected by a certified Building Performance Institute IX (BPI) inspector. The following weatherization/energy saving measures were completed: ➢ Performed air sealing measures to attic,areas-and conducted all appropriate blower door tests, combustion safety tests and procedures. Sealing included attic chases, plumbing and electrical enetrations b assesaceess'`o enin s and other leakage points to reduce heat p Yp >>.r... p g g loss through air infiltration. Included weather stripping and insulating the ceiling access hatches, weather stripping,, T talling sweeps to the front entry door, and sealing major penetrations through the si11 and the floor. ➢ Installed attic insulation: Furnished and installed approximately 9" of Class 1 cellulose R- 30 insulation to atfc`=flat areas to achieve an approximate R-49 insulation"R"value, including soffit ba€fles for ventilation as needed. All work performed meets or exceeds Federal and State Requirements. Sincerely, , Erik J. Nerstheimer RISE Engineering Residential Installations Department � RISE Engineering; A Division of Thielsch Engineering - Z,:; �2 �- �,� c`ra CSL 1004591HIC 120979 401-784-3700 . 800-422-5365 . Fax 401-784-3710 ARBOR TERRACE - 81-12-1636 CHECK #: D' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma 273 Parcel` 089/OOH p= Application Health Division Date Issued Conservation Division Application Fee d� Planning Dept. Permit Feet _ Date Definitive Plan Approved by Planning Board Historic OKH _ Preservation / Hyannis Project Street Address UNIT # 2D ; 1160 PHINNEY'S LANE; HYANNIS, MA 02601 (ARBOR TERRACE) Village HYANNIS Owner ANNA GRISWOLD Address 1160 PHINNEY'S LANE #2D; HYANNIS, MA Telephone 508-360-7690 -- Permit Request PERFORM AIR SEALING MEASURES; INSTALL ATTIC INSULATION. SEE ATTACHED COPY OF JOB DESCRIPTION FOR MORE DETAILS. OWNER AUTHORIZATION ATTACHED. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation $1,212.50 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 _ _ DeW Number Of Bedrooms: existing _new 't" - Total Rootn 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: O�&es ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: 0 existing-nLJ 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 RESIDENTIAL Proposed Use SAME APPLICANT INFORMATION (BUILDER OR HOMEOWNER) RISE ENGINEERING; A DIVISION OF Name THIELSCH ENGINEERING _ Telephone Number 401-784-3700 EXT. 6133 Address 1341 ELMWOOD AVE. ; CRANSTON, RI 02910 License # CSSL-100459 EXP. 3/28/14 Home Improvement Contractor# 120979 EXP. 3/25/14 Worker's Compensation # 3730961-01 EXP. 1/1/13 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO YARMOUTH TRANSFER STATION; 50 WORKSHOP RD. ; SOUTH YARMOUTH, MA 02664 SIGNATURE DATE ERIK NERSTHEIMER FOR RISE ENGINEERING a FOR OFFICIAL USE ONLY APPLICATION# t�DATE ISSUED =jgr ; .* ,MAP/PARCEL NO. f a ADDRESS VILLAGE { OWNER r DATE OF INSPECTION: 'C —FOUNDATION. - Y Y, p FRAME w' __INSULATION. FIREPLACE ; ELECTRICAL: ROUGH FINAL rr r PLUMBING: ROUGH FINAL x: GAS:,-, ,-., ROUGH - FINAL ;FINAL BUILDING s M j DATE CLOSED,OUT, ASSOCIATION PLAN NO. i ' The Commonwealth of Massachusetts Print Form_ Department of Industrial Accidents 4 Office of Investigations I Congress Street,Suite 100 Boston,MA 02114-2017 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 THIELSCH ENGINEERING Address: 1341 ELMWOOD AVENUE City/State/Zip: CRANSTON, RI 02910 Phone#: 401-784-3700 EXT. 6133 Are you an employer?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 ❑ _ listed on the attached sheet. 7. ❑ Remodeling 2. I am a sole proprietor or partner- ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp.insurance comp. insurance.: 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 I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.El Other comp. insurance required.] *Any applicant that checks box#1 must also Pill out the section below showing their workers'compensation policy information. t 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 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,INC. Policy#or Self-ins.Lic.#: 3730961-01 Expiration Date: 01/01/13 Job Site Address: 1160 Phinney's Lane, Unit#2D City/State/Zip:Hyannis, MA 02601 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL 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 to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi un nalties o er'u above that the in ormation provided is tr to and correct. Signature: ___.._. ____, 'Date Phone#: 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#: 0' "� �� Town of Barnstable �! _ ,ems 3� . MAY 2 2012 i 'EDMA�A Regulatory Services h �✓n Thomas F.Geiler,Director Building Division Thomas Perry,CBO 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 I, ANNA GRISWOLD ,as Owner of the subject property hereby authorize RISE ENGINEERING; A DIV. OF THIEESCH to act on my behalf, in all matters relative to work authorized by this building permit application for: 1i60 PHINNEY'S LANE, UNIT 2D; HYANNIS, MA 02601 (Address of Job) i ature of Owner Oate ANNA GRISWOLD Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side ir;,: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 Arbor Terrace Condominiums national rid PROGRAM SIGN-UP SHEEN INSTRUCTIONS: Please complete this form to authorize the instal►atiQh nf,' y+5f measures in your unit. You can choose any combination of measufoi Ah/ork includes all r rt .p- installation. RISE Engineering will contact you to schedule appointm0''r1t complete the wo 4 Return the completed form within 7 days in the enclosed postage pare 0 lopd1,¢JaxJt E m,eerrng at ;''�, 401-784-3710. If you do not want to participate,you do not need to rei r e form. If you have any questions, please contact Meaghan Quinn at RISE Er i ring at 1-80 42 5 ext:_6131 or E- mail:l: MQumn @THIELSCH.COM. - EnergytAlisr OWNER INFORMATION(Please print) Owner's Name: litj t / Owner's Address/unit# 16 t `'�',, ' �GZ ('a lit A d Daytime phone(570(�) 3 C90- 7 6T® J Evening phone ��<V[.�s 0 l Air Sealing, Attic Insulation and Hot Water:Conser ataon , (includes a materialan installation): a (ES ONO Total Cost: $1,212.50 National Grid Incentive , $972a50 --�_, Your Cost: Not to exceed 240.00 billable upon completion s ® Air Sealing:Air seal attic chases, plumbing and electrical penetrations, K ... bypasses, access openings, transitions, ductwork and other leakage points to reduce heat loss through air infiltration. High quality foams, caulks, baffles, weather-stripping and other materials will be used to seal sources of air leakage. NOTE: a)' Includes insulating and weather-stripping the attic access hatch, b) furnishing and installing weather-stripping and door sweeps on the front entry door, c) basement major penetrations through sill and floor: ® Attic Insulation: Furnish and install R-30, 9" of cellulose to approximately 5000 SF of open attic areas to achieve an approximate R-49 insulation value, including soffit baffles, as needed, for all flat ceiling areas. NOTE: Attic flooring and.storage items may reduce the amount of area that can r be insulated. ® Hot Water Conservation': Furnish and install hot water pipe insulation for the 1st 6' - from the water heater,.water saving showerheads and faucet aerators as applicable. I attic Fold in Stair-insuiation_and-Air Sealon inc u es a material and installation): YES ONO Total Cost: $'166.5 NGrid Incentive: $83.25 a r Your Cost: Not to exceed $83.25 billable upon completion Thermo-donne Cover: Furnish and install "thermo-dome" attic stair insulating n4 " cover. ,, YES ONO for Digital/Programmable Love Voltage thermostats(No Cost) ®. Digital/programmable low voltage thermostats (Robertshaw RS6110 or exact equal) replace existing manual thermostats in dwelling units 4Quantity of digital thermostats needed?,.` --------------------------------------------------------------------------------------------------------------------------------------------------------------- By signing below, I agree to hS14 ou implemen e,improve en I have selected and agree to the asso is d?Costs shown. ✓ Owner(please sign) �ti Date f THIEL-1 OP ID: 27 ���A 0� DATE(MMIDOIYYYY) CERTIFICATE OF LIABILITY INSURANCE 01L13112 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 endorsement(s). PRODUCER 401-886-8000 CONTACT The Preston Agency,Inc. 1350 Division Rd Suite 303" 401-885-1700 PHONE Exit: Fn C No PO Box 810 E-MAIL East Greenwich,RI 028184..810.. ADDRESS: Judith A.Wright CPCU AAI ARM INSURER(S)AFFORDING COVERAGE NAIC p INSURER A:Zurich-American INSURED Thielsch Engineering,Inc. INSURER s American Guarantee&Liability Thielsch Group Inc. Hi Tech Realty Inc. INSURER C:Twin City Fire-Hartford AttTrent Avenue ux 195 Frances Ave INSURER D:North American Capacity 195 _ Cranston,RI02910 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF*INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LTR POLICY NUMBER MMIODIYYYY MMIDDIYVYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A. X COMMERCIAL GENERAL LIABILITY X 3730962-01 01/01/12 01/01/13 PREMISES(Ea occurrence) $ 300,00 CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,00 PERSONAL SADVINJURY $ 1,000,00 GENERALAGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 X O- POLICY PR LOC Em Ben. $ P 1,000,00 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 2,000,00 A X ANY AUTO 3730963-01 01/01/12 01/01/13 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per acc dent) $ 3 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 10,000,000 B EXCESS LIAR CLAIMS-MADE AUC-4857188-01 01/01/12 01/01/13 AGGREGATE $ 10,000,000 DED I RETENTION$ $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N T RY LIMIT ER A ANY PROPRIETOR/PARTNER/EXECUTIVE 3730961-01 01/01/12 01/01/13 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? a N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 C Property Section 02UUNHE6930 01/01/12 01/01/13 Property see belo D Professional Liab DVL000026802 01/01/12 01/01/13 Prof Liab 2,000,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) When required by a written contract. CERTIFICATE HOLDER CANCELLATION TWNHARW SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town Of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Division ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis,MA 02601 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Details rage 1 of 1 Licensee Details Demographic Information Full Name: ERIK S. NERSTHEIMER Gender: M Owner Name: License Address Information Address: 228 Gleaner Chapel Rd. Address 2: City: North Scituate State: RI ipcode: 02857 ,Country: United States License Information License No: CSSL-100459 License Type: CSSL-IC - Insulation Contractor Profession: Building Licenses Date of Last Renewal: 4/24/2012 Issue Date: 5/6/2009 Expiration Date: 3/28/2014 License Status: Active Today's Date: 4/25/2012 Secondary License: Doing Business As: Status Change: 18 Prerequisite Information Licensee: NERSTHEIMER, ERIK S. Relationship: Attribute Of License No: CSSL-100459 Discipline ' No Discipline Information Documentum k , 11 http://elicense.chs.state.ma.usNerification/Details.aspx?agency_id=1&Iicense_id... 4/25/2012 Office of Consumer Affairs d Business Regulat _ - 10 Park Plaza - Suite 5170 ^� Boston Massachusetts 02116 ,Home Improvement Contractor Registration JUN 20 202 Registration: 120979 �—' Type: Supplement Card THIELSCH ENGINE RING Expiration: 3/25�2014 1341 ELMWOOD AVE. CRANSTON, RI 02910 Update Address and return card.Mark reason for change. SCA 1 0 2OM-05/11 Address Renewal Employment Lost Card �e�a�rLnao�ru�errll�r.o!'� /�ir:;ccc/%uteft _ _ ffice of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation egistrationr;_ 2o979 Type: 10 Park Plaza-Suite 5170 Expiration 3/25/2014 Supplement Card Boston,MA 02116 THIELSCH ENGINEERING- ERIK NERSTHEIMER / 1341 ELMWOOD AVE. 497 7 _ CRANSTON, RI 02910 Undersecretary Not valid without signature Control No: 34244 THE COMMONWEALTH OF MASSACHUSETTS b DEPARTMENT OF LABOR DIVISION OF OCCUPATIONAL SAFETY 19.STANIFORD STREET, BOSTON,MASSACHUSETTS 02114 LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER RISE Engineering A Division of Thielsch Engineering, Inc. 1341 Elmwood Avenue Cranston, RI 02910 WAIVER: LW000672 EXPIRES: April 15,2015 IN ACCORDANCE WITH M.G.L. C. 111, § 197(B)(b)AND 454 CMR 22.03(3)(b), THIS LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER IS ISSUED BY THE DIV. OF OCCUPATIONAL SAFETY TO THE CONTRACTOR ABOVE FOR THE PURPOSE OF PERFORMING LEAD-SAFE RENOVATION WORK. THIS LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER MUST BE MAINTAINED BY THE CONTRACTOR IN ACCORDANCE WITH M.G.L. C. 111, § 19713(b) AND 454 CMR 22.04 WHEN PERFORMING LEAD-SAFE RENOVATION WORK. HEATHER E. ROWE,ACTING COMMISSIONER 4, Printed on Recycled Raper - Engineering Dept::(3rd floor) Mapes / Parcel - Permit -- House# f /(mod Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30)j&- - `�` i. `' .� Fee d T Conservation Office.(4th floor)(8:30-9:30/1:00-2:00) M N6U BE SEPT MOST IC Planning Dept.(1st floor/School Admin. Bldg.) I Definitive Plan Approved`by Planning Board 19 ® eAN® ENVIR TOWN OF BARNSTABLE TC ,�� Building Permit Application ro ect 2Street Address •' Village tl13 Owner / - - Address !a `1 Telephone Permit Request LA-,C� vjC lo — 64,'i First Floor square feet Second Floor square fe Construction Type Estimated Project Cost $ y — Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#,units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑N 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 No.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 ❑N Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name�,{Jt!,L/,�--rt.� ;�c cJ f��Z� Telephone Number �L ��CD Address chC 2 , 3 License# (D Home Improvement Contractor# Worker's Compensation# W 2-At(D2 ' Z- S-b NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL A° PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PR. Ci'WILL BE TAKEN TO SIGNATURE DATE ( 3 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)