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HomeMy WebLinkAbout1160 PHINNEY'S LANE (11) •Cam L 3 J IMF) ^'W7 II=. 2 'M` r2: R I S E Division of Thielsch Engineering,In c. llif L. I 4,. t 1.341 Elmwood Avenue ENGINEERING Cranston,Rhode Island 02910 DIVISION Tuesday, July 17, 2012 c+ Town of Barnstable Thomas Perry, CB0 ' 200 Main Street Hyannis,MA 02601 RE: 1160 Phinne 's Lane#3A• Hyannis, MA 02601 Arbor Terrace Condos Barnstable Building Permit#: 201203874 Dear Mr. Perry, This affidavit is to certify that all work completed at 116 hiiiney's Lane #3A; Hyannis, MA 02601 (Arbor Terrace Condos), has been inspected by a certified Building Performance Institute (BPI) inspector. The following weatherization/energy saving measures were completed: Performed air sealing measures to attic.'a'rea&Ind conducted all appropriate ro riate blower door tests, combustion safety tests and procedures. Sealing included attic chases, plumbing and electrical penetrations, bypasses;access openings, and other leakage points to reduce heat loss through air infiltration. Included`weather stripping and insulating the ceiling access hatches, weather strippingrand installing sweeps to the front entry door, and sealing major penetrations througli the sill and the floor. Installed attic insulat oi;,Furmshed and installed approximately 9" of Class 1 cellulose R- IV 30 insulation to attic flavareas to achieve an approximate R-49 insulation"R"value, including soffit,baffles 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 CSL.1004591HIC 120979 . . 401-784-3700 . 800-422-5365 . Fax 401J84-3710 ARBOR TERRACE - 81-12-1636 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 273 Parcel 089/001 Application ,1 38 Health Division Date Issued 1.0.2 Z Conservation Division __ Application Fee Planning Dept. Permit Fee ° Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 3A/1160 PHINNEY'S LANE; HYANNIS MA 02601 (ARBOR TERRACE CONDOMINIUMS) Village HYANNIS Owner BRADLEY R. PARKER Address P.O. BOX 614 Telephone 508-776-3238 CENTERVILLE, MA 02632 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 (sgkft) Number of aths: Full: existing new Half: existing _ M new Number of „Jrooms: existing new r Total Room Count (not including baths): existing new First Floor Rdom County ye E , 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) 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 (IC) 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 T SFER TATION; WORKSHOP ROAD; S. YARMOUTH, 2664 SIGNATURE DATE ERIK NERSTHEIMER FOR RISE ENGINEERING i a FOR OFFICIAL USE ONLY APPLICATION# .. ,,.DATE ISSUED,. t MAP/PARCEL NO. A :k ADDRESS VILLAGE OWNER ` DATE OF INSPECTION: __FOUNDATION. FRAME INSULATION s FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS , _- ROUGH r I FINAL 1 , :FINAL BUILDING r� i i DATE CLOSED OUT d y ASSOCIATION PLAN NO. The Commonwealth of Massachusetts -- Department of Industrial Accidents Nd Office of Investigations 600 Washington Street ' Boston, AM 02111 - www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Ledbiv 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 800-422-5365 Are you an employer? Check the appropriate box: Type of project(required): 1. X❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* . have hired the sub-contractors 6. ElNew construction 2.❑ 1 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 11.❑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.[XI Other INSULATION comp. insurance required.] *Any applicant that-checks box 41 must also fill 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.Lie.#: 3730961-01 Expiration Date: 01/01/13 Job Site Address: 1160 PHINNEY'S LANE, UNIT 3A 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 $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert' un th ains d'Penalties of perjury that the information provided abo is rue and correct. Si mature: Date: ERIK NERSTHEIMER FOR RISE ENGINEERING Phone#: 401-784-3700; EXT. 6133 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: • s�xtvsrnetE, • �'6 �' , MASS. Town of Barnstable N APR 2 5 2012 Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, BRADLEY R. PARKER ,as Owner of the subject property hereby authorize RISE ENGINEERING; A DIV. OF THIELSCH to act on my behalf, in all matters relative to-work authorized by this building permit application for: 1160 PHINNEY'S LANE, UNIT 3A; HYANNIS, MA 02601 (Address of Job) �17 Signature of Owner Date BRADLEY, R. PARKER Print Name If Property Owner,is applying for permit,please complete the Homeowners License Exemption Form on the reverse side.• - _ .,. ._ .. _ C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 Arbor TerraceCondominiurns 3 na$ionalgrid PROGRAM SIGN-OP SHEET fr INSTRUCTIONS: Please complete this form to authorize the installation of anyy*176 is a ene y ving measures in your unit. You can choose any combination of measures. Whrk-includes all m erial nd j =p- installation. RISE Engineering will contact you to schedule appointments to . lete e w r - Return the completed form within 7 days in the enclosed postage paid envel©p r fa ''to K, eermg at 401-784-3710. If you do not want to participate,you do not need to return tM f 1 • If you have any questions, please contact Meaghan Quinn at RISE Engine'tiln t 1-800-422-55365 ext.. or - mail: MQuinn @THIELSCH.COM. tt - Energy%sc I' ' OWNER INFORMATION ease print) I' i Owner's Name: Owner's Address/'unit 7# if=d jDO� G��y C�M V 1 Ilk, Z AfA o6`37 / in Daytime phone [ 7& " 32 Sy venE i phone Air Sealin tfic-Insulation_and_Ho-t_Water Conservatidh (includes all material and installation) �ES ONO Total Cost: $1,212.50 National Grid Incentive: $972.56 Your Cost: Not to exceed$240.00 billable upon completion i ® Air Sealing: Air seal attic chases, plumbing and electrical penetrations, bypasses, access openings, transitions, ductwork and other leakage points to reduce heat loss through air infiltration. High quality foams, caulks, baffles, weather-stripping and other materials will be used to seal sources of air leakage. NOTE: a) Includes insulating and weather-stripping the attic access hatch, b) furnishing and installing weather-stripping and door sweeps on the front entry door, c) basement major penetrations through sill and floor. ® Attic Insulation: Furnish and install R-30, 9" of cellulose to approximately 5000 < SF of open attic areas to achieve an approximate R-49 insulation value, including soffit baffles, as needed, for all flat ceiling areas. w NOTE: Attic flooring and storage items may reduce the amount of area that can, =$ r _ =' be insulated. Besot Water Conservation: Furnish and install hot water pipe insulation for the 1 St 6' ga ® pp from the water heater, water saving showerheads and faucet aerators as applicable. , FR Y 3 Attic Folging Stair Insulation and Air Sealin w ' ponucles all material and installation): AYES JFNO Total Cost: $166.5 NGrid Incentive: $83.25 Your Cost: Not to exceed $83.25 billable upon completion Thermo-dome Cover: Furnish and install"thermo-dome"attic stair insulating ' <4 cover. « r ,� ONO, for Digital/Programmable flow Volta a thermostats No CostVYES _ � ( ) ® Digital/programmable low voltage thermostats (Robertshaw RS6110 or exact equal) replace existing manual thermostats in dwelling units Quantity of digital thermostats needed? .m' ------------------------------------------------------------------------------------------------------------------------------------------------------------ By signing below, /agree to have you eme i provements I have selected and agree to the associated/costs shown. ON ✓ Owner(please sign) ��h Date �! Z �1 THIEL-1 OP 10:-27 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYVY) 01/13/12 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 NAME: The Preston Agency,Inc. 1350 Division Rd Suite 303- 401-885-1700 n/c ro Ert: AJC,AA No PO BOX 810 E-MAIL East Greenwich,RI 02818-0816. ADDRESS: Judith A.Wright CPCU AAI ARM INSURER(S)AFFORDING COVERAGE -NAIC p INSURER A:Zurich-American INSURED Thielsch Engineering,Ina INsuRERB:American Guarantee&Liability, Thielsch Group Inc. ty Hi Tech Realty Inc. INSURER c:Twin City Fire-Hartford Trent TherouX 195 Frances Avenue INSURERD:North American Capacity 195 _ Cranston,RI 02910 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. INSR 1 TYPE OF INSURANCE POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDDNYYY) (MMIDDNYYYI 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&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 POLICY I X JFCj PRO Loc Emp Ben. $ 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 AUTOS - AUTOS BODILY INJURY(Per accident) $ HIREDAUTOS P NON-OWNED a PROPERTY DAMAGE AUTOS Per accident $ $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 10,000,000 B EXCESS LIAB CLAIMS-MADE AUC-4857188-01 01/01/12 01/01/13 AGGREGATE $ 10,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION - WC STATU- OTH- AND EMPLOYERS'LIABILITY X T RY LIMIT ER A ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N 3730961-01 01/01/12 01/01113' E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? ❑ N/A - (Mandatory In NH) If yes,describe under E.L.DISEASE-EA EMPLOYE $ 1,000,00 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 01/01112 01/01/13 Prof Liab 2,000,00 DESCRIPTION OF OPERATIONS/LOCATIONS I 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 F'age 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 Prere uisite Information Licensee: NERSTHEIMER; ERIK S. Relationship: Attribute Of License No: CSSL-100459 Discipline No Discipline Information Documentum t http://elicense.chs.state.ma.usNerification/DetaiIs.aspx?agency_id=1 Micense_id... 4/25/2012 Office of Consumer Affairs d Business Regulation — -- 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 gHome Improvement Contractor Registration JUN 2 0 2012 s Registration: 120979 Type: Supplement Card THIELSCH ENGINE aRING Expiration: ,3/25/2014 1341 ELMWOOD AVE. CRANSTON, RI 02910 Update Address and return card.Mark reason for change. SCA 1 G 20M-05111 Address Renewal ❑ Employment Lost Card �1c.e�a��znaa�rcuealt�i.o�'Ul�ic�a«c/cctelt . 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 egistrabon .120979 Type: 10 Park Plaza-Suite 5170 Expiration 3/25/2014 %: Supplement card Boston,MA 02116 THIEL SCH ENGINEERING ERIK NERSTHEIMER 1341 ELMWOOD AVE. CRANSTON,RI 02910 Undersecretary Not valid without signature r Control No: 3 4 2 44. THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF LABOR a , DIVISION OF OCCUPATIONAL SAFETY ' 19 STANIFORD STREET, BOST.ON,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, § 197B(b)AND 454 CMR 22.04 WHEN PERFORMING LEAD-SAFE RENOVATION WORK. MAC HEATHER E. ROWE,ACTING COMMISSIONER L� Printed on Recycled Paper - - - 1 Engineering Dept.(3rd floor) Map 7 3 Parcel :r permit# l if House# //(o t r__✓f Date Issued —' oard of Health(3rd floor)(8:15, 9:30/1:00-4:30) lL 3� 7 Fee. v?5',00. Conservation Office(4th floor)(8c30-930/1:00-2:00) Planning Dept.(1st floor/School Admin.Bldg.) SEPTIC MUST BE Defigitive Plan Approved by Planning Board i9: INST PLIANCE 6 DE J TOWN OF BARNSTABLE E�OWN CATIONS AND -Building Permit Application n Project Street Address N2�2 . , k c E Co—C n v 5 / 6 Nl"?n c, Z/4/yt. J�H Village Owner 29ewpL L4 �pQ K-E2 Address 41e, '. Telephone " Permit Request First Floor square feet Second Floor square feet Construction Type 'EstimatedProject Cost $A Ovo Zoning District Flood Plain Water.Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: 'Single Family p Two Family p Multi-Family(#units) Age of Existing Structure Historic House ❑Yes p No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full p 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: p Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New' Existing wood/coal stove p Yes p No Garage: ❑Detached(size) -Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) I p Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commerciale Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name /r_c,f!gVal/ /L!�-Z Telephone Number � 2 2Z- 2GDy Address XS' �/� ,,��12. ST License# Lh i-t- e. , 4w1q Home Improvement Contractor# rZ 6-3-2— Worker's Compensation# zf�Z/qzl Z 3_,�;,L 5 0/ NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT.DENIED FOR THE FOLLOWING.REASON(S) v r .,. _ -a - -t _ _ .t - - -1,_t i' _ .i _ _r 7 - - C - , FOR'OFFICIAL.USE-ONLY ') y", I: t % ��. - - - _ .^�-..', ,- - -i .;' .��, 1.',.y.0 f`y '>,:. } -�• Y9 ,SL.r f-�: - , _ _ "'P i4: - ,t. y 2- - •i:. •'.T - ,1 ,t. r a '2 `'. -. t- --V �Z ..a a tt:i . P, l.-,n _ �i. . U- I .,j 1 •- <i r :T �r.. yr. ;Y .i i �'�� .� - , •y^� •.P (• t' �J' 'Tti,'!. ,v .1 lyi .�, PERMIT NO - - _ :- _y, ::y., £ 3 4. �i' t _ t- ; 1, s� tom: �aa <I ,i. _ Y.- .- -;; .�• S• (fir _ `I t _ •_ 9`' I1.. t t ,{ �.. .- _ ✓ •`_ .DATE ISSUED_ -t - .y .7- 1•- .t . r• . - 2. - - ri _�:� w�'• .mil: -r ' is .I - �, -4 1:r - A. r:MAP/:PARCEL,NO. r"I' I" �, F f 'rt: f r " =�: . ' + r �., 4 ,A r - ,i -x �. >Y ( .,r � . •r, ..n S r,�1 <s - r, •I ..t } . . t, 'i i .4._. „`, :lY.'•'y�,r h pQ, I _.i-i t t' - r . 1 - j` - _ , ..�- 4�' t �• -il i - � i _ t .-.. % ­11. •f. .f - .. J'r :5�.. -,i' .S "I .5 -�^'.`'�� .� l i LF -y, I Y r - r �:� -�' '�'al .. i lz� •i is { e :{ �.: Ti- s v. 1 - :f ` ' k-• , r ADDRESS ' r7 >' i i r 'VILLAGE "'! f- .! ? �' ". s- _ , �c,.^" 1� .,.P C i1 L �. -V ,� -!", r ' ,t, _ ! �S- P d + yLLl ^ 1 ,[ .� ^"�.: K , - ' tM1._ C,. _ rs r� `a t ., .,i , l . .�,.�_r. - a Y- I { .f:_' •e; ;r r a' Uv,t ;I� ` P x' }�. r' o t-. - - •1 OWNER '' _ i - I° -_-. gg t. ti r - _ . . yy,,,,_L _r,.-, -t ;`^� < ,� - •..�., 'r '! 1 -' 'ir _ I'' _ 1 Vic.:-.." a - A -`P•.+,�- .a, ,� a, •1' 4t. r^ _• 'i .4' , 'r 'an, ' P s ^sir- t , '� ,< 11 .1�' j s' :t'. 'rs' f , 1r �DATE.OF INSPECTION _ e I r' - �' I I, � - y - . t � _ rf -j fA FOUNDATION ;- ,t r , ;, ! fo- ' V f„ I t " w� _ r s �, T, I - ��� t JJ i. _ + .I- _ 1. ,',� 1 v' ; r - - { - - I � ,y, ,a Y r_ -i' ! { � .-;,". LJ I i' , t;:L :I .1 c��_ 1 - i i - t t:iJ- ' �' q- _ - - .1 i ��:� (�?.<- h� !".-y v" It _'r}.,4, FRAME. „t rr r 1t &., a -r': _ Rz 't. t. •,tea �4� �_ r r, 6- _ I :1_ ;,� ^� ;t - -) -4 I .Ga t, t, _ [-, 1 , - d - it _ ��,t` a yfs i:-'Z^' - 4 5 L7 .,�4.1 - �� - - - t •• ' INSULATION' C - ': :j' 1. ;s " e s _ L. :, �' i .�; ,. -- ' - =�. {, ten. ➢- �' .t ,_ ! - - �� ~{ a � __ I ,<. 1"•' °f`� trY_ -�" V _'i __ �' c `1_ 1 _.I -� y �' -,. � t. e-- t..r .;S•-- : ^-..fa V ';C;,• i �. t •'i' ,:: `�C:. - i' s. % FIREPLACE'. P _ _ u -w , I ;r - -i 1 ;i' 'r-' 6 ,%l w -<i F i �'r_ �5. r I' - 3- t - 1 i , �:. 1 i ,, f 5 '1, ! rf.� . i 5 '�,•", "F-t' : - .. ,+, •e K a y,;-v •i1;, y a �,_S. Y: - 1� 'l , t _ - _ f _I��. - .l' - -1 r- v1 r3'. ,� _ 1' "�_ , { _ �'l�i EiECTRICA'L F ROUGH w t-1 a FINAL ¢• I, � N_ , 2, 4 7' i' Y' y r 3' r. t) v Y-�.., b '• ' ' 'C Ir. :_ .y ' t.. I ,.. c.RY Pi Fn=:! .:% - _ o- °•-. 1 i - 0.r r P.. y�I ' :�2. 1 'Y 'i- •:t. i.1 ,;t� ,� ,t. . ^5 +.->- - 4 0. 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I l x'_ I. i 7 i .3 .�'' 4 �,A t s' .},. :.ram , ', t i r ( - I ,^). t _ �. ,-, _ ''' _ y .t n•b-. - -:y. i e .'tt, ,t. , - �n- N� - a , 1_ { < ., _�, - .w -y,- war o ,.. 1" -q, a - - ,, - _'�. - - 1 f - - - - yj - .. - , r... , - ., , _ e,, �,, - l �I �'�•� '�� ,. \/��, - r STANllARnlflf�I,f' GOOF(OOMfiTR7pRF_,r , , .."'� ��'. -- _._., -_ /• - DECIDUOUS TREES ' _.�'•. ,� �: ! - � � _ -- - - _ -- _ - _ .-_ FOGF OF RRUSN r , 1 : `, :w' ► — - _ _ _ = i 70.3 ow ORCHARD OR NURSERY / - - --- , _ • A ., ,; ! 1 `,, ..-:.¢rrr.- .^: -•-2=::-` .^' .. - (ONIfFR0U5TREE5 MARSH AREA f t `2 75 .• : . �< ,� r _ - i > EDGE OF WATER , w , i 0 1.,•, , f ._...__•� DIRT ROAD , J � � r 79.3 ` f J1 '�• DRIVEWAYS ,;;1•. �\ •:f`�\�..� J / I - PARKING LOT hVEPAVED ROAD 90 - /\ DITCHE i : `tee A! - r.... 5 / P ' , /,�`>•} �'.,, ,,., r -��. '•r•� - - - ... s+,�: / �\ ! � ��•� PAIN/TRAM PROPERTY LINES _ L ACREAGE _ 0 SE NUMBER •f - 1` ` >c , __•,.�., ._..: =� -'----:.� -.- -v-� -- --- l\/ :FOOT mNrwR LINE r, 6 .1 „ , 10 F061 LDNIDO[IINE 7 (, ,\ 73. x.• SPOT ELEVATION 5 `: '� I ';X... i�• ` /•\ ' < --_ \, \ 69 1 ��'' \/ STONEWALL i Jr , , 2 4 , \.. ,. ,....� ``-_->-- FENCE , , , , X .Y:.• \, RETAINING WALL RAH , , , , , ROAOiRACKi 7 4.9\,\ �L `'> ........__. _ ,'" �� -�' �`��` TELEPHONE POLE 0.00 A( \/ STOHEIEm F /\ , ;,•; a SWIMMING POOL , RCH .... :.. ., ,. PO /OFCK t� , , , • '- � ' ' "�-' - • q BUILDINGS/STRUCTURES 76.6 ' i •; / DOCK/PIER/JETTY , . ,, ,..� • I ~.,-3 f.�� � ASSESSOR'S MAP BOUNDARY 1. r; , v, , , SITE MAP ' 1 r i � '�3. 0.30 AC 3�C `, _ `\'` - 1.0.1.GE06AAPNI(INF00.1MIION SYSTEMS UNIT / 7A g 0 30 AC �#11 0 32 AC , r ' .......... .• 8 9 ..............._.. ,.., 1..._..r Y.. ,.,.. 0.30 AC ` 8 6 — (� 11 O— 4 SCALE in feet 0.4F ,r,I /� r \ #34 7..1':1 i loo 1 , -.--- l , 0.28 A( 2'a , , , ' 0.29 AC 8b -:�..........� - 1 2� ' , 91 � E: , _ 44M4Lm y I- T sl,y 37 AC• ', #33 I — IIDrt:1NFPuaIUNEsu(aN(ruuxNnn(s(NelnNsor , 71 ... # ee..7w naNm eouMDurcs,lxn A@ NOT 1nF L0G1ON5 , VEG[IAIION,IOPOGIWNT AND PUGHIMEfOC OAIAINI[AP0.1I1O S p•36 AC — -- _ ,r •i' FROM 1919 AERML OVERFLIGHTS,PHOTOGRAPHY AT I•-100' \\.. z.. 1 j %-( �' MAPPLOAI 1-100'.PAR((LDAIA DIGII(ED fA0M 1•-100' �\ � lJ 0:30 - �..,, , + ,,' i / .......... .........._..__..__.... j ENGINEERING ASSESSORS AMPS 1989 r r j 6 1.. ........:,. 032 A( Lul I N f / IL C.�Q1?�lh 14 G� The Commonwealth of Massachusetts Departinent of Industrial Accidents Office ol/nvestigaUons 600 Washing-ton Street - Boston. Mass. 02111 Workers' Compensation Insurance Affidavit _ ___ �----,-- _.... __,,._... ------ t---....�.....,...,-.�--..;ate.,-•.... <.-----_.. �_- ......_ ,�,:,I�a:Nrt information• - _ -. ._.«. � Please PRINT lebtb�v �a � name• location: city nhonc# 1 am a homeowner performing all work myself. 1 am a sole proprietor and have no one working In any capacity ter.— »ter L..::::,�:�.�.:,�"r�::..�.�.r,r ;4.�.,,..�•.�� :;,�-.tip'.r��°,�,,,,�-�"',�:� .:: t . _.:..., .r -_..�---�^� --".�``�'�'�"t"' 1 am an employer providing workers' compensation for my employees working on this job. comp•tm^name- - address city: nhonc#• insur ce go. 'A I am a sole proprietor, tracto or homeowner(circle one)and have hired the contractors listed below who have the following wor•ers' compensation polic coin an nameA))! a(ldress• s?D:::� phone N: f c6 Q insurance co. lie # boaL3 9-? � .4.� •.. u.. _.. tK.FI'«- -:�y�y_II.yy.•...+,,,��+.nt.''''eF .+�i^e'�nAr�'�sy 4Z""�.-^-,�i�t7!:f�+�.^.y�_'v'?C�r. T ��.: '�s2�:r.��., -�.�•-....-s �..+t1..u�.aS.p. .__....�ITL' .Y -ri•JdiYalYi - /�1 � �r company name• •tddress- city phone#• insurance co policy# - Attach additional sheet if tiecess$77- tom'+ £:;" '• " ^'; " �' �" ^ Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of 5100.00 a day against me. 1 understand that a cop),of this statement may be forwarded to the Office of investigations of the D1A for coverage verification. I do berehr certifi'under the pains air d yiafties of perjuiy that the information provided above is true and correct. / Si_nature Date ,/ Zj z,� Print name Phone# official use only do not write in this area to be compacted by city or town official city or town permit/license# Building Department Licensing Board check if immediate response is required �Sclectmen's Office s, [3liealth Department Contact person• phone#• rJOther Im ised 3195 P1A1 f oFVIE tpyy . ~: The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: 42,77 &x io _aa�, Est. Cost��, Address of Work: 0 ` r 1•c �2. J Owner's Name �1L,�i�►2_��Jia.�+� .� �p��y= Date of Permit Application: %D /2, I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied • Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the�age of the owner: /02 1 Aoo0o / 20 ZI batk Contractor Name Registration No. OR Date Owner's Name .�' - � - w �, � . � _ - ���. .... , ,,y ,i ;� r. �' . � �. , . � � _ —"� s � � �, .. H � p V\\V � w Cq O H C �y9 I' � p„Q � "O . '� Cv _ _ � �-o cn � � - n _ 6 OJ .. � � r T � ~ to � t-' � m A tlV b�] Cf] oo H � � � .. �> m m �o a .y � .. � i--' 'T 1 0' �' �� (D �. i:'11��il1Zn'1`::-rv�,i.Tv^.�.'..�,�.4 x e+.e�n.'a 1 �.r...... .. � ✓�ie -Pam�;n�m�ue�z�� o����ac�iu�eC� mat HOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standard; One Ashburton Place - Room 1301 Boston , Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR Registration 120055 Expiration 10/10/97 Type - DBA T .A . BISSELL & SON CONST TODD A . BISSELL 75 POINT OF ROCKS RD BREWSTER MA 02631