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Home My WebLink About1160 PHINNEY'S LANE (8) �D o2 `�'O . i ARBOR TERRACE - 81-12-1636 CHECK #: 016 2-0 4' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ,273 089/OOP Map Parcel Application rt2_0 l(1 Health Division Date Issued UJla 7!l Conservation Division Application Fee '450.00 Planning Dept. Permit Fee i $35.00 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis P� Project Street Address UNIT # 4D ; 1160 PHINNEY'S LANE; HYANNIS, MA 02601 (ARBOR TERRACE) Village HYANNIS Owner CLARA PEASE Address 1160 PHINNEY'S LANE 4D; HYAAON IS, MA Telephone 508-790-4878 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 ne�l �v Z Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Counter Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other tx) Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood%coal sto e: ❑%-Yes ❑ No i Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing cLl nevw 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 T FER TAT N; 50 ORKSHOP RD. ; SOUTH YARMOUT , MA 02664 SIGNATURE DATE ERIK NERSTHEIMER FOR RISE ENGINEERING W FOR OFFICIAL USE ONLY , APPLICATION# ;DATE ISSUED h, t MAP/PARCEL NO. ADDRESS VILLAGE OWNER a•. DATE OF INSPECTION: 1 FOUNDATION ` FRAME r INSULATION FIREPLACE 9 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL a GAS: ti ROUGH s� FINAL ,rFINAL BUILDING 1 J w• DATE CLOSED,OUT ASSOCIATION PLAN NO. <' Print Form' : The Commonwealth of Massachusetts � -�- m - • -�= Department of Industrial Accidents Office of Investigations 1 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 employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New 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 g, ❑ Demolition workingfor me in an capacity. employees and have workers' Y P tY• 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 1 L❑ 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 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. 1 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#4D 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 nder a es o er'u that the in ormation provided above is true ar d correct. ------- sit! ature: ---- - - -- --- 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#: BARNSTABM Town of Barnstable Regulatory Services I MAY 9 2012 Thomas F.Geiler,Director y' ' 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, CLARA PEASE ,as Owner of the subject property hereby-authorize RISE--ENGINEERING; Ar,-DIV. OF THIELSCH to act on.my.behalf; , in all matters relative to work authorized by this building permit application for: 1160 PHINNEV S LANE,. UNIT 4D; HYANNIS, MA 02601 (Address of Job) Signature of Owner Date CLARA PEASE Print Name If Property,Owner.is applying for pe`rmit,.please complete the Homeowners License.Exemption,Form on the reverse side. 44 C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\DDV87AAZ\EXPRESS.doe Revised 072110 Arbor Terrace Condominiums fli nationalgrid PROGRAM SIGN-UP SHEET �p�,�f �� INSTRUCTIONS: Please complete this form to authorize the installation of an''i' f IIS116 �g avri3 measures in your unit. You can choose any combination of measures. word es all . aten and :p- installation. RISE Engineering will contact you to schedule appointments to co I the wo 4 Return the completed form within 7 days in the enclosed postage paid envelop' or f E`rrgih en`lvm�t i 401-784-3710. If you do not want to participate,you do not need to return the f rm. If you have any questions, please contact Meaghan Quinn at RISE Engineerin at"1-80 - • - - mail: MQuinn @THIELSCH.COM. ,` EnergyWisr ®UI/IVEl3 IiVF®f2MATl®IN(Please print) q r ,A+�� ✓t Owner's Name: C a<r Owner's Address/unit# /� ,�C7 I n n e u ; 1=r v1 n;f' q L� L Zan Daytime phone 3 4 1/-V,G 3 Lzf ` o Evening phone .67�>g- 7 SO =irk''7 L Air Sealin Attic-Insulation and Hot Water Conservation (inclucles all material an costa anon EY:S ONO Total Cost: $1,212.50 National Grid Incentive: $972.50 Your Cost: Not to exceed 240.00 billable upon completion 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, fit, 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 t: j SF of open attic areas to achieve an approximate R-49 insulation value, including soffit baffles, as needed, for all flat ceiling areas. r, NOTE: Attic flooring and storage items may reduce the amount of area that can be insulated. Hot Water Conservation: Furnish and install hot water pipe insulation for the 1 s`6' from the water heater, water saving showerheads and faucet aerators as applicable. Attic Folding Stair insulation and Air Sealing, .., .. inF u es all material ana installation): I" OYES AO Total Cost: $166.5 NGrid Incentive: $83.25 y^ Your Cost: Not to exceed H3.25 billable upon completion Thermo-dome Cover: Furnish and install"thermo-dome"attic stair insulating } cover. ❑YES AO for Digital/Programmable Low Voltage thermostats(No Cost) Y: ® Digital/programmable low voltage thermostats (Robertshaw RS61-10 or exact equal) replace existing manual thermostats in dwelling units ` .L Quantity of digital thermostats needed? 4 i.0 ------------------------------------------------------------------------------------------------------------------------------------------------------ By signing below, l agree to have you implement the improvements 1 have selected and agree to the associated costs shown. ✓ Owner(please sign) ?1� _, P� Date� i z- THIEL-1 OP ID:.27 CERTIFICATE OF LIABILITY INSURANCE FIL13112 TEIMM/°DIYYYY) 0 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): FAX'VC No PO BOX 810 EMAIL East Greenwich,RI 028.18-.0.816_ ADDRESS: Judith A.Wright CPCU AAI ARM INSURER(S)AFFORDING COVERAGE NAIC fl - INSURER A:Zurich-American INSURED Thielsch Engineering,Inc. INSURERS::American Guarantee&Liability Thielsch Group Inc. Hi Tech Realty Inc. INSURER c:Twin City Fire-Hartford TrentTherouX 195 Frances Avenue INSURERD:North American Capacity 195 _ Cranston,RI 02910 INSURER E: y 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 MM/DDIYYYY MMIDDNYW LIMITS GENERAL LIABILITY EACH OCCURRENCE y 1,000,00 A ?JIMERCIAL GENERAL LIABILITY X 37301962-01 01/01/12 01/01/13 PREMISES Ea occurrence $ 300,00 CLAIMS-MADE FRI OCCUR MED EXP(Any one person) E 5,00 PERSONAL 8 ADV INJURY $ 1,000,00 GENERALAGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG E 2,000,00 POLICY X 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) E ALL OWNED SCHEDULED AUTOS ' AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ E 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 E 10,000,000 DED RETENTION$ $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N RY LIMIT ER A ANY PROPRIETOR/PARTNER/EXECUTIVE 3730961-01. 01/01/12 01/01113 E.L.EACH ACCIDENT $ 1,000,00 OFFICERIMEMBER EXCLUDE 09 N/A _ (Mandatory In NH) If yes,describe under E.L.DISEASE-EA EMPLOYE b 1,000,00 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,00 C Property Section 02UUNHE6930 01/01/12 01/01/13 Property see Belo D Professional Liab DVL000026802 01/01/12 01/01113 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 T 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 l'rere uisite Information Licensee: NERSTHEIMER, ERIK S. Relationship: Attribute Of - - License No: CSSL-100459 Discipline i No Discipline Information Documenium s . is http://elicense.chs.state.ma.usNerification/Details.aspx?agency_id=1&license_id... 4/25/20.12 . t Office of Consumer Affairs d Business Regulation - 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 ^Home Improvement Contractor Registration JUN 20 2012 Registration: 120979 Type: Supplement Card. THIELSCH ENGINE +RING. Expiration: ,3�25�2014 1341 ELMWOOD AVE. CRANSTON, RI 02910 Update Addre ss ess and return card.Mark reason for change. SCA t 0 20M-05/11 - - Address Renewal Employment Lo t r ❑ ❑ ❑ ❑ s Card ��e�a�cLnzacuae�clt/n/�C�/ft'cc:r,ccc�utefl� . ffice of Consumer Affairs&Business Regulation License or registration valid for individul use only V.Expiration::-3/2512014 ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation egistration : Type: 10 Park Plaza-Suite 5170 Supplement Card Boston,MA 02116 THIELSCH ENGINEERWG ERIK NERSTHEIMER. 1341 ELMWOODAVE:`` CRANSTON,RI 02910 Undersecretary Not valid without signature e Control No: 3 4 2 4 4 THE COMMONWEALTH OF MASSACHUSETTS a 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, R102910 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. HEATHER E. ROWE,ACTING COMMISSIONER L, Printed on Recycled paper - - Engineering'Dept:(3rd flooLr) Ma�p r: /' Parcel Permit House# Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) - - `y�`�.~Fee tad ot GG Conservation Office.(4th floor)(8:30-9:30/1:00-2.00) 13 EPTI SYSTEM MUST BE Planning Dept. (1st floor/School Admin. Bldg.) IN Definitive Plan Approved'by Planning Board 19 �AND E,NV4 �,HS TOWN OF�BARNSTABLE TOWN ®r!oJe!Ct Building Permit Application eet Address / vo ;P/Kfi'a G /� a2 Village 61 3 Owner -7/ Address Telephone Permit Request - VjC (o vsY Y&H-O&A-AJ 'DVR_-11_1AA First Floor square feet Second Floor square fee Construction Type Estimated Project Cost $ � l�- 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 p 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 C,l.�t C,L/,q-,t� c� �'- Telephone Number Address '' p,$x 212,E License# o5�'3y(D �7v 7 .�t LL r ✓ - 2=�=>'Z Home Improvement Contractor# 1 Zo q" .Worker's Compensation# �2��62 � ' � � NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PR.9 WILL BE TAKEN TO SIGNATURE DATE 6 ( 3 1 BUILDING PERMIT DENIED FORa THE FOLLOWING REASON(S)