HomeMy WebLinkAbout0490 COTUIT BAY ROAD /� e f
t
TOM Town of Barnstable _ Building
rPost This Card So That it is Visible Fro1 . m the Street-Approved Plans Must be Retained on Job and this Card Must be Kept
v `e� Posted Until Final Inspection Has Been Made. Permit
Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. :. Permit
Jlll
Permit No. B-18-2794 Applicant Name: PERRY, MICHAEL&NANCY Approvals
Date Issued: 08/31/2018 Current Use: Structure
Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 02/28/2019 Foundation:
Location: 490 COTUIT BAY DRIVE,COTUIT Map/Lot: 055-034 Zoning District: RF Sheathing:
Owner on Record: PERRY,MICHAEL&NANCY t Contractor Name: Framing: 1
Address: 490 COTUIT BAY DRIVE Contractor License: 2
COTUIT, MA 02635 Est. Project Cost: $0.00 Chimney:
F Permit Description: 7x 8 shed Perm ee: $35.00
Insulation:
Fee Paid:. $35.00
Project Review Req: Date: 11
8/31/2018 Final:
ZwPlumbing/Gas
Rough Plumbing:
Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas:
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for.public inspection for the entire duration of the
work until the completion of the same. ; Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service:
Minimum of Five Call Inspections Required for All Construction Work:
1.Foundation or Footing Rough:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department
Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
Town of Barnstable
THE T � Bailding Department Services -
Brian Florence,CB
iAxxsresrs. = Building Commissioner
1639. 200 Main.Street, Hyannis,MA 02601
prED www.town barnstable.ma.us
Office: 508-862-4038 Fax:;5.0-790-62TOLn
a
c
PERMU9 �1 — l R— o `7 q FEE: $35.00
Z
r—
SHED REGISTRATION co rn
RESIDENTIAL ONLY
200 square feet or less
v C o
I,ocation of shed(address) V V-illage
Property own name Telephone number
Size of Shed Map/Parcel#
v
Signature Date
I
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission Jurisdiction?
You must file with Old King's Highway
Conservation Commission(signature is required)
Sign off hours for Conservation 8:00-9:30&3:30-4:30
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLIC-ATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
TMS FORM MUST BE ACCOWANLEI) BY A
PLOY PLAN
Q-fflrms-shedreg
REV:08/6/17
�v2 (� t�i
�b ' �i-r�
� � S«Perms
n �� �'
i
Y -- - -IC,
..�
eoK
/J t u 1
CIO I l bcp GAS.. �, Q
V
00
LOCATIO" Tv ,
4aclaL
I C.6 4Z T%r--{ T;4 A T T N G FC>U►.A7�T-tl�� I-lotiv►J Pt-A►.1 . R E F EKE►.1 c:E
Wr--e%o►J GorVIPC-YS W/ITN TNT!: SID�•L1�--1E
AWZ:> SETpi C4 RE4UIRE,V�E�TS .6.i= ,TNE N ?K ?-cl AGr=' !
?o w U
� l Y r�.
B,4 XTEIZ. �
.• REGISi•UZi=� LA.I.a� Suevi=Yo1'LS
TI-115 p•LA" 15 WOT B4SEt7 O R.�J OSTE2VIL� o AiCr45S.
lo.�y�cJMEIJT �12VE�( � TIaE UF���rS ljldGialLD APPLI GA.IJT Rf'>�:��` ti.1 '�==�P�i i�==-"1�• .
- 1?- 77
Assessor's map and lot numbe X� ......�"��! * D y�
Sewa a Pe 'r SEPTIC SYSTEM MUST BE
I` Permit,,number .....................�................................ INSTALLED IN COMPLIANCE
g WITH ARTICLE 11 STATE
y�FTME,tp G: TOWN OF BARN.' � R�AY
.� jSED
TOWN�o
i MARNSTODLE,;e'
Mb`q BUI�L�DING INSPECTOR
a YAY Ar. r", e'
U, �.
f` APRLICATION FOR PERMIT TO ........` �....b................................ ...........................................................
4 I PE> OF CONSTRUCTION ....... .......................................................................................
.......... ....dA 4...............19..(,...
Is
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according ton the following information:
Location 4%......5. P-T, 0-4-7-s iT �A� Q.�!.�. - �u`T"U t` —.......................................................
............ .... ........ .... ........ ..... .................. ..........
Proposed Use �rs� Q i l`4 r f
ZoningDistrict Fire Distract � !�.�
........................................................................ ........... ..............................................................
Name of Owner �. .. Address `�� $v
.... ..... ....................... . ........................................................................... ..
Name of Builder .... Q � ... ►!lZ l PA(! ��...............Address ..1? .2� ��3 f.CJoTi� t�.j.... dS�
.... ...... ...:................
Nameof Architect ..................................................................Address .........(.,..........................................................................
Number of Rooms ...........5..................................................Foundation ....11.Oc.� �......�...e �fE
..................................................
Exterior .......w .00...:!W'P�.i�k. '?..................................Roofing ........Nf?.Qtt 6 .......................................................
Floors Interior ......... }4tr6�Tr2Q :........
Heating �f .. t+o`-(— G� '.;.fit.........................Plumbing ........ ?.Q.I.�.R2.... ......�klS��..........................
.......................................W....!...
Q
Fireplace ..........-2..^.......V !.641C...........................................Approximate Cost ......... ......................................
Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area _.. ..,7 ..�........ ............
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
o 3`-/77
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardip g the above
construction. � d
Name . .................. ..................................................
4 Sonntag, George
No,,,'19.026... Permit for ....one..stox
' s� Le•• ami1• dweL13
Location Lo.t..•#28•••Gotu-Lt•.B y..Dr.Lv.e............
Go•t u i t. ...........................................................
s
Owner ...George•••Sonatag................................
Type',of Construction .wod•••frame..................
q .......:...................................................................
.. Lot Plot .:...............
"-Permit Granted ........... &7CC. ...17............19 77
Date of Inspection .. . .. .. a`.l.. .1
� .�. �.
Date Completed ......19
PERMIT REFUSED
................................................................ 19
...............................................................................
...............................................................................
i .......................................................................... .
improve ................................................ 19
rr.............................................................................
o
...............................................................................
Assessor's map and lot number ... �U'T r
�,
Sewage -Permit number ............:.............:...............................
4 TOWN OF BARNSTABLE
i
i EARNSTODLE-To ,
10 BUILDING INSPECTOR
i RFD YPY a'
' APPLICATION FOR'.PERMIT' TO I
r TYPE OF CONSTRUCTION �t%PA d`��—
............................................... 7.
TO THE INSPECTOR'OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
L` 6A4 bQ�
�............ .................�oLocation a -
Proposed Use .....ohf ....•firNk=.Sibs-.....
it c�
ZoningDistrict ........................................................................Fire District ............. .....................'.........................................
Nameof Owner ......................................At..............................Address ................................................. ................................
Name of Builder ............. : �KrT-00 tokrq� Address p.K...�s3::.:.L�oT.. IT .....�idS�•
................
Name of Architect Address ....:.:.......
Number of Rooms Foundation :. �)U Qfr� . O'dKtrL
..................................................... ...............................................
Exterior ......
s
........... ht�h� ........ 5��/�1. ....... ........................................
...... ..... .Roofing
..................................................................:.....Floors
A. 4 � Cris.?P�e' `��.-•A`Ii2v�
.............................................................................Interior ............
Heating G`_;:i � T/a-
.... ....... ......�........................ . ........................Plumbing ........ ........... .....................
Fireplace .........�:..........�:.!..�..fL............................................Approximate Cost ...........DtPp!;:�, ..........................
Definitive Plan Approved by Planning Board -----------_______-----------19________. Area ..........
Diagram of Lot and Building ,with' Dimensions Fee �.a .:................ . ...............
SUBJECT TO APPROVAL OF BOARD OF HEALTH
r
J
87
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ...... ..... .... ... .. ............
Sonntag, George 55-34 ,
No' D2.6..... Permit for ..RTI 4..XLtJC$...............
.....sing.Le..f roily...dwelling,.........................
Location .Lo.t..#28..Cotuit..Bay...Drive..........
..............6otuit.......... ......................................
Owner ...George..S.onntag..................... o
Type of Construction .......wood..frame............
i ............................. ... ....................................
Plot ............................ Lot .....#28..............,......
M '�c • - -
Permit Granted ...........a..�..h..17...............197 7-
J -
i Date of Inspect' ..........................19
Date Complete ...............................19
PERMI i REFUSED
................................... ... ........ 19
(?J7
.............r
.................................................
.'.............................. ...................................
fr.. ................. .........:... ....................................
...............................................................................
a
/ \Vim' •� Y _w _
4 10
Y'
LE►CN Fi T ,
10 a m
k SEFTc TA► Y-
2
. V I
C.
�v N l E
' ►:� ►�::� ., �� CE1ZTlFiED ptbT P�.a►..t
1>4.T r- 3-'7 ?'7
t G6iZTir-4 TNAT T44r— �vv'LXW ► OSubwN
�-1� t�N GorvlPt-YS W 1TN TNT* •SIVE.U64f'-
Awa SETt3ncK REQUjOeA AEWTS .d�� TNT P�-Qt�l�B ?IC Zit Z PAGE Z"7
Zo w►J of 13lz�1►•�ETA 13 t_�",
l_oT Zb
DATES
B�4 XTErZ � AYE ►+Jc,_
i�EG�S'cC-.IZ�.� 'L.A.1,lD SUevc�foeS
TMtS DLAW 15 LIOT BASE'Q 0114 AN OSTEftVILt.6 0 /1rCl�SS�
tw,q Qu"F-WT 54)zvr-Y 4 Tt-ka OFcrSETS SNovt� APPLt CANT [i0�7E �N'T" .
tJbT dG UScc> To o[�TceMt�1E t.DT LlNas
t ALTERNATIVE
WEATHERIZATION
(d�-R37/
Date
Town of Barnstable
200 Main St.
Hyannis, MA 02601
CD1
�7
Re: Permit# J y�l J .��' w o
. , V T
The insulation work at
has been completed in accordance with;78tltili2:
.. . . . ... .. yam.
Agency work performed for
Timothy Cabral;
President
CSL-105454
58 DICKINSON STREET I FALL RIVER,MA 02721 (508)567-4240 ALTERNATIVEWEATHERIZA'ION®GMAIL.COM
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Ma P r 4 3 YIN OF €3ARIiSTAELE
p a cel Application #
Health Division ���i n^ ?7 r � ��' `-'�
Date Issued
Conservation Division Application Fee -
Planning Dept. ° ,,._,,......,.,....:.,o - Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
f
Project Stre Address `(/qq D r
Village
T
POwner Address
Telephone
Permit Request kc
e,_
�C. . �l'1.SLi�e 2/r►-�� �1(ly"r . /cJ`�'?cJ�l'' ���C�fi
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 6 Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family 0 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 ❑ 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
f (BUILDER OR HOMEOWNER)
Telephone Number
Address La..r-k—Sf. FQ« AVe� License
MA 0 a")�`r Home Improvement Contractor# /7�6
Email f�he��vQ W 2 a` er-i Zu 1t��h�-C°' �I Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOJ '-S -
SIGNATUR DATE
FOR OFFICIAL USE ONLY
.� APPLICATION #
DATE ISSUED
MAP/ PARCEL NO.
4
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
v INSULATION
r FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS. ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
t
s ASSOCIATION PLAN NO.
DotuSign Envelope ID:986D676G6316-4135-AEAA-067417903F14
�oF rake Town of Barnstable
�, �v . 0
WV Regulatory:Services
a
IIARvsTABLE� Richard V. Scali,Director
y IMAM.
�p 1639 � Building Division
Paul Roma
Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-7.90-6230
Property Owner Must
Complete and Sign This Section
1, NANCY :PERRY
as Owner of the subject property
hereby authorize d to act on my behalf,
in all matters relative to work authorized by this building permit application for:
490 Cotuit Bay Drive Cotuit, MA 02635
(Address of Job)
DocuS- ned by:
P- 1 12/14/2017 1 8:52 PM E ST
_.:.-.._ _...._.__._....._...........-...._.._.............................................-...... - --- ------.......................................-._..........
Signature of Owner Date
Nancy Perry
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form.
J
C:\Users\decollik\AppData\Local\Microsoft\Windows\lNetCache\Content.Outlook\L7U69LF21EXPRESS(2).doc
01/25/17
The Commonwealth of Massachusetts
JD Department of Industrial Accidents
1 Congress Street,Suite 100
Boston,MA 02114-2017
n7m mass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Lezibly
Name(Business/Organization/Individual):ALTERNATIVE WEATHERIZATION, INC.
Address:2 LARK STREET
City/State/Zip:FALL RIVER, MA 02721 Pbone#:508-567-4240
1
Are you an employer?Check the appropriate box: Type of project(required):
1.[a I am a employer with 16 employees(full and/or p�-time).* 7. ❑New construction
2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling
any capacity.[No workers'comp.insurance required.]
9. ❑Demolition
3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t
10❑Building addition
4.[]I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions
proprietors with no employees.
12.[]Plumbing repairs or additions
5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.E]Roof repairs
These sub-contractors have employees and have workers'comp.insurance.:
14.❑✓ Other I NSU LATION
6.❑we are a corporation and its officers have exercised their right of exemption per MGL c.
152,§1(4),and we have no employees.[No workers'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.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:STAR INSURANCE COMPANY
Policy#or Self-inss..(Liic.#:0849257 00 Expiration Date:4/4/18
ZA
Job Site Address: / r U Ca h City/State/Zip: OAIitif,
r /
Attach a copy of the workers'compensation poli claration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certify unde 1h ins an ralfies p rjury that the information provided above is true and correct
Sip-nature: Date: ! OZ_ /
Phone#:508-567-42
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#:
1
�...., ALTEWEA-01 SNER NHA
Ai1L'ORD•V CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDO/YYYYj06/28f2017
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 have ADDITIONAL INSURED provisions or 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 endorsemen s.
ACT Christine Costa
PRODUCER
Mason&Mason insurance Agency,Inc. tw"c0,"ao,Est):(781)623-0067 wc,No):
458 South Ave. -MA L .t ct)sta asoninstlre.cam
Whitman,MA 02382
INSURE S AFFORDING COVE RAGE NAlea
INSURER A.Evanston Insurance Co. 135378
INSURED INSURER B:Safety Insurance Company 139454
Alternative Weatherization,Inc. INSURER c:Star Insurance Company 18023
2 Lark Street INSURER D: I
Fall River,MA 02721 INSURER E:
'I INSURER F:
COVERAGES CERTIFICATE NUMBER: I 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\A HICHITHIS
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.
INSRLV_ TYPE OF INSURANCE AODLINSD SUER POLICY NUMBER POLICY EFF POLICY EXP
LIMITS
WVD
A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000
I CLAIMS-MADE VI OCCUR 3C42088 06/07/2017 06/07/2018 DAM#GE TO eENTEr s 100,000
MED EXP(Any oneperson) S 5,000
PERSONAL&ADV INJURY S 1,000,000
GEN'L AGGREGATE LIMIT AP��PL--IEj)S PER: GENERAL AGGREGATE S 2'000,000
POLICY j j LJI LOC i PRO' DUCTS-COMPIOPAGG I S 2,000,000
OTHER: I I I (5
B LIABILITY I IL,jEe attl.�dP�BS1NGLE LIMIT I _ 1�dQ���QQ
�AUTOMOBILE
i ANY AUTO ' 16237702 04/0812017. 04108/2018 I BODILY INJURY Per erson) 5$
(OWNED SCHEDULED
AUTOS ONLY X AUTOS p PR�OPEIITY (per accident) S
X HTR ONLY X NOALIT ONLY I Per d nt AMAGE S
S
A UMBRELLA LIAB X OCCUR EACH OCCURRENCE 1'000'000
X J I EXCESSLJAB CLAIMS-MADE) OBW6619616 06/0712017 06/0712,018 AGGREGATE i S 1,000,000
DEC) I I RETENTIONS S
C WORKERS COMPENSATION T I OTH
AND EMPLOYERS'LIABILITY YIN C 0849257 00 04/0412017 04/0412011 I 500,000
ANY PROPRIETORiPARTNERlEitECUTIVEFN] [E��L ACCIDENT S
FICERrMEMBER EXCLUDED? N 1 A 500,000
Mandatory In NHI E.L,DISEASE-EA EMPLOYE S
It Yes,describe under E.L.DISEASE-POLICY LIMIT S 500,000
DESCRIPTION OF OPERATIONS below
i
i
I
l
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddMonal Remarks Schedule,may be attached It more space is requirecil
Action Inc.and National Grid USA,its direct and indirect parents,subsidiaries and affiliates shall be named as additional insureds on Commercial General
Liability policy per terms and conditions of forms CG2010 and CG2037 and Commercial Auto Liability policy per terms and conditions of form SCA 005(02
16).Forms Available Upon Request
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
National Grid ACCORDANCE WITH THE POLICY PROVISIONS.
40 Sylvan Road
Waltham,MA 02451
AUTHORIZED REPRESENTATIVE
ACORD 25(2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
{ ". li diltlG sii1 l M sF iYE[3��i bft }r r
°:..-�a✓�,n�#ruc��c�1 Sttp� f:as '�t' ;« _ -
rtS$flClCtflSt3N T ,
.E����y.,i�wMQy.(d�' •6'""' t.f ��1y�.1�µ��{y� Fi. M•"[� '
y
dX/ w0M4X19w1t'w
Office of Consumer Affairs and Business Regulation
10 Park Plaza- Suite 5170
Boston, Massachusetts 02116
Home ImprovemeC�ntractor Registration
; ,� y Type: Corporation
y,1 i'' Registration: 175M
ALTERNATIVE WEATHERIZATiON,INC.
2 LARK ST r� ' '-1��,i Expiration: 05f28/2019
FALL RIVER,MA 02721 4
Update Address and return card. Mark reason for change.
SCA t 0 20M-O 1;
.__._.._. ._..__._... .._.....-.. ....... .._......,...____ ❑ Rig
�G d/ Atfdr�►QQ gal FmyO,ymanf n LeQ#• arri
.A �f�r; t %:i�rirrr.:icrucrrl(�of i�•'7Lru:.ur,�nect!
- Office of Consumer Affairs&Business Regulation
7 r
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:Corooration before the expiration date. If found return to:
_ PLSan Eniration Of lee of Consumer Affairs and Business Regulation „
_A1.75W 05IM2019 10 Park Plaza-Suite 5170
ALTERNATIVE WEITtiEAt7A7lON,INC.
5n,MA 021116
TIMOTHY CABRAL',
FALL RIVER,MA 027P1 Undersecretary
rstory
pr
OFINE►per Town of Barnstable *Permit#
Expires the from 6 mon issue. ate
Regulatory O
STAB Services Fee
i 7ARNL�. r....._._..._....- ......_ .-
MAss.
i6 Thomas F..Geiler,Director
p 39..��0
'FD1AP` Building Division
Tom'»'er "y:Building Commissioner
17' ®® _ . �.
:.: 200 Main Street; Hyannis,MA 02601.- .. .. .. m a
Office: 508-862-4038..:':.';: :
NOV 2004
Fax: .508-790 623.0 -
EXPRESS-PERMIT APPLICATION RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint I OWN OF R
Map/parcel NumberA5T0. G�
Property Address
m2/
1[�esidential Value of Work (/•. Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address PdGf '
0 41
Contractor's Name OPLr L'4��1'T d �1 .1fGA�O rJ/n1 Telephone Number � /�
Home Improvement Contractor License#(if applicable) P7 tTZ k
Construction Supervisor's License#(if applicable)
❑Workrnan's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ dram the Homeowner f�
I have Worker's Compensation Insurance
Insurance Company Name
Workman IsComp.Policy# (4 S O y
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
Q"Re-roof(stripping old shingles) All construction debris will be taken toar�
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
ome Improvement Contractors License is required.
Signature
Q:Forrrs:expmtrg
Revise063004
o
Isfand Siding and Rgofing
a division of 4VTConstruction; Ins
8-7an Se6astian 01im #14
Sandu,*k Wassachusetts 02563
Telephone 508.420.5243 and 508.833.5249
Eacsimife 508.833.0098 Emaif caperoofer9caperoofer com
Wass VC#134286
Proposal To: September 26, 2004
Rob Grady
490 Cotuit Bay Rd.
Cotuit, MA 02635
We are pleased to submit the following specifications and estimates for reroofing:
Strip existing asphalt shingles and flashings
Install new aluminum drip edge and pipe flashings L
Install 3 ft. Ice&Water Shield to eaves, interwoven w/step flashing on cheeks& slights
Install Typar-10 roof uriderlayment to remaining roof Ty' -�, y2. eu Z
LO G
Install 30 yr. Tamko algae resistant architectural grade shingles
Install continuous ridge vent to all ridges
Refastening gutter and supply and install gutter guard (waterfall system) - no extra charge
Clean up and haul away all debris to landfill
We hereby propose to furnish material and labor.- complete in accordance with the above
specification, for the sum of:
ELEVEN THOUSAND TWO HUNDRED DOLLARS ($11,200.00)
PAYMENT TO BE MADE AS FOLLOWS:
$11,200,00 Upon Completion
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner
according to standard practices. Any alterations or deviations from the above specifications,involving
extra costs will be executed only upon written orders,and will become an extra charge over and above the
estimate. All agreements contingent upon strikes,accidents,or delays beyond our control. Owners to
carry fire,wind damage and other necessary insurance. RLT Construction,Inc.carries General Liability
and Workman's Compensation Insurance. Certificates of Insurance provided upon request.
ACCEPTANCE OF PROPOSAL: The above prices, specifications and conditions are
satisfactory and hereby accepted. You are authorized to do work as specified.
Payment will be made as outlined above.
Date of Acceptance: Signature"
Start Date: Signature
Board of Building,Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registrat n_ 134286
Ejoiratwnr 1012212005
�``'` SIDING8�ROOFIN
RLT CONST.INC4 ;.
RONNIE TAYLOR- _� r ! c. � .✓
8 JANSEBASTIAN`DR#4`, y
SANDWICH,MA 02653. <<«c{
A.dm