Loading...
HomeMy WebLinkAbout0011 TUPELO ROAD // TuO�o -- -- _ - t 3Vi3k 6 Town of Barnstable *Permit# 0 �P ? Expires 6 months from date Regulatory Services Fee ce( -_� U MAR 1 4 2006 Thomas F.Geiler,Director I. Building Division TOWN OF BARNSTABLE om Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 mil; www.town.bamstable.ma.us U Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ,{ Not Valid without Red X-Press Imprint Map/parcel Number U,T, /0 Property Address �/ �//r���d `; 7 �sidential Value of Work to Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name 126T- GONJ T lArc. J G d v 40r Yd A,. Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) n4,rkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ Iam the Homeowner have Worker's Compensation Insurance Insurance Company Name Oa y / Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑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. Improve ent Contractors License is required. SIGNATURE: Q:Fonns:expmtrg Revise071405 .Y Isla nd S id' a nd Ro ofing Wjq. M-1- a division of RL7ComMxtion,Inc. March .10, 2006 Charles Primpas 81 Tupelo Rd. Marstons Mills MA 02673 We are pleased to submit the following specifications and estimates for reroofing: Strip existing cedar shingles and flashings Install new aluminum drip edge and pipe flashings Install 3 ft. Ice & Water Shield to eaves, interwoven w/step flashing on cheeks and skylights Install Typar 30 roof underlayment to remaining roof Install 18" red cedar grade shingles Install continuous ridge vent to all ridges Clean up and haul away all debris to landfill We hereby propose to furnish materials and labor—complete in accordance with the above specification, for the sum of: FIFTEEN THOUSAND DOLLARS $15,000.00 PAYMENT TO BE MADE AS FOLLOWS: . $5,900.00 Upon Completion All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alterations or deviations from the above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents, or delays beyond our control. Owners to carry fire,wind damage and other necessary insurance. RLT Construction, Inc. carries General Liability and Workers Compensation Insurance. Certificates of Insurance provided upon request. ACCEPTANCE OF PROPOSAL: The above prices, specifications and conditions are satisfactory and hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: o Signature Start Date: Signature r/t�jktolkl 31 Manni Circle Centerville, Massachusetts 02632 Telephone 508.420.5243 and 508.833.5249 • Fax 508.420.1776 • Emaitcaperoofer@caperoofer.com 4 Board o f$Lildin ' — gRegulation HOME IMPROVEMENT sand Standards �` CANT R Re gistcafion °. RACTOR : License or 1342 re atio Expirat)o -i 86 before the gistr n valid f < 10/ ex or.individ ,� — �2J' 007' Board Piration date. u1 use r �YF�e: :D6, of 'On Mound r 6glY RLT CC9NST INC " One Ashburton g Regulations and .return to: Rp b'A=1SrSI1�i Boston,'Ma Placeit►i��301 Standards NNIE TAYLOR � 4 =4� SING&R 02168 31 •.• OOFI _ CENT NNI CIRCLI= N ERVILLE,MA 02362Ac ;_• � I-Strato-r • "-�-ail....... Nof4alid without - - lgdatur _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map O S-'7 Parcel A 8 3 Application # /Z —/s-7 3 Health Division Date Issued Z3 G Conservation Division Application Fee 4 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board �o M Historic - OKH _ Preservation/ Hyannis ,t✓w►�u. S � . Project Street Address H A 03- 3 5- Village Co m M6 ` S Owner Address /i -n.iu o IPd Q&-4, }- nA 016 3s Telephone SOY- 1/1&-G 77G Permit Request Tng6(I Y 4vtr of 2-30 6,s b2, 4-- i, a44-�c. sna�c. NwO_ :rn,, 1( T ; Square feet: 1 st floor: existing proposed 2nd floor: existing. proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family .N� 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 0 Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: 0 Yes❑ No . lD Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑.existing ❑ new size_ Attached garage: ❑ existing El size _Shed: ❑ existing ❑ new size _ Other: w ?' Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ � rn Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number j&- s-� 7-G 70Qa Address y?v 6 rr..4- License# i03961 �d �l R.j, t1A Home Improvement Contractor# 1 80?V'7 Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO L�I�'ec� �,✓�a/e Fa/I P..'vtr MA O)-7 J-•O SIGNATURE �� DATE G 3 f i FOR OFFICIAL USE ONLY ` APPLICATION # �+ry DATE ISSUED MAP/ PARCEL NO. ? t • ADDRESS VILLAGE , ` OWNER , DATE OF INSPECTION: , FOUNDATION FRAME s> INSULATION i. FIREPLACE ,4 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL + r F' 'GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT. . y ASSOCIATION PLAN NO. 4 � f The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street, Suite 100 Boston,lVlA 02114-2017 www mass.gov/dia NVQrkers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WiTH THE PERMiTTiNG AUTHORITY. Applicant Information Please Print Legibly Name (Business%;organizationiindividual):Insulate2Save/Roland Langevin Address:410 Grove Street City/State/Zip:'Fall River MA 02720 Phone#:508-567-6706 Are you an employer?Check the appropriate box: Type Of project(required): I.E 1 am a employer with 20 employees(full and/or part-time).* 7. New construction. 2.[]1 am a sole proparietor or pannership and have no employees working for me in 8. Remodeling any capacity.[tJo workers'comp.insurance required.] 3.E]I am a homeowner doing all work myself.[No workers'comp.insurance required.] 9• ❑Demolition 4.❑i am a homeowner and will be hiring contractors to conduct all work on my property. twill 10 Q.Building addition ensuree that all contractors either have workers'compensation insurance or arc sole I LE)Electrical repairs or additions proprietors with�no employees. 1.2.❑Plumbing repairs or additions 5.0 t am a general contractor and i have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance? 13.a Roof repairs + 6.❑�1 a are a cotpor:rtion and its officers have exercised their right of exemption per MGL c. 14.0 Other insulation 152,§1(4).and we have no employees.[No workers'comp.insurance required.] 'Any applicant that cheeks 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 jhis 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-c3ntractors have employees,they must provide their workers'comp.policy number. fain an employer Niat is providing►Porkers'compensation insurance for my employees. Below is the policy and job site ln,Urmafion. Insurance Compan: Name:Liberty Mutual Insurance Policy#or Self-ins::Lic.#:XWS 56418741 Expiration Date:12/10/16 Job Site Address._i P I/�a U City/State/Zip: Celvd— t1A 014a35- Attach a copy of toe workers' compensation policy declaration 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 S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of.a STOP WORK ORDER and a fine of up to S250.00 a day against the violptor.A copy of this statement may be forwarded to the Office of.Investigations of the DIA for insurance coverage verification. r 1 do hereby certify tinder the pains and jWnalti s of erjluy tlrrrt the information provided above is true and correct. Signature: ,/��` Date: 613114, Phone#: 508-567-6706 / 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 Heallth 2.Building Department 3.City/Town Clerk 4. Electrical inspector 5. Plumbing inspector 6. Other Contact Person, Phone#: 1 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 180747 Type: Corporation Expiration: 12/29/2016 Tr# 261507 INSULATE 2 SAVE , INC. ROLAND LANGEVIN 410 GROVE ST FALLRIVER, MA-02720 Update Address and return card.Mirk reason for change. Address Renewal _ EmpEoymcnt Lost Card SCA 1 0-20M-05/11 " _ Office of Consumer Affairs d Business Regulation License or registration valid for individul use only «9 A 1 OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 180747 Type: Office of Consumer Affairs and Business Regulation Expiration: 12/2k016 Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 1 INSULATE 2 SAVE, INC. i i ROLAND LANGEVIN 410 GROVE ST FALLRIVER,MA 02720 Undersecretary Not valid without signature t Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-103861 Construction Supervisor ROLAND LANGEVIN 1 10 56 HIGHCREST ROA ' FALL RIVER MA 0279A= i i � I i (�Z. : Expiration: ' Commissioner 08/2412017 i i i . i t • i , DATE(MM/DD`YYYY) AC40 o® CERTIF-ICATE OF LIABILITY INSURANCE . 12/7/15 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 terns and conditions.ofthe 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 CONTACT NAME: Anthony F. Cordeiro Insurance PHONE FAX (508) 677-0407 CM N : (508) 677-0409 171 Pleasant Street E-MAIL -ADDREs: hsouza@cordeiroinsurance.com Fall River, MA 02721. INSURE S AFFORDING COVERAGE NAIC# INSU.RERA:Liberty Mutual Insurance INSURED INSURER B: Insulate 2 Save, Inc. INSURERC: 410 Grove St. INSURERD: Fall River, MA 02720 INSURER'E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES 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.LNAITS.,SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AWL SUBR POLICY EFF POLICY EXP LTR TYPEOFINSURANCE INSR MID POLICY NUMBER MNO MM/DDIYYYYI LJMnS A GENERAL LIABILITY Y Y BKS 56418741 12/10/15 12/10/16 EACH OCCURRENCE $ 1,000,000 X CONMERCIAL GENERAL LIABILITY DANIAGETORENTED Ea occuTencel $ 300,000 CLAM-MADE F0 OCCUR MED EXP(Anyone person) $ 5 000 PERSONAL&ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER PRODUCTS-OOMP/OPAGG $ 2,000,000 x POLICY PROT LOC $ AUTOMOBILE 12/10/15 12/10/16 COMBINED SINGLE LIMIT A Y Y BAA 56418741 aaccidert $ 1, 00,000 ANYAUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS X AUTOS NON,OWNED PROPERTY DAMAGE $ X HIREDAUTOS X AUTOS eraccrdent A X UMBRELLALUIB X OCCUR Y Y USO 56418741 12/10/15 12/10/16 EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000 DED RETENTION$ S A YORKERS COMPENSATION XWS 56418741 12/10/15 12/10/16 X I WC STATU- I I OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ 500,000 OFFICEPA EMBER EXCLLDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500,000 If yyes describe under DESI;RIPMN OF OPERATIONSbelow E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 10l,Additional Renerls Schedule,if more space is mcidred) Proof of Insurance. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICY PROVISION. 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: : r Federal 104,0&0405629 RISE Engincering Ri CorF3racEor`R&gdtlott ida;tl#86 I' @tA�otttractor Reglatratttsn too 12t)9?9 A.divisioa of 1 hielsc3rEugintering C7 Cgnfrador Regis6atlon'Atot?20120:: i = 5 Dugont:Ave,,South Yarme.uth t41A a2664 EIZlktERINfi 508-568-1926 FA7�SU8- 1933. C 'TRACT Page 1 PROGRAM C. true eoa+txacr.is ourEnnurosErw�¢uir TAG-.HES AMTIM-MT0MF.IO0RXAS oEsta�oo eEww. CFIS7ouER ._.,.,.__._.._._ toriE _�—�..�.._r.�_ oA'rE.._._..._._._.._.. aiFxr� .xroRFcoacEri Jeanne.L Pearson .(50.8)428-6776 451f872416 220234- 00003 SERVICE-STREET .11 Tupelo-Road i l Tupelo:Road SERVICE Cny..STATE. 8lCLtItO:C{TY,STATE;Z!A .-....._. -"—'_..._._.--.-......_.... -� ... .._ Cotuit;:Mt142635. MarstDM,MiIIs,;MA 02f 48 JOB DESCR&TION PHASE:ONE-Troposal To- i calendar year: $0 A'fR SEAt:ING Provide-labor and:tttatenais'to sealareas ofyroui home against wastelul�aicess au leakago ThFs cvoric will: pertormed.in concert with the use'of special:tgols and•dlagnostic..tesu to,ass ure that.your home wti{be:left with a ttealthfuYlevol of air exchange and indoor:atr qualig:.Materials to bC;4s;d to seal,your home;eaa include caulks;?foams; . � .. . wc�atherstnpping and'other products. Prunaty areas.for sealing include au[eakage;to av4cs;:liasements,attachcd.garages and other'unheated.areas(windows are not generally eddressed.) (0)workug haul. kreduction in:cubic feet per minutc.(cfm)of air'InfilCratidn w0{.occur,but:the ectiial:numberofofmisnot-.& steed: r1['{!C)l.AT:?Ptoytdelaboraidmatenals to install a9"layer of,R-30.urifaced fi $1,1'S5:00 bErgtass belts to j 1419)squaie feet of Fittic space: ATTIC iCCCESS Provide tabor and mat fiats to install(I},Casty moved,imoi tg cover for the attic access foldingstau. A. R$39AS. small flatsurface bf,*.wood wlll:be Crested around the opening within the:sutc: This w1l4allow the.cover's:Fntegri(weatl►er- W R ing td�restnct air'lealcage. Vogtll TION•Provide'tatior and'mater als;ta snsfaFl vetmlation.cliutes in{fl8)racier bays to.inaltrtiiin airflow: • 7;65 _. :$367:1:2 [NCENTIVE.`'RISE Etiguieentig.witi app)v.all applicable,eligible inc�ttives tothrs;conttget;You will.beIilled'�lythe"Net amount G Frrmstly:for households where total tncome- ,{ess than orequsil to 8O%' medianAncome;.the Cape t tght Compact oecp:I WA-incentive.toward eligible msuhdion measures;no'tito exceed`$4;tk)O per calendar year and as incentive of-.]0,00%for the.Air Sealing measures: For the safety and health of your.home's indoor;rquality:we wiq be conifutxtng a W6wi rdogr,aiagnostic ofthe•available airflow• in your home,'tioth before the work.is beguty and s8er:the weathen7atron work u comp{ete.We.wFll also conduct a.dlagnostc assessment•of the comliusGon funTes m the:ezhausPflue.of your flrating system and water heater.71iis has:a;value of$90 and is at no cost to you.. $96.00 I -SAY F RISE E r-ng-. rlD.0 oa oaassis .' AlContractor R"1 o8tslraUon h!o 8t86' A divislDTT_pf Th etsch ETTgiaeeri.TTgZE � r�Sistratiott i.to't�3i9: CcbDr Reg9stiation Na.:&201 � - 5 Dgp Ave,South Yai1TTouth;INA.A2b60 Ct?MTRkT 'sos�s6s-�gzg F,x sos•s6s�1933 Page :2. PROGRAM CLC=HES, EH�An 'cuasoaEArat':x aa. AkSCRIRE]).BEtOW' CUSMER'--- VNONE' OATS - --� CLfEAR'C: N10RKORQEJt Jeanne I:Pearson ($09)428-6776.. 05k18/20I6 220234' 00003: aERsncE srREET aw-M ATRFET ----- 11.1 Tupelo:Road L I Tupelo Road 'SERIACE CITY•ETAT1:,2FP 'BRlkt(i CITY.STA7E,'77P - .. .. Cotuit;lVlA 02635. mAi•sWns::MJJIs,MA;02648 JOB DESCRM, ION. Total: $462945, Program Irs;Ont ve: $41029:43 WE AGREE:HERMW TO.FUR"H SERVMWL CoW[PLM jM'ACCaWAMCEyM,. SOyE.SPE<�FICA7i0NS.FOR:THE SUb1 OF 'UDOid FIFfAI.NiSPEC71op ANO APPROYAL.BY R18E EN6 1o.CUSTLkER AGREES TO REMR AMOUNT MM W FULL IATERE8T OF t%WfLCBE ClYiRLiED.MOl7TTT1Y OM"aNT'' 'WWAW allANM AFrER:30'>aAYB;SEE'RE1fEASP FOR't�tppRTAN[.ittf'ORIiIU'fpN;ON•O1iARAMfEEB:RtGHTy'Og ltEpyiON;gp ,q��pp .RE6ATR1lTi0N.. DD"tdO ;SIGN MlS CONTRACT ¢NE:AtiY BLANK 3P94<rES " RX .'ACCEPTANCE .. NOTE.T1if8-COfdrRACT.MAYBEWlT1iD RAW N.BY!U81F.NOTEXECUTEO.WMW, 'DATE�OFFACCEPTANCE: 30 aceEPT%1tA0E OP CONTRACT n�ASM'PRICM WECTF<CARQ7� AN0,966KjoNS ARE DAYti.' -3AIPPAC70W TO' S'AtiD A3MMERMY'ACCEP„TECYOl;'ik;AUfl Di7o DdTHE.IWRK . . A9,8➢EOfi7ED PAY(tEH1'N!ILL.BE GiADE.AB.AtJ;iL'lpEp.gg'pV£: .. M1 . Same • nos y l t�rti'�:•S al'ybh,,loir-. rS"ti'ee�. s.:1�A�82601. � ' ' �PRr�ttl�fa.�sIc..maas ' Pff 50$-&fi2k8.. .- ny: Sm geegn'emsto �s J�Pt g�o�aer�p �1�C�f 3QII� ��S,t�•�G �� �� to aLG`,bii I�i��. m.a�I matters r�lat tA: azei.by tiffs bA i4 pe=alp lirat3oi�;for fenoc :aas:; Lie respa�s �cif. eppat I'3at3s , atob £ csrtzed. r •e�s ,sd:auctIna : to of Offer S av e of . • �.�: �' 'tars: ..... . Pam; -. . . E o• TOWN OF BARNSTABLE Permit No. _- 28045 t,,,.ns Building Inspector cash ($1,000.0C �?_ ',a '+o.,Y OCCUPANCY PERMIT Bond ______ Issued to Bertil N. Pearson-1I-1 PQ'd Address �.: 17 ' T'.e::-----r_�T�}'.oad, 11arstons Wiring Inspector j /(�j Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Kr/G Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. X-� .......................................::............ 19...... ._ ;............................... ....._........__.. ....... w_._._. ._ Building Inspector l os. -74 / 1....o `r ' -7 Q \ Q O 44� I 8,5 01 �9 0 t� V) Z7' m 'e- 7,�s, qz J1. 30so " eoA > I CERTIFY THAT THE FOUNDATION SHOWN DOES NOT VIOLATE ANY EXISTING ZONING REGULATION OF THE TOWN OF P, It OFWALTER %yh�cgn��a P. /�R K)STAP..,L E:, MASS , I ®Qa®FIAM � ,. � ��v�C�A`f•°'r 0 N C��`T"!�t�,/�.rt©� No.23207 su E�®�' 3-i z P—,r r.) �oS Eric-i2. r4ssoc� lr.�C, R�y►���-'t K. sess4's map and lot 'number ..... ................. THE Sewage Permit number ..... ............... J TA L L E D R/GA 1 5 1 DARN LE, ...........................House number ........ 1639- ENVIRONMENTAL a MAI raes TOWN OF BARNS ABLE, BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ............................................................................................................................. TYPEOF CONSTRUCTION .......... ....................................................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a ppe it according to the following information: -2 / 7,',7 5!� -�- A��.. ...Ij!21 P, / ! - Location ....Qyvgt!;�:&.........CO.V.e.. /�..c.. ... ... .. . ..... .. ... .......... rr Proposed Use ....... (...............................................................I.............................................I......................... ZoningDistrict ........................................................................Fire District .............................................................................. .....Alt... AIN..ay..Address ...1 Name of Owner . .. ....... Name of Builder .....................!,.�4...A, 4?................................Address ..................... ............................................. . . ... .... Name of Architect ... ..............Ad dress' 7 ..... ... ... .....22�....... ...... i6hc!c� 4�-./!�:..,lll,.r Number of Rooms .... `/./.........................................................Foundation ... ................................................. Exterior ...... .....................................................................Roo fing ......Asf..11. ,4. ................................................. Floors .... ...........................Interior .................................................................................... Heating ...E- ....................................................Plumbing .................................................................................. rr Fireplace ..................................................................................Approximate Cost �Oao.................................. Definitive Plan Approved by Planning Board ----19 Area .....41//1'S—��..................................... , D,C�l IC Diagram of Lot and Building with Dimensions Fee .................7-t)..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............................4..ZZM7................... Construction Supervisor's License ................................. 'YEMISON., BEFTIL N. X 28045 One Story No'................. Permit for .................................... ...... waidy..... Sing�e-F4 ..DwAal.I Wig................... Location ... ...... ...RQad.. Marston Mills ............................................................................... Owner ......................... Type of Construction ..EKWre............................ ............................................................................... Plot ................ Lot'... ............................. .............................. Permit Granted ...-June..18.jl...................19 85 Date of Inspection .....................................19 Date Completed ..... ......119 Town of Barnstable *Permit#G? o%��o Expires 6 months from issue -PRESS PERMIT Regulatory Services Fee JUL 13 2007 Thomas F.Geiler,Director Building Division `- TOWN OF gARNSTABLETom Perry,CBO, Building Commissioner oW��l� 200 Main Street,Hyannis,MA 02601 www.town.barnstable,ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel NumberZ�7 o l/ Property Address � ! l� P/0 aol /NfResidential Value of Work U oil Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address � �o00 Contractor's Name JK k C3 Cl ' /v ill rt- �ji G Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) p3dlorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner qI have Worker's Compensation Insurance Insurance Company Name T /N7( ie Q Workman's Comp.Policy# (,�Sl0(1L//3 73 CS 7 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) �Re-roof(stripping old shingles) All construction debris will be taken to L/4.C� ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. 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. c py of the Home Improv ent Contractors License is required. I SIGNATURE: Q:Forms:expmtrg Revise061306 r - The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 ,. www massgovI&a Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lep-ibly Name (Business/org„anizationtWividual): Address: Llo W Jq fa'a-Ep vt5 City/State/Zip:(d4'11 A-i-) , A4 A Phone#• 12il• W7 '176L) Are you an employer?Check the'appropriate box: Type of project(required): i. am a employer with /6 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors � 2.❑ I am a sole proprietor orpartner- listed on the attached sheet. t ? ❑ Remodeling ship and have no employees These sub-contractors have 8: ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions c. 152, ,and we have no myself. [No workers comp. §14� ) 12. Roof repairs insurance required.]t employees. [No workers' 13—Other r comp. insurance required.] *Any applicant that checks box#11 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. tContracton that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy infonnation. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: (6s(o()Us o Expiration Date: 3 0$ Job Site Address: city/State/Zip: 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 v lion. I do hereby certi under the pains and penalties of perju that the information provided above is true and correct. Si atwe: p ,r 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 S.Plumbing Inspector 6.Other Contact Person: Phone#• DATE(MM/DDIYYYY) i4C0-RQ CERTIFICATE OF LIABILITY INSURANCE 02/27/2007 PRODUCER (781)344-0098 FAX (781)341-2563 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION John P. Russe I I Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 65 Pearl Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Stoughton, MA 02072 INSURERS AFFORDING'COVERAGE NAIC# INSURED SUNR I SE CONSTRUCT I ON I NC DBA SUNR I SE ROOF I NG INSURER A: Vermont Mutual Insurance Co 26018 40 WARREN AVENUE INSURERB: Hartford Insurance Co WH I TMAN, MA 02382-1312 INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY BP11000184 03/15/2007 03/15/2008 EACH OCCURRENCE $ 1,000,00 X1 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50 00 CLAIMS MADE PI OCCUR MED EXP(Any one person) $ 5,OO . A PERSONAL&ADV INJURY' $ 2,000,OO GENERAL AGGREGATE $ 2,000,OO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00( ElPOLICY JE O- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea aoddent) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per acddeM) $ PROPERTY DAMAGE $ (Per accident) ' GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND 6S60UB-7376B96-7-06 03/18/2006 03/18/2007 WCSTATU OTH- EMPLOYEW LIABILITY 6S60UB-7376B96-7-07 03/18/2007 03/18/2008 E.L EACHACCIDENT $ 100,000 B OFF _ICER/ME BER EXCLUDED?ECIITIVE E.L.DISEASE-EA EMPL6YEd$ 100,000 If yes,desafbe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY IUND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Insured Copy AUTHORIZED REPRESENTATIVE ;? 11PL11a de ACORD 25(2001108) OACORD CORPORATION 1988 �te �oo�c�ica��ureal� o�. lataac/rureCla I Board of Building Regulations and Standards License or registration valid for lndividul use only HOME IMPROVEMENT CONTRACTOR i " �; '• C before the expiration date. If found return to: r. Registration: 144986 Board of Building Regulations and Standards Expiration: 11/24/2008 Tr# 12447; One Ashburton Place Rm 1301 Type: Private Corporation I Boston,Ma.02108 SUNRISE CONSTRUCTION INC. " BRUCE WHITTEMORE f 40 WARREN AVE. WHITMAN,MA 02382Administrator Not Not valid without signature g e 0� • �Fi �ra�u��tl Sunrise Construction Inc.MBR ass ' T Sunrise Roofing "mot 40 Warren Rve., Whitman, MR 02382 CerEainTeeds Ptms�ssnonA<Rowat Federal I.D.#03 0397695 781-447-1700 • 508-697-5450 • Fox 781-447-1705 MA Registration# 566 www.sunriseroofing.net MA Reg. Exp. Date PROPOSAL SUBMITTED TO HOME PHONE DATE 40 rn rn�s P soy- - o -aq-o STREET WORK PHONE OTHER PHONE // _r& lelo '2 CITY, STATE AND ZIFF CODE JOB LOCATION mi lis 0a C Vif ATTN: i We hereby submit specifications and estimates for: 1 Strip-and re-shingle E174i f-c h6m t 2 Install 6'of ice and water shield under shingles at all gutter edges, 3'in valleys and 12"around all penetrations. 3 Install white/brown aluminum drip edge. 4 Install 151b felt paper. 5 Re-flash dormers and wall afeas. 6 Install cut valleys or weave valleys. 7 Install new roof flanges on vent pipes. 8 Install new base flashing on chimney base. 9 Replace all rotten roof boards with 1x8 boards @ $5.00 per foot or$60.00 per 4x8x1/2"sheet of plywood. 10 Renail all loose roof boards. 11 Cover house and shrubs with tarpaulins for their protection. 12 Clean and remove all debris. 13 "'MAGNETIC CLEAN-UP FOR NAILS"' 14 Install Shingle Vent 11 or Snow Country ridge vent. CertainTeed Woodscape 30 year. — CertainTeed Landmark 30 year. $ 10-year Craftsmanship Warranty on installation. Q IA J6 v I 1 s�,a P I i we tiik- Pwrs qty,lordusf of debris/n your'att/c:Plea:'cover gr`iemove.all vslu`able"ss We are not responsible for satellite re-programming if required due to removal and re-installation of dish. NO RETAINAGE TO BE HELD.Customer agrees to pay Sunrise Construction Inc.its reasonable attorneys fees and other costs incurred In connection with any action necessary for the collection of any over- due amounts.Customer further agrees to pay IS%per annum Interest on an amounts overdue by more than thirty days. VE f ropillat hereby to furnish material and labor—complete in accordance with above Specifications, for the sum of: paccew dollars fS /0,0t to be made as follows: 1 %DEPOSIT 1/2 OF BALANCE UPON START OF JOB. .O 1/2 OF BALANCE UPON COMPLETION OF JOB ENTAL CONDmONS.All Material is guaranteed to be as specified.AI work to be completed in a worlananGm manner according to standard practice.Any alteration«deviation from above spedfieatbn s Imatving s win be executed any upon written orders,and will become an ware charge over and above die esdntata.Arty changes In oroieG spedfi�dans reciting from arst�er dtanM order«atmckaaf candttfan beyond m►ontrol will be subjected to supge charges.The above Prices based on the owner hTaV all workareas ready so oaf elf wok can be performed n one oonik.operatbn.The Owner e��s to provide maso►ss to the bfiding f«khslhllafidn a d swu=agrees to reimburse the Cantrario f«an costs Ncunad by reason of haooessibl ity.An agreements�n upon skims acddeeyorhd our carry fire.tornado and other rmoessary .Oo workers are holy covered by Wodumen Campohsatlah Irwrence and LWft rinshaance.�nd to kderior ed v.wind damage.GaflsrrhansMp does not Dover PrOAM ppeerforrnanc�e.Wrrtghty nd vtlM hmtll��wld In tug.CarhbacMr makes ro othher of arty Mrd.e�ressad«�Nir1n has rno_aufhority to c'9 to ib carrditiorhs..AilefTM0N:Any anboversy arising under,_out o1,in eonrnedion wfU,or relation to This Agreement ant arty amen rnent therad«breadn thereof,SW 2 Install V of ice and water shield under shingles at all gutter edges, V in valleys and 12"around all penetrations. 3 Install white/brown aluminum drip edge. 4 Install 151b felt paper. 5 Re-flash dormers and wall areas. 6 Install cut valleys or weave valleys. 7 Install new roof flanges on vent pipes. 8 Install new base flashing on chimney base. 9 Replace all rotten roof boards with 1 x8 boards @ $5.00 per foot or$60.00 per 4x8x1/2"sheet of plywood. 10 Renail all loose roof boards. 11 Cover house and shrubs with tarpaulins for their protection. 12 Clean and remove all debris. 13 —MAGNETIC CLEAN-UP FOR NAILS"' 14 Install Shingle Vent II or Snow Country ridge vent. CertainTeed Woodscape 30 year. — CertainTeed Landmark 30 year. $ 10-year Craftsmanship Warranty on installation. /�� Tf K JA)00 ` rdcl ur atfla please:Cover"o`"iremove'ell vafuetites We takenospons16111h't°r dust or-debris Iri j!oeq;o„of any wa*- We are not responsible for satellite reprogramming if required due to removal and re-in with afi action of dish.necessary tor the NO RETAINAGE TO BE HELD.Crrdarter rise Cow Inc.its reasonable attorneys fees and other costs incurred in connection with arty due amounts Custorner further agrees to DaY 18%per armum interns on an anwuMs overdue by more than thirty days �-��� dollars %+ ). P rD�1DSE hereby to furnish material and labor-complete in accordance with above ecifications, fort a sum o . �2 (!. 10%DEPOSIT 1/2 OF BALANCE UPON START OF JOB. Payment to be made as follows: •o C) 1/2 OF BALANCE UPON COMPLETION OF JOB manner awodU�to standard p AM ekeatbrn or custirarror Ufa Alt Material is guaranteed to be as specified.At work to be inqW ea sperm mTtW our FPI.EMENTAL CONpmONs: an extra c aNP over and above de esamate wodc can contimre a r Le. extra costs will be,maated only upon written orders,and wig beomrre baste an the owner having au wok areas�of�hweat =s m hterbr damage _ . br the traUor's control va8�oe subpjected to charges,� prices b se the CoNrado for all ooze hnwnredsurence and VNarre AD mv at am W4 ar in�kea « ,shall We access W de tornado eind otter � .Our woand 'a are ln9ry nog WIW��valid hm.Coma. a wat4n this Aantfes h C o mmSam enA cods and a Owner to carry foes rn isdon not cover pnodtd in urger out o1.m oome�°ns be Irell Ieg� Ice gams wind damage.tatt�tyrna� war, to its albn� � �abloWl�mno flat tts Mork Milt praeent m rernow moO gtOA tIn Eutlding p warranty.er which has nor and settled M ar�tramn in Bostar4 In wand��n4asy d�B�intet oos>and atlawa✓s lees. "" suarl train as gabinies and costs eAaing from mold growth upon such award may be entoed In enotwA lto k4ernnity avingeying trom"tnmld building:and agrees Owner releases Sunrl ell gaol tar dances Note:This proposal only valid %slays. if accepted by the customer within Authorized wner's agent. Signature its are required.It is the obligation of the contractor to secure such permits as the homeo REQUIRED PERMITS:The following building perm on Place,Room 1301;Boston,MA 02108;617-727-8598.unless otherwise clots and subcontractors shall be registered and any Inquiries about a contractor or subcontractor relating to a registration NOTE:Owners who secure their of permits or deal with unregistered contractors are excluded from the Guaranty Fund provisions of MGL c. 1 NOTE: All home improvement co should be directed to:Director,Home Improvement Convector Registration;One As noted within this document,the contractadhered to all not sicircumstances ply thatany tbeyond the contractoren or other security es convol�arise:laced on the residence. The following schedule will be adheif'7 r? I b 7 thereto at a place other than an address of the seller,which may bt Work Scheduled To Begin After: 6 laZ 9 /0'7 Expected Date of Completion: You May Cancel this agreement if it has been signed by a party ler in t his main office or anch his ma in office or branch thereof, provided you notify the sell the hid business writing y following he signing of the agreement. posted, telegram sent or by delivery, no later than fmidnightr See back for notice of cancellation and explanation of this fight dDO NOT SIGN THIS CONTRACT IF THERE ARE Y Acceptance SPACES A cceptance of�rQ�IIJP�� -The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized Signatu to do the work as specified.Payment will be made as outlined above. � Signature Date of Acceptance: PERMIT PAYMENT RECEIPT r. TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET Y HYANNIS, MA 02601 DATE: 07/13/07 TIME: 11 :07 � -----------------TOTALS------ -------- ,PERMIT $ PAID 41 .00 AMT TENDERED: •41 .00 y AMT APPLIED: 41 .00, � . i CHANGE:" .00 APPLICATION NUMBER: 200704307 PAYMENT METH: , CHECK PAYMENT REF:, ,. 1592