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HomeMy WebLinkAbout0095 TUPELO ROAD (2) _� r^ e 0 _„ � _ _ _ _ - - - - - ' - ti i 9 { 1 i I i ,� f r t i ,'J l �_ ;1 ..{ 1 3 0 �' e 1� _ �. 1. �� o 3 1 17 ,j �� �' '� J S T � � r' ��� o � C � m >> ssessor's office (1st floor): Assessor's map and lot number ......a.�...... a........�"'�. mot THE ro` Board of Health 3rd floor): I/ � Q Sewage Permit number ... ......l......[..... Engineering,Department (3rd floor): House number ... .. . . . . , s y• 5 ° i°}9'd��� Definitive Plan Approved by Planning Board��Zla ��0 / _ . :`...:ia � 0 - --- 9 i � APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only .y�4v �'1ECiVrs TOWN • .OF BARNSTABLE BUILDING jNSPECTOR APPLICATION FOR PERMIT TO p - 6. .......................................... TYPE OF.CONSTRUCTION r�f?�.. !�.! -� ................................................................................................. 3.�.....�. .........................19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........ ,GJ.T..... .. ....... %J.4"`-C 0.... .........VVVQU .... .���........................................... Proposed Use ..........iK.4>. ...................... Zoning -District ................ ..................................................Fire District .�......... �QS Name of Owner ..... ! e..... o..................Address ........ c�.�........�e�. Name of Builder ......... 4`}V`!`E ........................................................Address .7 A (� p r,.� ?i` Qf,...;................................................ ,Name of Architect ....1. .Q�. .....It/^ !�`�cJ�`e'�^- '.....Address ..... ........kM.r.!4 . . � p r Number of Rooms ........UA .........................................Foundation �� Clfl�e .......................... Exterior ......C1 �:1 ... C. Roofing .......+1�.Cv(..:`.� ''S.. ....................... ......................................... Floors .r...V.,A.bk......& 9 ........Interior ........ u>> .Sd 4.. .C.'d�F ............................... , p U J� rfeati.ng �K�......r .�.. ..,.w.�..!.1-.0 ......................Plumbing .......P. .C..�....C.f��.e ......Z. .2....Z Fireplace ...... . .............................Approximate Cost ......2�1i�.,S.G Area Diagram of Lot and Building with Dimensions Fee �o , 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 ..........................��,....�.�—.�. .—, 7" ... ...................... Construction Supervisor's License Ud��le T BAYSIDE BUILDING CO. o Permit for .....1.i...S.f:OX.y........... S. ng.le..TAM.ily...Dwellin.g.......... Location 95...T.Upelo.-..Road ................... ax.s. ons..Mills....................... Owner ...Bay5-i-de...Bt1ildizig...Co............. j Type of Construction ...F.rame.................... --a Plot ............................ Lot ................................ Permit Granted .......A ?rll 18 r..........19 89 Date of Inspection ....................................19 Date Completed .......... ............ y Y r � �ti c b � TOWN OF BARNSTABLE Permit No. ,3 K!...... BUILDING DEPARTMENT 1741f } TOWN OFFICE BUILDING Cash O 7 .Y� G 11 �'�taor► HYANNIS.MASS.02601 Bond ..... .� CERTIFICATE OF USE AND OCCUPANCY Issued to Bayside Building Co. Address Lot #9, 95 Tupelo Road Marstons Mills, Mass. USE GROUP FIRE GRADING' OCCUPANCY LOAD 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. September 1, 89 , 19................. ...................... Buil ng Inspector ��.,� °•,w TOWN OF BARNSTABLE BUILDING DEPARTMENT rasiST = TOWN OFFICE BUILDING rug �g '679• HYANNIS, MASS..,02601 I MEMO TO: Town Clerk FROM: ' Building Department DATE: An Occupancy Permit has been issued for the building»authorized by a Building Permit--#: .. C�� n............._..................... » ».._. ...»»......._ w . issued y Please release the performance bond. . TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PERMIT DATE 19 PERMIT NO. APPLICANT •i••' __ ADDRESS _A.is�'.itl•�i;; IN0.) (STREET) (CONER'S LICENSE) f.4.� PERMIT TO (_) STORY NUMBER OF LING UNITS (TYPE OF IMPROVEMENT) NO. •1 PR OPOSED USE) AT (LOCATION) ZONINGDISTRICT IND.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY_ FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION )TYPE) REMARKS: AREA OR .%•. - _ PER ' VOLUME ESTIMATED COST $ FEEMIT (CUBIC/SO UARE FEET) OWNER ' BUILDING DEPT. ADDRESS BY ' THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- JURISDICTION.PROVED BY THE STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCi,TION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL INSPECTIONS REQUIRED FOR APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PER,M(TS ARE REQUIRED FOR ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL IN IRE INSPECTION TO LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET 61LDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 LJ HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT I OTHER -------— ----- BOARD OF HEALTH --— WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L L BECOME NULL AND VOID !F CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NO T STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE Oil VVRIITEN CONSTRUCTION. PERMIT iS ISSUED AS NOTED ABOVE. NOTIFICATION. .1.144 1`- } -! - __ EL T. 19 77 r i i A. f^ , wVx-rER; No.24048 0I'-A AI i •i-1•-}-�--r-;-art - / C .eT/: :_Y 7XIA7 TyE Fot.)wD -rjc)tJ Lac-47-/0/-/ iJS "! 1;.{.S S' D.WN yE�2E0.1/CO�I.dL YS /.i/jr// SCA L G _ (�U O__ J E: % .O A," d f2�8 rah• •2EF"E,2E�t1C�- . C;Qi7'y/-c,/ Tye .�Loaro44%y �^ I 7rfs�/S P.LAit//S it/�T LA a4 XT,E,e,! dam/ it/YE /it/C. B•4SE0 Aif/ �2E"G/STE,2EI> �,qc�p SU.e{i6Yp,�N�.2U-41JOV7 ")%c F;s'E'rs s,VOJ✓4 0c%T- ;SED,7'4 OET�i�/tj/�(/E .LdT /N�S AOi��./C,Q/�/7' '1 1 TOWN OF BARNSTABLE BUILDING:PERMIT-APPLICATION, Map Parcel Application# Health Division Date Issued--. 2— Conservation Division ..Application Fee 'S �. Tax Collector Permit Feet/ 1 S:( Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Cl.5, Tup ek) ►� Village Owner kJLicj.j \,4giLn •USl(.3 Address WS i -e[o IQd MA4-SRA MA- Telephone SUS,- 4[q- 138 y Permit Request fr-t re y%nri P l 0P ev i SArnn bad-h.n a No S,60 C+V/r_1 keDla CP ok-S Per_can's Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 6-5 S /10 Construction Type \r4wj Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family V Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes No Basement Type: dFull ❑Crawl ❑Walkout ❑Other _Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing 2 new Half:existing nt new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ;4 Gas ❑Oil ❑ Electric ❑Other Central Air: L i Yes ❑No Fireplaces: Existing 1 New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑exis ing ❑new size Attached garage: existing ❑new size Shed:❑existing ❑new size Other: . C C"1 r1 Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# n. Current Use Proposed Use BUILDER INFORMATION C:) r� Name �06041., Telephone Number Scrb• Lj:](�,a Address aQ� _)-e ! License# 0 4. 104.7) c c �,e;a.Gk. O��(; Home Improvement Contractor# Is I �o L Worker's Compensation# W C c 6 , o I a0 0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO °` c L SIGNATURE DATE �Q.— L'1- 0:7 FOR OFFICIAL USE ONLY APPLICATION# ' DATE ISSUED MAP/PARCEL NO. - - y ADDRESS VILLAGE ' OWNER i DATE OF INSPECTION: FOUNDATION FRAME INSULATION �iUv� ! /el9(— FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ZO ij DATE CLOSED OUT ASSOCIATION PLAN NO. Y' r Town of Barnstable Regulatory Services SAMSTABHAS&`E' Thomas F.Geiler,Director Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstab]e.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: �gl'Cows�� Map/Parcel: 7 /a 9 Project Address 9K*%/°4 A. NM Builder: �y/rn�7r r The following items were noted on reviewing: �I IF L� ��ti d oc,✓s f¢0azz& 7'Zee �L�1s�o Reviewed by: Date: /a �00 7 Q:Forms:Plnrvw The Commonwealth of Massachusetts • Department of Industrial Accidents Office oflnvestigations i 600 Washington Street ; Boston,MA 02111' www.massgov/dia ' Workers'Compensation Insurhnce Affiddvit: Builders/Contractors/Blectricians/Plumbe.rs _ Information ,/ p Please Print L Applicant eisibly Name(Business/Orgenintiongndividual): Caae ��S�CI� 6CfALI1Pt���C2S�� •Address: at c�nr�c�re Cl%� Phone.#: lioz City/StateJZip: d1�6 Are ou an employer?Check the appropriate bog: :Type of project(required):, 4. ❑ I am a general contractor and I 1. I am a employer with 6. ❑New construction . employees(full 031d/or part time)•* • have hired the nib-contractors listed on the'attached sheet 7. X Remodeling 2.❑ Tama'sole proprietor or partner- These sub-contractors have g• ❑Demolition ship and have no employees employees and have workers' �Vorldng for me in any capacity. 9. ❑Building addition [No workers' comp.it surance comp.insurance.$ 5. ❑ We arc a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 11.0 Plumbing repairs or additions ' '3.❑ I am a homeowner doing all-work . myself.(No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance.requiired.]t c. 152, §1(4),and we have no to o workers' 13.❑ Other employees.[N comp,insurance required.] *Any applicant that checks box R.must also fill nut the section below showing their workers'compensation policy information. t Eomeownea.who submit this affidavit indicating they an:doing all work and then hire outside contractors must submit anew affidavit indicating'such. tcontractm s that check this box mutt attached an additional sheet showing the name of the sab-contractors and state whether ornot those entities have employees. ifthe sub-contractors have employees,they must provide their workers'comp.policy number. 'compensation insurance fo'r my employees. Below isthepolicy andjob site Xant an employer that is providing workers information. Insurance Company Nasme Ws �rN - Policy#or Self ins,Lic.# \,.!GC Sod to L0 Q0 ac 7 Expiration Date: CC— 7 Job Site Address: 5 City/State/Zip:�/IArcxl�Yt Attach a copy of the workers'compensation policy declaration page'(showing the policy number and expiration date). Failure•to secure coverage as requiredumder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip 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 maybe forwarded to the.Office of Investigations of the 1)IA for insurance covers o verification. �do hereby ce and r th ains•a'd penalties of perjury that the information provided above is true and correct afore: 87 — Phone# �UK 1z$$- 0 TC.1al use only. Do not wrtld in this area, tb be completed bycfty or town official City or Town: ' Fermit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other r °FTHETowti Town of Barnstable ' Regulatory Services va►HASS. e� Thomas F.Geiler,Director 0.A. 1. Building Division Tom Perry,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, 0A &A�msys , as Owner of the subject property hereby authorize us to act on my behalf, in all matters relative to work authorized by this building permit application for. Address of Job) A./t Signa e r ate \J 10JA Print Name i If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Town of Barnstable �OF INE Tp�� y�� o Regulatory Services • Thomas F.Geiler,Director BARNStABLE. p MASS. i6s9. A,m Building Division lE'D MA'1 .Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures: A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations: The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fonrJcertification for use in your community. .... � ���e foanzrxonuerz(���('�.12.(1JJ(LC/1uJ2� ``` BOARD OF BUILDING REGULATIONS i License: CONSTRUCTION SUPERVISOR Number: CS 092897 Birthdate: 09/00 966 iExpires: 09/04/2009 Tr.no: 92897 1 Restricted: 00 JOSEPH M CHENEY 99 STATE ROAD l SAGAMORE BEACH, MA 02562 Commissioner i r � �/ze -Pommzo�uuea�C o�✓l�ea«�lz., __- Board or Building Regulations and Standards HOME IMPRQVEMENT CONTRACTOR ► is Re istratio.6�—"1 5. 1�10 i . Expir--at'[En'6 5/2008' ; t_ • —'ate Ty..p�e"5PGi.vate Corporation i CAPE&ISLAND KITC p '• JOE CHENEY 99 STATE RD SAGAMORE BEACH,MA 02562 Deputy Administrator i i I ' License or registration valid for individul use onf�Y before the expiration date.- if found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston,Ma.02108 i I — vat without Sig re 00-35,000 of enclosed space (MGL CA 12 S.60L) 1A-Masonry only � i 1G-1 &2 Family Homes Failure to possess a current edition of the I Massachusetts State Building Code is cause for revocation of this license. rr — DIG SAFE CALL CENTER: (888)344-7233 pert- �' : C c\P-4-, as T -d ab•b T 668 SOS suataol T A pue T s I I ade0 e9E : T.T GO e T A 12/17/2UU7 11:30 FAA DUO '146 1L18 W.J *nW:16234 =10 ACORD. CERTIFICATE OF LIABILITY INSURANCE �211TIO°�""' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling 8,O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyanough Rd., PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC 0 HIsuRERA: National Grange Mutual Insurance Cape&Island Kitchens,Inc. INsuaal a: Associated Em re Insurance Comps 99 State Road,Route 3A uasuREa C. Sagamore Beach,MA 02562 INSURER D: INBURT7i E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED:NOTWITHSTANDING ANY REOUIREMENT,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 POLICES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED 13Y PAID CLAIMS. AJLWZ TYPE OF DUURANCE POLICY MWSEs PDOAUTCEIM7 PMZMW IUMITS A GENERAL LIABILITY MPOSMS 01M 5107 01115/08 EACH OCCURRENCE $2,000,000 X COMMERCVU-OENERAL UABILITY Man='tSM0.000 CLAIMS MADE ®OCCUR MEO EXP(Arwone ) $10,000 PERSONAL a ADV IN.IIIRY f- 000 000 GENERAL AGGREGATE i GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGO i8 000 000 POLIcr PRO- , A AUTOMOBILE LIABILITY BINDBUB3231 12MV07 1=3108 C40MINEDS04 FLINT ANY AUTO (Essad"d) $1,000,000 ALL OWNED AUTOS S000.YINAIRY i . X SCHEDULE[)AUTOS (Put X HIRED AUTOS BODLYIMURY X NON-0OWNED (Pas°dd�^e f X Drive Other Car PROPERTY DAMAGE f IPW 80-knp GARAGE UAINUTY AUTOOItY.FAACCIDENT ANY AUTO OTHER THAN EAACC f AUTOONLr: AGG f EXCEG"M5RELLA U"RM EACH OCCURRENCE f OCCUR CWMS MADE AGGREGATE f i RDEDUCTIBLE D f ,RETENTION i f B WORRERB COMPENSAYMN AND WCC5006472012007 OW07107 09/07/08 X I TR WCST AN- EMPLOYERS'LIABUJTV E L.EAp1ACCiDENT i500 0O0 ANY PROPRIETORJPARTNERIEXECUTIVE OFFICERNEMOER ExCLUDEDT E1.DISWE.EA EMP s500 000 (Iaxe E6ALPROVLi9110NSbelow E.L DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTOR OF OPERATIONS I LOCATIONS I VENICLES I EXCWBIONS ADDED BY EN°OREFY@R/SPECUIL PROMB10Na Insurance coverage Is limited to the terns,conditions,exclusions,other limitations and endorsements. Nothing contained In the certlficate of Insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. (See Attached Descriptions) CERTIFICATE HOLDER CELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED WFORE THE EXPIRATION Town of Barnstable DATE TWREOF.THE MU049 NSMIER WILL ENDEAVOR TO MAR —10_ DAYS YYRITTEN 200 Main Street NOTICE TO THE CERTIFICATE MUNR NM W TO THE UFT.BU►FAS.URE TO DO SO SMALL Barnstable,MA 02630 INPOSE NO OBLIGATION OR LIABIurr of ANY HIND UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES. AUTHOMMD_"PRMSENTATIYE C. ACORD 25(2001108)1 Of 3 N50256 L81 0 ACORD CORPORATION 1988 CAPE & ISLAND KITCHENS, INC. 99 State Road, Route 3A Sagamore Beach, MA 02562 Phone: (508) 888-4762 Fax: (508) 833- 1442 WON ■ Y CONTRACT Date: 10-24-07 To: MARY WOJKOWSKI 95 TUPELO RD. MARSTIN MILLS 508-419-1384 MASTER BATH REMODEL CAPE&ISLAND KITCHENS WILL REMODEL EXISTING BATH AS PER PLANS PROVIDED. INCLUDED IN THE REMODEL ARE AS FOLLOWS WITH RESPECTIVE ALLOWANCES. PLUMBING: •PROVIDE AL ROUGH AND FINISH PLUMBING FOR NEW DESIGN OF BATH. •DISCONNECT PLUMBING FOR TOILET,TWO LAVS, SHOWER STALL AND TUB. •RELOCATE DRAINAGE AND WATER LINES FOR TWO LAVS. •RELOCATE TOILET TO NEW LOCATION. •INSTALL NEW TUB AS PER PLANS. •RELOCATE NEW SHOWER AS PER PLANS.. •PROVIDE ALL NEW SHUT OFF VALVES INSIDE[2]VANITYIES. •CONNECT TO EXISTING ROOF VENT IF POSSIBLE.AVOID ADDITIONAL ROOF PENETRATION. •SUPPLY AND INSTALL ALL PLUMBING FIXTURES AS PER ATTACHED ORDER SHEETS. PLEASE CHECK AND CONFIRM. •THE ONLY FIXTURE NOT INCLUDED IN THIS PROPOSAL IS THE DECK MOUNT FAUCET AND SUPPLY LINES.THIS MAY BE ADDED TO CONTRACT AT LATER DATE. •ALL PLUMBING TO MEET STATE CODE. . ELECTRICAL: •DISCONNECT ALL NECESSARY WIRING IN BATH. •SUPPLY AND INSTALL NEW FAN TECH SYSTEM FOR BATH. *LOCATION OF EXTERIOR VENTING TO BE DETERMINED. COLOR OF VENT:WHITE •SUPPLY AND INSTALL[4]5"RECESSED LIGHTS. •PROVIDE INSTALLATION OF[2]G.F.I. RECEPTACLES IN SIDE WALLS OF VANITY. •PROVIDE INSTALLATION OF[2]OWNER SUPPLIED PENDANT LIGHTS. •PROVIDE[5]NEW SWITCH LOCATIONS. •ALL ELECTRICAL TO MEET STATE CODE. DOORS AND WINDOWS: •SUPPLY AND INSTALL[2]6 PANEL SOLID MASONITE POCKET DOORS. •SUPPLY AND INSTALL[1]6 PANEL SOLID MASONITE DOOR TO TOILET. *SUPPLY AND INSTALL[1]ANDERSON AWNING STYLE WINDOW WITH REMOVABLE GRILLS. SHOWER DOOR AND WALLS. *ELK GLASS WILL SUPPLY AND INSTALL NEW UNIT AS PER DRAWING. *'/"FROSTED GLASS. i *CHROME TOP AND BOTTOM PRIMA HINGE. P1 (�'t SCE. �d,� { *ELK GLASS:781=545-6262 G r VANITIES AND TOPS: ch cc(, PVC etl'e •SUPPLY AND INSTALL[2]CANDLELIGHT VANITIES AS PER PLANS. •SIZE OF CABINETS:39"WITH EXTENDED STILES FOR 42"WIDTH. HEIGHT OF CABINET:34'/2"PLUS TOP. *WOOD:CHERRY •COLOR: NATURAL •DOOR STYLE: BAYPORT SQUARE INSET. •SOFT CLOSE DRAWERS AND DOORS. ptt •GRANITE COUNTER TOPS:42"X 22"X[2] C o 10 ni a•I GO)-d e.� U i-q DrA ct i e d-G e , •COLOR.OF GRANITE:TO BE SELECTED. EDGE: EASED - Y AND INSTALL ALL TILE SELECTED FROM CAPE COD TILE WORKS AS PER ORDER SHEET. E ATTACHED SHEET AND CONFIRM SELECTION. INSTALL TILE PATTERN AS PER DRAWINGS PROVIDED BY CAPE CODE TILE WORKS. �*TILE FLOOR COMPLETE AS PER SELECTIONS. *TILE WALLS TO HEIGHT OF 45"+-THROUGHOUT ALL WALLS IN BATH. *TILE WET WALL IN SHOWER TO CEILING. *ALL TILE LABOR PROVIDED BY TOM MEEHAN. PAINTING: *PAINT BATHROOM INTERIOR WALLS,CEILING,TRIM,AND DOORS. *PAINT DOOR AND TRIM TO MATCH BEDROOM SIDE COLORS. *BENJAMINE MOORE PAINT PROVIDED. *COLOR OF PAINT TO BE SELECTED. GENERAL: *COMPLETE GUT OF EXISTING BATH. *INSTALL NEW WINDOW AS PER PLAN. *FRAME BATH ACCORDING TO NEW DESIGN. wa LGymF�J *INSULATE EXTERIOR WALL. -V- *RELOCATE A/C HEAT AS REQUIRED. IF POSSIBLE INSTALL VENTS IN TOE KICK OF CABINETS. *PROVIDE ALL PLUMBING AND ELECTRICAL AS STATED ABOVE. *BLUE BOARD AND PLASTER BATH COMPLETE. *HANG OWNER SUPPLIED M IRORS. *INSTALL SOLID BLOCKING WHERE NECESSARY. *MODIFY INSIDE OF EXISTING CLOSET WITH SHELVING AS REQUIRED. *PROVIDE ALL PROPER FLOOR AND DUST PROTECTION. *PROVIDE 20 YARD DUMPSTER ON SITE. *CLEAN AND VAC WORK AREA EACH DAY. *COORDINATE ALL SUB CONTRACTORS. *PROJECTED START DATE: 1ST.WEEK OF JANUARY 08. *ESTIMATED LENGTH OF JOB:6-8 WEEKS. ORIGINAL QUOTE:$55,535.00 ADDITIONAL COSTS: *TILE OVERAGE:$1,914.00 *SHOWER DOOR OVERAGE:$1,200.00 EXTENDED HEIGHT, SIDE PANELS AT DOOR,AND FINISH. •PLUMBING FIXTURES: WITHOUT DECK MOUNT AND SUPPLY LINE. 44� -L--, V TOTAL J�540.00PAYMENT SCHEDULE: to *PAYMENT DUE UPON SIGNING CONTRACT:$10,000.00 *PAYMENT DUE UPON COMPLETION OF DEMOLITION:$15,000.00 *PAYMENT DUE UPON COMPLETION OF ROUGH INSPECTIONS: $15,000.00 *PAYMENT DUE UPON DELIVERY OF TILE:$18,000.00 *FINAL PAYMENT DUE UPON COMPLETION OF WORK:$5,540.00 we propose to fumish material and labor in accordance with the above specifications for the sum of TOTAL OF$63,540.00 ACCEPTANCE OF PROPOSAL: SIGNATURE // DATE !d (� -07 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M /A DATA �'yJ1A'�A'1�l�i .✓�lC ppi^.5..tt .. br), co i.''q G hc; 61.50 �,�+ ,c?, 51 .50 �. ovvn of Barnstable *Permit# Expires 6 months from issue date * �*f V gegulatory Services Fee , 5 S �ER MI Thomas F.Geiler,Director 0 006 ��/ Building Division �h 2 2 Tom Yerry,CBO, Building Commissioner Yy" ARNSTPABLE 200 Main Street,Hyannis;MA 02601 hr TOWN OF B www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 y EXPRESS PERMIT APPLICATION - RESIDENTIAL.ONLY p lVot Valid without Red X-Press Imprint Map/parcel Number S 7 7 Property Address ( s—To pAv pl ' M wt'S fm m i l k, M 6 ®.Residential Value of Work sV 00 __ Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name_ '-PzLi Telephone Number Home Improvement Contractor License#(if applicable) ll;t 5'3 b Construction Supervisor's License#(if applicable) Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner 2I have Worker's Compensation Ljoance Insurance Company Name Workman's Comp.Policy# 7g e{X 6 1 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) R Re-roof(stripping old shingles) All construction debris will be taken to &.�l ❑Re-roof(not.stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Values—(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. Impr t Contractors License is required. SIGN TURF: Q:Forms:expmtrg r.s.. Revise071405 The commonweami of inassacnuserrs Department of Industrial Accidents �r Office of Investigations ' a 600 Washington Street Boston, MA 02111 www.mass:gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legitaly Name (Business/Organization/Individual): C__ t,Lca.Q.c.. Address: P . ,,s 0)-- E B Y S^ City/State/Zip: Cd4-zA ;f W(,4 : . Phone#: 2 9 Are you an employer? Check the appropriate box: Type of project(required): 1.[E�i am a employer with 4. ❑ I am a general contractor and I 6 ❑ New construction employees(full and/or part-time).* have hired the sub-cofactors 2.❑ I am a sole proprietor or partner- 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, g ❑ gig addition [No workers'.pomp.insurance 5. ❑ We are a corporation and its required] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a hoaieawner doing aik work right of exemption per IiiGL 11.❑ Plia bing repa'Us ox addit:ions myself.[No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13 ❑ Other COMP.insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.' 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 their workers'comp.policy information. am an employer that is providing workers'compensation insurance for.my employees. Below is the policy and job site 7formation. amrance Company Name: 'olicy#or Self-ms.Lic. #: 7 9 y>C 611 / 0 ,57 Expiration Date: D O ob Site Address: �� J y�� ��,. City/State/Zip: 4o -�.� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). 'allure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine up to$1,50Q.00 and/or one-year imprisonment, as well as civil penalties in the form of:a STOP WORK ORDER and a fine !f up to$250.00 a day against the violator. Be advised that.a copy of this statement maybe forwarded to the Office of ovestigations of the DIA for insurance coverage verification, do hereby eetW ena 'es of perfury that the information provided above is true and correct {i ature: Date: t� 'hone#: T 2� 2 Official use only. Do not write in this area,to be completed by city or town'officiaL City or To": Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.P6umbina Inspeetor. 6. Other Contact Person: Phone#: Town of Barnstable Regulatory Services I = Thomas F.Geiler,Director ' 10 r+�+' � Building Division.' Tom Perry, Building Commissioner 200 Main Street, Fiyaanis,MA b2601 ww mtown.b arnstabl e.ma.us iffice: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Scction. -If Using ABuilder as.Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date Print Name Q:FoRMS:oWDIERPERMMSION CERT'IFICAT'E OF LIABILITY INSURANCE 09/22/20 5) PRODUCER (508)588-1260 ( FAX (508)S88-7236 THIS CEi IFICATE IS ISSUED AS A MATTER OF INFORMATION Wise & Quinn Insurance Agency Inc. ONLY AN'.1 CONFERS NO RIGHTS UPON THE CERTIFICATE 449 Pleasant St. �. HOLDIrR. FhIS CERTIFICATE DOES NOT AMEND,EXTEND OR � ALTER iH :COVERAGE AFFORDED BY THE POLICIES BELOW- Brockton, MA 02301 CISR, Paul Crowley INSURERS AFFORDING COVERAGE NAIL# INSURED Dean Fraser INSUAERA: Hartford Insurance Company DBA: Fraser Construction Co. I"INSURER8: 71 Tarragon Circle INSURER d: Cotuit, MA 0263S-2443 fINSURER0. I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDIN( 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 AFFORDr-D 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 AOD't TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE I POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY I DAMAGE TO RENTED $ CLAIMS MADE F_�OCCUR MED EXP(Any one person) 3 PERSONAL&ADV INJURY $ GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/OP AGG S POLICY JECT LOC AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) 1 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE 3 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC ',S AUTO ONLY: AGG S EXCESSIUMBRELLA LIABILITY i EACH OCCURRENCE $ OCCUR t�CLAIMS MADE AGGREGATE $ S DEDUCTIBLE S RETENTION S S WORKERS COMPENSATION AND 6560UB-794X619-1-05 09/26/2005 09/26/2006 X WC sTATU o1H EMPLOYERS'LIABILITY . A ANY PROPRIETORIPARTNEEXECUTIVE E.L.EACH ACCIDENT 3 SOD,OOO RI OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYE1 S 500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT •S SOo,000 OTHER DIESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS n the operations usual to carpentry. E F C E HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAM WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Fraser Construction Co. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 11 Tarragon Circle OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Cotuit, MA 02635 AUTHORIZED Nf ve 1 ©ACORD CORPORATION 1988 ACORO 25(2001108) FAX: '(508)428-0123 O A � ✓axe �amzrwouuea�i a�,/�uaac�ivaelta Board of Building Regulations and Standards Lice► befog HOME IMPROVEMENT CONTRACTOR Bear <' Registration: 112536 One. Expiration—�3123 2007 Bost( =.= r ! --fie yype.: t � FRASER CONSTRUCTION dory DEAN FRASER �ti 71 TARRAGON CIR�" COTUIT,MA 02635 Administrator o o . 0 ,iun. 20. 2006 12:41 PM No. 0492 P. 1 THE CEDAR SHAKE AND SHINGLES HUREAU Warranties the shingles for 20 FEARS if installed by approved applicator. Any deviation or alteration from above specifications will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes; accidents or delays are beyond our control. Owner should cane fire,tornado, and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CO1eiSTRIUCTIOiN carries Workman's Compensation and Public Liability insurance on the above work, DATE OF ACCEPTANCE: -� ?t�104 SUBMITTED HY: ACCEPTED BY: HOME VVNFR FRASER CONSTRUCTION G ✓> rfrll) . i ' �f"-'�i9"r.'r.:�.t}ii L•1`-&tS'she �i�l+N�' 'Ln: W��'L� r^3 'w s�, z..K`��f.,,t� sa•'�[�r',,i�2 e - 4 ��'�:5tli''`s='��,,,�iae� ���^�,� �d.:�i ,.dam �.-4 "ti..,tl.���� .a. -a ai ti• u � ��. 1 Assessor's office '0st floor): L` ` r FTN¢T Assessor's map and lot number ........ .: C. �o Q Board of Health (3rd floor): Q 9 re Sewage Permit number :...1.>... .. / r .. ...vzm_ Z BJHd9'faDLE, Engineering Department Ord floor): 9s G/S �o rasa Oq� 1639. I\�00 House number ........:............:..::...............................: ;..:.r� �1 'FpYA�1' Definitive Plan Approved by Planning Board ____ �� 19_�____ . rl_____-'- ----- APPLICATIONS PROCESSED 8:30-9:30 A.M. .and 1:00-2:00 P.M. only TOWN "OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TOd'1`.�'�y�:t?�� J .......................................... TYPE OF CONSTRUCTION ................................................................... ............................... ................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location T" ... ' .......... Proposed Use Si�` C P '.................:......................................................................................... ......................................:........................... Q Zoning District ..........� .: ....................................................Fire District . ............:..............�..ns . j Name of Owner � ..................Address FO.- ZJ t)x Nome of Builder .........` .� .........................................Address .................�'`fw�. ................................................................. r Name of Architect ....V�n. ..c.} -...... 5`!C�e^^�.........Address ..... ......................... Number of Rooms ........Q.!.Q�= .........................................Foundation Ji O U-1Le-z-( .. 5 '1 CJ1 e '........................... Exle for ......C� � ,J: bc�?�f/�.... .....��/C. Roofing .......Rev�...�'e�c�J-t Floors Tt.�E.. � .�..UtrJ��...r...6�Y Interior .............!�: .... . / Heating .. G.,rtQ /A C.,..tY............:.....Plumbing ....... V.C. � ..... ........ ........ Fireplace ........Approximate Cost �.�� f C.. C� Area .......................................... Diagram of Lot and Building with Dimensions Fee 0� • I 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 .... ................. ......................... . Construction Supervisor's License .................................... BAYSIDE BUILDING CO. � A=057-109 05 7- ioq No 3280.4... Permit for ....1. ...Stork'............ Single Family Dwelling Location ..,Lot #9 , 95 Tupelo Road Marstons Mills ................. ................................... i Owner .....Bay side Building Co. .. ..................................... Type of Construction .....Frame ............................................................................... Plot ............................ Lot ................................ Permit Granted ....Apr . il 18 ,............19 8 9 Date' of Inspection ....................................19 Date Completed ......................................19 1049111 o/wo O O O I I -� re�� 1 i Poccer oc-c-, I 5 7 Y2 1 1 • i ' I I 145ci '�'' i � I 1 Q 0.. IL i If Is S3yz- �- O O [ �� %" :,;,fie O O •�J �• � tli T- O ( O 37 iy'E:J _ . D If T<c A 000 1 Ip ' 1 O - .0 f ROMW I I i , �S) z --S8 c- 7 q /2 c 141,12, I. 141 . 508.888.4762 SAGAMORE 508.385.2216 DENNIS DESIGNED FOR: 1 RANGE MICRO D.W. 508.833.1442 FAX WWW.CAPEKITCHENS.COM DESIGNED BY: COOK TOP HOOD REFRIDG 99 STATE ROAD, DATE: APPROVED BY OVEN COMPCTR SINK CAPE ISLAND SAGAMORE BEACH, MA 02562 KITCHENS 860 ROUTE 134, SOUTH DENNIS, MA 02660