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Home My WebLink About0057 WALNUT STREET 0 0 r:' f-.m.►'�\. .: .. -.�F.-�./Y..�.- N A „' '� r �i �-_� , u �i -r P fiW410 �.� .� o Town of Barnstable *hermitdol(�5 Regulato Servicesl1GS 6 onths am issue d JURNSTwars, . � Fee A� 2011 Thomas F. Geiler,Director Building Division Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town-bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERAM APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address �v� �r1 U 7, Get'' p ti�-y �' j� 02—0 4 Residential Value of Work �13V62 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 1� Cj/ E'��f ��`��—5 O i, Contractor's Name e��a Y /�, CS-'��uS /«'Vt 'Telephone Number Home Improvement Contractor License#(if applicable) 45—2 Construction Supervisor's License#(if applicable)_��lj 7ol Workman's Compensation Insurance Check one: ❑ I am a sold proprietor ❑ I am the Homeowner i I have Worker's Compensation Insurance Insurance Company Name 1&r d,,„� ti L,, v'G / `+ Workman's Comp, Policy# wC d J 1 S y °7 37 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to �`G`� L-L 7 i ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows *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. A copy of the Home Improvement Contractors License& Construction Supervisors License is 'red. GNATURE: WPFILES\FORMSIbuilding permit fnrmslEXPRESS.doc vised 070110 ublic • i\,lassachusctts- DeRc um Mums .Pn(1 Standards g°'ird of Construction Building 'ervisor License Construction Sup License: CS 94476 LINAS REVINSKAS 87 CAMP OPECHEE RD CENTERVILLE, MA 02632 Expiration: 10/2/2013 Tr#: 6178 --- — p -C�omvnu��a� `�'Qdy�� License or registration valid for individul use only Office of Consumer Affairs&B siness Regulation before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR Type Off, of Consumer.Affairs and Business Regulation Registration: 152372 , 10 Park Plaza-Suite 5170 Expiration: 8/231201 DBA 2 Boston,MA 02116 ^' BA IC COMPANY; =- ==_ !4t LINAS REVINSKAS :.v =^ ,Y.) y 447 WINSLOW GRAY RDc _% = <_ Notvalid�withoutsignature S YARMOUTH,MA'02664_: ,-r;` Undersecretary L. .. _ The Commonwealth of Massachusetts Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 lop www.mass,gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians//Plumbers Applicant Information /1A1]4 5- _,f 1A1 k A Please Pr>nt Le�bly Name (Business/Organization/Individual): /—J/7'L i/C Address: 7 � -..� �iP �ee A 2. City/State/Zip: a r-1/j. /n-/W a 'phone FAre you an employer? Check the appropriate box: 1.❑.I am a employer with 4. ❑ I am a general contractor and I Type of project(required): employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity, employees and have workers' [No workers' comp. insurance comp,insurance.$ 9. ❑Budding addition required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 1 Other comp.insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. (Contractors that check this box must attached an additional sheet showing the name of the sub-con'tractors and state whether or not those entities have employees. If the sub-contractors have employees,they mast 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: �/'- et a.� Ct. Policy#or Self-ins,Lic. '#: IA/ �, ._�rOZ. �Q Z 7 3 7 Expiration Date: 0�� S�/2 Job Site Address:( � W�E'�!(�l �11 City/State/Zip-A/u f s-lc)", Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).,UZ�� Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un r the pains and penalties of perjury that the information provided above is true and correct Signature: j/ Date: Phone#: 1.7f [1. fficial use only. Do not write in this area, to be completed by city or town official ity or Town: Permit/License# suing Authority(circle one): Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Contract # 368 CUSTOMER INFO: JOB LOCATION: Karen Anderson 57 Walnut St. 57 Walnut St. Marstons Mills,MA 02648 Marston Mi11s,MA 02648 508-776-7470 AGREEMENT BETWEEN Karen Anderson 10/06/2011 , AND Baltic Company, Inc Linas Revinskas Baltic Company Inc, hereinafter referred to.as General Contractor(GC), on the one � hand and Homeowner Karen Anderson hereinafter referred to as Customer, on the other hand, have concluded the present contract as follows: 1. THE SUBJECT OF THE CONTRACT 1.1 GC undertakes hereby to supply all labor and materials necessary to complete the roofing upgrade as proposed in the job estimates 4298 (10/03/2011), said proposal being an integral part of the contract. 1.2 Customer undertakes to pay in the order and terms established by parties in the present contract. 1.3 All work is to be performed according to the specifications submitted, in a substantial workmanlike manner, per standard practices. Any alteration of or deviation from the submitted specifications involving extra cost will become an extra charge over the estimate, but any extras must be submitted between parties of this contract. 2. THE PRICE AND THE TOTAL SUM OF THE CONTRACT 2.1 Estimated price for the home improvement (roofing, gutters and siding) is eleven thousand and nine hundred twenty dollars ($ 11,920.00). This price includes, the cost of materials and labor. 2.2 If Customer will supply some materials, the cost of those materials will be deducted out of final payment. Baltic Company 87 Camp Opechee Rd,MA 02632 Linas Revinskas 781-267-1737; office/fax(508)744-6811 n �✓ M.C.S.Lic.#094476 H.I.0# 152372 `' J 1C�" LE 3.Description.of the project. Existing asphalt roofing removed. New roofing (30 year, .architectural type) installed. Existing gutters removed. Aluminum seamless gutters installed. Vinyl siding on unfinished section installed. 4. TERMS OF PAYMENT 4.1 Customer undertakes to pay by two payments schedule: 1. Payment#1: Deposit 30% ($3,576.00) _3, Srd C 2. Payment#2: Remaining amount($8,344.00 or adjusted amount) after project completion 5. OTHER CONDITIONS 5.1 All changes and additions under the given Contract are valid, if they are accomplished in writing and signed by both parties of the Contract. The present Contract is made in duplicate of one for each of the parties. All copies have an equal validity. The contract inures from the date of its signing. After signing the Contract all previous negotiations and correspondence on it lose force. 5.2 GC may at its discretion engage subcontractors to perform work hereunder, provided GC shall fully pay said subcontractor and in all instances remain responsible for the proper completion of this Contract. 5.3 GC agrees to remove all debris and leave the premises in broom clean condition. 5.4 GC shall not be liable for any due to circumstances beyond its control including strikes, casualty,weather conditions or general unavailability of supplies and materials. Contractor Lin evinskas Customer " Signatures: -> --� Signatures: 10/06/2011 Date: Date: Baltic Company 87 Camp Opechee Rd,MA 02632 Linas Revinskas 781-267-1737; office/fax(508)744-6811 M.C.S.Lic.#094476 KI.0#152372 t Town of Barnstable ��.��HeTOwtio� Regulatory Services Thomas F.Geiler,Director '"R" . Buildin Division 9 iGSy. , �' g l �pIEC 39. a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 y Office: 508-862-4038 Fax: 508-790-6230 PERMIT# �4 F�9 FEE: $ 7i2/63OWL SHED REGISTRATION 120 square feet or less Location of shed(address) Village. Property owner's name Telephone number ry � Map/Parcel# � r- -n Size of Shed < co o Ln co 03 N _ M --�? Signature i Date Hyannis Main Street Waterfront Historic District? I Old King's Highway Historic District Commission jurisdiction? / —� Conservation Commission(signature required) r PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 s Town of Barnstable ermit:93gs1. �OFIHE Tqj� Regulatory Services ate: 12I31I�3 „g o� Thomas F.Geller,Director H ee:,;7.5- l7 BARN iBLE Building Division v� 639 Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office 508-862-4038 Fax: 508-790-6230 �' rr TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT (! Phone: �0� 4 Owner: /�/�,�i�5o/� A94- may, Install at: 7 ��5'«U/- Village:/v Map/parcel: �y� 063 Date: Q -rl 29 , ZOO Stove New' Used B. Type. . Radiant/Circulating C. Manufacturer: H.A d y 5'73►i� C'v, Lab.No. D. Model No.: b(A,A j AccF'�vrit� Chimney A. New/Existing (If existing,please note date of last cleaning) B. Flue Size 2 �wt ' NFL 4- 5�tAI rr C. Are other appliances attached to Flue? 4 AIA' D. Pre-fab Type and Manufacturer E. Masonry: ine relined Hearth A. Materials: B. Sub Floor Construction: IBC/o o 1--52 Installer Name: �oudE JAI<< Address: Phone: Location of Installation: APPROVED BY: Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed; and approved by the Building Inspector Q:forms:stove Fence 5 Location Schedule 4D 8 126't r� CDL'ocatfon A B C D V J 0 0' V I 1 33' 48.5' n ' 2 31' 52' �y� w Cr shhed 4 3 28,5' 58' O� w Ylone Drive j New 4 41' 72' f Shed V Leaching Chambers 5 65,6' 109' L 42'x9 x2'Deep 6 33' —J Fence 52'-0't. Ramp 10-0' @002 03 7 43.3' r n g 106,8' 62.5' v J• 1500 Gal, Septic Tank 9 33' V) -�—� ' De 10 � 33.7' c O 27' Dla. P(ne Tree 11 48' nn ll :3 12 94' C B A 6 13 $3, �— a CL g 14 103' 72.5' mh $ .w 15 Lr) 16 • 17 w.F. 10 D 7 11 _i C Ca C) o 0 b � � Q w 1 N q a; eq C- 1d � t0 m in Cj A Aul Plot Plan �00 Scale 1' = 20'-0' d 4 Basement Floor = 1216 Sq. Ft. First Floor = 1275 Sq. Ft, Second Floor = 1020 Sq.Ft, A'"tOd"`g No. Sub Total = 3511 Sq. Ft. Garage =318 Sq. Ft, 12 Storage = 570 Sq. Ft. 13 14 p' . g Total Space =4399 Sq,Ft,