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0039 TOWER HILL ROAD (2)
f�` 1�—�W�� �� I e i o I I a , ., k i f o o •� i �1 i __ ,�� u i Town of Barnstable Building �. s Post This Card 5o That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept nnsxsrnera. MAS& g Posted Until Final Inspection Has Been Made. Permit t6SP �e �,vr• Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-2331 Applicant Name: James Curley Approvals Date Issued: 08/27/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 02/27/2021 Foundation: Location: 39 COMMON AREA TOWER HILL ROAD,OSTERVILLE Map/Lot: 117-072-OOA_��' Zoning District: Sheathing: Owner on Record: BAYER, DAVID C& FITZGERALD,ALICE Contractor Name-James Curley Framing: 1 310 Address: 39 TOWER HILL RD#1A Contractor License: 124 2 OSTERVILLE, MA 02655 Est. Proj\ect Cost: $6,000.00 Chimney: Description: Strip and re-roof approximately 15 square of asphalt roof shingles Permit Fee: $ 160.00 Insulation: Project Review Req: Fee Paid: $ 160.00 Date: 8/27/2020 Final: *C/ 1*7— Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by thi's permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. 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 Final Gas: work until the completion of the same. I Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: L.-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 MG c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 6Pr4y,.rE F,fnAE-L s E---jT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel TOWN OF &:ARNS:TABLE Application # Health Division. , Date Issued 7--2 q Conservation Division Application Fee Planning Dept. Permit Fee . Date Definitive Plan Approved by Planning Board ')1VT"1ON Historic - OKH _ Preservation/ Hyannis Gvbtai(uy Project Street Address l 3 Two Aw Village c,r / e. Owner I) /49c as-e CN i-) u.M �Jte S Address 37 . loC Aw PJ Telephone Sag �6 G D Permit Request (/\ -0-t bu-e P c,� e co (n (e e: ®,/` Gb ]--2 - L ci l r'1 C 2� �e C J� Square feet 1 st floor: existing proposed 2nd floor: existing - proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 00 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family . ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing 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 (BUILDER OR HOMEOWNER) Name D CLA Telephone Number q Address C Sad ISQ S License# CS a N vr, (.ems 4..5 C�� �3 Home Improvement Contractor# Email 1"'(3 G CO)C n.�CCi c( O Ne-?Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO "Car- rilt-IX-) SIGNATURE DATE �� FOR OFFICIAL USE ONLY APPLICATION # ' DATE ISSUED MAP/ PARCEL NO. { ADDRESS VILLAGE OWNER .. DATE OF INSPECTION: FOUNDATION FRAME z INSULATION FIREPLACE ELECTRICAL: ROUGH ' FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. - � e ' �� Catur�m'rl�eai�lt�jf�srrr.Ftriseit� . �r�af eu cfIramfn. Acddards Boston,MA 02H-1 wENx.ma-wgorldia . 'Workers' CampensafiouInsurzace Af Edavit Pleas e Print Le Addre= C- Sfa. p no AreymranepIoyer?Checktheappr ' ' ebe=- Typeafproject(rcq-iredj'= .L❑ lama employes v2ftH 4. ❑I affi a general canfoctffr anc€I * Iravelvredthe salt-confimctom 6- El New consfua6c.n • emplagees(fuI1 a�dfoe par�time�. . 2.g I am a sale pzvpiietcw arpartaar- listed cathe attgched&beet 7_ ❑R- adelmg s and have sin 1 s These sub-coaffractog have �P �P�. . • ,$ ❑Demalifiaa: �vndanb forte many capacity- °3'ewhaae xgorkers' -jNO dmce cOusp.fiL= CM ' comp.iamcallce.$ g � �$aditl�Q recfired] 5.❑ Weamacorporafifln.andifs 16-[]hle al repairsorad cans 3.❑Iam.afiameovmm rdoirrgalYwork Of—mem h=c=dsed tia:s 1L[]Plumbmgrepaim or al,9-f im, ' MYS&E[No gym•gip- risbf of erempfian per MGL 1 rzlcr e €regaimamanrreguima.�f C.1SZ.§1(4�aadwefzavenaemployees.[Nowadm& 13- _s7c� camp_iamlranm req,ile&] #AnyzppFron-HatcbnrlsT2=flmadelsaffia tsectaubrIrnvs�vtan�d�easvatkexs`ammp�rinffpaTeepia o� &araeoara�r�cbpsa5�t�fissF�ciaeai r ng `soda a]fwa3csadtbea}�o-idsidQca sabmitane�vs�xd�r8indium;=cFi rCa �tbzt f-l—Ir tmtmust a dsd suaddifi�sl siied stair then oEtbe s�ls ee�sctaasad stzf�orhethec ornnt�se ent shcs� e-UPID3405.Tfffiam&c=kRdr=uve=&FEa-S&q=n5rpmv demo trams'-=P•gorm5—MIT-- F am ms e1lipLv�tirr tlic�is praucdirrg nrorkets'eon�,peresrdiarr uesziraacs jnr�}'emp�7ees Se£ory is$[a parry rrrzd jaH sus . Iowa Compaugir€ame: 'Pow*�or Self-in:s_Iia.�: �giratianI3atE= Job Tda Address_ Cifgl5tafe��.tp: Affaa a copy offhe vvarkare commpmsa-6oapolicp elect ralian pages(showing the policy water and epiratfon(laic). Failnm to secure coverW as requirednades Se tam 25A of MM m 15-7 can lead to thc'imposjtioa of cuuz$ai pmah es of a frae up to$!,Saes UQ and{ar afle-y earimprison f,as win as civil peuald s is fe faaa of a STOP WORK OMERand a Him of up to$250m a&y agaiast&a violafnr. Se z4vised thd a copy cEffhis z f=Ent maybe fm-warded to the f fffm of Taves€igaHaas o€i ie DM for i3smc4�cavemge v-edfrcaiiaa- I do hers&` c rdsr fits d s &atdre onsia�ioz� zde3abm�" arsd correct 9 Pis �� �F�� � �,. 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THE ToWn of Barnstable Regulatory Services ` Richard V.Scali,Director 6 ►``� Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.ns Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder ' as Owner of the subject property hereby authorize to act on my behalf in all hatters relative to work authorized by this biding perrnit application for: (Address of Job) **Pool fences and alarnns are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date. Q:F0R)AS:0V?NMER v0SI0'M0LS Fi rst Jm ,Property M A M A GE M E N T 1046 Main Street Suite 11 Telephone 508.420.0299 Osterville, Ma. 02655 Facsimile 508.420.0789 www.fpmcapecod.com July 10, 2017 To Whom It May Concern: I, Andrew Witter, as Agent of the subject property, Village Square North, 39 Tower Hill Road, Osterville, MA, hereby authorize Roger Cox to act on my behalf, in all matters relative to work authorized by this building permit application for: Village Square North Condominiums 39 Tower Hill Road Osterville, MA 02655 Thank you very much. Andrew J. Witter, ARM Property Manager Village Square North r z Massachusetts Department of P lic Safe VII t ty Boa�cl of.l3u'lckjg bards •' p . Const pe¢vr�o ro ROGER T COX 19 SOUTHEAST LANE ' CENTERVILLE MA 02362 'Fx irat Commissioner. P " 03/12/2018 i� ' .�:icet}se4XKegis�t'�o�43I�'il?�A,,: duiuseonly ate: p. r�fUi ` 9 tt 7a�a6��isuiaEt ,�rf a r iand$il§� �3: u7a�ioil .. " SBA t r s on U2116'... otvaGd;w.ithadtisignature " i C_/�C:(pdnG77269z[ucaGt�P�V!/GC/.1:1lLC�LdE�rl'. ' Office of Consumer Af#mrs&Business Regulation-i.:.: OME IMPR6VEMEt4T.GONTRACTCR' egi3tration:,-:.133775 Eicpiron:_ ail7lZa1:7;; Individaal� ;may _ .�. Roger-T..Cok - Roger Cox .19 Southeast lane . _{_ — " Centerville,MA 02.632 Undersecretary Construction Supervisor Restricted to: Unrestricted Buildings of any use group which contain less than 35,000 cubic,feet(991 cubic meters)of enclosed space. i r ,a Failure to Possess a current edition of the Massachusetts State Building Code is cause for revocation of this license.DIPS Licensing information visit: VPA'WMASS.GOV/DPS i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map / - Parcel : : Application` tAmf&g� Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board CJ 711gItZ Historic - OKH Preservation/ Hyannis Project Street Address &O IV rV,I 2 WAJr' Village 0 &ry/ l le Owner V( ttr.-c& 54 C•-n&a Address 3'l T0'w'-L 114 11 0-4 Telephone ©S�-`'�0 (,-1 Permit Request a 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. ❑ 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 r� Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floc, Room Co_Qnt --� Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing-wood/coal stove">, Yes ❑ No 4 "JI CZ2 Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size : ❑_ Barr existing &:ew size_ �h Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: �Z UJ {{���� LSI Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use — Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �i�( oi�5'f�yG��A�'7,LLC Telephone Number C6!8 )'``128—2, Address �� ��� � 5 _ License# ryo8 (_64V4( HA 062 135- Home Improvement Contractor# 11,;Z536 Worker's Compensation # WC Q:?9 J2 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNAT<RE DATE J (Z C =t e f FOR OFFICIAL USE ONLY APPLICATION# gr_QATE IS_S_UED ,r b f MAP/PARCEL NO. ADDRESS VILLAGE OWNER z, DATE OF INSPECTION: FOUNDATION± + y FRAME t ;_INSULATION,: FIREPLACE Y; ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t - GAS-, ROUGH FINAL 41 N. DATE CLOSED OUT ASSOCIATION PLAN NO. 1 i The ComunonweaM ofMassachuselb �b�oflndrgpW,4,& O,,lce oflrrvegadons f 600 Washo+gton Sir ea Boswn,MA 02111 Workers'Compenaoiion Ins uranceWWWxW S3'gov/die F 1>Zesurt o o Buflders/CoutmetorWiectricimuphmbers 9 Name ism ott/Itcdivtdvat): 4.Se Y Ca ri�f'U C-�-��►� L L.,� Address: ' 0 /3tate/Zi v+ 4 Ar YOU an employer?CIS I.[���e d I am a emPloye r whb '$ 4 El I am a gemaat conuacta,and I Type of Project ovqviftd). emPloyam*11 en4/or Pa Woze)a have bued the a6,ccatractmy 6. [j New 2. 1 am a sole proprietor oa parka- hated on,the attached camstructaon abip and have no emrployexa These strb-coatr 7 Remodeling i 8 Demolition working for me in any capacity �PIOYees and 1 orkean' ❑ requald.1 'comp.�� `compmsataAce t s. ❑Building addition 3• s we are a coon and its 1 O.D Blecttical or addition, I am S homeowner doing all wmk officers have exercised their myself[No workas comp. right of W=4YdM Per M01 11. Phaa ' �repah or atom r&p&,&]t ' c 152.01(41 anal we have no 12.Q Roof mPais anPlvyees.[No workers' 13.0 O&W t'A4Y app j=t6st e+b bn it=also till out Oa saeti n below msaance Ffoaxownaes wd,o a+�t tbts @ 8 Moir wo*M'co MUD,boa t aw � tot ebaodcft boot mast g m°r a10 doidg att wotk and to bim outside coatwetcua mot anbmnt a saw at�avit mMkYea ]ftbesub4M"Mn�m.ddiabatsbowkatbe"Moftho�andstatebb &Lrar taeseeawhat�>�' i emplaYeo,�aY mot yawlde thak wotkas'aoa�MH0Y aambar. .. !am avt m�plojw�h rverl4as'cann�� I b�orhia�on, form9 O+'P •Bekw fa the.VO&y artd/ob sfle Iastnamm Company Name: 4ar%Q ' i — Policy#oa self-JnL Lis �-- EVka*m Date: Job Site Addtes O er�stat�zip: f ervi I Le Hq oo? b S Attach a copy of the workers'eompenation�g�y declaration 7 Fan7nre to eectun cov pp(showing the pot&y number.and espimtlon date). foe up to SI,m co and/or aa��ander won 25A ofMQL c 152 can lead to the b aposhion of cbaal penalties of a Of PP to&M-00 a day agaiaet te�Be advised as ta a civil P is the frnm of a STOP WORK ORDER and a foe Iavestlgetio=of the DIA it due coy YMMcation.Cop'of this statement may be forwarded to the Office of 1 do hereby of 40Y aim the bdbr>Won pr0vlded above erne and corrLapt -7 2. ,.__., aneonlX Do not tv>'ke to tJdt area,m bacor>rpletedby d{y,ortown o,,�� . City or rown: Permitl lasadng Authority(circle one): .leense# I 1..Board ofE(ea}dt 2.BaUft Department 3. 6.Other Cityllowa CIeNc 4-Edectriical Inspector 3.Plumbing Inspector Contact Person' Phone#: r Village Square South Condominium Association P.O. Box 598 Osterville, Massachusetts 02655 i June 27, 2012 Fraser Construction, LLC P.O. Box 1845 Cotuit, MA 02635 The Board of Village Square South Condominium Association gives Fraser Construction, LLC, permission to repair the roofs on Buildings 2&9, located at 39 Tower Hill Rd.,Osterville, MA. Walter E. Bianchi Treasurer,VSSCA i AC 0� FRASCON-01 MOW CERTIFICATE OF LIABILITY INSURANCE F °"'9126/201126/20/1 " PRO ° (508)676-0309 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Vnrelros Insurance Agency,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 376 Airport Road HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR Fall River,MA 02720 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED Fraser Construction LLC INSURER A:National Union Fin:Insurance Company P.O.BOX 184E INSURER B: Cotuft,MA 02635- INSURER G. USURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTVWTHSTANDING 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. Imm EF RANCE POLICY NUMBER rtNA Lam79 GENERAL LIABUJTY EACH OCCURRENCE $ C�IMERCAL GENERAL LIABIUrr PREMISES(Any a s Ea 90agwye) CLAIMS MADE OCCUR MED EXP(A m we S PERSONAL&ADV INJURY S GENERAL AGGREGATE S GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPJOP AGO S POLICY LOC AUTOMOBILE LUMILITY COMBINED SINGLE LIMIT ANY AUTO (Ea aadderd) S ALL OWNED ALTOS BODILYINJLN2Y S SCHEDULED AUTOS (per p—) HIREDAUTOS BODILY INJURY NON•OWNEDAUTOS (per8mbafm S (PeraPROPWeni))NMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS UMBRELLA LYIBIJTY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE S S DEDUCTIBLE $ RETENTION S S WORKERS COMPENSATION �( WCSTATU OTH- A AND oppm PIARrN�3tlD�CUTIVE YIN 30601 9/26/2011 9/2612012 EL EACH ACCIDENT � s 500, OFFICERNEMBER EXCLUDED9 (Mm ZVjM In NH) E.L.DISEASE-EA EMPLOYEE S5N,00( If ygs,desalbe 03.00 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT I S 6003 OTHER DEBCF6PIION OF OFERATXMIS J LOCATIONS I VEHICLES J EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BECANCELLED BEFORE THE EXWRATON Fraser Construction,LLC DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 0 DAYS WIaTTEN PO Box INS NOTICE TO THE CER FICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Cotuit,MA 02635- IMPOSE NO OBLIGATION OR LIABILITY OF ANY IOND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(200M) ©19B6-2009 ACORD CORPORATION. All dglTts reserved. The ACORD name and logo are registered marks of ACORD I Office of Consumer Affairs and Efusiness Regulation 10 Park Plaza - Suite 5170 Boston, Massach ssetts 02116 Home Improvement Cantr'�ctor Registration _........... Registration: 112536 ,? Type: DBA Expiration: 312312013 Tr# 209024 FRASER CONSTRUCTION CO. DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 Update Address and return card.Mark reason for change. Address 0 Renewal Employment Lost Card OPS-CA1 0 SOM-04104-GIO1216 Office-T0&,0 mere n--- s nes"s Kegufa'boa License or registration.valid for individul use only ROOM HOME IMPROVEMENT CONTRACTOR before the expiration date- If found return to: Registration: 112536 Type: Office of Consumer Affairs and Business Regulation Expiration: 31273-A013 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 VF�KCONSTRUPTION-co. DEAN FRASER i v 104 TWINN VIEW LANE E FALMOUTH,MA 6N 36 Undersecretary of va w ut si re i l�4assatfitisetts-Department of Public Safety Board of Building Regulations and Standards coh>aftuttfon Supervisor License License: CS 97MB DEAI` .P R r 104 TWI NI> V11 N. E r EAST SAL'' ?JF�w 62536 's: �-�- �j� Expiration: 617/M13 Conunissionar` Tr#: 16692 r Y Fraser Construction, LLC CONSTRUCTION ]P.O. Box 1845, Cotuit MA. 02635 ROOFING ' Em.ail: fraser_construction@verizon.net www.fraserroofin.g.c:om FAX 1-508-428-0123 508-428-2292 HICL#112536 CS#97668 RE-ROOFING PROPOSAL DATE: June 19, 2012 PHONE: - 6-8961 NAME: Village Square Condos (sz*) yZg- �q6tj C/O: Dottie MAIL ADDRESS: 39 Tower Hill Rd Osterville MA 02655 JOB ADDRESS: SAME FRASER CONSTRUCTION hereby proposes to perform the following services in a neat, professional like manner in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. Fraser Construction will include a 4 Star Upgraded warranty with the selection of any 30 year shingles or any Lifetime shingles. CertainTeed SureStart Plus- The extra measure of protection when a credentialed company installs an Integrity Roof System. 4 Star warranties have a 50 year Non-Prorated Coverage for any lifetime shingles, which will cover incase of any in warranty repair, Labor and Materials, any Tear-Off, and any Dispo3 l * Rees. Upgraded wind warranty available on the following products when special application methods are used. See description below and in the CertainTeed SureStart plus brochure enclosed. Supply and Install - CERTAINTEED LANDMI A.P.-.: LIFETIME WARRANTY CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi- Layered, Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10 Year Warranty against ALGAE Containment. . With a SureStart Plus upgrade customer will receive 10 year 130 mph wind-resistance warranty with six nails ir, common bond area, Fraser construction includes six nails in common bond area at NO additional cost. See actual warranty for specific details and limitations. Building #2- Rear Half Color: PRICE- $4,300.00 Initial Building #9- 1 Unit Front & Rear Color: PRICE- $5,200.00. Initial 1 r COMMERCIAL PERMIT- Building #2- $150.00 Initial Building #9- $150.00 Initial Note: Landmark Lifetime to snatch existing. Hicks vented drip edge or smart vent for soffit ventilation. Ridge vent under shingle cap. Product &s Installation Details Supply & Install - (Soffit Venting) Hicks Ventilated Drip Edge or 8" Aluminum Drip Edge with existing soffit vents. Smart vents over white drip edge. Protection against damage to the roofing materials and structure. The most effective system is a balance of air intake and exhaust that creates a uniform flow of air through the attic. This system creates a condition in which the roof temperature is equalized from top to bottom, supplyuag a uniform air flow along the entire underside of the roof deck. Supply & Install - CertainTeed Winter Guard or Carlisle WIP: (Ice & Water shield) (WIP- Water & Ice Protection) Waterproof Underlayment System (3ft. on eves and valleys, 18" on rakes, walls, and skylights) Water and Ice Protection (WIP) is a self-adhering roofing underlayment used on critical roof areas such as eaves, rakes, ridges, valleys, dormers and skylights to protect roofing structures and interior spaces from water penetration caused by wind-driven rain and ice dams. WIP may also be used as covering for the entire roof to prevent moisture or water entry. Supply & Install - DiamondDeck Underlayment Paper Or Rex High Performance: (30 lb synthetic high strength underlayment) Manufactured to provide best-in-class performance in terms of both weather protection and contractor safety. , - DiamondDeck is a synthetic, scrim-reinforced, water-resistant underlayment that can be used beneath shingle, shake, metal or slate roofing. It has exceptional dimensional stability compared to standard felt underlayment. (As recommended by CertainTeed) Supply & Install - CertainTeed Swift Start With self- adhering asphalt starter course on all eves, and rake edges. CertainTeed requires this product for Integrity Roof Systems and 'upgraded wind warranties. Supply & Install - Aluminum & Neoprene Soil Pipe Flashing Supply & Install- Ridge Vent - Shingle Vent II High performance ridge vent with external baffle. (As recommended by CertainTeed) 2 'Supply & Install - Pre-Cut CertainTeed Hip & Ridge shingles Shingle Ridge meets the hip and ridge accessory requirements for the Certain'Teed Integrity Roof System which is comprised of underlayment, shingles, accessory products and ventilation all working together. The Integrity Roof System is designed to provide optimum performance--no matter how bad the weather conditions are. (As recommended by C:ertainTeed) Clean & Remove - Debris from work area daily. 1/3 Down Payment Balance upon completion Payments accepted are: CASH - CHECK - MASTERCARD - VISA - AMERICAN EXPRESS - DISCOVER * Any payments not immediately paid upon job completion will be charged 0.005%for every day after the given 5 day grace period upon day of job completion. Possible Extra -After the shingles are removed from the roof, we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$6.00 per panel including Materials & Labor. There are 6 Panels per sheet of plywood. Possible Extra -Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$68.50 per hour, plus 20% mark-up materials. FRASER CONSTRUCTION Warranties the labor for 12 years FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. CERTAINTEED Warranties the shingles and labor 100% through the Sure Start Warranty duration. CERTAINTEED Warranties the shingles to be i..:.:.; resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. Any deviation or alteration from above specification 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 carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. 3 r ' FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: � / 2�� Homeowner Fraser Co st uction, LLC For company use onI i Date Received Date Started: Date Completed_ Job estimate: Dean/Mike # of squares: Billed Material ordered Extras Paid Available Discounts 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued �_ Conservation Division Application Fee �Q Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board ,'jih Le Historic - OKH Preservation / Hyannis y s Project Street Address , Y I Oa-fe,�V 1 ((Q G �jSJ Village ns'-e r V I e Owner U( g" 0- ,4, Address Telephone Permit Request • ' � -or o Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 6600 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family .❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure I 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: O existing Fa newer size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:— I =� va Zoning Board of Appeals Authorization ❑ Appeal # _ Recorded ❑ :a 5J Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use _ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �! S�r oY1S�rUC��Or7, LI-e Telephone Number Z,6) 7Zg-229 Z Address Pi o�X B t-45_ License # q7trkO ' C�I+ HA Cob Home Improvement Contractor# �6q 53-6 Worker's Compensation # WC 009 9 36 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Sant W07 SIIGNATUK:E:�� � DATE S' FOR OFFICIAL USE ONLY y APPLICATION# s -,DATE ISS_UED,.� war. MAP/P,ARCEL N0._ ' ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION. - s FRAME INSULATION'S FIREPLACE ELECTRICAL: ROUGH FINAL ,F PLUMBING: ROUGH FINAL GAS:- ROUGH FINAL s ,DATE CLOSED OUT . -� ASSOCIATION PLAN NO: s I Tke Con wnweaftOffm of�asc�e aeset:;s Depr�,e�oflndrestrtal�c��e�s oflnvestlgado,�, 600 Wwhi qWn S'gpe.�? J405014 MA MID Workers'Con jK)MrMgovMa A Peasefioa Insh:traace $ .g�defl slK"®astractor�lEieciri �p —lit IIIfotjatiAw lumbers I Name($uqWw0MaiW ' t s °nlLtdividuai):, a5e Y Co Addiess_ . i V r Ci /State/Zi : t.Li E�3 S AMn emptoYrr?Cliecri ere a Phone#: - y28 'off 9a f pProprfate boa a employer with 25 4 []I am a SMMnd conttactor and I Type of project(required); j oyees(trll and/or 4f me)* have hired the mb-co 6• (�New construction a Sole propriGbor m partaem. i ort�e attached facto;s 7 shipand have no anployees These sub-contractors have ❑Remradeline r ing for me in any capao ty emploYees and have worktTs, 8 ❑Demolition ags,comp-insurance camp insurance t 9. �Building addition required.] g• We we a corpozation and it 10,❑Bleotz3cal repehe or additions homeow.aw doing allwarkoffi( ashaveexezrYisedtheirf[No workers'�, right of wcezapti r I LO plum repairs or additions HIsmacce on per MG 12•�Roof r tl 7 t c 192,§I(4),and we have no ep emploY"s-[No workes' 13.j]other MAUMaLMUIMEM f�'aPpltcsos dW chwb box41 MU also Sll oat the eecHon beto d P 0=Mn=who�t this af�iday@ owEV�wn*M,compem,bon policy mfmmahon ! � ucftoEors that d�aokft boot »figd0y are doing eIi wat4:and ti>an bfro outside co 4 employees Iftbesab.epatractflrt> ro�M � thehr seoM �thosubcdn ddssWewwhether�orantth semOd'd=have . . 1471t Qa 8ti11p/Oft�l�lArttlB mP Polioy nmaber. Vide rPBl�fel3'C011�eayq�pA�QACB !t{forhic�oa for►n9 erarplgyees,•Below Es thepolfc/y�Name:In fob sfte staaace CampCompany � -�'O>''IQ J Policy#as Self-inn.I.is QQ��`30 I ERpiratiom Data: O Job Site Address.—d t'O Y P-i jRA Attach a copy oY�e wo a onrradon CivSt Wzip: ((-V i 0 �� �1/,q ©� ScJ Falme to secure coverage as n p° deela MGL page can led showing tie a imp'number and expiration date), fma up to$1,500.00 and/or tmere ye won 25A of M(iv c 152 can lead go the rimposi ion of penalties of a ! ofup to SM-00 a � as wall as civil featimthali,ies in the form of a SIOP WORK ORDMt and a fma I t � � copy of this staoemend may be famed to the Office of j Innvesti�sOrts of the D1A for � I do hereby czar ' ofpeN dbat the tajbrararlorr pvovhled above tnrre cad connect ___.. �`&'!al wse ondy Do fret tvttGe fir thk MM%to be co k&d b mp y ed{y or town o ile" City or Town: _Pe nWLicense# leaning Authority(drele one): 1..Board of Health 3,.Buffilbg Department 3. 6..Other City/Town Cleric q Electricr,,Iae�ector 5.plumbing Inspector Contact Person• Phone#: I . II �C FRASCON-01 MOW CERTIFICATE OF LIABILITY INSURANCE DAM @9M D"9126/2011""") PRODUCER (508)676-0309 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Viveiros Insurance Agency,Inc. ONLY AND CONFERS NO RKiHTS UPON THE CERTIFICATE 376 Airport Road HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR Fall River,MA 02720 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED Fraser Construction LLC INSURER a NaVonal Union Fire Insurance COmpan P.O.BOX 1846 INSURER B: COtult,MA 02635- INSURERC: 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. INS'R ADIYL lmm TVPE OF INSURANCE POLICY NUMBER CY EFFECTIVE POMMDFYYYYI LICY EXPIRA LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES O $ CLAIMS MADE 7OCCUR MED EXP(Arty ate person) $ PERSONAL&ACV INJURY S GENERAL AGGREGATE $ GEML AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGO S POLICY F1P LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea acdIdert $ ALL OWNED AUTOS BODILY INJURY SCHEDULEDALTTOS (Perpersan) $ HIREDAUTOS BODILY INJURY NONCWNEDAUTOS (Peraaldenq S (�Oaccid-t AGE S GARAGE LIABILITY Y ( AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGO S EXCESSI UMBRELLA LKSUTY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE S S I DEDUCTIBLE $ RETENTION S S WORI(ERS COMPENSATION X WC STATLi OTH AND E�OYERS'LIAMLITY A ANY PROPRIETORIPARTNER/EXECUTIVE YIN 09930601 9/2612011 6/2612012 E.L.EACH ACCIDENT S 500,000 OFFICER/AAEMBEREXCWDED9 ® SOO,O ` (dLandarory In NH) E.L.DISEASE-EA EMPLOY S if deSPN under SPEGAL PROVISIONS below E.L.DISEASE-POLICY UMR I S 500,0 OTHER DESCIiiPT10N OF OPERATIONS!LOCATIONS I VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION Fraser Construction,LLC DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR To MAIL 30 DAYS WRITTEN PO BOX 1645 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Cotult,NIA 02635- IMPOSE NO OBLIGATION OR LIABILITY OF ANY AND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORQED REPRESENTATIVE ACORD 25(20091M) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 91te amVusiness Office of Consumer Affairs and Regulation 10 Park Plaza - Suite 5170 Boston, Massach setts 02116 Home Improvement C tor Registration Registration: 112536 1-7 Type: DBA Expiration: 312312013 Tr# 209024 FRASER CONSTRUCTION CO. DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 Update Address and return card.Mark reason for change. Address Renewal Employment M Lost Card DPS-CAI 0 SOM-000443101216 ,, Officeroxe'J 'finer° ers"'A nes` ss egufa oon License or registration.valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 312536 Type: Office of Consumer Affairs and Business Regulation Explraton: 3123 A013 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 TFRCONSTRUCTION-CO. u DEAN FRASER J 104 TWINN VIEW 4NE E FALMOUTH,MA&38 Undersecretary of vale wit ut si re ' Akk. 1�4aissaC6usetts-Department of Public'SA-ty i Board of Building Regulations and Standards•: License .e..uw �au.Ov� vuNo v. license: CS 97666 DEAN• P - 1041Wli CIE EAST PAL�!'hb?Jl`l ; d2536 Expiration: W7/2093 C onumssimaor Tr#: 46692 r Fraser Construction, LLC CONSTRUCTION ROOFING & SIDING ' P.O. Box 1845, Cotuit MA. 02635 Email: faser_(•onstruction@verizon.net 508-428-2292 www,fraserroofing.com FAX 1-508-428-0123 HICL# 112536 CS497668 RE-ROOFING PROPOSAL DATE: June 19, 2012 PHONE: 5 - 6-8961 NAME: Village Square Condos C'S�) C/O: Dottie MAIL ADDRESS: 39 Tower Hill Rd Osterville MA 02655 JOB ADDRESS: SAME FRASER CONSTRUCTION hereby proposes to perform the following services in a neat, professional like manner in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. Fraser Construction will include a 4 Star Upgraded warranty with the selection of any 30 year shingles or any Lifetime shingles. CertainTeed SureStart Plus- The extra measure of protection when a credentialed company installs an Integrity Roof System. 4 Star warranties have a 50 year Non-Prorated Coverage for any lifetime shingles, which will cover incase of any in warranty repair, Labor and Materials, any Tear-Off, and any Disposal Fees. Upgraded wind warranty available on the following products when special application methods are used. See description below and in the CertainTeed SureStart plus brochure enclosed. Sugply and Install - CERTAINTEE]D LANDMARK: LIFETIME WARRANTY CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi- Layered, Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10 Year Warranty against ALGAE Containment. . With a SureStart Plus upgrade customer will receive 10 year 130 mph wind-resistance warranty with six nails in common bond area, Fraser construction includes six nails in common bond area at NO additional cost. See actual warranty for specific details and limitations. Building #2- Rear Half Color: PRICE- $4,300.00 Initial Building #9- 1 Unit Front & Rear Color: _ PRICE- $5,200.00 Initial 1 ' COMMERCIAL PERMIT- ' Building #2- $150.00 Initial Building #9- $150.00 Initial Note: Landmark Lifetime to match existing. Hicks vented drip edge or smart vent for soffit ventilation. Ridge vent under shingle cap. Product & Installation Details Supply & Install - (Soffit Venting) Hick's Ventilated Drip Edge or 8" Aluminum Drip Edgy with existing soffit vents. Smart vents over whita drip edge. Protection against damage to the roofing materials and structure. The most effective system is a. balance of air intake and exhaust that creates a uniform flow of air through the attic. This system creates a condition in which the roof temperature is equalized from top to bottom, supplying a uniform air flow along the entire underside of the roof deck. Supply & Install - CertainTeed Winter Guard or Carlisle WIP: (Ice & Water shield) (WIP- Water & Ice Protection) Waterproof Underlayment System (3ft. on eves and valleys, 18" on rakes, walls, and skylights) Water and Ice Protection (WIP) is a self-adhering roofing underlayment used on critical roof areas such as eaves, rakes, ridges, valleys, dormers and skylights to protect roofing structures and interior spaces from water penetration caused by wind-driven rain and ice dams. WIP may also be used as covering for the entire roof to prevent moisture or water entry. i Supply & Install - DiamondDeck Underlayment .Paper Or Rex High Performance: (30 lb synthetic high strength underlayment) Manufactured to provide best-in-class performance in terms of both weather protection and contractor safety. DiamondDeck is a synthetic, scrim-reinforced, water-resistant underlayment that can be used beneath shingle, shake, metal or slate roofing. It has exceptional dimensional stability compared to standard felt underlayment. (As recommended by CertainTeed) Supply & Install - CertainTeed Swift Start With self- adhering asphalt starter course on all eves, and rake, edges. CertainTeed requires this product for Integrity Roof Systems and upgraded wind warranties. Supply & Install - Aluminum & Neoprene Soil Pipe Flashing Supply & Install- Ridge Vent - Shingle Vent II High performance ridge vent with external baffle. (As recommended by CertainTeed) 2 i &upply & Install - Pre-Cut Certai.nTeed Hip & Ridge shingles Shingle Ridge meets the hip and ridge accessory requirements for the Certain'Teed Integrity Roof System which is comprised of underlayment, shingles, accessory products and ventilation all working together. The Integrity Roof System is designed to provide optimum performance--no matter how bad the weather conditions are. (As recommended by CertainTeed) Clean & Remove - Debris from work area daily. 1/3 Down Payment Balance upon completion Payments accepted are: CASH - CHECK - MASTERCARD - VISA - AMERICAN EXPRESS - DISCOVER * Any payments not immediately paid upon job completion will be charged 0.005%for every day after the given 5 day grace period upon day of job completion. Possible Extra -After the shingles are removed from the roof, we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$6.00 per panel including Materials & Labor. There are 6 Panels per sheet of plywood. Possible Extra -Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$68.50 per hour, plus 20% mark-up materials. FRASER CONSTRUCTION Warranties the labor for 12 years FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. CERTAINTEED Warranties the shingles and labor 100% through the Sure Start Warranty duration. CERTAINTEED Warranties the shingles to be A.. • resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. Any deviation or alteration from above specification 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 carry fire, tornado and other necessaryinsurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. 3 • FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: Homeowner � Fraser Co st suction, LLC For company use only: Date Received Date Started: Date Completed___ Job estimate: Dean/Mike # of squares: Billed . __ Material ordered Extras Paid Available Discounts 4 i Village Square South Condominium Association P.O. Box 598 Osterville,Massachusetts 02655 June 27, 2012 Fraser Construction,LLC P.O. Box 1845 Cotuit, MA 02635 i The Board of Village Square South Condominium Association gives Fraser Construction,LLC, permission to repair the roofs on Buildings 2 &9,located at 39 Tower Hill Rd.,Osterville,MA. Walter E. Bianchi Treasurer,VSSCA i i I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # r b Health Division Date Issued%' Z Conservation Division Application Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board _ C !2`l2lb� . Historic - OKH Preservation/Hyannis �P o ecf �Village,� V/A l Gwne- - f0 65911W telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing_ proposed Total new Zoning District ��l Flood Plain Groundwater Overlay Projec�t�Valu,( tic/ o� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family. ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic louse: Cl Yes ❑ No On Old King'sHighway: :u Yeses No _ -q6 � CD zi 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 rn 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 (BUILDER OR HOMEOWNER) Q Name l 2 Telephone Numbers ' _ Address License # ,��0� 7� '0000 Home Improvement Contractor# T ©�� Worker's Compensation # ALL CONSTRUCTION DEBRIS RF_SULTING OM T IS PROJECT WILL BE TAKEN TO SIGNATUR wur DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL7NO. . i ADDRESS: VILLAGE OWNER y DATE OF INSPECTION: , .t-LjQUNDA,T'ION,-J,, . FRAME i - FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t - :GAS,: a - 4 . .ROUGH FINAL FINAL B_UILDING.` Hw4 DATE CLOSED_OUT ASSOCIATION PLAN NO - c 1 4 NOW 5:►tct) of `na St.�ndurd� �, `lass:►�hu: ,_elation of BuileR VC Sp str ecialty License go:►t-dst tio Sup onu� n 1 License, CS St 1Q047 Restricte d to. RF WS Rp R►GHAPLNGE W AY MA HP E,Mp 02649 112912012 Expiration'• 100471 T�. Cull c1upy r i ' e3tbelows Emmoseffiffam CEXPI I rn*loam „set�tsrM T"'—�jj/ "[gp7f7?ii09il02Q�Ub o�✓6'L¢ddts�QB� I Alec.✓of1LC,=mer Affairs&BOS mm Rcgdafto _ jVHOWMPRovmEwcoffMCMR. Registration:- 143074 Type: Expiration: 6/15/2012 DBA .. - GARDNER CONST. s RICHARD GARDNER i 92 PARK PUKE WAY` i IMH1315E.no 02M U ti g cmm IV QBof�OrmtO�� Wchetd fit' tw-peO stW1Q�Q00 Sa yandHseNh att� owe � 1 Village Square South Condominium Association P.O. Box 598 Osterville,Massachusetts 02655 December 9,2010 Richard Gardner Gardner Construction 92 Park Place Way Mashpee,MA 02649 The Board of Village Square South Condominium Association gives Richard Gardner permission to repair the roof on Building 1,located at 39 Tower Hill Rd., Osterville,MA. Walter E. Bianchi Treasurer,VSSCA ' CERTIFICATE OF LIABILITY INSUKANur OB/30/2011 Tm CERTfFICATE 19 i95UM AS A MATTER OF DSORMATION ONLY AND OOMFM NO RIGHTS UPON THE CERTIFICATE HOLDEEL THIS CERTIFICATE GOES NOT AFFIRMATIVELY OR NEGATIVELY AVOW, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THE CERTIFICATE OF R=RANM DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER{3� AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE GERTMAT[IIOLDV YiA► , W t0 I RTA the coMicab h0d4t IS as trot colltar Ids to me the tams ant! COMNIoTU at um pow, cmtaOR polio" flay I@O Im an endDlsamant. A sbtentes! an thta Oedmeata does 8 cecUncAte nolaer In deu of such andm6unso 6 pmQvCIUI RAwE FAX Schlegel s Sohlegel Tnooraaae 8rok cv Inc tArc wcT>en _ 34 M1 8 STIRRET PRoouCCR n JarTTaaaarR W R __ West Yarmouth, MR 02673 uasum3wAFYCRO C&VERlcE _- wuc■ WSYREO KVTOAT•' Richard GArdRor Dba Gardnor Coastmation e�LmtG&IbzRRY IMMORL 92 Park Placo as sroRSRo+ + trsumo: _—•-•-- Iteahpoo. M& 02649 M'RERE: __. atSSREAF: COVERAGES CERTIRCATE NtJABER: REVISM NUMBER: TIAS 6 TO CERTIFY THAT THE ICtE6 BISURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED VE FOR lRE POLICY PERIOD d+IDICATEO. NOTW nMANDM ANY ROMN04 (T. TERM OR CONOf M OF ANY CONTRACT OR OTHER DOCUMENT W M RESPECT TO Va6CH THIS CERTIFICATE MAY BE WSKD OR MAY PERTAN. THE INSURANCE AFFORDED BY THfi POLICIES DESCRIM HEREIN IS SUBJECT TO AIL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCN POUCIM LWTS SWUM MAY NAME 9EE•N REDUCED BY PAID CLAIMS. LTR TYPE OF E®uRANCE a ,ryD POUCv amen PIIMIOD%YYYI otvt tYYYY1 1JE1113 A a tTY CPP0709341 EACHOCCURREMM si,000,000 X 'COmmER*AL9 REnAuaaaww 09/20 09/20/2022 mELt8E6lEsoeaa[*Qw s 50,000 eLA"vAce E omae NEDDromorpm oo s 5.000 P:MNALLAGYINAxeY 31,000,000 sEeEIuaL AGGREGATE 32,000,000 tCaWL AGGREGATE.UNIT APPLIES PER: PaoottCTS-COMPaoPADo 92,000,000 Pomv PR� taC S iWTOM06\8 LJAeGJTY COJIS 1EI)SINGLE LIMIT �S SOCit71L0 S Atar,wro GODLY DUiRY YWOM44 ! _ Au awwED Auras - 60DILTGWRY(PNuzlmtN i y 8Ca1EpVL®AVTpS PRGPERTYDAMAGE s MF490 Aura! o'er lQ as»ouR wAUTCe u L f • RtI UMOALAB OCCUR EALn DCCYRRHJCH S—EXDM Wte wuwo+slos AGGREGATE L I eOioYERs wroaTn TR:2-318-376388-010 C2/27/201 02/27/2M2 E toRrar.are °ATM via B 0FF° Ro x� arA ELEAnIAcceEHT s 100,000 WAn"t o-� EA- R m"scmb vom 0E$CKFTIONOFOPEMTWWb&4q �. .p y , 500,000 olstxFTtOuePosaaaTRua/�acATtorwfveulaso tefbACaa�tl,.Af{pEmallbmnte>ICSeRtl�.il�IgwM>iteen{�4T01 "M "OWtBRS CCW=SATSOM vo=CY DOSS NOT PiOV= COVERAGE FOR RZt BMW 6BR M R CERT84CATE HOLDER CANCELLATION SHOLLD ANY OF THE ABOVE DESCRIBED PI NUM BE CANCLLM BEMRE THE EXPIMTIDM DATE 11421If:1DF; KOVM WILL BE DEUVRAW III ACCORDANCE WIM THE POLICY PROVIatorma AuTwoomm 01858• ACOPP CORPORATION. All AgMs maemect ACORD 26 posw09) The ACORD rtatne end logo aro regtstersd ma"of ACORD _ The Commonwealth of Massachusetts ` v Department of Industrial Accidents Office of Investigations 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Auulicant Information Please Print Legibly Business/Organization Name:Gardner Construction Address: 92 Park Place Way City/State/Zip: Mashpee, MA 02649 Phone#: 508-477-4596 Are ou an employer?Check the proprieate box: Business Type(required): 1)k I am a employer with employees(full and/ 5. ❑Retail ��/�/ `iiii� orpart-time).* 6. ❑RestaurantMadEating Establishment 2.❑ 1 am a sole proprietor or partnership and have no 7. ❑Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers'comp.insurance required] S. Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152,§1(4),and we have 10.❑Manufacturing no employees. [No workers'comp.insurance required]* 4.❑ We are a non-profit organization,staffed by volunteers, 11.❑Health Care with no employees.[No workers'comp.insurance req.] 12.0 Other •Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. ••If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employees Below is thepolicy information. Insurance Company Name: Liberty nMutual Insurer's Address: 9 , City/State/Zip: 7' 2 Policy#or Self-ins.Lic.# WC231 376358010 Expiration Date: 2/27/12 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' verage verification I do hereby cerAi o jury that the information provided above is true and correct Date: Phone#: — Offuial use only. Do not write in this area,to be completed by city or town o&ial City or Town: Permit/iacense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.mass.gov/dia TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel G� Application # Health Division Date Issued Z �T7 l Conservation Division Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board 2�2.7I1� Historic - OKH Preservation / Hyannis Project Str eet=Addre-s—sz Villages N TIL I/ Address q lx eL Telephone (C""_Y,2,5'- 4 SS0 PermjtiRequgst � 7�— c Square.feet`ffst floor: existing proposed 2nd floor: existing proposed Total new Zoning'Dist rict Flood Plain Groundwater Overlay cPrcje�fValuat` io Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing 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 (BUILDER OR HOMEOWNER) Name telephone-Numbe Y5-9� �AddresTs l�C� 4,40V cLicense #-.� q cHome-Improvement-_Contractor—#r=,, _ Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE - r - RATE- [ ,_ i } s FOR OFFICIAL USE ONLY APPLICATION# ? DATE ISSUED ;, MAP/PARCEL NO.._ ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION`: v FRAME `` r> .INSULATION`t FIREPLACE ELECTRICAL: ROUGH `•' FINAL PLUMBING: ROUGH FINAL y , GAS: -. ROUGH FINAL FINAL BUILDING '.J 3 DATE CLOSED OUT - P } ASSOCIATION PLAN-NO. oa The Commonwealth of:llas.sachllsetts Dll ninent of hldtt.strial Accidents Office of lm'estigatiom 600 Ff ashlllgl'n Streel Bosrolt,:114 02111 u'tt•r1:Ilia 5 S.90s7dla R-lrkers' Compensation Insurance Affidavit: Builders (:ontractol•s;'Electiicians Pluinbers Applicant Information Please Print jaggibiv Mi11Ie ilii�e5, ALLI;J): address: �Q�� C1ty°:5tate:'Zip: Are you an employer?C hedt file appropriate boss, Ts-pe of project(required): �'"L 4. ❑ I tun a general contractor ar.d I • ❑ 1 I am a empl, er-Nitl: - 6. Ne--.v coir-, action eaVlc`•ee.•(fi It antl�of t-tame)."` hai;z hired the,uU-.ontractors ❑ I am a sole pfoprietcr cr cartner- listzcl on the attached.beet. ❑Remodeling slup and ha-..-e Lc employees The. sub-contractor.•ha•,e ; S. ❑Demctition e+nI to ee and ha•,•e,%.%rkers' ••io:l:it g fcr me in an-. ca:acir. 9. ❑Building ad6ition t comp.ta.uranct.- eq iredke±, coin.in,ura:tce iih•❑Eiecackalrepair,oracdi CES required.] �• ❑ '::`'are a cotperation u:cl its � r° 3.❑ I am a hcmeoivuer doing atl..vork officers have exercised their• 11.❑Plumbing repair_•cf addition, right cf exemption per N•IGL [No•sa_kers- comp. 12.0 Rocf repan itrstsrance required.]- C. 15'-j 1(4).and 9se have no emclopee:•. [Vcscr1Cars '3.❑Other comp.ittsurance required] 1A:1vnppi: e( i;:ciess".a=lir.ranLa fill ou:thasE:::oubet.?rsLo?dne:i2:rac?kern'compec,arospcic;infoir(_ou a=aeoan2:s 7(-L•o:urma.his affid:(insi:atm E ?c n?e douz-M wor's ns::a-2u L:re cucide:antra[7.0.5:u:-T su:ai:I MEIN +ff:da,a iadi•_n;u-s:(tb �oneo_:oa:�:.ccbEccLs'cost.wtGrilCLE1CvL':idCi1:5013.'_2BEi58.•\':Cll=[LEV:JS2Q�a]B u -CAL'[[Y.C70?Sa035r1C0R-LEr7:2:0:1'.'[Li1050_u::[C2?tics•E ?:ilp�OC?EE. I'[L'E ill.-COnC,li(0:?�::•:E ELao;�E?s.:12�uilSC S40i7d?[n2i:?10:):E?S CCL.p.�OLC'�nI:LL'•1?Ei: I rr'Fit rnr e1rrp71 1Ti•that is pro.•idirig woe ers'compeirsorion fits rtronce for nit'emplo;ees. Below is the polh;v marl job site'' r`irforiilndolr. �— Ilrurance Couipanv,\.,le: ,o f/�✓ ���� /9 Cat Po1ic:r o: Self-ins.L��ijjc. �(,�'�� ��3-� �t�/ �� Espiratiot:Date:: � Joe y Site.� ilre:•.•.:�? .�� �j Cit::Stat�:ZiY:r%J�' 1.1�/6� �� r�G►'4d Attach a copy-of the«•orkers'compensation policy declaration page(shouing the policy number and expiration date`s. IaLlure to secu e cc,erage m required order Section 2 5 A of Pa•1GL c. 15 2 can head to the impc.ition of criminal penalties of a fire up to cl,�.�'i�.00 ard:'cr me-ye ar imprisontuem,as well I:.ci7d penalties in me fefm cf a STOP'z OAK ORDER and a fine of up to$2 1O.00 a day agaia.t the iolator. Be ad•;i zd that a cop_;•cf thi_-statement uiav be fcrivarded tc the O'fice of Investisati.'on,of the DLa iii urance ccve a4e v 'f oz. I do herelli certrft•rm t11 n lid p s of er r tut(the ' formation pro+lded above iZer,and correct. Si�nait(.e: Date: Plicr e Off1c1al rise olrh•. Do riot in-`te fit this nren,to be completed b}•ci{t'or rowle official. C:in•or Torn: Perinitilicense Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.UN.Totrn Cleric 4•Electrical Inspector :.Plumbing Inspector 6.0 the r Contact Person: Phone r;__ 6 CERTIFICATE OF LIABILITY INSURANCE °""`�"" 07/21/2010 THM CERTNICATE IS ISSUED As A PATTER OF NOMM IATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFRNMTIIELY OR NEGATIVELY ANEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. TNtS CERTBFICATE OF IMURA NCe DOES NOT CONST11TUTH A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE COMPICATE MOLDER. WIPOItTA . n the earmote Molder s as ADDITIONAL WBURED, the PONCY(No moat D SUBKOINTRA IS WAIVE . s>r01KI to the tame and conditions of the poUcy. cerWn poEclaa may raoute an endorsement A atataalDrlt vn dds cati7rcate does pot conic► rights to the certHlcate holder in Ilea of such efok aamertm unwwwr PROat CEA mum Seblegel i 9ehliayol Insurance brokers xao I FAX MISS 34 NAM STREET C'mm .mom:• otafofEllot Nast Yarmouth, MR, 02673 a>eutEagAFwimrls oorFluwE NAICe w4m mm"APEENIII MUTUAL Richard Gardner Ma Gardner Construction rauamewBERTY >sl317du 92 Park Place MCI inlauxo: Hashpee, Mh 02649 aTREr E: ailaER F GOVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 16 TO CERTIFY THAT THE POLCKS OF USTED BELOW HAVE BEEN NOUREO NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVAT14STAM IG ANY REMIRE TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUbIENT NfIN RESPECT TO VYMCH TKS CERTIFICATE MAY SE ISSUED OR WAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICES DESCRIMED tEREIN IS SUBJECT TO ALL THE TERNS. EXCLUSIONS A!D CONDITIONS OF 9X',H POLICIES.UNITS BNDVat WAY NAVE OEM REDUCED BY PAD mAW& won LTa TYPE OfOKUPAwcE aaR LAID lOUCYrereDt �IMIOOMYYY) uw$ A aENEwlLuaaufr CPP0709341 08/20 06/20/2010 r-ACHOCMIRE"E 111,000,000 s COIaERCmCENEfVLLUIaw" /20/201 08/20/201 OIIEY6Ea aww—' 1150,000 -- OAW.I%E R]00" amexP(A gimps— f 5,000 PEa60N►LaA0V HAXY 21,000,000 GENERIK ACgMGATE •i 2,000,000 CeN%Ascmem E LawApFL%D IM Pr0011CT3•C0MFWAGG s2,000,000 •PGUCY r—j= LOC e AMM62fta NANUTT COIIeHEOMIGIELONT E (EA Atdrr� ANY AVTO i ALL OWNEDAafOa 90aYeNIxtY(►npeaaiq S 9001Y WxIY(Ptl aotIN11Q S SL}�I1L®/en09 tOMAV►OS FROPCIM Of QE S :IJq{pYYNEDAums f _... !OYA1JMU IIIAB OCCUR EACH OCCURF03 E S I AxGEfSLW QAa15YME molae lm f pEOUCTieIE WGRIM"COUR S '•RfifEllflQl S s AM BWUWUW�m Y,■ TEC2-313-376358-010 0¢/27/2 02/27/20 g I B �wvPAaPalac�� TORYtWIe EA orFx EnwlElleb+exauo®a j .,A EA-EA04ACCOFNT f 100.000 nr w'�cnemou 1EA-018FA6E-EAWLaVEE 16 2.00,000 OESCAFTKMOF OPEPATIONS MI. E. ONFAW-Pomumff Is 500,000 DEMVTM OF 0"IiDO"I LOMPOISIYEJMREe(AYIea AL'ORD Ter.AOOYsM rMonlM SsxeaWe.nnoN Vlrc•Y THE wo3aam CommmSA?ION POLCCT DOES NOY MOVMZ COVERAGE MR RICEAED G11RBM CERTEICATS HOLDER CANCELLATION ONQU.0 ANY OF TIE ABOVE 0=cs BEO POL=n BE CAUCCLUM SEMW T"6 ElPIRATidl DATE THEFEOf. NOTICE MOLL BE OEUVERED IN ACCOMANCE WITH THE POLICY PROV1gWW wlfn/01UiED A s ACORD 23(2009f08) CORPORATM. Au Agm mseryem The ACORD Rama,and logo are R:gytefad manes of ACORD BABxsnABIJ& mma Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 -Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder ' 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 :2 4 Print bM& If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on.the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Cpntent outlook\DDV87AAZ\EXPRESS.doc Revised 072110 ' ' & �g�a'ty License l CSS-loom � 11 WFWWFLAM VWW „mmb�daaor TIO: 1000i ............. •� .____`____._._..._.-- �nonuseccl�/c o�,i��iraura�ivae�ld g OF Oeeof tG Consumer Atrairs&Business Regulation Y HOME IMPROVEMENT CONTRACTOR Type: . _ Registration: 143pT4 A a DBA Expiration: .6j15I2012 GARDNER CONST'. RICHARD GARDNER,. '• 92 PARK PLACE WAY MASHPEE,ma 02649 Undersecretary License or registration valid for individul use only . before the expiration date. If found return to: it Board of Building Regulations and Standards i One Ashburton Place Rm 1301 Boston;Ma.02108 I d. vali wit t signa e VILLAGE SQUARE NORTH CONDOMINIUM TRUST 39 Tower Hill Road Telephone: 508-420-0299 Osterville,MA 02655 Fax: 508-420-0789 December 16, 2010 Town of Barnstable Building Department Hyannis, MA 02601 To Whom It May Concern: Approval is hereby given to Richard Gardner, Gardner Construction, to perform the reroofing work at Village Square North, located at 39 Tower Hill Road, Osterville, MA 02655. Best wishes. Sincerely, a Thomas F. Weld Chairman, Board of Trustees TFW/aons RE-ROOFING/RESIDING (COMMERCIAL) If located in OKH or Hyannis Historic District- Certificate of Appropriateness required unless same color/same materials specified on application Map/parcel number Appr val Sign-offs from: Tax Collector Treasurer T # of squares of shingles or square footage of roof or sidewall to be shingled/sided Specify stripping old shingles or going over old roof. If going over 7how many roof layers existing now ❑what size are rafters? What is span? Owner's name & address Project valuation must be entered Builders Information Signature Workman's Comp. Form. Copy of Insurance Compliance Certificate must be on file. No license is required for commercial-work. Application fee ❑ Permit fee Property Owner must sign Property Owner Letter of Permission. Projects requiring the use of a crane must complete the forms issued by the Aeronautics Commission q-forms/bidgpermits/permitchecklists rev. 101106 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �t 1` Map Parcel Application# �0,� Health Division t t,,ey{ CIF L Conservation Division 1n,;��jEC 29 28 Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board P41 Historic-OKH Preservation/Hyannis Project Street-Address :i3 2 /t/C- ( 01 Village 65 E, Owner 81 i-1/li C / Address Telephone Permit Request S t 2 I,Q ko� PC o 0 loq-2�— 1/ U cl_ IA_ S� �— Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation O Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: .❑Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count r 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 O Appeal# Recorded Cl Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name ✓r /� Telephone Number Address License# Home Improvement Contractor# Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE - DATE 2 Z Z d f FOR OFFICIAL USE ONLY r. PERMIT NO. F DATE'ISSUED MAP_/PARCEL NO. r +j ADDRESS VILLAGE .OWNER DATE OF INSPECTION: I ` FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH -'FINAL PLUMBING: ROUGH FINAL ? r- GAS: ROUGH FINAL f . FINAL BUILDING f DATE CLOSED OUT ASSOCIATION PLAN NO. :ir�i�,1w-, ..�.;.�c.....:-i-t,-`f%*+.t..«t...n.iq .1-.1 ;r•:sy„ ,...c ariX?d+ '.v� •r^' r. .�,,, .. ,.� ,,..�.yi`� .. s .. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map I I Parcel / Application# �;00 6D: Health Division v Conservation Division •'"`• z k 't� Permit# Tax Collector Date Issued Treasurer LOIiD, Application Fee Planning Dept. Permit Fee �� Date Definitive Plan Approved by Planning Board (� Historic-OKH - Preservation/Hyannis Project^Street Address f %c7r.c/e:�_ /P ///C( A Village t// L/C/ e�=7 �ff Owner 6(ZA L-z'« C• 11/ � ti C k Address -3 r1 <���2 �/ Telephone Permit Request a- F— Pc)d Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain - Groundwater Overlay Project Valuation b \50 Construction Type Lot Size Grandfathered: Cl Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new CJ Half:existing new Numberof Bedrooms: existing ne?r(� 1 � �� t 5 Total Room Count(not including baths):existing new First Floor Room Count ,r` Hel 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 Boardi•of Appeals Authorization "❑ 'Appeal#f s 6 :. Recorded❑ _ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Telephone Number K ` Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS,RESULT.ING FROWHIS PROJECT WILL BETAKEN TO 21l/Al7 i/�1DSf� S,IGNATURE\ G �, �� DATE /?/z >a/Z dd� FOR OFFICIAL USE ONLY L PERMIT NO. \M DATE'YSSUED �' ) MAP/PARCEL NO. ADDRESS VILLAGE \/ V OWNER \ DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. J-. 4 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111' www.mass.gov/dia ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name usiness/Or tion/Individual . . • Address: 9 � �` ,PSG ✓ City/State/Zip: ,/I"/����� Phone.#: f-D 8- C/ ;T'U �- Are you an employer? Check the appropriate bog: :'Type of pioject(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* • have hued the sub contractors 6. ❑New construction . 2.Z�I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition: working for me in any capacity. employees and have workers' [No workers' comp.insurance comp. insurance.$ 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 3.❑ I am a homeowner doing all work . 11.❑Plumbing repairs or additions ' myself.[No workers' comp. right of exemption per MGL 12.Q Roof repairs insurance.required.]t c. 152, §1(4),and we have no 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. 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 bare employees,they must provide their workers'comp.policy number. Jam 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.#: Expiration Date: 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 1)A for insurance coverage verification. ' I do hereby ce fy under the p in -and penalties o.perjury that the information provided above is true and correct. 19k Si tore: Date: Z Phone#: 3 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): A.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hiie, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee-of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced,acceptable evidence of compliance with the insurance coverage required." AdditionaIly,MGL ehapter.152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public-work until acceptable evidence-of compliarree with the insurance• requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-conti•actor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability'Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members*or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers.' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate-line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the-affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city'or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial.venture (i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have-any questions, please'do not hesitate to give us a call. The Department's address,telephone-and fax number:. The CommonwWth of Massachusetts Department of ladusteial Accidents , Office of In-Vestiptions 600 Washin�toxi Street BWon,.MA 02111 . . TO. #617-727 4900 ext 406 or 1- 7-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mU&8QVfdi8 e ' a ti IL r Town of Barnstable I .BARTI3IABIE, i MA ' Regulatory Services iO�Ea N►a'i�' Thomas F. Geiler,Director Building Division Tom Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us ffice: 508-862-4038 Fax:.508-790-6230 Property Owner Must Complete and Sign This.Section If Using A P'u I I er I, WNCy ,as Owner of the subject property hereby authorize As, ` Z to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner 15ate ///,4 Al C Print Name 2Tomms:expmtrg levise071405 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel I f0 Application Health Division Date Issued a3 3 Conservation Division Application Fee Planning Dept. Permit Fee d Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address � ML�. ' _ 04 -206(A— 00U( A\ l M Village CGS`i{y(\\ Owner '1/1 I(� SkaeWcc, Gw'lAdre-gsSSvcr y Telephone Permit Request t < ��I c�i►�-c 1®Gv �' mrt �4 C&4 s' ,r - X CS Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation`' GOG Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 0 Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes 0 No Fireplaces: Existing New Existing wood/fol stove: w?YescV No Detached garage: ❑ existing 0 new size_Pool: ❑ existing 0 new size _ Barn: ❑ eck3 ting ❑ hew §Re_ C5 Attached garage: ❑ existing 0 new size _Shed: ❑ existing ❑ new size _ Other: _' Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# w ► ' 00 -Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �J�-t Cam' . Telephone Number Address License # C3 d 5 7 6 6 f'W.-+S If2 rm,.q. _ Home Improvement Contractor# a6-3 6 Worker's Compensation # WC0011 SO ` ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# ,L DATE ISSUED ` MAP/PARCEL NO. f ` 1 , 1 ADDRESS VILLAGE l OWNER DATE OF INSPECTION: � FOUNDATION r FRAME ? INSULATION F FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL tr_ 1 GAS: ROUGH FINAL _ FINAL BUILDING r DATE CLOSED OUT - Y' ASSOCIATION PLAN NO. J f ' 4 • 4 f I . the Conwwn veaM of_Asaclaresetfs i Dglarftentvf1hdrtstri Acddenis ®,face ofbrva4ga� ! i 600 wash&igton S'fied Boston,MA 02M w wMa ss govldia i Workers'Comtgensa#ioni Jusm= a Af &v&Bm-idersfCOnl cMdOrs/Eiectriciaas Tbmbem f AmHeanthforniatian Please�rmfLe�Iv ' Name t> JOsgamzionlinaivicia }: I�-rRS2 Y �a n5-�f'U�^�\o Yl L L� AddteSS7 CitylStateJZz _ OcrFc3rf- 7-ty4 �3�5 Phone#, sog- .Are as aE employat?Cfredi tine apprapdate Zoos l r I. f I am a employer 4vi�li '�I sza a,;eaeral cog armr and I e of P f ): employces(fun Md1orpait-time)* bave hhdthe saber 6 ❑New cans5nzetion _ 2.❑1 am asoleproprietor m pamer- I9sted=the attached sheet 7- ❑Remodeling shipamihavenoeMlayees Thmmb-ccrafract=have g 0Demolition wosl•,ing farm`is any rapacity employees andbave wu&ae Fqo wo&Me cony_insurance camp ksmaacct 9, 013zn1r adc}ition �. We area ❑ mpai s or additions requr &J ❑ cozgoratioa and its 14. Eleciric2l. 3.❑I am a homeownerdoiag all wc* ofH=s bzve exercised their 11_[]Picm¢lau-repairs or additions myself.INo woziaers'comp. riff of m2ml m per Tu M iasardrzce regaffed T c 1S2,§I(4),and we baveno 1213 Roof rep2im J employees-INo wort zs' 13.[�Other comp.insraance required.] " 'aPPr�tfmtd=ksboxPlmor,&oM1azlftspdoabe&wsl»gt =V0-*Cwcarapo=6ompolkyofim em ! • 1F.omoowaeawhosaFrm3�isa$tdav3IDdietiagthepa[edeiagsIIwotkaadfheabneot2cdesoffiaMctsmastsabnsraaeovsf'ad.^vitfadicatagscc'.t —tbatebrkfras bmclmsta?tactxdmizdlsheets?lowmgl5aaan¢e oFtftesu6-cdnuaiKots�d sYatewhetBerornoituose eatities5ave cmpiny^..� lfihesztb-eomCauots3aveaap7ayas,fficp�srpivvidetF[eicsxadcas"eon poliepucooHcr. 4 I arc au a7FIoyer&Wis pror&Fag wericeW can pwsaaoa bnwan=jor q vmployea•.$'elms is rhepo&7 and job site ; i�nformolmrt /� iusatance Company Name: - Ds'1QI U ►'re '� ve—c� CAE' C�i n ! Policy 4 of Self-his..LIC, citylStap: WA F�(Showing t3ze gsolic9 miid M espiratioa date. J,GT c ln-2c�Ieadtnth,eimpositiaza.o ctabalpenaltiesofa fine Coto$i .uioz Ono-A imps _ n-wC as ozv9lpees iatbe form of a SIOP WORK ORDERmmid a fate , ofMp to S2%.L -day agaiasttheviolatDX.*Be adted.that a copy oft his stMmeot map be foes MTW to to OMce of I 7nvesti�torrs of�el7ll,fori�cecovezagever�cation. I da herPhy cer "u d paraf&es ofpo'j Uy thar the ixf0MZQV nPWMed above is true aadeorar4t t7ffid4d useonly= JYa rzerwif eYk des area,tote comp&W by C7.y ortmm offlaid } City or Tow= peprnitEf i►n ee� i UsumgAAaioyS (teaoael B=dd of Realm 2.HM'dma tDepm neat 3.CiWTows Clerk 4-EdeaWcal Xwpecter S.Plmabir g buPedor 5 Cor acP�'eascrnG none FRPLSCON41 MOSU '4��LY CERTIFICATE OF LIABILITY INSURANCE DA�E`�I 1 o1sr2012al2YY' 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 oerfffllcaW holder is an ADDITIONAL INSURED,the poricy(fes)must be endorsed. If SUBROGATION IS WAIVED,subject to the teems and conditions of the policy,certain porides may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER (508)676-0309 ROCT Suzette Moniz Viveiros Insurance Agency,Inc FAHON No ;508-676.0309 a c.No 508-324-9147 375 Airport Road L-MAIL Fall River,MA 02720 ADDRESS:SMoniz Viveiroslnsurance.corn INSURERS)AFFORDING COVERAGE NAIC iNsuRERA:National Union Fire Insurance Company INSURED Fraser Construction LLC INSURERS: P.O.Box 1845 INSURERC: Cotuit, MA 02635- iNSURERD: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR A L POLI F POUCYEXP L TYPEOFINSVRANOE I R VPM POLCYNUMSER MIDD r4N UNI's GENERALLABILTrY EACH OCCURRENCE S COMMEP.CIALGENERALLIABILITY PREMISES Eeoclmence S CLAIMS4utADE 0 OCCUR MEO EXP MY one person) S PERSONAL&ADV INJURY S GENERALAGGREGATE S GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG S POLICY j LOC S AUTOMOBILE LIABILnY �M3IN D SI GLE LIMIT S ANY AUTO BODILY INJURY(Per person) S ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per ao9dent) S AUSN� PROPERTY °S entA E SHIREDAUrOS AUTOS io�d S UMBRELLA LIAB OCCUR I EACH OCCURRENCE S EXCESS LLA8 HCLAIMS44ADE AGGREGATE S DED I I RerEN ION S S WORKERS COMPENSATION X WCRYTLInn O R AND EMPLOYERS'LIABILrY A ANY PROPRtETOPoPARTNEPJEXEOLM YIN C009930601 9/26/2012 �01 EACH ACCIDENT s 500,000 OFFICERIMEMBER EXCLUDED? ❑ NIA . (MandaturyinNH) I DISEASE-EAEMPL0 $ 500,000 If yyeess,,desmbe under DESCRIPTION OF OPERATIONS below E-L DISEASE-POLICY UMrr S 500,000 ti DESCFWrnON OF OPERA-nONS/LOCATIONS I VEHICLES(Attach ACORD•InAdddionalRrmaftScheduk,ifmots space lsrequired) i I I i I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Fraser Construction LLC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 31 Bowdoin Rd Mashpee,MA 02649- AUTHORIM REPRESENTATIVE ©1988-2010 ACORD CORPORATION. AU rights reserved. ACORD25(2010/05) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 10 Park Plaza Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 112536 Type: DBA• Expiration: 3/23/2015 Tr# 237059 FRASER CONSTRUCTION CO. DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 Update Address and return card.Mark reason for change. SCA t O 20M-05/11 Address ❑ Renewal Employment Lost Card oriini.0 i.rr•nn ll/b/' '�l�r�,l9ai•//�3n,U..i Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT.CONTRACTOR before the expiration date. If found return to: !i egistrati,1112536N Type: Office of Consumer Affairs and Business Regulation zpirati n: 3/23/2015 DBA 10 Park Plaza-Suite 5170 s Boston,MA 02116 FRASER CONST UCTION CO. DEAN FRASER 104 TWINN VIEW LANE 3� _ E FALMOUTH,MA 02536 Undersecretary Not valid without signature Massachusetts -Oepartment of Public Safety i Board of Building Regulations and Standards Construction Supervisor 1 License: CS-097668 DEAN C FRASER 104 TWINN VIEW : c EAST FALMOUTHMA 954- n IU 1=Xpira Y1 Commissioner 06/07/2015 f i l Fraser Construction, LLC *CONSTRUCTION P.O. Box 1845, Cotuit MA. 02635 ROOFING, ' SIDINGEmail: fraser_construction@verizon.net SPECILISTS w-ww.fraserroofing.com FAX 1-508-428-0123 508-428-2292 HICL#112536 CS#97668 RE-ROOFING PROPOSAL DATE: June 18, 2013 PHONE: 508-428-9956 NAME: Village Square�Condos A576L 508-776-8961 C/O: Dottie EMAIL: janibee@comcast.net 5�Ls MAIL ADDRESS: 39 Tower Hill Rd Osterville MA 02655 JOB ADDRESS: SAME 1 FRASER CONSTRUCTION hereby proposes to perform the following services in a neat, professional like manner in accordance with the manufacturers specifications and local building code. , -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. Fraser Construction will include a 4 Star Upgraded warranty with the selection of any 30 year shingles or any Lifetime shingles. CertainTeed SureStart Plus- The extra measure of protection when a credentialed company installs an Integrity Roof System. 4 Star Warranties have a 50 year Non-Prorated Coverage for any lifetime shingles, which will cover incase of any in warranty repair, Labor and Materials, any Tear-Off, and any Disposal Fees. Upgraded wind warranty available on the following products when special application methods are used. See description below and in the CertainTeed SureStart plus brochure enclosed. ASK US ABOUT OUR OVERHEAD CARE CLUB! OPTION#1 Job Description: Front & rear section of unit 5. Right side North & South sections 2nd story where valleys intersect. Supply and Install - CERTAINTEED LANDMARK: LIFETIME WARRANT' CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi- Layered, Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with,a Full 10 Year Warranty against ALGAE Containment. . With a SureStart Plus upgrade customer will receive 10 year 130 mph wind-resistance warranty with six nails in common bond area, Fraser construction includes six nails in common bond area at NO additional cost. See actual warranty for specific details and limitations. 1 Color: PRICE-$4,895.00 Initial - Option #B Job description: West facing back side of building #5. Supply and Install - CERTAINTEED LANDMARK: LIFETIME WARRANTY CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing,.Multi - Layered, Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10 Year Warranty against ALGAE Containment. . With a SureStart Plus upgrade customer will receive 10 year 130 mph wind-resistance warranty with six nails in common bond area, Fraser construction includes six nails in common bond area at NO additional cost. See actual warranty for specific details and limitations. Color: PRICE-$3,150.00 Initial Commercial Permit- $150.00 Product & Installation Details Supply & Install - (Soffit Venting) Hick's Ventilated Drip Edge or 8" Aluminum Drip Edge with existing soffit vents. Smart vents over white drip edge. Protection against damage to the roofing materials and structure. The most effective system is a balance of air intake and exhaust that creates a uniform flow of air through the attic. This system creates a condition in which the roof temperature is equalized from top to bottom, supplying a uniform air flow along the entire underside of the roof deck. Supply & Install- CertainTeed Winter Guard or Carlisle WIP: (Ice & Water shield) (WIP- Water & Ice Protection) Waterproof Underlayment System (3ft. on eves and valleys, 18" on rakes, walls, and skylights) Water and Ice Protection (WIP) is a self-adhering roofing underlayment used on critical roof areas such as eaves, rakes, ridges, valleys, dormers and skylights to protect roofing structures and interior spaces from water penetration caused by wind-driven rain and ice dams. WIP may also be used as covering for the entire roof to prevent moisture or water entry. Supply & Install - Surround Underlayment (A Typar Brand) A smart alternative to felt, it is water's toughest opponent, creating a secondary water barrier that reduces the incidence of leaks caused by storm damage, wind-driven rain, ice dams and worn roofing materials. It is a waterproof, synthetic polymer material that will protect your home against moisture intrusion. Supply & Install - CertainTeed Swift Start 2 With self- adhering asphalt starter course on all eves, and rake • edges. CertainTeed requires this product for Integrity Roof Systems and upgraded wind warranties. Supply & Install -Aluminum & Neoprene Soil Pipe Flashing Supply & Install-Ridge `lent - Shingle dent II High performance ridge vent with external baffle. (As recommended by CertainTeed) Supply & Install - Pre-Cut CertainTeed Hip & Ridge shingles Shingle Ridge meets the hip and ridge accessory requirements for the CertainTeed Integrity Roof System which is comprised of underlayment, shingles, accessory products and ventilation all working together. The Integrity Roof System is designed to provide optimum performance--no matter how bad the weather conditions are. (As recommended by CertainTeed) Clean & Remove - Debris from work area daily. PAYMENTS ARE DUE IMMEDIATELY AFTER JOB COMPLETION. 1/3 Down Payment Balance Upon Completion Payments accepted are: CASH - CHECK- MASTERCARD -VISA-AMERICAN EXPRESS *Any payments not immediately paid upon job completion will be charged 0.005%for every day after the given 5 day grace period upon day of job completion. SKYLIGHTS- Fraser Construction recognizes that all homes are not created equally, however, this is a constant, incorrectly installed skylights leak. Even a skylight installed days before can possibly leak during the installation of a new roof system. This being said, all quoted projects from as, as a qualified installer, will include an option for new skylights. Possible Extra-After the shingles are removed from the roof, we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$6.00 per panel including Materials & Labor. There are 6 Panels per sheet of plywood. Possible Extra-Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$75.00 per hour, plus 20% mark-up materials. FRASER CONSTRUCTION Warranties the labor for LIFETIME of roof. FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. 3 i CERTAINTEED Warranties the shingles and labor 100% through the Sure Start Warranty duration. CERTAINTEED Warranties the shingles to be ALGAE resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. Any deviation or alteration from above specification 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 carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. F'RASER CONSTRUCTION, LLC: Carnes Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: fN: I Homeowner Fraser Construction, LLC I For compa ky use on1g: Date Received Date Started: Date Completed Job estimate: Dean/Mike # of squares: Billed Material ordered Extras Paid Available Discounts 4 i TOWN OF BARNSTABLE.BUILDING PERMIT APPLICATION , Map Parcel Application# 543 Health Division Date Issued cu Conservation Division Application Fee Tax Collector Permit Fee Treasurer /))7/0-7 ,�UL Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address yks Village l�y Owner f �Y,� Address_, Y-�� Telephone Permit Request A+ 1 c4 l S l,J C.� +'S 0/72 ci ] /����iCi�+► 116- r -Poll 6 Square feet: 1 st floor:existing proposed .2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation o r0 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. l' Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) C 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 i new, Number of Bedrooms: existing new j o•' Total Room Count(not including baths):existing new First Floor Room., ount ~ "� cn i w cD v Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other 1 - 1 Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove:C�0 Yet ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑Listing 0'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 BUILDER INFORMATION Name Telephone Numbers —�7�`�Q�-7 Address PLicense# I q3 W 2 Home Improvement Contractor# l �`t Worker's Compensation# PAR 017�`J9 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Ae Ems?Q 1'1e SIGNATURE - DATE (V 1-2 �� FOR OFFICIAL USE ONLY - APPLICATION# DATE ISSUED MAP/PARCEL N0. , y. 3 ADDRESS k VILLAGE OWNERy J f � _ " l DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH -FINAL _ PLUMBING: ROUGH FINAL- GAS: � f ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. , The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 a www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/Organization/individual): Address: City/State/Zip: 41 Phone M C/7 S Are you an employer?Chect the appropri to box: Type of project(required): 1�I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees(full and/or p -time). s have hired the sub-contractors art 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' insurance.* 9. ❑Building addition comp.[No workers'comp.insurance p• 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 11.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.❑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 hue outside contractors must submit a new affidavit indicating suck 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 subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that Lv providing worker. 'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#:VMV 6 — 4174?�;; "I _ Expiration Date: Job Site Address:J3g 1d ez-1 /Ks ( /�s� City/State/Zip: yiy`!�i w- 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 violato . e advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insuran5e/tovlrage verificalgon. I do hereby ce e a ury that the information provided above ' true nd correct Si at Date: 0-7 IV __� Phone#: 2 ' T CO& 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#: JL1_-26-2007 09:57A FROM:SCHL.EGEL SCFLEGEL IN 1SM7710663 TO:15084770973 P.2 FRD CERTIFICATE OF LIABILITY INSURANCE 07/26/200As aN TIE CERTETCATE oNLr AND ooNFem no RIf:H+TBntsm= HHOLJDER INS CERTFTCATE DOES NOT AMEND. EXTEND OR ST ALTER THE COVERAGE AFFOROED BY THE Po1JGE6 Below. DMAHM APPOROM COVERAGE NAI6• MgSt. WMIOOSB, 1& 02679 sour" .IsuAH31w H'ezeaz>oraH►L oardnar mamma Tp1Ttu=SZNSUPAKZ VOLNOWC. 92 park plaoa � U&Skme, 3a 02"9 aaAa�p C�IERA0E8 THE POIICIEli OF MfiURIYHCE LISTED BELOW HNYE 8Efl1 ISSIIB7 TO THE 1NSUAEp M TFCERT IMY BE BE 188UED OR ANY REQU�IT. TERM OR COMMON OF ANY CONTRAH:T OR OTTER DOCUIENt AND COIDITIONS OF WON MAY PERTAK THE MURANCE AFFOIrD� BY THE POKES OESCIiEED MER®li R SUBECT TO All TIE TERMS. OOCIlfS10NS POUCIER AOORMM LEWS SHM N MAY NAVE BEEN REDUCED BY PAID CLAW APUL LH>•R L.,, mom ..+aa....M+et roueYw arT! 11,000,000 11 ouaHtALUAauTY CPp0909361 08/20/2006 0 //20/2007 GAMO=wdm ,3p,000 _ e tlArRirY 00/20/2007 08/20/2008 aHleoes a mme (� ,morome p"" •3,000 f,1AMSM10E LJ°CCLIR ,ot,oNALRMVINAM $1,000,000 099MA9060M $2,000,000 pII0oLrM.CW PWAft s 2,000,000 vcum ,m i MLOC Arfomo�RBmom ase�lolFurrr _ ""AM ALOWNWAUTM Pam• Yi�1 A ,�pEplR�AYT00 NW Auroo owPFAFEMVDAMW s ,o,�owNeOAu'ros ��rrArM AUTO OILY-EAACCIEW • OAMM UM M/Y OnleR twx fM Ax s ANrAuro AMO M' AM a eAeNooeu • OLMUA LVAUrf AOORM'M • OoarR U�IARBUWB , , s 8 ralRal•A.aNA� 7pjOB-0179796 07/06/2007 07/06/2009 tj TORrI.•a � ,ioo,000 BWU"Ww,u..ul. H1L. AOGOIM pL -54ONLO" t 100.000 EL o�Aet-vaHSYurrr 5300,000 otm a*manon►uon�,a.rvn.aas►H�eualolsAootMn How► no AIC811aD T!$ H100A>0 8 O Tiomi your= Dow Nor COW"CO asum ►-m mLAER CIINCELlJ1T10N MOIRE! AIM � rie AsaB; 0!cmew mum H>re CARCEILAD !>O1NIi710Y OATa TM�OA. me sew aae0 "" eeewa b W& nArs lum"m NoneR to ns comy~m Mau"HMaHD TO 111E 0".an me= To Oo W aNAtl MOW as F= /MOr Mo oMwom OR {MflatlY d AHM IIOM Mliif Its A0011R oR �wrAtNea AlnNoll>oo TMe >ffi�motioel — Board o(8nudangiteplafimas Staudarb_: .;_ Iacem or registration valid for individul use only SME MPROVOOM C MiRACM E bdore the expirationng date. Mfound return to: _ Board of BoW Rephiflons and Standards Registratjon,1g3p7d'" One Ashburton PL4ce Rm 1301 "P.*oi -J8 Isri 8 goon,Ma.02108 GAPONER GONST. RICHARD GARDNER;'' 4 92 PARK PLAgE.WAY:. — MAS4 ;Wm 02849: p�,a.y pdm for�: of valid o� t w Town of Barnstable : wry Services "'m Tb==a cam, BnHding Mid= jb0m s pmY,CqO C 200 Main SWOM Bya&s.MA WWI www o0= sn4624038 I= SW790.6230 property Owner Must Complete and Sign This Section If Using A Builder f;j'0C- T-• s ,as ewe of the feu propeM �,y to act on my be> in nn mamm w1wive to work au hommed by dAs bmMing pennit qqWcadm 60:: (eddn efjob) 12 Sigaatm of Owner Dane Paint Naoze I. Q• x�o9t3m