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HomeMy WebLinkAbout0232 WASHINGTON AVENUE a 3a cvQS hs►� for 1���, �._. •�... -, r. . Town of Barnstable *Permit#_ 3& 1` Expires 6 months from issue dale Regulatory Services Fee Thomas F.Geiler,Director oiO b Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 y www.town.barnstable.ma.us -P Office: 508-862-4038 Fax: EXPRESS PERMIT APPLICATION - RESIDENTIAL X P ONLV�j 0 2 ZO06 Not Valid without Red ress Imprint TOw ap/parcel Number 13 D d 7 OF BgRNSTAB!� LE operty Address kn ]Residential Value of Work Minimum fee of$25.00 for work under$6000.00 wner's Name&Address�i < :)ntractor's Name R L7l"Ap' j /jr('i l��L � Telephone Number__ �! "6 716 ome Improvement Contractor License#(if applicable) •: ._.. ]Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ the Homeowner I have Worker's Compensation Insurance isurance Company Name Torkman's Comp.Policy# opy of Insurance Compliance Certificate must be on file. emut Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to = ref' j ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy a Home Imp r ent Contractors License is required: IGNATURE: !:Forms:expmtrg .evise061306 IsfandSU andRoofing t � ^/ a division of 1�LTConstnxtion,Inc. 0- l Proposal To: /A � September 41 el-6 A�' /e, oZ 3a �G1.S�rnl�pv! (� We are pleased to submit the following specifications and estimates for reroofing Strip existing asphalt shingles and flashings Install new copper drip edge and pipe flashings Install 3 ft. Ice&Water Shield to eaves and chimney flashing. Install 151b. roof underlayment to remaining roof Install 30yr. Or 50yr. Architectural grade shingles Install continuous ridge vent to all ridges. Clean up and haul away all debris to landfill We hereby propose to furnish material and labor-complete in accordance with the above specification, for the sum of- PAYMENT TO BE MADE AS FOLLOWS: Upon Completion All material is guaranteed to be as specified All work to be completed m a workmanlike manner according to standard practices. Any alterations or deviations from the above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents,or delays beyond our control. Owners to carry fire,wind damage and other necessary insurance. RLT Construction,Inc.carries General Liability and Workman's Compensation Insurance. Certificates of Insurance provided upon request. ACCEPTANCE OF PROPOSAL: The above prices, specifications and conditions are satisfactory and hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: /© / br6 Signature ��Y. cl2w Start Date: Signature 31 Mann Circle • Centerville, Massachusetts 02632 Telephone 508.420.5243 and 508.833:5249 • Fax 508.420.1 T76 • Enwilcaperoofer@caperoofer.com Department oj'lndustrial Accidents Office.of Investigations ' d 600 Washington Street s Boston,MA 02111 �•' www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers iplicant Information Please Print Legibly me (Business/organization/Individual): [dress: - 3 t A . v ty/State/Zip: .-- �� - :phone #: 9 . 7 2r; �y you an employer?Check the-appropriate box:. Type of project(required): J I am a e to er with 4. ❑.I am a general contractor and I mP .Y 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors J I am a sole proprietor or partner- listed on the attached sheet t ❑ Remodeling These„sub=contractors have 8..... Demolition ship and have no employees - ❑ - working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance... ... 5...0 We area corporation and its required.] . offiicers have.exercised their ME] Electrical repairs or.additions J I am a homeowner doing all work .-. -right of-exemption per MGL 11.0 Pl big repairs; or additions c...152 1 4 and we have no myself. [No workers'. comp. , §„( )� 12: oofrepairs insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. `. cowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. actors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information an employer that is providing workers'comp.ensation insurance for my employees. Below is the policy and job site mation. _".. ance Company Name: y#or Self-ins.Lie.#: Expiration Date:_ site Address: C7� City/8ta1WZip: ch a copy of the workers' compensation p licy declaration page(showing the policy number and.expiration date). re to secure coverage as required under Section 25A of MGL c;.l52 can lead to the imposition of criminal penalties of a ip 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 to$250.00 a..da against the violator.. Be advised that a y g copy of this statement maybe forwarded to the Office of >tigations of the DIA for insurance coverage verification. - hereby certify under pains and penalties of perjury that the information provided above is true and correct ature: Date: 44 ie#: fficial use only. Do not write in this area,to be completed by city or town officiai. ity or Town: Permit/License# ,suing Authority(circle one): Board of Health 2.Building Department 3.City/Town.Clerk 4:Electrical Inspector 5.Plumbing Inspector I Other .ontact Person: Phone#.: ALIII.�L ..:: ..::. :T :.. : .. ::.:.; .....:.:.. . . .:: : .:. : : :.::. ..:.>:.::.:>:.::.::...::::::::::::.:::::::::.::::......:....:....:;:.;............::::::::>::. D ..� .:: ::::::::. .::::::::::::.�:.�::.::::..........�......�. ............: ATE(MM\DD\ . : '. .R ►[ .. m ::::::.:::::.:::.:.::::.. .....:.:.::.....:.::..:: :::..... �:..:::::: PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE EDWARD A GRAZUL INS AGCY HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR PO BOX 337 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MARSTONS MILLS MA 02648 COMPANIES AFFORDING COVERAGE COMPANY 28Y2K A HARTFORD UNDERWRITERS INSURANCE COMPANY INSURED COMPANY R L T CONSTRUCTION INC B 31 MANNI CIRCLE CENTERVILLE MA 02632 COMPANY C COMPANY D wow THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR...THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO 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. .TR O TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE(MM\DD\Y1.) DATE(MM\DD\YY) LIMITS GENERAL LIABILITY $ COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE PRODUCTS-COMP/OP AGG. $ CLAIMS MADE F7 OCCUR. PERSONAL&ADV.INJURY OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ AUTOMOBILE LIABILITYMED.EXPENSE(Any one person) $ ANY AUTO COMBINED SINGLE $ LIMIT ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY(Per Person) � HIRED AUTOS NON-OWNED AUTOS. BODILY INJURY (Per Accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ ExcEss uABIUTY AGGREGATE $ EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY' (US-1051C04-5-05) 12-24-05 12-24-06 STATUTORY LIMITS _ W>:: >` THE PROPRIETOR/ INCL EACH ACCIDENT ::$ PARTNERS/EXECUTIVE OFFICERS ARE EXCL DISEASE—POUCY UMIT $ OTHER DISEASE—EACH EMPLOYEE $ 100,000 SCRIPTION OF OPERATIONS/LOCATIONS/VEHICU:S/RESTRICTIONSJSPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECT :.......:::::::.::.:.;;;:.;:::::::::.::;:;:::;.;:::::::::::.:::..:.:.....:.::.•..;.;.::.....::............ ........I NG WORKERS COMP COVERAGE. ::::::::::.::::.:::......::::::::::.:::.....::::.:::::::: .. ::.:::::.::............:.:.::.:::::::::............. .. GE. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY'WILL ENDEAVOR TO MAIL OWN BA BUILDING DEPARTMENT 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE DWN OF BSTREETBLE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR OO MAIN STREET YANN I S MA 02601 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. I AUTHORIZED REPRESENTATIVE �w ce ' ;r Board of .. ..:,b Regulations and Standafik" HOME IM2RO,VEMENT.CQNT Registration �CTOh: t r r _ .a34286 �xP -aQ ors ��yyy�. _—t Mtl72007' NC RONNIE Tgy�pR \ ''jDING&ROOFIN _5 •�1d�tnt �% I -o 0 7 Assessor's map and lot number ......:..../`3 �FTHEt0 r d�; Sewage Permit number ......:................ . ..�..�.:��'�L� SEPTIC SYSTEM ONSTALLED IN CO , House number ,�.3 ...... ..."`^.: :.., WITH TITL NAG LE "VaQGROMMENTAL yara•� TOWN OF BARNSTAB�'L "I L4�7�'�" e3 = BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....d7.!�i LX, • 1 !9�.eA........jA.Q rJ............................................................. TYPE OF CONSTRUCTION 9, iAQ:1 7"1 .....................cK i ....... ... . .. ....0�........19. 40 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....!L3., 1U }J j...... Jl ,,........................................................... {{��..........�+.._ ProposedUse ...�4�-5.i.4 1.! `.... .. .... !.5. ..................................................I......................... Zoning District ...LF. ..k....................................................Fire District ...C .11.0.... .1'�..�.C.�.................. Name of Owner n4f .M A � . . `5..... ...;rZ.I.�..1P1 ............ ............... .�.... #I�-. .... Address .... ...... �:��+?. Name of Builder ...............Address Name of- G�4-aAq t . 'Q. ... ?s-. .. ?! ..I'' + ..............................................................Address Number of Rooms .......I........ ........... . .....Foundation R�� Exterior ....S.A.lh?q..L?...........................................................Roofing ..... ... 04-fi1... m... Floors .... ..:...............................Interior .....�K'.?-0-- ................... ............................... Heating ... .:.........Qh.,5i•R $0A.% ?.....................Plumbing .....h.)21. ........................................................... Fireplace ..... ....................................................................Approximate. Cost ....... CS4 ...................................... Definitive Plan Approved by Planning Board ---------------___------------19________. Area ......sil_. ...j.................. Diagram of Lot and Building with Dimensions Fee ..... © SUBJECT OAR VANEALTH I ,/f r 1 S — b• IL►►QD�T1aJ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... . ....... — .......................................... Construction Supervisor's License... O. 2-s-1.......... ELLIS, MR. & YRS. GEORGE 30166 Additi No ................. Permit for .................9 n..... .... ... Single Family Dwelling .- ............................................................................... Location .....2.32 2...Wa.s.h.ing t.o.n..Av.e.nue............... . . .... . . ...... . . .. .... . ...... Osterville ............................................................................... Owner .......Mr ....&...Mr.s.....G.e.o.rge...E.1 1 i.s............. . .... . . .. . . ...... . ...... . Type of Construction .......Frame ........................ ................................................................................ Plot ........................ Lot ................................ November ,12, 86 Permit Granted ........................................19 Date of,lns-pection .1............. .......19 Date Completed .............. ..............19 Assessor's map and lot number ........ /3 Bpi THE Sewage Permit number ................... i!h..:�f'" c i d V........ A o � 'y,n Z BABH9TADLE, i House number ...................j !.... , a 11 1.........�..... 'o M639 �0 �0 11MarO. TOWN OF 'BARNSTABLE i BU [LDIHG INSPECTOR APPLICATION FOR PERMIT TO .n..2MA.I.�..........�..CLC�O�I.........I??q:�.> -................................:.......... TYPE OF CONSTRUCTION ........Q..-e-Si eO-t-X Or 4— ......L-Oa-?: ....................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �-��- t,JA.S�1 ��� ... �JE. © STe.�J�LIB ........ .... .................................. .+ .... ........7. ............. Proposed Use ... � "�+.! �-- �. S �5.�- -....CAM .... n .............................................................................. Zoning District ... ....................................................Fire District ...C-.. ;. +(iR,...Q:. TR,IC..r.................. IName of Owner ....................-.-�.-..... .....y....�..........................Address ..............�:..........�.............�.... ..�................. �. Name of Builder .. .:.� 1.!A « fin- 1 .AQ LOeJa U.-P.v o ....... .......... ... ....................Address ....................... ........z..........p.;..�Cs�. .:?r-e.J.�?�L.L@, p�s;c��,s� ®ST v��� Name of Areh�tect �4�....' �-� `.�? ^........... --_----.................Address ................................�..�1............................................. Number of Rooms ....Foundation .....P�?...... Exterior ...Si-V.t.wtAA4............. .Roofing .....t,�CsUQ....."' :.A...�/JA2a..........................................�:..... Floors .t- �. ....... ,.. , . b .... ... ..................................... . . L Heating ... �.PAS e,C� ctl'3...................:..Plumbing ..... ........................................................... Fireplace .....0.8....................................................................Approximate. Cost .....ts .............................................. Definitive Plan Approved by Planning Board -------------------_-----------19__:_____. Area ....... M:......................... Diagram of Lot and Building with Dimensions Fee :........r............................. SUBJECT TO. APPR94VAL. OF BOARD O WEALTH t r /00 t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS - I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..�-- -----'..............:...................... Construction Supervisor's License ...®® I.......... ELLIS, MR. & MRS. GEORGE A=138-.007 No ...3.016.6.... Permit for ...Addition . ...... . .......................... Single Family Dwelling ................................... ...................W...................... Location .....232 Washington Avenue .......................................................... Osterville ............................................................................... Owner e Mr. & Mrs. Georg Ellis„ .............................................. ............... Type of Construction .......FrJame........................ .... ...... ................................................................................ Plot ....................... Lot ............................. Permit Gran-ed ...........November 12, 86 , ..............................19 Date of Inspection ....................................19 Date Completed ..............................I......19