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HomeMy WebLinkAbout0239 PERCIVAL DRIVE 9 Oxford, NO. 152 1/3 ORA ESSELTE 10% -- Town of Barnstable _ Bil1ldlilg Post This Card So That it is Visible From the Street-Approved Plans Must be Retained'on Job and this Card Must be Kept KAS& Posted Until Final Inspection Has Been Made.. Permit sbss� �� - - JlL jj jj jj 1. r,9, Where a Certificate of Occupancy is Required,.such Building shall Not be Occupied until:a Final Inspection has been made. Permit No. B-19-2878 Applicant Name: Michael McMahon Approvals Date Issued: 09/05/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 03/05/2020 Foundation: Location: 239 PERCIVAL DRIVE,WEST BARNSTABLE Map/Lot: 110.001-003 Zoning District: RF Sheathing: Owner on Record: PACE, PATRICIA L MCGINTY TR Contractor Name`'-,MICHAEL T MCMAHON Framing: 1 i Address: 239 PERCIVAL DRIVE + Contractor License: CS-068111 2 WEST BARNSTABLE, MA 02668 a Est. Project Cost: $5,954.00 Chimney: Description: Weatherization,air sealing,weather stripping,and insulation �� Permit Fee: $85.00 Insulation: Project Review Req: / Fee Paid:i $85.00 Final: M� Date: 9/5/2019 t; Y 'Ir-- .—. Plumbing/Gas Rough Plumbing: - -------_ \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this 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. 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 r` 2.Sheathing Inspection I____- Rough: 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 MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: . GMy�c. sue' 1 I�I a� Town of Barnstable *Permit Expires 6 montf io 's date Regulatory Services Fee • snstvsrna>;Z,MAW • `� Richard V.Scali,Director �s Building Division 'Yom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ina.us Office: -508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number /I woo D Property Address ,9,� q_T, �1 V A L Lk Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Natne&Address p �t'e-916 — e­ Contractor's Name Am) S /ro PPI)/Sad) Telephone Number��� Home Improvement Contractor License#(if applicable) /732`f%< Email: Constnlction Supervisor's License#(if applicable) 07 76 7 4A, ti1l� rw,Aa m AW orkman's Compensation Insurance Check one: [`i'o 1 4 Z'�- a ❑ I am a sole proprietor TOW&I ❑ I am the Homeowner !! �H I 1H IY /t 8 �I have Worker's Compensation Insurance /`� Insurance Company Name Workman's Comp. Policy#_WA 3159-72- / Z� Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All ctmslruction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side XReplacement Windows/doors/sliders.U-Value 2 (maximum.32)#of M5— #of do ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical& Pire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is requi d. SIGNATURE: • C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\2PI0I DHR\EXPRESS.doc Revised 040215 09/1 �I / f ken' ewaI Agreement Document and Payment Terms byAndersen. dba:Renewal By Andersen of Southern New England Pat McGinty-Pace �;�� Legal Name:Southern New England Windows,LLC 239 Pereival Dr. � RI#36079,MA#173245,CT#0634555, Lead Firm#1237 West Barnstable,MA 02668 WINDOWC NE LACENENT 10 Reservoir Rd I Smithfield,RI 02917 H:(508)362-5091 Phone:866-563-22351 Fax:401-633-6602 1 sales®renewalsne.com C:(571)358-5622 Buyer(s)Name: Pat McGinty-Pace Contract Date: 01/29/18 Buyer(s) Street Address: 239 Pereival Dr., West Barnstable, MA 02668 Primary Telephone Number: (508)362-5091 Secondary Telephone Number: (571)358-5622 Primary Email: patmcpace@juno.com Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount: $16,093 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: $5,363 Balance Due: $10,730 Estimated Start: Estimated Completion: Amount Financed: $0 8 to 19 weeks 8 to 10 weeks Method of Payment: Cash/Check We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that we are providing at this time is only an estimate.We will communicate an official date and time at a later date. Rain and extreme weather are the most common causes for delay. Notes: Taxes paid in Barnstable Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s) and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement, understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 02/01/2018 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Legal Name:Southern New England Windows,LLC dba:Renee ral By Andersen of Southern New England Buyer s Signature of Sales Person Signature Signature Gino Montesi Pat McGinty-Pace Print Name of Sales Person Print Name Print Name i UPDATED: 01/29/18 Page 2 / 9 J. = ®dice of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Horne Improvement Contractor registration Registration: 173245 Type: Supplement Card Expiration: 9/19/2018 SOUTHERN NEW ENGLAND WINDOWSILL . BRIAN DENNISON - 26 ALBION RD LINCOLN, RI 02865 rn card.Mark reason for change. Update Address and retu 11 Address E:j Renewal J Employment j I Lost Card _:-office of Consumer Affairs&Business Regulation Registration valid for individual use only before the : expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation _F Registration: .173245 Type: 10 Park Plaza-Suite 5170 _= Expiration: 9119/20�8 Supplement Card Boston,NIA 02116 = SOUTHERN NEW ENGLAND WINDOWS II C. RENEWAL BY ANDERSONr--- BRIAN DENNISON , 26 ALBION RD �,d LINCOLN.RI 02B65 l�;fldersecretary Not valid without signature .r Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-095707 ;cis+;uc+jo,.j Supervisor 'y BRIAN D DENNISON 7 LAMBS POND CIRCtE CHARLTON MA 01507y: $ s ! l.� Expiration: Commissioner 09/08/2018 The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Ij orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Le 'blv Name (Business/Organization/Individual): E e �ws Address: City/State/Zip: p Phone#: �,D/ _ 2 Are you an employer?Cbeck the appropriate box: Type of project(required): 1 XI am a employer with Zo 1'employees(full and/or part-time).* 7. ❑New construction 2. m a sole proprietor t or or partnership d h p and no employees working for me in ❑I a l 8. Remodeling any capacity.[No workers'comp.insurance required.] In I am a homeowner doing all work myself.[No workers'comp.insurance required.] 9. ❑Demolition 4.❑I am z homeowner and will be hiring contractors to conduct all work on my property. I will 10 ❑Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.[]Electrical repairs or additions proprietors with no employees. 12.[]Plumbing repairs or additions 5.❑1 am a generzl contractor and I have hired the sub-contractors listed on the attached sheet 13 ❑Roof repairs These sub-contractors have employees and have worker'comp.insurance. . p 6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.,ROther 400 r 152,§1(4),and we have no employees.[No workers'comp,insurance required.) 'Any applicant that checks box€l must also fill out the section below showing their workers'compensation policy inforInation. 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 have employees,they must provide their workers'camp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 1l� lilet� $ -EJIYI Policy#or Self-ins.Laic.#: CA-31-8"7 z 9 — Expiration Date: � l Job Site Address:— O!�ke,oc!tQ ��?=• City/State/Zip:A) Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration d te). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify under th ains andpenalties ofperjury that the information provided ove is true and correct i Si afore: Date: IJ i3 Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: DATE(MM/DDIYYYY) . ACORO� CERTIFICATE OF LIABILITY INSURANCE 1212912017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: CoBiz Insurance, Inc.-CO PHONENo, 303-988-0446 a/c No,303-988-0804 1401 Lawrence St, Ste. 1200 E-MAIL Denver CO 80202 ADDRESS: COMaiI cobizinsurance.com INSURERS AFFORDING COVERAGE NAIC If INSURER A:Acadia Insurance Company 31325 INSURED ESLERCO-01 INSURER B:Firemens Insurance Company of WA,D.C. 21784 Southern New England Windows, LLC. INSURER C:Homeland Insurance Company of New York 34452 dba Renewal by Andersen of Southern New England 10 Reservior Rd INSURER D: Smithfield RI 02917 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1252851165 REVISION NUMBER: 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. ADDL SUER POLICY EFF POLICY EXP INTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL UABIt.ITY CPA3158728 1112018 1112019 EACH OCCURRENCE $1.000.000 DAMAGE O RENTED CLAIMS-MADE a OCCUR PREMISES(Ea occurrence $300,000 MED EXP(Any one person) S 10,000 PERSONAL 8 ADV INJURY S 1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2.000,000 POLICY❑PRO ❑ LOC PRODUCTS-COMPIOP AGG $2.000.000 X JECT $ F71OTHER: M LIABILITY N CPA3158728 1112018 1112019 COMBINED SINGLE LIMrr $ Ea accident 1 000 000 OBODILY INJURY(Per person) S ED SCHEDULED BODILY INJURY(Per accident) $ AUTOS PROPERTY DAMAGEUTOS X AUT SNON-OWN� Per accident $ S LA LIAB X OCCUR CPA3158728 1112018 1/1/2019 EACH OCCURRENCE $10.000.000 LIAB CLAIMS-MADE AGGREGATE $10.000.000 RETENTION$ $ B WORKERS COMPENSATION WCA3158729-20 1/1/2018 1112019 X STA UTE ERA AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOWPARTNER/EXECUTIVE E.L.EACH ACCIDENT $1.000,000 OFFICER/MEMBER EY.CLUDED? NIA A E.L DISEASE-EA EMPLO S 1.000.000 (Mandatory in NH) If es,describe under E., DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below C Pollution Liabili ty 7930073340000 1/12018 1112019 Each Occurrence 51,000.000 Claims-Made Policy Aggregate $1,000.000 Retroactive Date 06202013 Deductible S10,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. For Informational Purposes AUTHORIZED REPRESENTATIVE i I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD r. Ca, o�IVWE, Town of Barnstable *Permit# v� Expires 6 months from issue date Regulatory Services Fee • t3axx917ABLE. + v� 1 ,0� Thomas F.Geiler,Director o �A Building Division XPREss PERR Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 JUL 3 U n13 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDE V BNSTABLI Map/parcel Number I p 00!I o03 Not Valid without Red X--Press Imprint � � f Property Address 9-j ei-"G t t.&t t)c l []4eesidential Value of Work$ 4 —tx:> n Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address MP• L-OOi S, `9vLCC-,' 26-1 P.e rU Vw l bf`i ve—, L^ Sk' &,r-Mtc ( _- Contractor's Name9G� sw1s C. - Telephone Number �(L�-/17 7 Home Improvement Contractor License#(if applicable) (o .)1 1 `f Email: o'�,CO-- 1p_C a e.—jW cpol Construction Supervisor's License#(if applicable) [N4orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# G —3 ( S —3&66 Copy of Insurance Compliance Certificate must accompany each permit. Permit Reque t(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to 1W_ f r� ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows. #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical& Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is nrequired. SIGNATURE: q C:\Users\decollik\AppData\Local\Microsoft\Wi ws\Temporary Internet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 7be Contmomvealth of Massachusetts Department of Industrial Accidents Office of Invespgations C. 600 Washington Street ' Boston,MA 02111 i mfrv.masmgov/dia Workers' Compensation Insurance Affidavit: Budlders/Contractors/ElectricianslPlumbers Applicant Information ` Please Print Legibly Name(Business/Organizationdadmdual): y6a) 1 ca 7_61uk 1 �I l Address: 31 &)C&t n is(-�e-+ City/State/Zip:,:!�-,5k-l�-ry l�(e-MA o?s�5� Phone lk ( 1 7-7 Are yop-an employer?Check the appropriate box: Type.of project(required)_ 1. I am a employer with ( ? 4. ❑ I am a general contractor and I employees(full and/or pact-time). �b�—s have fired the sub contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees Thy sub-contractors have g- ❑Demolition workingfor me in an capacity- employees and have workers' Y � tY- 9. ❑Building addition [No workers'comp.insurance comp.insurance.I 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.]1 c. 152,§1(4),and we have no employees-[No workers' 13.❑Other comp.insurance required-] *Any applicant that checks bos 1,1 roust also fill out the section below showing their workers'compensation policy information- I Homeowners who submit this affidasat mdtcatmg they are doing all work and then hire outside contractors must submit a new affidavit indicating such Contractors that check this bay 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 have employees,they must provide their workers'comp.policy number- I am an einpioyer titat is prorzditig vtporke.rs'coitipensation insurance for mry employees. Below is Hie policy enzd job site information. Insurance Company Name: [—1�2 � Policy#or Self-ins-Lie.4:W C—E`3k O --a 1 Z Expiration Date= '6-—1 c>—Zc>13 Job Site Address: 19' ere i W) b d1 V C— Ci /State) Was k-R"5Fr-b(e 6 MA o)t q t3` �= 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 2.5A of MGL c.. 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cer-h,fywider the pains and penalties of perjury that the informzation providedt � abm,e is trite and correct. Sisnature:��s -- Date: -zz La-, Phone#: r �{'2 1 7 QQ4cial rise only. Do not write in this area,to be completed by city or town of ciaL City or Town: PermitlUcense# 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#: 6 f PAUL J. " C"ReOD & SONS Property Owner Must Complete & Sign This Form If Using a Roofer / Builder. 1 (print) Z-1,© V-4�C ze7 as Owne/ Agent of the subject property hereby authorizes Paul J. Cazeault & Sons Roofing Inc. to act on my behalf, in all matters relative to work authorized by this building permit application for: Address of Job o� � I v 4 Signature of Owner Mailing Address of Owner Telephone # G � �b S2 Date Please return this form to Paul J. Cazeault Roofing along with your signed contract. It is needed for us to obtain the building permit required by your town to complete your roofing project fax#508-420-4555 office@cazeault.com ./4/LU13 1U:14:US AM PST (GIRT-8) FROM: 1000U5-'1'U: 15U84'LU4555 Page: L 01 2 E(MM/DDmrYY) '`' D® 2/4/2013 CERTIFICATE OF LIABILITY INSURANCE DAT THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER DOWLING &O'NEIL INSURANCE AGENCY INC CONTACT NAME: 973.IYANNOUGH RD PHONE c o 1 775-16 0 FAX A/c No): 778-1218 HYANNIS, MA02601 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Liberty MUtUal Insurance INSURED INSURER B: PAUL J CAZEAULT&SONS ROOFING INC 1031 MAIN ST INSURERC: OSTERVILLE MA 02655 INSURERD: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 15420453 REVISION NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MMIDDIYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ COM MERCIAL GENERAL LIABILITY DAMAGE ES EaEoccu ence $ CLAIMS-MADE OCCUR �� MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO LOG $ AUTOMOBILE LIABILITYCOMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) AUTOS AUTOS $ NON-OWNED P PER DAMAGE HIRED AUTOS AUTOS ferecadenl) $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ $ A WORKERS COMPENSATION YIN N WC5-31 S-386670-012 8/10/2012 8/10/2013 STATU- t L- OR AND EMPLOYERS'LIABILITY ,/ TORY LIMITS ANY OFFICER/MEMBEREXCLUD PROPRIETOR/PARTNEIE ECUTNE� N/A E.L.EACH ACCIDENT $ 1000000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1000000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1000000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE.WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Jeff Eldridge ©1988-2010 ACORD CORPORATION. All rights reserved. i name and logo are registered marks of ACORD CE '4/2013 L0:10,:43 Art Page 1 of 1 T1 =_viously issued certificates. I 9 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-026325 PAUL J CAZEAbLT 1031 MAIN St' OSTERV-R,a MAR 02655' Expiration Commissioner 10/20/2013 Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston Massachusetts 02116 ' .c �\ Home Improvement Contractor Registration Registration: 103714 Type: Private Corporation t z _ X Expiration: 7/9/2014 ' 'Tr# 228652 PAUL J. CAZEAULT & SONS, INCc T Paul Cazeault 0 1031 MAIN ST OSTERVILLE, MA 02658 � r Update Address and return card.Mark reason for change. Address Renewal ❑ Employment Lost Card PS-CA1 i0 50M-04/04-G101216 _p ,per 9/L ell, 'ra"wea� `� /�`Z°°ac�ivaet�a or License registration valid for individul use only Office.of Consumer Affairs&Business Regulation,. before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR Registration: r1.03714 Type: Office of Consumer Affairs 7/ and Business Regulation 9 10 Park Plaza-Suite 5170 Expiration: f7/9/20.14` Private Corporation =� Boston,MA 02116 :,=— Y PA J.CAZEAULT�B-=SONS;iNC,_11 A, ,} Paul Cazeault �� - � � 1031.MAIN ST OSTERVILLE,MA 02656 Undersecretary Not valid withoutsi�itature C T 04NN OF 6AR�`TI��tE CAPE CO INSULATION 2p13 '���" 29 r�j �8": ' y IIRC40Lp93 Slp Mlfi3i 119. F.A. 1USYfi 10 fipRi OURfi43 INSYIAIION CIILINOi ®����.�t;� 1-800-696-6611 444 pile- . r 3 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 ^r Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village 77 Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ( x) (Zo ) ( ) (�e) Slopes ( ) ( ) ( ) ( ) ( ) Floors Kn<.c ( ) ( ,�) ( 70) (x) ( ) Walls K,�crc s OC ) ( ) ( Id ) ) x) f Sincerely He y E Cas y Jr, President C e Cod I I ulation, Inc. Assessor,,s map and lot number ... . ..U... . . • { F7HET 0/�f IOW-er1{ o`'o o�♦ (e ry— q G l Sewage Permit number . ::•:.4 .,.7:.L/..���.;��.................. l9/Q y Z BAMSTADLE, i House number ......a�,�.9......................................................... (/./� 9 MABa � b.• �p 1639. `00 - TOWN - OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO y� TYPE OF CONSTRUCTION ...........!a,.l...M ../...........................:...................................... .... ............/. ...1..��...............19. ...... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according _{to.�the -following information: Location ...2111.......i/PY.C:.�M.01'..�� �..: t?Qr./�.�!..`�+jCX_. ,�� OZ...1a��......................:....................... ............. ......... ProposedUse ..pf'.;.1;I.Alkj......RC'�,.,Ap. `. e__I. ................................................................................................................ Zoning 'District ...J ........................................................Fire. District ... .J.:..S�� fi. !C"M................................ Name of Owner .. .............Address .l� 5 ��! L.. ...uh,(. l.J..�.. h,?-�e....MAPz(V Name of Builder .�./�.C.l.��/`�......� ........Address �.............� ..................... .... ............. Name of Architect f.....!....L. I....S...........c.... ..!.. ......Address ...1.. �............. �.....�j.":. ... J1.... Number of Rooms ...�>��rf�G=�-�.1��( /...... Foundation (�Ql,....�.'eU!:....4•���G...... . ..,.I✓... .......... Exierior .. .'� ... � ..lJ�'{ !�.... ....... .. oofing ......I�� �i.!�.X......... ....�. ....�.. Floors �/. ..�..�.. ..:..���. ...I . .....Interior ......J� .... Heating .....17!!.'......Q&'f)...q�. ......0..!kPlumbing ��.. .pQ ..... '..P..V.:d.t.....: .li�... Fireplace .. ...G... ...............................................................Approximate. Cost ................Fv� .................. .......... Definitive Plan Approved by Planning Board ______1____ _----------- Area ........!..:1...7.................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY'PERMITS REQUIRED FOR NEW DWELLINGS I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable'.., the above construction. Y' XName ...... ........... i- c 'Construction Supervisor's License :+__ �. . • ` ._ :-f � . 3;,�- 1 �~ � . .� it QUIMET,' NAYRK & LORI y; -3�023 BUILD DWELL G -" No ....... Permit for ...................... CDT Single Family Dwelli . .................................... .........................n g. ........... Location 239 Percival Drive ......... •.. cr West Barnstable•...•.,•.•.. -4 Mark & Lori Quimet Owner � - Wood Frame >^ G a Type of Construction .......................................... �� < ................................................................................ G Plot ............................ Lot ................................ , June 29 89 Permit Granted Date of Inspection ....................................19 Date Completed .............19 �e U I YIC SYSTEM i UST62 O/ PL Asse§sor's'mpp'and'Ic*t number ... //.7sAkSi LLED IN COMPLIANCE -dsTNE , WmTffL j Sewage Permit- number ��� �„ CODE AND cjq ' V- .:� NVIRONMENTAL y TOWN REGULATIONS / // n n, '/ = BABH9TeDLE, i House number ...... . ................:..................................:. �,l��i r aea ` 00 163 q 9� TOWN OF B"ARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............. ....... ... /...... ..... .................................................................... TYPE OF CONSTRUCTION ............. ........ .... .. ........1.................................................................. ' :......!/ ..l...C/..............19.� / TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...�....1.......irrc(.Vd...-br.....W. Qr1?<S .............. j� 0Z(D/DB ....Proposed Use ...Pr.1maC`.1J�......R�'Sc.. AY- -Q............................................................................................I......................... Zoning District ...A..7.............................................................Fire District ....LrL�..:..� C.................................. ^ . Name of Owner A, ktL.CQy i....C, 1 ....................Address � .dn"'��/ Name of Builder .6n. &/7 /'/ ........Address �h �-A. 'tii PS'C�� ""`T- J::,..J ........... .......... ...... . ............... ...................................... Name of Architect .�..x1....5..!..t!)f. ...�� .�c,�/..Address ...�.CiQ.... }t .. J.!�.....y.`". Q... � .... Number of Rooms ...R.69GGC. .................. ......FoundationQV.... ?.`e ..... n ..... ../.LP.............. Exterior } y'...kl C ... ....... .. oofing ......l i p X........A� .... ..................... Floors S�..P.�.� .1.. � ...r.. .....interior ...... v .....4�d P!�! G(�� /t./.cs�... Heating ..... JV......0..!✓,.Plumbing CV p.pQ�. P. bA- Fireplace ...... p pp...11 ..................................................... .........A roximate. Cost ................�1.0f..00 ............................... Definitive Plan Approved by Planning Board ______ --_-1-_-_____ �� ........ ------�9-------. Area .................. Diagram of Lot and Building with Dimensions. Fee ...............1/.. .. UBJECT TO APPROVAL OF BOARD OF HEALTH V OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town 91 Barnstable regarding the above construction. Name ......�c.:....... . Construction Supervisor's License .........�Q.(P.C?.C� .. cat/ rr, QUIMET, MARK & LORI A=110-3 Nc,. ..3 0 2 3 Permit for �,bP...pW J.�LING ti '� ......... 2.3.. ..BU. . . Sin�le..Family,...DWg.�.7,1.n. ... g............. s Location ....23. ........ erc.iV _V.e.......... ..................West B.aK.n.$.t4bj.e..................... 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'4 .i, .�_;. :3 ..-.lY, a 1N: •�C. ? r +..+.�yr �f1.`�.'k • - •;;'r:Y:_`l,c._.5;1`��t�,�,%k��`l�i Si�.x,. ,.Y ;,�,_ t i - ,.t ....^�:�,Z..�r��•�1:^rt�:.}� .:i't,;,.,�' .t^.. 1 r -='� x t.,�� .. •i:.+r'r-,,?r^ a 3.x :cc;cL6. •t^ 7�e5�'��,t:- ,: 33o2-3 � LpT 2I D ` r ` �o ¢0 401.09 � Q D LOT 2Z w ," a3e.so /n a� �o uNDATgN '.a OPEN SPACE K Q aP' a y9 •a h �O / JOB # 89-076 CERTIFIED PLOT PLAN PREPARED FOP.- LOCATION.- LOT 22 PERCIVAL DRIVE BARNSTABLE SCALE. 1 "=80 ' DATE: 06/26/89 REFERENCE: PB 413 PG 99 GLEN CRAFTS I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. Of JOHN down cape engineering, inc . MCELWEE H CIVIL ENGINEERS .33602o� LAND SURVEYORS JLJ 89 ROUTE 6A YARMOUTH MA DATE URVEYOR 3 54 z3 j. o � TOWN OF BARNSTABLE Permit No 33023 . ..............:. • BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ,659• X �to�YR HYANNIS,MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Mark & Lori Ouimet Address 239 Percival Drive, West Barnstable USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. FF October 25 89 ......, 19................. ............�, Building Inspector ��Q..�`��'°•mow TOWN OF BARNSTABLE f BUILDING DEPARTMENT i sesa�r TOWN OFFICE BUILDING rua HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has.been issued for the building authorized by Building Permit' $�_334 c _._._._.. _...._.......... » . _... ..._ ... ._ . ' issued to ..�11.G�`..� .._..`k ................................................._.. . .. ._...... .�._. Please release the performance bond. . •L 'r...>}'..,.sr);...,,. .•'" ;s yr"tr`: -;• ai`iSd:. .NET•-.....r-w .__ .T.,,,,ri t'.?` .. •'FaSf "Sv`,. * ARNSTABLE, MASSACHUSETTS�i. BUILDIN'� PE �fti�. r. - t,F ' DATE / �~ PERMIT NO. � NT Glenn Cr-flits ADDRESS 1J9 VY'E'at tdEsytlr'rn Road, D y (NO.) (STREET) _ (CONTR'S LICENSE) MIT TO 1iUild Dwell.iAq ( ) STORY .`.�1.1`1i11C Family U��('1111"'Q NUMBER GOF UNITS (TYPE OF IMPROVEMENT) N0. (PROPOSED USE ='z.-t -,� •- - a - 4p AT (LOCATION) 239 2•J:•'rf.axal D iVi , :":i :ii iit.ir T. Lak�lc ONING .„J (N0.) (STREET), Dk TRICT ; •BETW EN AND<' (CROSS STREET) (CROSS STREET) SUBDIVISION LOT ' LOT BLOCK SIZE -`-'BUILDING IS TO BE FT. WIDE BY FT. LONG BY :LIN HEIG(aT,AND SHAL ORM IN CONSTRUCT)) .. .r, TO TYPE USE GROUP BASEMENT WALLS OR F UdDATION REMARKS: AREA OR VOLUME - 1[}72 ill• it• ESTIMATED COST $_ 90,000.O� PERt FEE•' 117• 75. ' (CUBIC/SQUARE FEET) ' t°altrt: G( �Clx'i Ljui!LLt - �.• � OWNER i BUILDING DEPT. \ "� ADDRESS `' �•j :. 1L:1iLJcSl:ll t'1Liy�, i`iit:.'l!)JE:t-:, •;t `1' BY 7.7 • V THIS PERMIT C,AVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY C PERMANENTLY.•'ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE•B.UILDING CODE, MUST BEA 'PROVED QY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUB IC SEWERS MAYBE OBTAINE FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APP ANT FROM'THE CONDITIOI OF AN' .APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALK APPROVE{. 'LANS MUST BE RETAINED ON JOB'AND,THIS -P.PLICABLE. SEPARATE INSPECTIONS REQUIRED FOR _' : P ALL CONSTRUCTION WORK: CARD KEP POSTED UNTIL FINAL INSPECTION 44'6tEN E_ , '..TARE REQUIRED FOR ;CAy, .PLUMBING AND •(..FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY°IS RE. M EcAP-INSTALLATIONS. ,. 2. PRfOR TU COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT.BE OCCUPIED UNTIL 1FINAL INSPECTION TI TO BEFORE FINAL INSPECTION HAS BEEN MADE. r 3. FINAL INSPECTION BEFORE • OCCUPANCY. P ST THIS CARD SO IT • IS• VISIBLE FROM STREET BUILD) INSPE I N APPROVALS PLUMBING INSPECTION APKIOVAL ;;& ELECTRICAL INSPECTION APPROVALS 1 n J 14q io 61 Z3J HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT /0( OTHER BOARD OF HEALTH fh , WORK SHALL NOT PROCEED UNTIL THE INSPEC. PER=ISAR NULL AND VOID IF CO CTION r�R HAS APPROVED THE VARIODUS STAGES OF WOR WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN i NSTRUCTION. PEROTED ABOVE. ARRANGED FOR BY TELEPHONEI'OR WRITT NOTIFICATION. o o� P 1! J. GU N Loh! T3o -�r tu o Amp MEL L LO -5-S a `3) q¢� I, �aT� Ms �r�ry -R��cE�1 �eoM 1�5�S S�N�c►�c.�(©� r�r? �., o r 3,PIPE 'PI7�r�• 1�4 /FT Utal,E oT�EPWtsE 1.�p'fED r e I 'J' I A ' ?j CA T ` ' W µ1 y n ?j PC doIN.TS �4p.LL pJE MnOE t.la-rE2'C1G+11. 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