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0227 PINE STREET
V1 on IN UPC 12543 % ,go- No. 53LOR , HASTINGS, MN 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION i' Map Parcel Application # . ,O Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee y' Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village Owners-5 Address Telephone C7 Permit Request • �-- l - llkl r1l)l 62,4 Square feet: 1 st floor: existing/�proposed_5 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type—/Yl0 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: �es ❑ No On Old King' Highway: 'es ❑ No J.Basement Type: ❑ Full rawl ❑ Walkout ❑ Other C,.ao� 64 / 4AZ6z Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)�AJQ Number of Baths: Full: existing new O Half: existing O new. 0 Number of Bedrooms: existing D new Total Room Count (not including baths): existing new 0 First Floor Room Count Heat Type and Fuel: ❑ Gas0 E it ❑ Electric ❑ Other Central Air: ❑Yes �LAlo Fireplaces: Existing New a Existing wood/coal stove: Wes ❑ 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 lllo If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION BUILDER OR-HOMEOWNER) Name elephone Number All 91 Address:W License # e-4-f Home Improvement Contractor# Email Se•-K0 jE7Ze>�s 4�� •Ccw--(Worker's Compensation # /_5f ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 7�• SIGNATURE DATE FOR,OFFICIAL USE ONLY - I . APPLICATION# - DATE ISSUED i MAP/PARCEL NO. I ADDRESS I VILLAGE k OWNER , ' t DATE OF INSPECTION: # FOUNDATION FRAME ® u®zlg!6 INSULATION J FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL ► GAS: ROUGH ' FINAL ' FINAL BUILDING ' DATE CLOSED OUT- ASSOCIATION PLAN NO. 77te Commornwealth of Vassachusetts D,eparamait of Inri�ustrial Accidents Offce of.£m�estigations 600 Washington Street _ Boston,CIA O2111 imn-umamgmeldia Workers' Campensation Insurance Affidavit:Budlder-s/ContractarsJElecfricians/Plumbers Applicant Infcu matian Please Print Ledbly Name�BesslDrganiratianllndividnal�_�c /�.a;5 Address. City/StatelZip- Phone 9-_ — Are u an employer? eckthe appropriate box: ' Type of project(required): I_ I am a employer with f- 4_ ❑I am a general contractor and I employees(full andfor part-ime)-* have hired the sub-contractors 6. ❑Near construction 2.❑ I am a sole proprietor orpartner- listed on the attached sheet �. odeling ship and have no employees. These rats-contractors have 8.. Demolition wort ng forme in any capacity_ employees and have wodcers' 9. ❑Building addition ' [No n;odoers' comp.insurance Comp- �# required-] 5. ❑ We are a corporation and its 1 rec. trical repairs or additions j officers bane exercised their 11umbin re airs or additions 3.❑ I am a homeoumer doing all worlt g pt of es lion er MGLmysel€[No workers'comp- � p 12orepairs . insin-„re required,]I c.152,§1(4h and we have no employees-[No workers' 13.❑other comp.insurance required.) •Any applicant that cbecim box O.E1 also fill out the:section below showing then workers'compensatian poLcy information. Snmeoamers who submit This affidavit indicating dF-y are chide all wa&and then bile outside contractors mast submit a new affidavit indicating such fCon=ctm that check this WE mast attached as additional sheet sbywiag the name of the sad-coonxacto-xs and state whether or not those entities have er*loyees.If the subtaatractnrs have employees,they masrpMVide then workers'comp.policy number. I ant au entpIoyvr fliat is providing itrorkers'compensafiort inniranee for my employees. Seloty is thepolicy avid job site information Insurance Company Name: oAwic s-� c> Policy it or Self--ins.Lic.4: h Expiration Date: Job Site Address ke City/State/zip: (2�• I��/� j 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 o€MGL c 152 can lead to the imposition of criminal penalties of a fine up to$1,50U 00 and/or one-year imprisonment,as well as civil peaalties.in the form of a STOP WORK ORDERand a fine of up to$250-00 a day against the violator. Be adidsed that a copy of this statement maybe forwarded to the Office of Investigations ofthe DIA for insurance coverage verificatica- I do Itereby c jo'ri1 doer flee pains alid penalties etjut y that the information prtrtided abom tnw id correct Simature: At=4�2�_4 &/ ate: l Phone 07 Official use daily. Do stat ayrite in this area,to be completed by city artotcn offl- dat City or Town: . PermitUcense# 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 9: Information and Instructions Massarhusetts G-r-n aal Laws chaptPa 152 ragairm all employers to provide workers'compensation for their employees. pin this Shute,an errpIoyee is defined as."..every person in the seavi ce of another under any contract of hire, 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 is a Joint enterprise,and including the legal represenfafives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However fhe owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the - dwdIi g 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." Additionally,MGL chapter 152, §25C:M states"Neither the commonwealth nor any of its political subdivisions shall enter mto any contract for the performance ofpublic work until acceptable evidence of compliance with the insurnce._ regain mien s of this chapter have been presented to the contracting authority." A-Pphcaats Please fill out the workers'compensation affidavit completely,by checlong the boxes that apply to your sifnafion and,if necessary,supply sub-contractors)name(s), addres (es)and phone number(s) along with their cmt Facate(s)of innu a„ce. Limited Liability Companies(LLQ or Limited Liability Partnerships(LLP)with no employees other than the members or paitners,are not required to carry workers' compensation insmrance If an LLC or LLP does have employees,a policy is regnired. Be advised that this a.ffida-vit 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 berEtummed 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 ifyou.are required to obtain a workers' compensation policy,please c-Z the Department at the number listed below. Self-insured companies should enter their s elf-fi m*rance license nummber on the appropriate line. City or Town Officials f - Please be sm-e 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 pemaitllicense number which will be used as a reference number. In.addition,an.applicant that must submit multiple pennit/license applications m any given.year,need only submit one affidavit mdicating current policy infbmation Cif necessary)and under"Job Site Address"the applicant should write"all locations is (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 fear f&are perms s 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 to any business or commercial venture Cie. a dog license or permit to bum leaves etc.)said person is NOT requircd to complete this affidavit The Office of Investigations would lake to thank you in.advance for your cooperation and should you have any questions, please do not hesitate to givens a call. I • The Department's address,telephone and fax number. The Qammwweatt1E of Massachuszt� , Ilega ri ment of 11idustial Aocideuta QffjCe of jilvestintio.-W �Q��ashin�ton Basbu MA G�l1F T(,-I.4 617-727-4900 oxt 4€6 or Fax#f 17-727-7M Revised 4-24--07 vL m gavldia- _ e AWC Guide to Wood Construction in High find Areas: 11 D niph end Zone Massachusetts Checklist for COMPHance(780 CM]153012.1.1)i. Loadbearing Wail Connections Lateral(no.of 16d common nails)._...._..._.......:.......(fables 7)........__.-------------_---_----_..... __ Non-Lx)adbearing WAR Connections Lateral(no.of 16d common nails).._._...._..._.._._.(Table e)-_-----__..._-----------.......................< , Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans .........--------------.-....__................(Table 9).......:......_.................._ft_in. 11 able 9 • SillPlate Spans _...._._._........._.....__.._—._......._.(T )..............__..._.........._ft_in.5 1 1 Full Height Studs (no.of studs).................__......:.......(Table 9)..........._....._._.....—.........-.-__.-_.. Non-i oad Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.:.....................:--_.--_-_(Tab13 S)_....._.._.....—_._...._::_ft 1n.512' Siff Plate Spans...._._.............:._—......_._.....-.•._. (fable 9)........_...._..__............ _ Full Height Studs(no.of studs)..._....._...._._.__.._....(Table 9)........_..........._..._.... ..._.___.....,---.• Exterior Wall Sheathing to Resist Uplift and Shear Simultanbousv - Minimum Building Dimension,W NominalHeight of Tallest OpeningZ ......................._......_.......-....:_...._............._..._.._ Sheathing Type_...._........__.._.__._....._.....(note 4):.......................................... ,. in. Edge Nail Spacing.................._ ---------(Table 10 or note 4 if less). ----------_....... Field Nail Spacing. ._....—..._._. ..._....(Table 10)..... _._._...... ._.__.... in. Shear Connection(no.of 16d common nails)(Table 10)... ............................................ Percent Full-Height Sheathing.._._:..........:_.(Table 10)..............................................._% 596 Addrtr'onal Sheathing for Wall with Opening>6V(Design Concepts).-.-_------------- Ma dmum Building Dimension,L Nominal Height of Tallest Openin ..............................................................._ s 6'r Sheathing Type ...... 4)............. Edge Nail_Spacing. . -(fable 11 or note 4 If less)..............._.... ffL Field Nall Spacng...._._........__._.,..._....=..(Table 11)........._....... ........--............. in. Shear Connection(no.of 16d common nails)(Table 11)........... ......_.._...__.. .......... _ . .. ....... .. Percent Full-Height Sheathing..._____(fable l l)......._._........._..____.......�._.__9� 5%Additional Sheathing for Wall wr'th'Opening>BV(Design Concepts)___..... Wall Cladding Rated for Wind Speed?__—.....__-'.................................................. _.._._....__._._........_ 5.1 ROOFS Roof framing member spans checked?.-....-_* __._..(For Ratters use A4WC Span Tool,see BBRS WebsW) . Roof Overhang ...............................................(Figure 19)............._ft 5 smaller of 2'-or U3 Truss or Rafter Connections at Loadbearing Walls ; Proprietary Connectors Uplift...._......_........_....._.__r.._.-gable 12)........_...._......... ..._..._..__U= plf lateral_.._.._......_...._._...........(fable 12)...._..._____._..__......_.......L= ptf Shear..._...._.._........:...__.......(Table 12).............._...................__...5= Pif Ridge Strap Connections,if collar ties not used per page 21... (Table 13)...........................T= plf Gable Rake Oudooker.................. ........____..__(Figure 20)............. ft s smaller of 2'or L/2 Truss or Rafter Conner tions at Non-Loadbearing Walls' Proprietary Connectors lb Uplift...... ..:...........:.........—..w.._. (fable 14)-----------.----_----------------_.U-- Lateral(no.of 16d common nails)..(Table 14).......................................L= lb. Roof Sheathing Type_....._.__.:.._.._...-•---...____...(per 780 CMR Chapters 58 and 59)............ Roof Sheathing Thickness.............. ........._._....._ :............_._..............._....... _in.z 7/16'WSP Roof Sheathing Fastening...............__--------_........._:(fable 2)_..............__.:...................... _........._ Notes: •1. , This cheedist shall be met in its entirety,excluding the specific exception noted In 2,to comply with the requirements of 7B0 CMR.530121.1 item 1. If the checklist is met In its entirety then the Mowing metal steps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 2b Gage Straps per Figure 11 c. Uprd Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 1Ba and Figure 18b 2. 'Exception:Opening heights of up to a ft shall be permitted when 5%is added to the percent full-height sheathing ' requiranfents shown In Tables 10 and 11. 3. The bottom sib plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. A FYC'Guide to Wood Construction in High Find Areas:11 D nzph Vind Zone Massachusetts Checklist for Compliance(7so mrt53o1:2.t.1)I L(Ch= . Compliance 1.1 SCOPE Wind Speed(3-sec.gust).._-.--..--_.».......»........._...»_...».._.._......._.__...._......»..............»,._...._....110 mph WindExposure Category...._.-.........._»._.......__»»......_.»............_.._..........».»..................:.._.----------.:._e Wind Exposure Category................9gineering,Required For Entire Project ................0 12 APPWCABILI Y Number of Stories(a roof which exceeds 8 In 12 slope shall be considered a story) stories s 2 sbries RoofPitch....._..__..»..:._......:_».......__......_.._».:....._..._(Fig 2) -.»...._....,_........................... 512:12 Mean Roof Height•_-...-.._......----- .__.......»._......:...-.».... (Fig 2).................._»_.............._._.__ft 15-33' Building Width,W_.._._»__.._..._....:.....»...»..___.....»,..(Fig 3)-.-..._......_..:._-...........__:._.._ft 5 80' Building Length,L .......(Fig 3).._.................. , Building Aspect Ratio(UVV) ..............._..._...................._.-.(Fig 4)__..__.........._....---...._:---_.._.. 5 3:1 Nominal Height of Tallest Opening ........ ..... .......�.._..._..(Fig 4)..._........._.......................... ._ 1.3 FRAMING CONNECTIONS General compliance with framing oonnections......._......_.(Table 2)......................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 7B0 CMR 5404.1- r Concrete...........................:..................................................................................................... ConcreteMasonry..........__._._....__._.....».._..._................___......_......».»._...........:---- 22 ANCHORAGE TO F13UNDATION1'3 518'Anchor Boilsdmbedded or WS"Proprietary Mechanical Anchors as an alternative in concrete only SoftSp4ci p-general.......................................-:.(Table4).......-.._....-....-•----....__.._.__ in. Bolt Spacing from endTohrt of plate.....»....._......__..(Fig 5). ._..._...._............... In.s 6'-12'. Bolt Embedment-concrete.._....:__........__._......._...(Fig 5).....__._......__.....:......:..........._in.Z T Bolt Embedment-masonry...._........_ ......_.-.»..._(Fig 5)__.._.._.r_.....................__... in.t 15" Plate Washer..:....._...... ....._..._...._....._..._»...._.........(Fig 5).._._._.__._........_..._...._........k 3"x 3-x Yw 3.1 FLOORS Floorframing member spans checked ...__._......_-_--_.(per 780 CMR Chapter 55)-------._.._._.__...:.._._ Maximum Floor Opening Dimension_-:-___-..-_....__....._...(Fig 6)............:........ ft ft 512' Full Height Wall Studs at Floor Openings less than 2'from Eidberior Wall(Fig 6)..:.............: MWmtlm Floor Joist Setbacks Supporting Loadbearing Waifs or Shearwall...._.__...-(Fig 7).................. Maximum ft s d Maximum Cantilevered Floor Joists T Supporting Loadbearing Wails or Shearwal...........(Fig 8)___...._............... ....._ft s d FloorBradng at t=ndwalls.._.._..-.........._.._._......».._.....»»(Fig 9)_._.__----....._._---._...-..-..._..._. _...._. Floor Sheathing Type . ....__..........._...:_..._....._._.._...._(per 780 CMR Chapter 55)......_.........._.._.._..._ Floor Sheathing Thickness.........._........._.:_......_...._:...»(pt:r 780 CMR Chapter 55)......._.._.......... In. Floor Sheathing F�st>:ning..._........»......._..__...............:..(i"able 2)__d nails at in edge/—in field 4.1 WALLS ' Wall Height Wadbearing walls........,.......___..___. ._. Fi 10 and Table 5 slal Non-Loadbearing walls.._.....-.:._..._. ...:...»._._.(Fig 10 and Table 5).....................».. ft,:;2(r� Wall Stud Spacing ......._...............:........_.._...............(Fig 10 and Table 5).._..............—In.<_24'o.c. Wall Story Offsets ...............(Figs 7&8)_........................... 4.2 OaMUOR•WALLS Wood Studs Loadbearirg viral....»._............»......._........_._.._...._(Table�)....._._........._......_.�rk $ In. r6 Non-Loa*earing walls .__......._._...._.:(fable 5)._...........................2x - ft In. Gable End Wall Bracing' Full Height Endwall Studs....._...._...»..»....._._._...». (Fig 10)_........_:..._......... .....:....... VVSP Attic Floor Length.__»_.....::»....__.:.._.___. (Fig 11)__.-._.-------._.:»._......_..... ft zW13 Gypsum Calling Length(If WSP not used)»..:._......._.:(Fig 11)___._........._:_._.................—ft Z 0.9W and 2 x 4 Continuous lateral Brace @ 6 tL o.r--(Fig 11)..............................._..... _»»»._-.._,.... or 1 x 3 ceiling(taring strips @ 1 T spacing min.with 2 x 4 blocking @ 4 fL spacing in end Joist or truss bays Double Top Plats Spffce.Length .._..._._.:»:._...-_..........._.-_-..(Fig13 and Table 6)................._....»._._._It Splice Connection(no.of 16d common nails).._...._....(Table 6).._...__._....................._.�._...._.... . AWC Grcide to Wood Construction in High Wind Areas. 110 ntph Mnd Zone Massachusetts Checklist for Compliance(7so cmR 53ol.2x-i)' i 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratlo,determine Percent Full-Height Sheathing and Nail Sparing requirements b. Wood Structural Panels shall be minimum thickness of 7/16'and be installed as follows: L . Panels shall be Installed With strength axis parallel to studs. it. Ail horizontal joints shall D=over and be nailed to framing. GL On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story constructlon, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nall sparing at double top plates, band joists,and girders shall be a double row of Bd staggered at 3 Inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment 5. Glazing protection:a)new house or horizontal addition—required if project is 1 mile or closer to shop:(generally,south of Rte.28 or north of Rte.6) b)vertical addition—not required unless then:is extensl%r renovation to the first•fioor c)replacement iviridows—needs energy conservation compliance only(chap 93) 6.Wood Frame Construction Manual(WFCM)for 110 MPH, 6cposure B maybe obtained from the American Wood Council (AWC)website. YV ENTRst�rEsrsoff t�►r.mrs usead wdrs • 'AT6� --^-{� - - • ry 1 ' 11 11 al i ' 11 11 t I Fa I IV { m fl 11 C Ed 1 { CL 1 �� , 44 1 1 EDGE RaEFUEOMTE 1 LI 1 It c� 9 - IL SrAGGEFED Nu;WAC*Vr3 i 3' Md � , � Pllfda �- PAtMIDGE rouBLENALmGESPAcm DErAL Sea Detail on Next Page ' Detail Vertical and Horizontal Nailing Vertical arid Horzontal Nailing for Panel Attachment for Panel Attachment . i • C �' I • � 1 • �'A Town of Barnstable Regulatory Services MASS Richard V.Scali,Director i639• Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstableana.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder L w-' ak� ,as Owner of the subject property hereby aurhorize � , �, to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) ""Pool fences and alarms 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'. QF0RMS:0WNERPERMLSSI0T&00LS r Town of Barnstable Regulatory Services r pk ti Richard V.ScaIi,Director Building Division Tom Perry,Budding Commissioner MA SS 200 Main Street, Hyannis,MA 02601 QED wvvw town.barnstableann us I Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LIMM EXEMPTION Please Print DATE: JOB LOCATION. number sheet VM-P -HOMEOWNER: name home phone# work phone# CURRENT MA-U-J IG ADDRESS: city/Gown state rip code The current exemption for"homeowners"was extended to include owner occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor_ DEFINMON OR HOMEAWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Buildmg Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned`.homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. - The undersigned"homeowner"certifies that he/she understands the Town of Bamstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EKEWTION The Code states that: "Any homeowner performing work for which a building permit is required shall he exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&'Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the Iast page of this issue is a form currently used by.several towns. You may care t amend and adopt such a formlcertification for use in your community. Q:IWPFffM\FORMS\buildmg permit founsXEXPRESS.doc Revised 061313 r i Technician Id:182-Anders t.a �..� Workorder Id: 402860 Site Id: 5083626018 Site Voice Phone: (508)362-6018 JENKINS-227 PINE STREET,WEST BARNSTABLE Date Scheduled: Aug 31,2015 Original Caller: Time Scheduled:08:00:00am PO#: INSTALLATION CARPENTRY Jobld: C15*394 JENKINS-227 PINE STREET, WEST BARNSTABLE Work Address: Dispatch.Note: 227 PINE STEET C1 WEST BARNSTABLE MA 02668 ------------------------ ------------------------------------------------------- Equipment Id: C15"394 C15"394/BATH REMODEL WorkCode Id: ICARP INSTALLA-T-IOWCARPENTRY Resolution Ids: WoekRequested: f SUPPLY AND INSTALL CARPENTRY SERVICES FOR BATHROOM.REMODEL PER CONTRACT. Work Performed: Manufactturer: Manufa`cture�r Model t 1 Serial-Number Installed: y Directions to Site: J� L�Under Contract? -Locat o'at Site: ------------PM Maintenance Equipment List---—----—------ Quantity Needed:.000000 1 E F Winslow r . �_ ��voi�E E. .Win w 8 Reardon Circle, South Yarmouth,Massachusetts 02664 Plumbing & Heating 508-394-7778 • FAX 508-394-8256 WORK ORDER *Due & Payable upon Receipt* travel start time arrived time departed work performed a STATUS: ❑ Complete ❑ Incomplete/Reschedule' ` ❑ Follow-up w/estimate 'k quantity description price amount F ' f Due upon receipt. 1:5%per month(18%per annum)finance charge on amounts over 30 days. Customer agrees to pay all collection&attorneys fees. ALL CLAIMS FOR CORRECTIONS OR ADJUSTMENTS MUST BE MADE WITHIN THIRTY DffS. hours ' a ,! '"�•. labor amount mechanics Q total materials total labor total labor taxi signature f e� M signature hereby approves the. Completion of the above work as well as rants Authori to use ' Y 9 Y PP Y P � 9 tY� v credit Card Numbers Supplied at time of Services or Credit Card Numbers already on file. �. TOTAL .'„ date completed PAYMENT'METHOD: ❑Credit Card`kExpiration Date ❑ Cash ❑ Check ,, OFFICE COPY-BOTTOM COPY Technician Id:182-Anders t Workorder Id: 402860 Site Id: 5083626018 Site Voice Phone: (508)362-6018 JENKINS-227 PINE STREET,WEST BARNSTABLE Original Caller: Date Scheduled: Aug 31,2015 Time Scheduled:08:00:00am PO#: INSTALLATION CARPENTRY Job Id: C15*394 JENKINS-227 PINE STREET, WEST BARNSTABLE Work Address: Dispatch Note: 227 PINE STEET •C1 WEST BARNSTABLE MA 02668 -------------------------------------------------------------------------------- Equipment Id: C15*394 C15*394/BATH REMODEL WorkCode Id: (CARP INSTALL-ATION-CARPENTRY Resolution Id: Work'Requested: SUPPLY AND INSTALL CARPENTRY SERVICES FOR BATHROOM•REMODEL PER CONTRACT. �\ Work Performed: Manufacturer: Manufacturer Model: Serial-Number! �' Installed: Directions to Site: _.r+"^�� �Vnder-Contract? Location-a�t=Sit --------------------------------------------------------------------------------- ------------PM Maintenance Equipment List---—----—------ Quantity Needed:.000000 I INVOICE EF.Wmdow 8 Reardon Circle, South Yarmouth,Massachusetts 02664 Plumbing & Heating 508-394-7778 • FAX 508-394-8256 WORK ORDER *Due & Payable upon Receipt* travel start time arrived time departed work performed STATUS: ❑ Complete ❑ Incomplete/Reschedule ❑ Follow-up w/estimate quantity description price amount Due upon receipt. 1.5%per month(18%per annum)finance charge on amounts over 30 days. Customer agrees to pay all collection&attorneys fees. ALL CLAIMS FOR CORRECTIONS OR ADJUSTMENTS MUST BE MADE WITHIN THIRTY DAYS. hours labor amount mechanics @ total materials total labor total labor tax signature My signature hereby approves the Satisfactory Completion of the above work, as well as grants Authority to use credit Card Numbers Supplied at time of Services or Credit Card Numbers already on file. TOTAL date completed PAYMENT METHOD: ❑Credit Card/Expiration Date ❑ Cash ❑ Check CUSTOMER COPY-TOP COPY �e ))bgyzowtvect&X,-1aK1'aaac1wje1& -_fce of consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: _ - Office of Consumer Affairs and Business Regulation registration:-1132379 Type: 10 Park Plaza-Suite 5170 Expiration:, 1/18/2017 Supplement Card Boston,MA 02116 E.F.PLUMBING&HEATI.NG CO:, INC QV DAVID ANDERSON 8 REARDON CIRCLE �� �r�6ci;'= SOUTH YARMOUTH,MA 02664 Undersecretary Not valid without signature Massachusetts - Department of Public Safety Board of Building.Regulations ;and Standards Construction Supervisor License: CS-049405 I�.S , DAVID C ANDERSON 34 WINCHESTE*DR�� ,r' S®DENNIS MA,02660 ,may_ .71'lt1 v` Expiration Commissioner 09/10/2016 v i i i O ' 0 0 O i Ae I I I I V V Note:This drawing is an artistic r.r�fiu Designed:5/19/2015 interpretation general 2®IOGIESF Printed:6/18/2015 rp $ ECH NOtOGIES appearance of the design.It is not meant to be an exact rendition. Jenkins Bath All Drawing#: 1 86 a„ 354" 51" N <� ----- - -- \ N �\ O a) m Ai W i \ O 00 - Col > 303 M = 00 3-4" tO m ` 32"� O � > , M N m CY) I > � O ao _ > IL _ W O I m ; � 1 24,E 34-2111 492 • I 11 8 6+ 4 1 1 I;S+A z v� i ne :5 All dimensions_size designations 2("� r C This is an original design and must D g d given are subject to verification on i ECNNo OGGIESi V not be released or copied unless Printed:5/ job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. �JenkinsBath Al] Drawing#: 1 I No Scale. ACC O® CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) 8/31/2015 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(les) 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 CONTACT Rogers&Gray Ins.-Dennis Branch NAME: PHONE .508-398-7980 FAX 434 Rte 134 .877-816-2156 South Dennis MA 02660 EMAIL .mail@rogersgray.com INSURERS AFFORDING COVERAGE NAIC p INSURER A:Netherlands Insurance Company INSURED EFWINSL-01 INSURER B:Excelsior Insurance Company EF Winslow Plumbing&Heating, Inc. INSURER C:Peerless Insurance Company-see LI 18333 8 Reardon Circle INSURERD:ARROW MUTUAL South Yarmouth MA 02664 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:2096606975 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 LTI2 TYPE OF INSURANCE PLICINSD WVD POLICY NUMBER MMIDDY/YYYY MM/LDIDf POCYY�YY LIMITS A X COMMERCIAL GENERAL LIABILITY CBP9919974 12/1/2014 12/1/2015 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X�OCCUR PREMISES Eaoccu.. $100,000 i I MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PRO JECT a LOC PRODUCTS-COMP/OP AGG $2.000,000 OTHER: $ B AUTOMOBILE LIABILITY BA8218494 12/1/2014 12/1/2015 Ea accident) $1,000,000 ANY AUTO BODILY INJURY(Per person) $ AUT8S�ED N AUTOSULEDBODILY INJURY(Per accident) $ X HIRED AUTOS NON-OWNED A AUTOS $ Per accdent 8 C X UMBRELLA LIAB X OCCUR CU9918875 12/1/2014 12/1/2015 EACH OCCURRENCE $2.000.000 EXCESS LIAB CLAIMS-MADE AGGREGATE $2,000.000 DIED IX I RETENTION$10.000 $ D WORKERS COMPENSATION WC1764A 1/1/2015 1/1/2016 PER OTH- AND EMPLOYERS'LIABILITY Y/N X STATUTE ER ANY PROPRIETORIPARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? N] If N/A E.L.EACH ACCIDENT s500,000 (Mandatory In E.L.DISEASE-EA EMPLOYE $500,000 yes,describe under und DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Plumbing&Heating Contractor Central Vacuum is a division of E F Winslow Plumbing&Heating Inc. Certificate holder is an additional insured with respect to general liability when required in a written contract or agreement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN OF BARNSTABLE ACCORDANCE WITH THE POLICY PROVISIONS. 200 MAIN STREET HYANNIS MA 02601 AU ZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Y Town of Barnstable *Perm t#c�6 I 4 Y.l�-- Expires 6 mv� om X <� .,, �� Regulatory Services Fee ,6 � Thomas F.Geiler,Director Building Division Tom Perry,CEO, Building Commissioner ®w TOWN®F�ti�����A�LE 200 Main Street,Hyarmis,MA 02601 www-town bamstableam.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENAAL ONLY Map/parcelNumber Not Valid withour Red X-Press Inprint J (/ �1-�� Property Address _ Z� \✓l�j ��' l4/eS`� �p�,r��c�bl� qkResidential ValaeofWorkS D (�6 Minimum fee of S35.00 for work under S6000.00 VVOwner's Name&Address yam. Contractor's Name 7 I�U�i�. r(A h un Telephone Numb a a er � (\' T �a Home Improvement Contractor License fur(ifapphcable) 11a53 >;11Ya,7 Construction Supervisor's License n(ifapplicable) 1(J� Workman's CompensationInslr=e Check one: ❑ I am sole proprietor Ramthe Homeowner have W Worker's ensation Insurance n� I*x+� e CompanyNarm t- I I Workman's Comp.Policy#1 0 (0 Copy of Insurance Compliance Certificate mast accompany each permit. Permit Request(check box)❑ Re-roof(hurricane nailed)(stripping—old shingles) All construction debris w-Mbe takento _N� ❑Re-roof(hurrica a nailed)(not stripping. Goan;over exist layers ofroof) side Replacement Windows/doors/sliders.U-Vahte (ma�;armm�.3S�#ofwindows u ofdoors: ❑ Smoke/CarbonMonoxide detectors 4 floorplans marked with red S and inspections required. Separate Electrical&F-nv Permits requirad. °Where required:Issuaacc ofthis permit does not exempt eorrp%=e with other town depmtmewregulatnas.ie.Historic,Consavatim�eta ***Note: Property Owner must sign PropertyOwnerLetterofPermission. A copy of t e Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: C�Userstdecotlk'AppDataTocakMicro-fxxWildows\TemporaryIxur_Files\CmtentOtnlookl$2i68DVA\ RESS.doc Revised 061313 f Fraser Construction, LLC 31 Bowdoin Rd. Mashpee, MA 02649 Email: info(&fraserconstructioncapecod.com www.fraserconstructioncapecod.com FAX 1-508-428-0123/ PHONE 1-508-428-2292 HICL#112536 CS#97668 PARTIAL SIDING PROPOSAL DATE: May 31, 2014 PHONE: 508-362-6018 NAME: Susan Jenkins v�. EMAIL:jacranberry@comcast.net MAIL ADDRESS: JOB ADDRESS: 227 Pine St. West Barnstable, MA 02668 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. , Job Description: 1) Supply and install White Cedar clear grade R&R raw wood shingles over Typar breathable weatherproofing underlayment on following sections: a) Driveway side, not including new siding between Gable and side door Price: $6,995 Initial: b) Remainder of main house, not including front and 5 ft. up from bottom, small back Gable Price: $8,495 Initial: c) Small right hand building, driveway facing Gable Price: $2,550 Initial: 2) Supply and install Head Flashing on doors and windows not butting trimwork at no charge. Please indicate material choice below: White Aluminum: -or- Red Copper: PAYMENTS ARE DUE IMMEDIATELY AFTER JOB COMPLETION. 1/3 initial payment, remainder to be paid 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. 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. Please note that all pricing is contingent upon current market pricing. If contract is not accepted within thirty days of date of proposal, change in price may occur due to deviation in material price. 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. FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: y Homeowner Fraser Construction, LLC The CornMo,zwealth of�'�lassachzlsett,� Department of Indaestrial Accidents C,TT"ce of 1nveStio arions - -- 1��!`f 500 Washington Street k.xs�Ly�av Boston, MA 0211.1 - M-LW.Mass.gov%dia Worker's comperlsa-,iou Insurance Affidavit:Builders/Contractor s/EMectricians/P]um ern Applicant Information Please Print Legibly Name(Business/Organizntion/Indi-vZdu d).: Address: City/State/Lip: Pb �< on.e7#-. Are you an employer?Check the appropriate box: Type of proiect(required): I- U 1 am a employer with 4. ❑ F a a general contractor and I have 6. New co employees(full and/or part-time).* hired the sub-c e ❑ Ls' Mon o,,tractors listed on •7• ❑Rctnodelina 2. ❑ the attagd siieety b !am a sole proprietor or partnership These'sub-coutractozs have g• ❑Demolition' and have no employee;working for employees and have workers'comp. 9. Building addition mein any capacity.[No workers insurance.t comp insurance required.] 5.❑ qre are a corporation and iLs 10. ❑Electrical repairs or additions officers have exercised or additions their right of l l Plumbing repairs 3. Ll 1 am a bomeowner doing all work exemption per NlGL c.152§(4),and 12. , myself.Mo workers'c Roof repairs- we have no employees.[No workers' insurance required] co=.-insurance required.] 13 ❑Othe 'A.ny applicant that checks-box zl must also ra out the section below showing their wackcrs'.comperrtion policy itiorsatiot. t Romeo mms who submit:his affidavit indicating they are-doing all work and then hue.oetsid:cone' tionors po"cmust snbnita new affidavit indit aCng s'zch the subaco that check this box mast attach an adtli=oasi street snowing tie name of tae sot,-Contracto.s and sluts�vl ether or not those rruiaes have mnplogaes.;f the sub eoarcyctors have cunployees,they must provide bile;votkers'comp.policy number. I ant an employer that is providing workers,compensation insurance for my employees.Below k the policy and job site infornudon. J�D Insurance Company Name, Policy r or SeL-ins.Lis..; coo�'9 3o(�o E)q 'ation Date:: ' Job Site Address:rk Z°� 1-�►���}Y e� City/StateZp: G z dttach a copy of Elie workers'compensation policy declaration page(showing the policy number and expirafion date). Failure to secure coverage as required�mder•Se;tion 25A cf MGL c.152 can lead m the iri►oosilion of criminal one-yam imptisom=r,as well as civil peaalticc in the form of a STOP WO ltg ORDFR�ttd a fine of an to$26 Cep Hof a fmc up to$1,500.00 andior that a copy of this statement may be forwarded to the Office o;Investigations of the DIA for insurance coy a �,,• l againstthe violator.Be advised e :rMcation. 16 hereby certi"fv��urlr the enaliies of perjury that the informdtion r v&W above is true and correct. Signature: G�,/G�/�� - Date: • Phone#: a Official use only.Do not write in this area,to be completed by city or town q flicial t City or Town: PermitlLicense n i Issuing Authority(circle one t 1.Board of Health 2-Building-Department 3.City/Town Clerk 4.Electrical I.as 1 l 6.Other pector 5.Plumbing inspector Contact Person: Phone : �C FRASCON-01 PAAS �.� CERTIFICATE OF LIABILITY INSURANCE OATE(MMIDDM-M 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). PRODUCER Viveiros Insurance Agency,Inc. (508)676-0309 C0 ACT NAME: Ashley Paiva PHONE 375 Airport Road rvc No Exr: 508-676-0309 127 (,4rC,No): 508-324-9147 Fall River,MA 02720 ADDRESS:APaiva Viveirosinsurance.com INSURER(S)AFFORDING COVERAGE NAIC 8 INSURERA:Granite State Insurance CO ENSURED Fraser Construction LLC INSURER 8 PO BOX 1845 INSURERC: Cotuit, MA 02635 INSURER D INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 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. I SR LTR TYPE OF INSURANCE —IsMJIN SIR WVD POLICY NUMBER M/DD MMLTc EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL UARLITY PREMISES Ea occurrence $ CLAIMS MADE OCCUR MED EXP(Arty one person) $ PERSONAL&ADV UgJ.IRY $ GENERAL AGGREGATE $ GENL AGGREGATE LWiR APPLIES PER: PRODUCTS-COMP/OP.AGG $ POLICY PRO- LOC AUTOMOBILE LIABILITY ANY AUTO Ea Maid D§ Lml $ ALL OWNED BODLY INJURY(Per person) $ AUTOS SCHEDULED AUTOS BODLYINJURY(Peraccident) $ HIRED AUTOS NON-OWNED AUTOS Peracclden0 $ UMBRELLALIAB OCCUR EACHOCCURRENCE $ EXCESS LEAK CLAIMSMAOE AGGREGATE $ DED RETENTION S WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY WC STATL• OTH. A ANYPROPRIETORIPAR NERlEXECUTIVE YIN WC009930601 TORY IMrrS ER OFFICERIMEMBER EXCLUDED' ❑ NIA 9126/2013 9/26/2014 EL.EACH ACCIDENT $ 500,000 (Mandatory In NH) It yes•describe under E.L.DISEASE-EA EMPLOYEE $ 500,000 DESORPTION OF OPERATION below E.L.DISEASE-POUGYUMIT $ 500,000 DESCRIPTION OF OPERAMONSILOCATIONS/VEHICLES(AftaehACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable Building Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE UNTH THE POLICY PROVISIONS. Hyannis,MA 02601- AUTHORIZED REPRESENTATIVE O 1968-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010l05) The ACORD name and logo are registered marks of ACORD Massachusetts •Department of Public Safety i Board of Building Regulations and StnnclardS Canstructitrn Saperrisnr License: CS-0976es mA1Y C FRASER 104 TWAVN VIEW EAST I�ALIiM�OCJ>I�-t�'A��1'tt1�: • 1i . ✓�•„����� „n� r_rpi r��tion Commissioner 06/07/2015 • 1 I Office of Consum -don er Affairs and Business Regula 10 Tark Plaza- Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration., 112536 Type: DBA FRASER CONSTRUCTION Co. Expiration: 3r23/2015 Tr'— 237059 DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 Update Address and return card-Mark reason for change- Address E] Renewal E] Employment 7 Lost Card Office of Consumer Affairs&ButsGem Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date_ If found return to:112536 Type: Office Of Consumer Affairs and Business Regulation iraffon: 32=015 DBA 10 Park Plaza_Suite 5170 FRASER CONSTRUCTION CO. Boston,MA 02116 DEAN FRASER 104 TWNN VIEW LANE E FALMOUTH,MA 02536 Undersecretary Not valid WwJ13out signature Town of Barnstable *Permit# Expires 6 months r m issue date Regulatory Services Fee 5-0 Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTUL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address C [A Q i—n t 1 JCL, - �t� rn A— ,6 ;Z.G ,g ( esidential Value of Work Minimum fee of$25.00 for work under$6000.00 t Owner's Name&Address Contractor's Name aAa� Telephone Number Home Improvement Contractor License#(if applicable) ! P FS 3(P Construction Supervisor's License#(if applicable) C S (O 6C Oworkman's Compensation Insurance .;n,�t� . Shtrs�R SA-✓�fz �'�+ Z ' v C�� Checi one: ❑ I am a sole proprietor ❑ am he Homeowner 04 have Worker's Compensation Insurance X®PRESS PERMIT Insurance Company Name T 08 1 Workman's Comp.Policy# O 5 o L 3 Q TOWN OF BARNSTAB;LE Copy of Insurance Compliance Certificate must be on file. f Permit Request(check box) V�y.'�'• ��� Jam. L&Re-roof(stripping old shingles) All construction debris will be taken to r ❑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 of the Home Improvement Contractors License is required. SIGNATURE: Q:FoT=:expmtrg Revise061306 ' 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 L,1 Please Print Legibly Name (Business/Organization/Individual): FRf� SrL Eo/ -,--,T rZu-C t 10 A) Address: City/State/Zip: C° d�(�14- PN7 OZ 3 5Phone Are you 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 part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees "These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ 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.KRoof 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 have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. 1 Insurance Company Name: F_ 1JJ1_r-n_T ea\—F-y R Policy#or Self-ins. Lic.#: D g 9 Q L vS 5S0 Expiration Date: ' o2 Co ' Q Job Site Address: C a� P!A a S T- City/State/Zip: " 60L4_ b 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 insurance coverage verification. I do hereby certi er the airs and ties of perjury that the information provided above is true and correct. Si mature: �J Date: Phone#: a C;�qoZ Official use only. Do not write in this area, to be completed by city or town offMaL 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#: UUdingRegUZt One A tandards -Bost® h I�®®ffi 1301 Home-repro , tts 021 OS � Or Re�i�tr, tion FFAS C® � �� RAC T®VC®. Re9fstretfonP�N 11263g I� 2®X 91845 22/2008 •17'8 MA 0263.5 TV 12792o - _ — - won�sfa�ge, 110AIE Imp. �andsb � as'nent ❑ ]Goat Card JWSAFr �12s3s MR ��e - b� refg>�ii� �APe Pam; BoaBexrd of uou da�d for�Irf fa �use only FRASER `fie: •o f'os rep 12is2o � hurtou whaa le eZmdud to. . OEMFRasFRUP �o.y A, 4558 RT 2S COTUPT,MA D2@3s �- - - Not vdw Without - I ® ® `?' :x-: ±r`.`y'n?•t:;+;;::y�..{:;�- .•,'`f.>;%:;.::;5::.+.Rit;:d:r',?;�:?-�r'::;YY:••;r{ ®®®�� L rY:•rrY:r:r:�:•. r.r. ? .r f: .ft..a,a:...+..•,::u:•:r ..t.-r.:::.,..r;.;:.:.r.•:fi...... -, r , r.::. ,Y.,.r.!v.. .::+ry n.::.::rrrr'Y::.' .. .... :..:. r. ., } '-- •£..::.irn;:::::�{{::.r:;iv?i{�'h 4:•{,�:•::::t{:;:::; l.:Y:>:i?Yj . mf..:..r..t:..�::rh?,,:. :t:t, ;Y?,r..;;;:r•:.;:{S? + ,- .: .,:t•: v:- :%.>Y :...,.,:.:!.tr:r;?....:.<•:+>:?s:•,,;. DATE./pp....PBjUD-' ' --:I?..:..fi.,,,!vvr:.tf.••}tr4�ic`d;.l:?..;,:.:.:t`-:::•.!:;':r�c•:.:�::..,r,:�,';.- <i;x�:�-\,'itr;;r.?+..r 5:rrY;r. �,,r,r?:.. :rra�.,,: • ,,::r..rY...:.v..,:h:n:y.^:.ii. � •..-..:Svr:N.,{ilf::n:f:frfnx:Yr Yv:?rir y?.Y::nj.;^iv+?i}+Gti1��`✓�14.V.'r: �ry� PRODUCER :-.•ri»:.:•,,:. ,;< :o-Y; t ``oa#c .;: :yt; 10-15-07 v THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION n WISE & QUINN INS AGCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 449 PLEASANT ST HOLDER, THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 24 WCB COMPANY C MA 02301 COMPANIES AFFORDING COVERAGE � INSURED A HARTFORD UNDERWRITERS INSURANCE COMPANY COMPANY FRASER CONSTRUCTION LLC B PO BOX 1845 COTUIT MA 02635 COMPANY C �pQ COMPANY r.. .. ':�SGf!� t'vl�;•:%:..:ltw!£r':Q%G`.J�•rw -7FE, it - +?N;r -' :r ti D:` ?n?. - {'r t.-: • THIS IS TO CERTIFY ✓rsf� rf"?ns^.ico?'.��s^�r:fi.•��{:.<;a.".v:•..x .�''{o�`r�i.GI-.v''uc:'*�,of.•<:`''�r:•i ,?�!;-.a:3.. {`tk;:`;?„?-.,.r�c��n+'.'•o:-so.,;s;;?;,::. :`;, :.c�:,:.;.r.:.:•.::•Y INDICATED E FY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE '"`"{' ED"'{` .�,. .,,•r..,:�r?xr}�Y<:r;: ;••t•�:rr 'ft:'�r'�<;rs`'s:A�%.:;z<, FOR NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRA SSUED COOTHER THE RDOCU4MENT WRHERESPECTE POLICY PERIOD TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, IXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L. TYPE OF INSURANCE�� POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION GENERAL UABIL,ITY DATE(MMWDIYL� DATE(MMWDIVL) UmTS . COMMERCIAL GENERAL UABIUTY GENERAL AGGREGATE $ �t} /OP AGG• CLAIMS MADE 0 OCCUR. PRODUCTS-COMP $ OWNER'S&CONTRACTOR•B PROT. PERSONAL"V.INJURY $ EACH OCCURRENCE FIRE DAMAGE(Any one fire) E AUTOMOBILE LIABILITY MED.EXPENSE(Any one person) B ANY AUTO COMBINED SINGLE ALL OWNED AUTOS LIMIT S SCHEDULED AUTOS BODILY INJURY HIRED AUTOS (Per Person) 6 NON-OWNED AUTOS BODILY INJURY (Per Accident) GARAGE LIABILITY PROPERTY DAMAGE E ANY AUTO AUTO ONLY-EA ACCIDENT 6 OTHER THAN AUTO ONLY ":`t t:r`;i;:•r.,;:Y:: EACH ACCIDENT `+ EXCESS LIABILITY AGGREGATE g UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE S .A WORKERS COMPENSATION AND EMPLOVER'SILIABIU•V (6S60UB-085OL35-5-07) 09-26-07 09-26-08 THE PROPRIETOR/ PARTNERS/EXECUTNE INCL EACH ACCIDENT B OFFICERS ARE; X EXCL DISEASE—POUCY LIMIT' I OTHER DISEABE—EACH EMPLOYEE 5 0 000 j j DESCRIPTION OF OPERAflONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECWLITEMS I THI S R EPL ACE S A NY P I RIOR CERTIFICATE ISSUED TO THE 1� CERTIFICATE:.::•r; :�l� ���.:'�r%�::�<":r':;:>rY:::•>:->:.r:-;;Yr r-?.,•r:r:;<r.;•..:•:::�;::�:Y:{•Y:�r.�:r.>:••.Y::....: : HOLDER AFFECTIN P :..r:.:.,.....r.:.,.,...,...::.....,. ....:...::c::.r.,..;:•:. •::.,:::::.::-rrYr{...:r>::.;r.r:.:;:{>:r:?'.r::•:.Y:•:{ :>s::{<::::{-:.:t::� :,. :-........:... G WO ..........................:.... ..,.;.:^Y:•r:>r;:?;;•;s:{?•r:«z:>�•:;•tY•::::r............r<:rr>Y::?.:`?:•Y::.;,?..r:::r:{.;,..;rr:<;:{-:,•,.;r?.,•::-+:::�<.;.. ; .: :. .:.;. COV ERAGE •`••- . ERS COM ERAGE. � .....r.::,•::.�:::.,•Yi;•:>;:{:�Yr;Yr:-Y:�>Yr+r..� r::::.�:::::::...........{�;.;;>.;.,,.,r:.?+.:;�.r:::::::.._:•. {:;-;•;-:,�s;:::,',>...:::::>•:<•r•... :-:--r.•hv:;..:.r:�:{:;.'::.r...r..rr•%r:Y:-:�:;••,.?r;:;r::f;:::o-=Y;'Y:Y:/.;-yr. ;<;f::>.,'•:>••;r;Y:s::• ••Y:z;s,:;r,,,t:�>:�:;;:?::% I ...::-..:.,:•.:.{:r:t...rr:,{.:.a::.or::rio's%'7;;':.'•.i:%'?`;;•'••::�-'.{stjSr%5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE.CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WI FRASER ENTERPRISES LLC L. ENDEAVOR TO MAIL PO BOX 1845 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFY, BUT FAILURE TO MAIL COTU I T SUCH NOTICE SHALL IMPOSE NO I10N O OBUGA' OR MA 02635 UABIUTY OF ANY FUND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTA I ���yG .�y��YffN}yy}vyy,,• .':/?i}:;:}ijr:??<::f:i::}S�f:i+isCtiv:ii:S?3Fi:i::{r:;Wir::4:{:{. I �9^.TP-.. •?��1'kn4Pi+:: .:Yr::.::::r.�ii 4Yl�r!f.!T.. 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Box 1845, Cotuit MA. 02635 ROOFINGSPECIALISTS Email: fraser constructiongverizon.net www.fraserroofinlz.com FAX 1-508-428-0123 508-428-2292 HICL#112536 CS#97668 RE-ROOFING PROPOSAL PARTIAL DATE: May 20, 2008 PHONE: 508-362-6018 . NAME: Jim Jenkins MAIL ADDRESS: same JOB ADDRESS: 227 Pine St West Barnstable; MA 02668 FRASER CONSTRUCTION hereby proposes to perform the following services in a neat and professional like manner and 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. *******All remaining roofing to match XTAR 30 Moire Black, except main building Landmark AR 30 Charcoal Black All cap to be PVC lx 6 Azek except shed to left of barn (shingle)****** Supply and Install - CERTAINTEED XT AR- 30: 30 Year Warranty, 5 year sure start protection, CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, 3 -Tab, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10-year Warranty against ALGAE Containment. Color: all XTAR 30 is Moire Black Original main building (to right of main house) XTAR 30 with PVC cap. Go over front/strip & plywood back with Y/a" CDX PRICE- $2,761 Initial Strip front, strip & plywood back with YYa" CD c•Jou/d like �o elan e �Gi e s.E•,7/es �`o PRICE- $3,061 Initial Shed next to barn XTAR 30 Moire Black with shingle cap PRICE- $1,340 Initial , Shed next to garage XTAR 30 Moire Black with PVC Cap PRICE- $795 Initial �a lv and Install - CERTAINTEED LANDMARK /WOODSCAPE AR 30: 30 -Year Warranty, 5 year Sure Start Protection, 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. 5 year 70 mph wind- resistance warranty or 5 year 80 mph wind-resistance warranty available with six nails in common bond area, for an additional cost. See actual warranty for specific details and limitations. Color: Charcoal Black Main Residence Landmark AR 30 with PVC Cap PRICE- $6,930 Initial J Supply & Install - CertainTeed Winter - Guard: (ice & water shield) Waterproof Underlayment System (3ft. on eves and valleys, 18" on rakes, walls, and skylights) Supply & Install - Roofer's Select Underlayment Paper (as recommended by CertainTeed) Supply & Install - Hick's Ventilated Drip Edge or 8" Aluminum Drip Edge Supply & Install -Aluminum & Neoprene Soil Pipe Flashing ! Supply & Install-Air Vent Ridge Vent (as recommended by CertainTeed) Clean & Remove - Debris from work area daily. CHIMNEY Work: Repaint chimneys (3) PRICE- $195 each Initial I PARTIAL WHITE CEDAR SIDE WALL: Partial white cedar side wall main house left of entrance to corner boa d IPRICE- $695 Initial I have contacted Glenn @ Gutter Pro for a quote on the front main gutter replacement 2% Discount if paid by check immediately upon completion INO MONEY DOWN - NO Payment at the start or part way thru Payments accepted are: CASH - CHECK- MASTERCARD -VISA-AMERICAN EXPRESS *Any payments not made within 30 days of completion will be charged 1.5%for every 30 days the payment is late. i, L_ t i 1 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$4.00 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$55.00 per hour, plus materials, plus 15% overhead mark-up on total extras. 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 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. FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: -� Z he Homeo�vn Fraser CoPB ruction, LLC ........... . VE Town of]Barnstable *Permit#,2�L�1(2-cp 6 nwit Issue date MAM Regulatory Services e C__3 16;9. Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 71111") Office: 508-862-4038 www.tOwln.barnstable.ma.us . Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red x_j,,-,,ss h4r—int Map/parcel Number / 5Aol-5 Property Address P 42 Cw0idential Value of Work C0010 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name_*f 5-11 M—Ad A t Telephone Number 5og_q D le -a Home Improvement Contractor License#(if applicable) Oq 5 3 651 �7 Construction Supervisor's License#(if applicable) zworkman's Compensation Insurance, Check one: El I am a sole proprietor V_t_ El I am the Homeowner X-PRE"RMIT ,1&1 have Worker's Compensation Insurance JUL .1 1 2007 Insurance Company Name— da .1. c)F BARNSTASLE Workman's Comp.policy# q COPY of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over—existing layers of roof) El Re-side NOISIAH El Replacement Windows. U-Value— (maximum.44) 'Where required: Issuance of this permit does not exempt compliance with other town department retatif" s, isJriJ,64�rvjiWi etc. ***Note: ro Owne ust sign y*0 i er Letter of Permi,90P.Ivj. k.!0 .4,1-1 1� r-, , Home I=en e is required. j 'Note. ro Own ust sip 7,e Letter Permi,91 Home "s r required.ed.of SIGNAT?RE: Q:Fonns:expmtrg Revise071405 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 UV www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): T/(0A" anyl �, Address: P n J� cy 1 gyp City/State/Zip:_.Ltk;,1 MC-- 0 9635 Phone #: cj0 g—Z A A g_Q 'D, Are you an employer?Check the appropriate 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 part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp. insurance. 9. ❑Building addition [No workers' comp. insurance 5• ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.Goof repairs insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] ;Any applicant that checks box#I 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:"'t Lg Policy#or Self-ins. Lic.#:_ r:T 1`1 /6 t -1 Expiration Date:/ Job Site Address: 1�„/t 31" �,l/lt,2 sr— 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereb ler! s and e 0 pe ry that the information provided above is true and correct. Si ature: Date: 'lD Phone#: SD Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 9 13oard of wilding Regulations and S'tandards One Ashburton Place - Room 1301 .Boston, Massachusetts 02108 Horne Improvement, Ooactor Registration gistration ERASER CONSTRUCTION Registration: 112536 BA TION CO. Type: p23 DEAN FRASER ExPirdtion: 3/23/2009 Tr# 127s20 P.O. BOX 1845 COTUIT, MA 02635 7--CA1 CoSOAA-05/06-PC8490 Update Address and - Y2ene �caz� k reason for change. — Ad--- _ _ ❑ dress 9) 9 Board of B ae --- - •--- - ❑ ❑ Emplmynent ❑ lost Card uilding Regulations and Standards HOME IMP VEMENT CON �cense or r Re i TRACTOR before the e�stration valid for iudiviidul use only stration: 112536 Piration date. If found re tam Board of Banding Relations and �n to: 2 ,009 Tr# 127920 One Ashburton Place Standards DF3�q i Rm 1301 FRASER CONSTRUCTION CO )yI ., Boston'ma.02108 DEAN FRASER % 4556 RT 28 COTUIT,MA 02635 Administrator N0t WL id without sAjgnatare i OF 1486 ' PAO➢UC�It TwsC611TIFICATEISIg3U�.48AhlA ISBC�D.lTS WTSI3&(2TJ1NN INS AND CONFICRB NO RI[,IIT$UPON THE CER?TYy:TCAT1 BOLDER THIS IN W Y 449 P r VC&AC7BNC Y cm rCAB TjTg NOT AMEND+RKTgyD OR ALTlBR I co THIS GE �+4SA]VT S1' AFFORDED aY TIIB�OI.ICOIS B$LOtiv, BRO�ON,MA 02301 c(0) A1�r�S + '012�1 C CO'VERAG.t • c�ANY� Ns, IiARTFOlell UNI).LRb nvsr P VRITBTtS CO' FRAMA CONSTRUCTION B PO BGXY 1945 Lffrm C COTUrf.MA 02635 cahIDaxY ' riaR D THIS I9 ro Ct;t;,t :T►ur rtm pOLiCIPs o6 ixso D<D�TED Nor'Wlr RA oBusrEDBMMf1A ThQCArfi MAY B8185U> 0 ANY&PQ �+F3 BEEN 199U6D 70 TR5 COIVDlTipNB OB 0�MAY eFBRTTAIN8 TBRM 0I!COI�ITION OF ANY CONr i >' f ^' SUCI3PDLICIffiB �CTAp1?O1tbBDliY 7N9UR6DY�IyIx�n2OVRFORrygPOLICYP5RY0b Y` g 9HOV/N MAY)IAVS B TFB POLICD33 DEA(3tr rg DOi6M AMR RM"Llr TO CyWel l%I THIS CO Tm OP 1P18UDAN CE REDUCED aY pAlp CLAIMS: MItB IS aMIECT 70 ALL LTA ,'OL�'CYNUAIBpR TNETBRMg' CWSTON3 POLICY POLfCy UABILffY BPPWTIVEBATE F%l7tIILtYI'cl DATIe L(MrM GgN!?m LIOX&Y �tbl/DD Y 0 MAD$ C0.V17tACNR$'ROT. &C . . ➢Bk9ONAi�AD�V�IINlU&V $ BACR $ AUTOMO)gll+fi trAa OCC tLPry . DAHAOB(Ao9(ha $ ANYAUIO ALL MMED AVr08 WAN8$(At o"W. 8 8R'0tE L 90MbD1&DAUf08 3 ' DAU1D,q BODMY D,tt(p3 NOrFOWh�DAUTOB f1e+Pmmo) s OARA087.1A8MnV 3Y (➢er'fc�-''� 9 UABII 17 Y AERTtDAedAOB OMMTHANLUQt tiA80RM + OCCUIW8NC8 � A A008HOAT8 i WOR1�,9 COhIPBNyq+l'lON 8 AND OT ErdpL SLLta�) 6160MI94.Y6191 09/26/06 $Avr m�RYLq�nre � 09/26107 Dyive AC p0 slcuoao DMBA 'g•5�,�0 staaoo DYSCRmI•lON OP OPBRAyrO ' TYONSNDFpC pE mus CEA '1'��'LACBSAwYp �G°�Q$•FLOLD n 0CA . ),•; lW% .• T C88TIptCA11DRO D$ AP88C71xfD►l+On$RacoMPCO FRAB dojv11TRre'1TXON I CANCELLA.."q;''; ti; CO�'UJ x7gg�{ia��s E rmriD U ABOVBDYq bPOLTL CANC •.r .:.:�;;; " 02'63b rs=•d,iYW81T7BNN07pIC8•xp01?'Tin 1S8MGCOWANYW1};.I•pAe VyOp TBE ..• BUT AAIIUBBypjy 9 NO CERTlDItATBpOIZflgRpe 10 TO • L1/1HD.p'YORANl+KYJQ'Jytrf TIM Won NO08I.TOtP�x�Og� . AL PAB�IiTA r19BA+C$17T808$fjPB53MVATIygg AcQa>���''ton •' 9� •' . • , VAC'o)tI)�dlQpgn�on1 r 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. FRASER CONSTRUCTION: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: dA u (jK meowner Fraser Con truction o� �-��..Lr� S T- G✓ . � �-o �o-GC-�. r Fraser Constru'tion Roofing & Siding Specialists P.O. Box. 1845, Cotuit MA. 02635 "F BAR, s'ABLE Email: fraser construction verizon net 2007 JUL I I PM 2. 3 5 www.fraserroofing.com Phone 1-508-428-2292 & FAX X-508-428-0 1 23 RE-ROOFING PROPOSAL PARTIAL DATE: May 22, 2007 NAME: Jim Jenkins PHONE: 508-362-6018 MAIL. ADDRESS: same JOB ADDRESS: 227 Pine St. West Barnstable, MA 02668 FRASER CONSTRUCTION hereby proposes to perform the following services in a neat and professional like manner and 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. Supply and Install - CERTAINTEED XT AR-25: 25 - Year Warranty, 5 Year Sure Start Protection, CLASS A FIRE RATED, M,,6Ab;, Resistant, Extra Heavy Weight, Self-Sealing, 3-Tab, Fiberglass Based Asphalt Shingle with New . England's Exclusive COPPER/CERAMIC Stones with a Full 10 Year Warranty against ALGAE Containment. Colon Supply and Install - CERTAINTEED XT AR- 30: 30 Year Warranty, 5 year sure start protection, CLASS A FIRE RATED, AI:,C,AE' Resistant, Extra Heavy Weight, Self Sealing, 3 -Tab, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10-year Warranty against ALGAE Containment. Color. Supply & Install - CertainTeed Winter - Guard: (ice &water shield) Waterproof Underlayrnent System (3ft. on eves and valleys, 18" on rakes, walls, and skylights) Suoply & Install - Roofer's Select Underlaym,ent Paper (as recommended by CertainTeed) SURRIE& Install - Hick's Ventilated Drip Edge. SURRIV & Install -Aluminuru & Neoprene Soil Pipe Flashing Supply 8s Install-Air Vent Ridge Vent (as recommended by CertainTeed) 'd 859E 'IN WdE :z Loot < < r 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. FRASER CONSTRUCTION: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: V meowner Fraser Con truction ti 'd 859E 'IN M66 :l LOR 'I [ 'l�f (SD O 716 j0 ; oo U.S. Postal ServiceTM CEF,TIFIED MAILTM RECEIPT _■ (Domestic Mail Only,No Insurance Coverage Provided) For delivery information visit our website at www.usps.coma OFFI-CIAL USE �1 /.IWzl, / PS Form 3800,June 2002 See Reverse for Instructions Certified Mail Provides: fsse ey)aooaeH .00se�odsa l ■ A mailing receipt ■ A unique Identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: • Certified Mail may ONLY be combined with First-Class Male or Priority Malle. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811),to the article and add applicable postage to cover the fee.Endorse mailpiece'Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mallpiece with the endorsement°RestrictedVelivery°. ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. SENDER: ■ Complete items 1,2,a6d 3.Also complete A. Signature item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse Addressee so that we can return the card to you. gl/gp;nted a e) C. t every ■ Attach this card to the back of the mailpiece, , � or on the front if space permits. D. Is delivery address c tfferent from item 1? Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No i6z/z"�� X'00� 3. Service Type 716-Certified Mail ❑ Express Mail Oa6(k ❑ Registered B-Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. j 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7004 2510 0002' 6228 2832 (Fransfer from service label) PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 � i� � i t tttitttlitii i i CI UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 I • Sender: Please print your name, address, and ZIP+4 in this box • I TOW OF BAR,NS'TABLE LDING DIVISION BUI HY NNI 02601 I - I I I �oFIME lo Town of Barnstable Regulatory Services BAMSMBM 9 MAss. Thomas F. Geiler,Director �p sa3� ,m �039.. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 August 30, 2006 Mr. James A. Jenkins 227 Pine Street W Barnstable,Ma 02668 Re: Posting of Signs—Parker Road/Walking Trail Dear Mr. Jenkins: A complaint has been filed with this office regarding the installation of home made No Trespass signs along Parker Road and the walking path. Please be advised that permanent signs require a certificate of appropriateness from Old Kings Highway. I will gladly help you if you so desire. I am compelled to inform you that the aforementioned appeal process won't be necessary if you remove the subject signs. You may replace them with commercial ones typically found posted on private property. In fact, I believe I saw one (a small black sign with orange letters) installed among your home made sips. . I am confident that you will take immediate steps to rectify this situation. Please advise me of your intentions by Sept. 15, 2006. I am available directly at 508-862-4027 in order to discuss this matter and all legitimate options available to you. Be assured that I look forward to working you in order to resolve this issue. cerely, J Robin C. Giangregorio Zoning Enforcement Officer JAComplaint Inv Reports\227 Pine St Jenkins.doc �`- - •ti r - :w r_, M/ • t.' 4 r,� ol �.` i. 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