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0022 DALE AVENUE
i �i Town of Barnstable Building PostThis Card SoaThat itisV�sible Fromahe Stre t-.A rovetl:Plans,Musi;be Retained on Job.and tfiis.-Card Must beKe t s R Where azCertificate of Occu anC iRe 'u�red such`B i ' "Ia11 No n il'a Final Iris: ection has.:been-`mad Permit Permit No. B-18-1347 Applicant Name: MARK MACALLISTER Approvals Date Issued: 05/03/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/03/2018 Foundation: Location: 22 DALE AVENUE,HYANNIS Map/Lot 286 009 Zoning District: RF-1 Sheathing: Owner on Record: LEECH, MALCOLM WContractor~N me MARK A MACALLISTER Framing: 1 Address: PO BOX 89466 Contractor�L�cense C;�S-079358 2 CLEVELAND,OH 44101-6466 Est ProJe,ct Cost: $3,000.00 Chimney: Description: RESIDE AND REPLCE A DOOR PermiFee: $35.00 Insulation: Project Review Req: Fee Paid $35.00 Date 018 Final: 5 r r�C Plumbing/Gas .... Rough Plumbing: Building Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within sixmonths after,issuance. g All work authorized b this permit shall conform to the approved a l cation and the approved construction documents for which this permit has been ranted. Y P PP PP, pP P g All construction,alterations and changes of use of any building and structures shall be in compliance with the local zon ng bylaws and codes. Final Gas: � . 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 work until the completion of the same. Electrical f .40 Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. T Minimum of Five Call Inspections Required for All Construction Work:° Rough: 1.Foundation or Footing _„ , 2.Sheathing Inspection Final' 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy - Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. 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 cz Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT MIT Town of Barnstable *Permit# — oFt o o Building Department wee 6monthsfrom issue date snxtvsrna Brian Florence,CBOXV�� v � , Building Commissioner �^ a Vain Street,Hyannis,MA 02601/r0 3 www.town.bamstable.ma.us Office: 50 Fax: 508-790-6230 Li, , EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 00 5 L Properly Address �7- I�CG�L Ave-- , n S 1?0 r7 [Residential Value of Work$ 3, 0A) I'_- Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address /l'�Q 1�of,4A L4" 4-�)0 cl tt /u. 04 Contractor's Name �YC -f Mg-WA �j,� Telephone Number S)?b-S 8q'2 5q Home Improvement Contractor License#(if applicable)J3�1({ Email: /r)cy- •(cx.CA!1 i S Ci 11'1Ci.L-tw Construction Supervisor's License#(if applicable) CS 0793ST rWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ m the Homeowner 0 I have Worker's Compensation Insurance Insurance Company Name 5fc—_ T,fIsurr-.Clt_ Workman's Comp.Policy# Vic_ 0(03�_U 3 U Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane;nailed)(stripping old shingles) All construction debris will be taken to ❑ roof(hurricane nailed)(not stripping. Going over existing layers of roof) [ Re-side akeplacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors:J — '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 Prope Owner Letter of Permission. v` A copy of the Home Impro em t Contractors License&Construction Supervisors License is requir SIGNATURE: C:\Users\decoll ik\AppData\Local\Microsoft\W indows\INetCache\Content.Outlook\9NNOKXYW\RESIDENTILONLYEXPRESS.doc 09/26/17 r CERTIFICATE OF LIABILITY INSURANCE DA04/132018 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 have ADDITIONAL INSURED provisions or 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 CONTACT Kathy Silvia NAME: The Fair Insurance Agency Inc. PnHiCDNIv Ert: (508)775-3131 FAX No: (508)790-1677 619 Main Street E-MAIL kathy@thefairagency.com ADDRESS: Suite 1 INSURER(S)AFFORDING COVERAGE NAIC 9 Centerville MA 02632 INSURER A: Evanston Insurance co INSURED INSURERB: Safety Indemnity Ins.Co. 33618 Macallister Building Inc INSURER C: Star Insurance Company 18023 64 Ebenezer Road INSURER D: INSURER E: OSterville MA 02655 INSURERF: COVERAGES CERTIFICATE NUMBER: 17-18 updated 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 TR TYPE OF INSURANCE INSD WVD POLICYNUMBER MM/DDY/YYYY MM/DD EXP LIMITS X COMMERCIAL GENERAL LIABILITY - EACH OCCURRENCE $ 500,000 CLAIMS-MADE I OCCUR PREMISES Ea occurrence $ 50,000 MED EXP(Any one person) $ 10,000 A 3EM4506 08/11/2017 08/11/2018 PERSONAL&ADV INJURY $ 500,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 1,000,000 X POLICY JEfT LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: Employee Benefits $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO r BODILY INJURY(Per person) $ 250,000 B OWNED X SCHEDULED 6248835 10/12/2017 10/12/2018 BODILY INJURY(Per accident) $ 500,000 AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ 250,000 AUTOS ONLY AUTOS ONLY Per accident Underinsured motorist BI $ 250,000 UMBRELLA LIAR OCCUR - EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION - PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ C OFFICER/MEMBER EXCLUDED? N/A WC0632030 03/01/2018 03/01/2019 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS L LOCATIONS/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 Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE j� - Hyannis MA 02601 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD I i r:14 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 UF www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Macallister Building, Inc. Address: 64 Ebenezer Road City/State/Zip: Osterville, MA 02655 Phone #: 508-428-6408 Are you an employer?Check the appropriate box: Type of project(required): 1. ✓ I am a employer with 2 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2. 1 am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. Demolition workingfor me in an capacity. employees and have workers' Y P h'• 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. Roof repairs insurance required.]t c. 152, §1(4),and we have no 13. Other Re-siding employees. [No workers' 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. Insurance Company Name: Star Insurance Co. Policy#or Self-ins.Lic.#: W�o10� OlJ�jD Expiration Date: 3 I I 0 d Job Site Address: 22 Dale Avenue City/State/Zip: Hyannis Port, MA 02647 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 certify under the ams and pens ies f perjury that the information provided above is true and correct. Signature: Date:5/1/2018 Phone#: 508-428-6408 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#: s' Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-079358 Construction Supervisor } MARK A MACALLISTER *., 64 EBENEZER RD ram ' OSTERVILLE MA 02655 � `.. Expiration: Commissioner 08/12/2018 y , ��e�o�zzmo�uaezll�a�C�l�a.tscic�a�e� f . Office of Consumer Affairs&Business.Reguiat!6 i. HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only fwm Y TYPE:Individual before the expiration date. If found return to: Registration, Expiration Office of Consumer Affairs and Business RegL T E _t33744. 08/02/2019 10 Park Plaza-Suite 5170 ,—? MARK MACALL ISTER_ .,,, Boston,MA 02116 MARK A.MACALLISTER- N.0 64 EBENEZER`ROAD OSTERVILLE,MA 02655' Undersecretary Not Vali 61thout signature -A. � PNC _ WEALTH MANAGEMENT May 2,2018 Town of Barnstable - 367 Main Street Hyannis,MA_02601 In re: Malcolm W.Leech Trust Property situate:22 Dale Avenue MBL No.: 286/009/ Dear Sirs: PNC Bank NA(successor by merger of National City Bank)is trustee of the Malcolm W..Leech Trust, which is the owner of the above captioned property. Please accept this letter as authorization for Mark Macallister, DBA Macallister Building, Inc. to be permitted to perform various interior and exterior work at 22 Dale Avenue,on behalf of the owner. Yours very truly, / /1 °,, Brian G.Morris Vice President BGM:cmk Member of The PNC Financial,Services Group Two PNC Plaza 620 Liberty Avenue Pittsburgh Pennsylvania 15222 www.pnc.com TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �8 � • Parcel' Application # Health.Division Date Issued l y Conservation Division „ Application Fee Planning Dept. Permit Feb Date Definitive Plan Approved by Planning Board Historic- OKH Preservation/ Hyannis Project Street Address ��- G�(�ft,Gc�—• Village tklawt l s a& Owner �7► Address 1?d• 60.y 3-,'257 Telephone ✓v g / / 7 y7 d Permit Request l f 0/� Qak V aq k0a 4 /0 remaw- nf itamy 'r?l s /0 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation -45,000"� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count F Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing 0 new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use L„ APPLICANT INFORMATION" F" c� (BUILDER OR HOMEOWNER) Ln M Name •�' ��X �i �el( C� Telephone Number �✓U� �9oq " Address !t(g &S4M License # 0031,51 S �"► � �/ Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION D BRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 Ls SIGNATURE ` DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. Y' ADDRESS VILLAGE I OWNER 14 DATE OF INSPECTION: FOUNDATION t , FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT> _ ASSOCIATION PLAN,NO. r 1 -par"Lll'E?`CC OJ Lr LILLJL/Lu l7�� u ,. Office of rnvesfigalioris 600 Was blgiog Etreef J3ostorz, :lt'.CA Gz1IZ rvww.moss.gov/dia Wozkers' Compensation asara-nee f�Efida t: uiSdez s/COS1tTactol S/Llectx�cians/ '.lumb n ILC mt.Daf0tDaatioxl �PpleaseQPr/znt Le�zbZY Narar, (BusinesslOrgazdr-adba/Individual): Address: �/ n ¢� Phone.#: � O ` City/State/Zip: — Are you an employer? Clieck the appropriate box: Type of proj cct(rewired): 1. am a employer-with 4. 01 am a general contractor and I 6_ ❑ Nc-r canstxuchon rmployccs (full and/or part.tmc).* have hrcd the stib-contractors listed on tnc atfached shrct• 7. (_] Rc modeling 2_❑ S aM a•sole proprietor or par-Lar-r- )hcse sub contractors have ship and bavc Tw croployccs 8. Demolition employees and have workszs' Buildia addition working far. me in xny capacity. $ 9• ❑ g o workers' insurance enmp. insurance. [t`1 p 5 D -pre arc a corporatiori and its 10_[] L1 t trical repairs oz additions rr�?rrrd] ofTiccrs bavc c;xcrciscd their 11.[] Pim-abing repairs or add iom 3.❑ I ant a:homco-mrx doing all work fight of exemption per MGL myscl [No workers comp_ f2.❑�Zoafrcpa_irs c. 15� §1(�f 1 `ind u c I-a-n no msuzmcc rr, r 13: Othcr' cNIIcd] ' ecaployces. FND workers'' �eC comp.imurancc rcquired.] *Any applicant that cbr6a lwx U1)Trust also filloUt the):m6un below shoving the i tvorkcrs' coroprn:i on po}cy infamzatio L t�. �iVI(LV t 14()mcovenc"who rubrait thin afljdavit indicating tbay arc doing 0 vrork and thrn liirc outcidc contr-tDr3 must rubririL rznrw atfdavi t indica g such. . IContcactors dut cbccktl i box must attached M additional sbcct chewing Chc narr c of die sub-contractors z,d vWn wbctbc:r ornok thosd emit Dave rnrployccs. 1ltbr.sub-conlractori hlvc crrcploy—s,fhcy musL prrry 6b fakir wo6c--"camp,policy number. - I Tzar arz employer fh.rd Ls providLag-workers' corrtpensation.Insurance,for rrr} ernplayees HeLmi) Gs Gh.epollcy.andjob site • irrfarrrcatiort. nQ� /.� / ./ /D�� • Jnsni 4mcc Comp any l 9� I Q 0 d 7 Lxpiratiou D atc: Policy It or Sclf-i_ns. Lic, t/a .. J�(/ /j � (.tl ��f p City/Statr/Lip: Akin/ S a Addre Job Sitc ss: < • tLitaclz a copy of theworltets' corapeasaliDU policy declaration page (showing Lhr-policy number and expuatton dale). Failure to scctu-c eovcrabc as rcquitrd under Sectio)a 25A of MGL c. 152 can lead to the iMposEma of criminal penalties of a b ii-p to $1,500.00 a o and/or one-year iropsonmcnt, as wc11 as eiti�lpcnaltin in the Form of a STOP WORK ORDER and a fiat � of up to $250.00 a day against tac S�Dlator. Bc advised thai a copy-of this sta.tcn�.cLit may be forSrardcd to the Off cc of laycstl atious of the DIA for insuzancc covers c vCrif Gil.tdOD' Ida hereby cc nder ChE paires and penala'Es ofperjury �jLal[he �farmation pravided rrbaNe is true and correct Si atruc: Datc: Pbonc# O/fuial use only. Da na! write En lhis.areu, eb be cornpieled b; city or lawn offrci-aC City or.To)ya:. Permit/L icewe,# Zsstung Authority (circle one): J. Board of Health 2.Building Department 3. CU7[To)YrL Clerk 4, Electrical Lnspector S.Flu[ Lnspecfor 6. Other ' Contact Person: Phone f. Mass aehusc s GcneraJ Laws chapter I�Z rcquues au cmpJOycrs w IJIUYIUI 1'Y- -r- — - p to tbi stat�rte an erriplo}ee is defined as ".:.every person in the service of another under any contract of hire, cr,press or implied, alai or wriftsn" empCoyer .dctZned as "an individual partricrship, association, corporation or other Icgal entity, or any two or=-fc of the foregoing.engaged in a joint cntcrprisc, and including the legal representatives of a dcccasctl crtrploycr or the rcccivcr or trustee of miudividual,pattacrship, association employing or other Icgal entity, cmployccs, $owcvcr the owner of a dwelling house having not more than three apartments and who resides thcrcin, or the occupant of the jwclliag house of.another who employs persons to do maintenance, constriction or repair work on such dwcllir�g boost )r oa for mounds or building appurtenant thereto sba11 not bccausc of such employment be dccoacd to be an employer." vSGL chapter 152, §25C 6� aiso states that "every state or local licensing agency shall withhola the issuance or •enewal of a license or pernuf to operate a business or to construct buildings in the commonwealth for any rpplicnt who Isar not prodnced•acceptable evidence of compliance w th the insurance coverage required." Udditionalty, MGL Obaptsx 152, §25C(7) sta.t:cs `Neither the commonwealth nor any of its poligi-al subdivisions shall:rater into any contract for.the pc,:orniauGO of public wort until acctptsblc evidence Of compliance vs ith the m�ur c cquircmcats of this chaptcrhavc bccnprescntcd to the contra.ctiug authority`." pplicants Icase fill Out tho worl:crs' compensation afCdavit completely, by chcckiug the boxes that apply to you]: situation and, if cccssaiy, supply j�-cib-contractors)namc(s), addrcss(cs) and phone numbcr(s) along with thcur`ccrtificatc(s) of isuranm Limited Liability Co=paaics (LLC) or Limited Liability Parincabips (L12)with ao cmployccs other than the mmbcrs or partntis, arc not zcquixcd to carry worl.crs' compensation insrnati.cc. If an LLC or X LP dots have nploycs, a policy is rcquircd. �c advised that the e submitted to the pa DcLfzncnt Of LIldushaal c reidLnts for confirmati on ofinsurancc coverage. Also be sure to sign and date the affidavit The affdarit should retiirAcd to the city or town chat the application for the posit or license is being rcqucstecI, not the Department of tdustrial Accidents. Should yOU have any questions regarding the law or if you axo rc�v.rd to obtiria a workcrs' )rupenssEon policy, Please call the Dcpartmcni d:the uumbcr lisL-ed below. Sclf insuzrcl companies should mtor their :If-ins,.ira.nco license number on the appropriate ity or Tom Officials ease be sure that tho affidavit is corrrpl.ctc imd printed Icgibly. The Departm.eut has providr-d a space at the bottom the a.$davit for you to fill out is the event the Officc of luvcstigations has tD contact you regarding the applicant case be surd to H'in.the permit/Eccnsc ni.unbcr which will be used a_s a reference nuzabcf. Ln•add.ition, m applicant it.must submit multiple permit/lim3sc applications is any given ycac nred only submit onp affidavit indicating eument ficy infozma.tion(if accessary) and under "Job Situ,Addzcss Lhc applicant should write "all locations in (city or vn)."A cbpy of the a.f�davit that has bccu ofbcially staLupcd or marked by the city or town may be provided to the pllimnt as proof`that a valid affidavit is on.61c for fabric permits oz licenses. A pew affidavij nnist be Mcd out each sr Whcrc a bomc owner or citizen is obt-ini_ng a license or permit not rclatr-d fo any business or commsrcial venture a dog IiC WC or pcuait to'b-dm leaves etc.) said persorl is NOT required to corrgalctz this alfidavrt o Officc of Lnvcstigations would bkc to thank you is arlvancc for your cooperation and should you havc any questions, -asc do not hesitate t-o give us a call. Dcpartrneait's address, tcicphonc•and fax number: Thy CammaawQ,lth of Mas. chusc-M DgNxtmDnt of lizdugfxir_l Acciclt-,nts Q-fxc7e of LvCstigat!ans 6Q0 }��shin�n Street • Boston, MA 02111 Tel. # 617-727-49,00 ext 406 ar 1-M-MASSAFE 7 Fauc # 61 -727-7749 11-22-06 prww.mass.gc nl/c1 a { MAR, 13. 2009 10:24AM HART INSURANCE j NU, 635 P, 2 �l 03/13/2009 .ORD , CERTIFICATE OF LIABILITY INSURANCE pATE(MM�DDIYYlYI PR00�y THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HART INSURANCE AGENCY, INC. HOLDER. THIS CERTIFICATE DOES, NOT AMEND, OCTEND OR 243 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. PO BOX 700 BUZZARDS BAY, MA 02532-0700 1 INSURERS AFFORDING COVERAGE NAIC# INsuRED EJ Ja)ttlmer Builder,Inc INsuRER A. ARSELLA PROTECTION INS CO 41360 48 Rosary Lane , INSURERB: ARBELLA PROTECTION INS 00 41360 Hyannis,MR 02601 INSURER AReSLLA PROTECTION INS CO 41360 INSURER D: ARBELLA PROTECTION INS CO 41360 INSURER E' COVERAGES TH>_POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WrrH 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 CONDMONS OF SUCH PGLICIESzAGGREGATE L-IMTS-SHOWN.MAY-HAVE.BEEN.REDUCl�P_BY PAID CIAIMS_ 1NSR D POLICY NUMBER POLICY EFFECTRrE POLICY EXPIRATION LIMITS q MIDONYi "NERAL IJABILRY 8500042039 9I' 01/01/09 01/01/10 CACH OCCURRENCE 5 9 000 Q00 COMMERCIAL GENERAL LIABIUT' ; MI ES Ea ocA4mnc4 5 300,000 CLAIMS MADE OR ML D EXP CCU (Any ono reon) 5 5 Q00 - '' PERSONAL 8 Ab1+iNJL7RY 'S 'I`DOO"OO� 1 GENERAL AGGREGATE S 2J300,000 GENL AGGREGATE LIMIT APPLIES PER; i' PRODUCTS•COMPIOP AGO $ 2,000,000 POLICY PRO, LOC B AVYOMOa1LE LIABILITY Y 87083400003 01/01/09 01101/10 COMBINED SINGLE LIMIT $ 1.0()0,0()0 (Es accuwnU ANY AUTO X ALL OWNED AUTOS BODILY INJURY S (Per pemon) SCHEDULED AUTOS HIREDAUTOS BODILY INJURY ffi (Per am t m) NON OWNED AU70S PROPERTY DAMAGE $ " (Pea aeWent) AUTO ONLY-EA ACCIDENT 5 GARAGE LIARRM EA ACC S ANY AUTO OTMER THAN AUTO ONLY, AGO S C ExcMmmarmLLA L umrrY 4600042040 01101/09 01/01/10 EACH OCCURRENCE S 2.000 000 OCCUR ❑CLAIMS MADE AGGREGATE 8 S ffi DEDUCTIBLE ffi RETENTION S WC STATU- I07H• D WORXMtS COMPENSATION AND 9111010109 01/01/09 01/01/10 EMPLOYERS'LIABILITY E.L EACH ACCIDENT ffi 500,000 O�FFICRER AEMB�EARTME�Cu� E L D18EASE,1 A EMPLOYEE $ 5560 000 11 s,describe order E L DISEASE-M.CY UNIT s 500,000 SPECIAL PROVISIONS Oot� _ OTHER J DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORS£MpNT 1 SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION I' SµOULD ANY OF THE ABOVE DESCRIBED POLICJES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING~INSURER WILL ENDEAVOR TO MAIL. 'r0 DAY5 WRITTEN Town Of Barnstable NOTICE TO THE CERTIFICATE HOLDER NAMEO TO THE LEFT,BUT FAILURE TO DO SO SHALL 367 Main Street IMPOSE NO OBLIGATION OR LIMUTY OF ANY MD UPON TIjE INSURER,ITS AGENTS OR Hyannis, MA 02601 i REPRES0ITA17VE5- AUTHOP&M REPRESENT ACORD 25(2001/08) OACORD CORPORATION 1988 • r Board o ui m g #eg l a ns Fan �na�rs NMI One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home ImprovementrCantractor Registration Registration: 110609 t 4_ Type: Private Corporation ATI vlT'! j ; , --_ Expiration. 11/3/2010 Tr# 276582 E J JAXTIMER, BUILDER, INC. = ERNEST JAXTIMER x �) 48 ROSARY LN HYANNIS, MA 02601 tom;. s Update Address and return card. Mark reason for change. Address Renewal Employment Lost Card DPS-CA1 w 5OM-05106-PC8490 �� T/JO�zOI2clIP,[LGIiG o�✓!/CQ46aGl2U�clif6 Board of BniIdingR76pIati4ns and-Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Reg istratlotl: 110609 Board of Building Regulations and Standards —�� One Ashburton Place Rm 1301 Ex FrattoR::��-411/3/2010 9 Tr# 276582 Boston,Ma.02108 ._ TypeP jrate Corporation ,- L r E J JAXTIMER,WUMDE-13`I ERNEST JAXTIME; F ; 48 ROSARY LN �� f HYANNIS,MA 02601 �f Administrator t valid wit out signature _.._.-_ - - _ - =t ✓die i�Jamrirreancae o� 7: ' Board of Bmldmg Regulations and Standards lit Construction Supervisor License ,h - - — -- -- Ltce set CS 3251idi: 11` IF - — -- - _ 2010 Tr#;13129: i . es Meal, ERNEST) JAXTIfitlj'�` G— I 4$ROSARY L4NE� ,%1 i �, HYANNIS,MA d2601 - `f Corrim tier'' " °r Tow of Barnstable Regulatory Services Thomas F.Gamer,Director °JEc t ° Bwldulg D1V181UIl Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 ffice:. 508-862-4038 Fax: 508-790-6230 i Property Owner Must Complete and Sign This Section If Using A Builder . M � � �S ,as Owner of the subject property hereby authorize F,J atk r . �jLl/I l Gl.(. to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address ofjob) lo� Signature of Owner Date , , Print } Q:FORMS:OV,'N"ERPERMMSIOIQ ' Town of Barnstable;, *Permit# Expires 6 months from issue date X-PRESS PERMIT Regulatory Services Fee 2007 Thomas F.Geiler,Director Building Division TOWN OF BARNSTABLE Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 ' www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6 3.0 EXPRESS PERMIT APPLICATION RESIDENTLAL ONLY Q ,�J(1� Not Valid without Red X-Press Imprint \ Map/parcel Number �O 0 / `1 /� . Property Address AA& avelrtu Q no lS Pert : QP ® [✓�Residential Value of Work � Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name •V • V , 4A CX Telephone Number /W Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) oo& s [ 1Vorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner Fall have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping, Going over existing layers of roof) ❑ Re-side R ![Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.` ***Note: Property Owner must sign Property Owner Letter of Permission: c py of the Home Improve me t Contractors License is required. SIGNATURE: A / Q:Forms:expmtrg. Revise061306 I7ze Commonwealth oflfassachusefts { Department asfli dustraalAceidents Q.ffee.of Investigations 600 Washington Street Boston,M4 02111 Sr•�i www-mas&gov1dda..° Workers' Compensation Insurance Affidavit: Bn.iidea s/Contraetors/Electrie ns/Pl hers Applicant Il�foa-a1�ation Tease Print�,e ably Name (Businesslorpnizationandividual)� G ' ' r t 1 ,' .e Address: g 0 5 L >� L City/State/Zip: .. (S , 0 Phone#•. : mil L Are you an emmiployer?Check the appropriate boz:. Type of project(required). 1.['I.am a employer with - )� . . 4. [ am .general contractor and I . 6. ❑ New construction employees (full'and/or part-time).*, have hired the sub-contractors 7.`•. Remodelin 2.❑ I am a sole proprietor or partner- listed on the attached sheet$ � g - ship and have no employees These sub-contractors have 8. ❑Demolition working.for mein any capacity. workers' comp. insurance. 9.' ❑ Building addition o workers' comp.insurance 5. ❑ We are a corporation and its [N - ' 10.❑ Electrical repairs or.additions . required.] officers have exercised their - 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions. c. 152,§1(4),and we have no 12. Roof repairs: mysel��[No workers comp. ❑ eP fi employees. [No workersi insurance required] 13:0 Other comp.insurance required.]` *Any applicant that checks box#1 must.aisv fin out the section below showing their workers'compensation policy information:: N. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside cofactors must submit anew affidavit indicating such tContract=that check this box must attached an additional sheet showing the name of the subcontractors and their workers'comp.poliq information; Jam an employer that is providing workers'compensation insurance for my employees..Below is the policy,anrd-job.site. information. n ' Insurance-Company Name: 17, Policy#or Self-ins.Lic.#: a© ® Expiration Date: Job Site Address: - City/State/Zip: Attach a copy of the workers' compensation policy deelaratiou page(showing the policy number and egpirataon date). .' Failure to.secure coverage as required under Section 25A of MGL.c. 152.can lead to the imposition of crimmal.penalt es of a fine up to$.1,500,.00 and/or one-year imprisonment, as well as civil penalties in-the form of a STOYWORK ORDER and a fore of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to:the Office of Investigations of the DIA for insurance coverage verification. 4dlereby certify.un er the pains and penalties of perjury that the information provided above is true and correct.. afore:. Date: ' Phone# official use only. Do.not write in this area,to be.completed by city.or town official City or Town: Perrnit/License# Issuing Authority (circle one): 1.'Board'of Health 2.•Bu11d1ng Department 3.City/Towu Clerk 4.Electrical Inspector 5 Plurnbiag Inspector 6.Other ` Phone Oontact hersoh• 2 #. Client#: 2093 2JAXTIFVIEREJ ACQRD� CERTIFICATE F LIABILITY. I CEtol/17/(MMIDDIYYY DATE 07 %ODUCER - - THIS CERTIFICATE IS ISSUED.AS A MATTER OF INFORMATION Dowling&'O'Neil Insurance � ONLY AND CONFERS-IVO RIGHTS UPON THE OERTIFICATE BOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Agency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St. PO Box 1990 Hyannis, MA 02601 . INSURERS AFFORDING COVERAGE NAIC# INSURED - INSURER A: Acadia.Insurance -E.J.Jaxtimer Builder, Inc. INSURER B: Ernest J.&Marie T.Jaxtirner INSURER C: 48 Rosary Lane INSURER'D Hyannis,MA 02601 '..l INSURERE: - - COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM.OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL'THE TERMS,EXCL USIONS AND CONDITIONS OF SUCH PC ICES AGGREGATE LM17C SHOWN MAY HAVE BEEF REDUCED RV PA!D(:I AIMS,` 1 ..�., `` - - POLICY EFFECTIVE POLICY EXPIRATION L i R NSR TYPE OF INSURANCE POLICY NUMBER pATc MM/pprw) c�ATc_rpxM/ppnyI LIM6TS A - GENERAL LIABILITY-- _ 'ICPA010264813 01/01f07 01101108, EACH:OCCURRENCE 1..$.1.000 00 COMMERCIAL GENERAL'LIABILITY _ -DAMAGE TO RENTED PREMISES,( a occurrence S25O'000 CLAIMS MADE a OCCUR_I - .` MED EXP(Any one person) $5.000 PERSONAL&ADV INJURY S1 000 000 GENERAL AGGREGATE $2`000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000, 040- r1 POLICY JECT LOC AUTOMOBILE LIABILITY - - COMBINED SINGLE LIMIT $ ANY AUTO - - * (Ea accident) ALLOWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person)- $. .HIRED AUTOS .. ' _ _ BODILY�•INJURY NO1. N-OWNED AUTOS - (Per accident) PROPERTY.DAMAGE $ - - (Per accident) GARAGE LIABILITY - - - AUTO ONLY EA ACCIDENT S ANY AUTO - OTHER THAN EA ACC $ AUTO ONLY: AGG S A EXCESS/UMBRELLA LIABILITY CUA010264913 01/01/07 101/01/08 'EACH OCCURRENCE s2,000,000 X OCCUR CLAIMS MADE AGGREGATE $2 000 000 3. RETENTION EDUCTIBLE $ . $O. $ Q1 WORKERS COMPENSATION AND WCA02045501 O -','1 � O1/O1/O7.' O7/0.1/O8 WC LIMIT OTH-, T RY LIMIT -TATU R EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE : - E.L!EACH ACCIDENT $SOO,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE S500,000 If yes,describe.under - - - SPECIAL'PROVISIONS.below E.L.DISEASE-POLICY LIMIT $500,000 OTHER •. . DESCRIPTION OF OPERATIONS/LOCATIONS-/VEHICLES I EXCLUSIONS_ADDED BY ENDORSEMENT-/SPECIAL PROVISIONS : - lob:Bussman Operations performed:by the named insured subject to policy conditions*. and exclusions:. CERTIFICATE`HOLDER CANCELLATION SHOULD ANY.OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIC Town of Barnstable. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 4 n DAYS WRITTEP .200.Main Street - _ - NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis; MA`02601 n IMPOSE NO OBLIGATION OR LIABILITY OF ANY.KIND UPON THE INSURER;ITS AGENTS OR REPRESENTATIVES. - AUTHOR17ED REPRESENTATIVEoe a - G ACORD 25(2001/08)1 of 2 ,446052` I LS1 o ACORD'CORPORATION 1 SEP-25-2007 11:01AM FROM-EYECARE & EYEWEAR + T-187 P.002/002 F-120 :of r Town of Barnstable, °^ Regulatory Services . 31A. "g Thnxnas�.Grdl�r,Dizeator ` �p At Buildiug,Di`S isi4Il . '1"om perrg, $uildine Ca�ssioner 20D Mein Ent;.>E�ymnis,ivSA 02601 vPvPw.to wn.b arhs�ahle..uta.us Qae: 5a8-8b203$ Fax: - Property Owner Must Gain plete and'Sign This Section If Using ABuild�er y 1""C •C s� y ,as"t3mcr of the subject 1?r°periv/ . her�'�y au�hcz�ze •�- '14 x 7�rn.e ;� 4814I l'e:6rL Ah O act o31 'mybehalf, it all,,==us relative-m vmA aurhonzea byrhi liva ing pa=it applicztinn far. . P� Address ofjo � Suture of Owner ate 67 Tyrant axz2e . .. , v gF0S:0'97h�:�RP�MISS]t�N _ JAXTIMER'LEECH-WOODS Version 6.13 09/07/07 PAGE 1 ***,PRICES:,LISTE D 'IN USD *** QUOTE 00000001 VER: 6.12 09/07/07 QTY: 7U MARK UNIT - (A) Window C' INDH IO 33 5/8" X 52 3/4" IG - 1 LITE LOW E II W/ARGON GRILLE - RECT - 3/4" - SPC CUT 3W2H"' PR.PINE FINISH EXISTING SILL ANGLE 12 DEG. UNIT WILL BE BUILT WITH 8 DEG FRAME BEVEL. BZ SASH LOCK HALF-SCREEN STONE WHITE SURROUND CHARCOAL FIBERGLASS MESH 3 1/4" JAMBS PR PINE INTERIOR STONE WHITE CLAD EXTERIOR. TOTAL PRICE 621.35 4,349.45 a. AS VIEWED FROM THE EXTERIOR QIIOT00000002 VER. 6.12 09/07/07 QTY: 1 MARK UNIT - (AT) Window tempered C INDH IO 33 5/8". X 52 1/2" **S1 G.S. 27 15/16" X 22 17/32" IG - 1 LITE LOW-E II W/ARGON GRILLE - RECT - 3/4" - SPC CUT 3W2H. ' PR PINE FINISH **S2 G.S. 27 15/16" X 22 17/32" IG - 1 LITE TEMP LOW E II W/ARG GRILLE - RECT - 3/4" SPC CUT'3W2H BA PINE FINISH s EXISTING SILL ANGLE - 12 DEG. UNIT WILL BE BUILT WITH 8 DEG FRAME BEVEL. BZ SASH LOCK HALF SCREEN STONE WHITE SURROUND CHARCOAL FIBERGLASS MESH 3 1/4" JAMBS PR PINE INTERIOR STONE WHITE CLAD EXTERIOR TOTAL PRICE 715.70 • . AS VIEWED FROM THE EXTERIOR QUOT 00000003 VER. .6 12 09/07/07 QTY: 1 MARK:UNIT - (Al) Window CONTINUED ON NEXT:PAGE JAXTIMER LEECH-WOODS Version 6.13 09/07/07 PAGE 2 *** PRICES LISTED IN USD *** C INDH IO 33 5/8" X 52 1/2" -. ', ;. • IG - 1 LITE . LOW E II W/ARGON a. t GRILLE - RECT 3/4" - SPC CUT 3W2H PR PINE FINISH EXISTING SILL ANGLE - 12 DEG. - UNIT WILL BE BUILT WITH 8 DEG FRAME BEVEL. . BZ SASH LOCK HALF SCREEN STONE WHITE SURROUND CHARCOAL FIBERGLASS MESH 3 1/4" JAMBS PR PINE INTERIOR STONE WHITE CLAD EXTERIOR , TOTAL PRICE 621.35 AS VIEWED FROM THE EXTERIOR. QUOTF�,�00000004 VER. 6.12 09/07/07 QTY: 1 MARK UNIT (A2) Window C INDH IO 33 5/8" X 52 3/8" IG - 1 LITE LOW E II W/ARGON GRILLE - RECT - 3/4" - SPC CUT 3W2A PR PINE FINISH EXISTING SILL ANGLE - 12 DEG. UNIT WILL BE BUILT WITH 8 DEG FRAME .BEVEL. BZ SASH LOCK HALF SCREEN STONE WHITE SURROUND CHARCOAL FIBERGLASS MESH 3 1/4" JAMBS PR PINE INTERIOR STONE WHITE CLAD EXTERIOR TOTAL PRICE 621.3.5'' AS VIEWED FROM THE EXTERIOR QUOTE- 00000005 VER. 6:12. 09/07/07 QTY:6) " -MARK UNIT (B). Window C INDH" I0.3:0. 5/8-'X 48 5/8" t7 IG - LOWE'II .W/ARGON'' .: GRILLE -,RECT._.- 3/4" - SPC,CUT. 3W2H. : PR;PINE.FINISH - EXISTING SILL ANGLE - 12 .DEG: = UNIT WILL BE BUILT WITH 8 'DEG FRAME BEVEL. BZ' SASH LOCK HALF.'SCREEN STONE .WHITE SURROUND CHARCOAL•FIBERGLASS MESH .' CONTINUED.ON NEXT;.PAGE, JAX'PIMER LEECB-WOODS Version 6.13 09/07/07 PAGE 3 *** PRICES•:LISTED IN.USD *** 3 1/4" JAMBS R. PR PINE INTERIOR STONE WHITE CLAD EXTERIOR TOTAL PRICE 557.60 1,115.20 Fm AS VIEWED FROM THE EXTERIOR QUOT00000006 VER. 6.12 09/07/07 , QTY: 2 MARK UNIT - (Bl) Window C INDH IO 30 5/8" X 48 1/4". IG - 1 LITE LOW E II W/ARGON GRILLE - RECT - 3/4" - SPC CUT 3W2H PR PINE FINISH EXISTING SILL ANGLE - 12 DEG. UNIT WILL BE BIIILT WITH 8 DEG FRAME BEVEL. BZ SASH LOCK HALF SCREEN STONE WHITE SURROUND CHARCOAL FIBERGLASS MESH 3 1/4" JAMBS PR PINE INTERIORj. STONE WHITE CLAD EXTERIOR : , TOTAL PRICE 557.60 1,115.20 AS VIEWED FROM THE EXTERIOR QUOTE- 00000007 VER. 6.12 09/07/07' QTY:�1) MARK UNIT (C) window P INDH I0_'21 3/4" X 36`3/8" IG - 1 LITE LOW E II W/ARGON GRILLE - RECT - 3/4" - SPC CUT 3W2A PR PINE FINISH EXISTING SILL ANGLE - 12 DEG. UNIT WILL BE BIIILT WITH 8 DEG FRAME BEVEL.'_ BZ SASH LOCK HALF SCREEN STONE'WHITE' SURROUND CHARCOAL,:FIBERGLASS MESH 3 1/4"'JAMBS PR PINE INTERIOR STONE WHITE CLAD EXTERIOR TOTAL PRICE -. 504.05 QUOTE,CONTINUED ON..NEXT, PAGE. JAXTIMER LEECH-WOODS Version 6.13 09/07/07 9. PAGE 4 *** 'PRICES LISTED. IN'USD *** AS VIEWED FROM THE EXTERIOR QUOT 00000008 VER. 6.12 -09/07/07 QTY.: 2 MARK UNIT.-. (D) window C INDH IO 33 1/2" X 56 3/4" IG - 1 LITE LOW E II W/ARGON GRILLE - RECT - 3/4" - SPC CUT 3W2H PR PINE FINISH EXISTING SILL ANGLE 12 DEG.' UNIT WILL BE BIIILT WITH 8 DEG FRAME BEVEL. BZ SASH LOCK HALF SCREEN STONE WHITE SURROUND a CHARCOAL FIBERGLASS MESH 3 1/4" JAMBS PR.PINE INTERIOR STONE WHITE CLAD EXTERIOR -y TOTAL PRICE. j >` 656.20 1,312.40 i AS VIEWED FROM THE EXTERIOR ' QUOTE-�00000009 VER. 6.12 06/15/07, QTY:(1 ) MARK UNIT - (E) window - INDH IO 19 3/4" X 44 3/4" IG - 1 LITE a _ LOW E II W/ARGON GRILLE - RECT - 3./4" SPC CUT 2W2H PR PINE FINISH +. EXISTING SILL ANGLE_- 12 DEG.. UNIT WILL BE BIIILT WITH 8 .DEG,^FRAME BEVEL. BZ SASH LOCK RALF SCREEN STONE WHITE SURROUND <- CHARCOAL FIBERGLASS MESH ' 3 1/4" JAMBS 7 f PR PINE INTERIOR ' STONE WHITE CLAD EXTERIOR TOTAL PRICE 537.20 AS VIEWED FROM THE EXTERIOR H J QUOTEH0000010� VER 6.12. 06/15/07 QTY: 8 --MARK UNIT - Labor Installation' labor.per window:' Does not include any painting or prepping .for painting. TOTAL PRICE 200.00 3,.600.00 Board of Building Regula ions aild Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 r Home Improvement '. tractor Registration Reqistration: 110609 Type: Private Corporation a r� r Expiration: 11/3/2008 Tr# 124739 E J JAXTIME,R, BUILDER, INC i ER NEST JAXTIMER e 48 ROSARY LN — r Ji H:YANNIS, MA 02E;01 -. -- - "� �s r Update Address and retul n card. Mark reason.for change. j Address Renewal Employment Lost Card DPS-CA1 Co 50M•05/06-PC8490 f 31, Ig En, .� J•„�y — i l�d� / • i. a BYf'��TS✓1,u�! 111LU �:: W .11 - k J {'t , 1 Nupb@rr C 063251 T n rl. Lti f 4' ) I , I ,l. � � 0r1I1956 14 pf bij�4 ti b8 Tr no: 12839 1 f f'i,, LITP p ; .- RNE XT fuMLt ; s 48 RoARY LAND C6nii4issittrler ' �at . � � � `' ,. •, � �- I it nr r' Si �'..11P'' !"r i ^IIR"Pr3".'T—ITT'— —� r fi