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HomeMy WebLinkAbout0096 ELM STREET 9C� ElM SJ.� �98 � Im 51: ` � r Town of Barnstable *Permit ® Expires 6Ymmt zs from issue dote IT Regulatoxy Services • Fee - snx.�sreHt.e. : .; Thomas F.Geiler,Director 2014 , + Building Division- - Tom Peary,CEO, ]Building Commissioner TOWN OF BARNSTAIBLE 200 Main Street,Hyannis,MA 02601 ~ ww-w.town barnstable.maus Office: 508-862-4038 Fax:508-190-6230 EXPRESS PERA41T APPLICATION - RESIDENTIAL ONLY Not Valid withoiaRedX--Press Itnprrni ` Map/parcelNumber d Property Address (��1 , 4VI)n,(I Residential Vah3e ofWork S90, 060 Minimumfee ofS35.00 forworkunderS6000.00 Owner's Name&.Address Iy r /1 tl Contractor's Name "y r , r ` (,�(/° Telephone Number— l ti�� d Home Improvement Contractor L icense T(ifapp hcab le) Id63 Eii ` 4��� rCon� r c �,1C�eOPr6 Cep Construction Supervisor's License n(ifapphcable) • 1 Workman's CompensationItuvrance Check one: ❑ I ama sole proprietor ❑ amtbe Homeowner L I have Worker's mpensation Insurance Insurance Company Name I S] �� (�Isu Iravi Cl7 Workman!s Comp.Policy? Copy oflnsurance Compliance Certificate must accompany each permit. . Permit Request(check box) ❑ Re-roof(huriicane nailed)(stripping old shingles) AIL constrnctiondebris w-Mbe takento roof(hurricane,nailed)(not stripping. Going over exisdi Z layers ofroot) eside 2 L"J Replacement W* indows/doors/sliders.U-Vahie `©.e .J (mEXX,n11M.35)#ofwindows rX n ofdoors: ❑ Smoke/Carbon Monoxide detectors 4 floorplans marked with red S and inspections required. Separate Electrical&Fire Permits required °Where requited:Issuance.ofthis pmnii does not exempt compliawe with otter town depaztm iegabatnns,ie.Historic.Conserva ion etc ***Note: Property OwnermustsignProperty OvmerLetterof Permission. A copy of t e Home Improvement Contractors License&Construction Supein*isors License is required. SIGNATURE: _ C�lisersldecoUk'AppData'Local,Microsoft\ kdows\Temporarylr=netFiks\CoatentOatlook\ER76BDt%A1E?2IZESS.doc Revised 061313 Office of Consumer Affairs and Business Regulation 10.Park Plaza , Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 172sw Type: DBA FRASER CONSTRUCTION CO. Expiration: 32312015 Try 237059 DEAN FRASER P.O. BOX 1845 COTU IT, MA 02635 Update Address and return card_Mark reason for change. 4 Address Renewal Employment ❑-Lost Card Officc Of Consumer Affairs&Susiaess Reguhtion License or registratioa valid for iadividul use only IMPROVEMENT CONTRACTOR before the expiratiou dstc. If found return to: ecJistration: 1 Type: Office of Consumer Affairs and Business Regulation ''u!":Expiration: 323/2015 D8A 14park Plan-Suite 5170 FRASER CONSTRUCTION CO. !Boston,NTA 0«116 DEAN FRASER '�� 104 TWINN VIEW LANE E FALMOUTH,MA 02536 Uadersccremry Not valid without signature - f II • C. Massachusetts -0cfiattment of Public Safety EEt Bowl or Building Replations and Standarcts . f Crrnstructtnn Suimrrisrtr License: CS-097668 .,•, JDYANCFRASER��!- 104 ^ AVNYMR4'LA E,AST rALW0.1aiA`�ji,�, f` i ✓-40 -,& ,r ru+ r_xpiration Commissioner 06/07/2015 The C'ornnzonwealth OfA�assachusetts --fiT Depanrnenr of Industrial Accidenis r ,�. >t office Of 11 Lvesti ario,is ---- 1 i 600 Washington Street Boston, MA 0211.7 lyYt W.3il ass,o°ovldia Wor.Jeer's compensalon Insurance Affidavit:BuilderslContractors/Mectriciams/Pluxnbei s . Applicant Information- Please Print Legibly Lazne(,Business/Organization/Individual): Address: l � - City/State/zip: �� Phone# .Are you an employer?Check the appropriate box: ` Type of pxoxect*(required.)-. 1. LJ .1 am a employer with,�— 4• a general contractor and I have f. employees(full andlor part-time).* hired 03e sub-cgtractors listed on : .New CoLst;action the 't,e6sheet."'•- 7• ❑RCmode�g 2 I am a sole proprietor or partnership, g, These sub-cotztraCto�s have Demolition' and have no employee;working for employees and have workers'comp. 9. El Building addition, mein any capacity.'[No workers' immrance.t come insurance required] 5. we are a corporation and its I0•❑Blectrieal repairs or additions officros have exercised their right of 1I.❑Plumbing repairs or additi ons 3 ❑ I am a homeowner doing all work exemption Per'MGL c.152§(4),and 12.El Roof repairs myself.No workers'camp, we have no employees.[No workers, ' insurancerequired]1 COMP.insurance required.] 13•❑Othe *Azy applicant that checks Pox ri mrst also fall out rhe seed,,belo•N sbawisg their wxkers'.comperstior policy iiorrseio,t Hoaeonmers who scbtnir his affidavit iAditxdn„Lltey at'uoirg all work and then hire outsiid:conaumrs mua submit,new affidavit indicating saeh $Caatiactors that check this box must attach an addironal street showing the name of the sub-Contr= a and start whether or not those t indes have-deb. ees,;p the sub-co=-Irons have employees,they mast provide,:weir;porkers'comp.Policy nunIer. I ant an employer that is providing workers'compensation utsurance for my employees.Below is-the policy and joiy e informedom 7InuxanceCoMpasy u C ( (� 0 Policy T or SeL ins.Lic.01 30(9 01 Expir2don Diac: Job Site Address: City/5tatellap: httach a cope of the workers'eotngensatiOn golicv declaration page(showing the policy number and expiration date). T^ai!ttze to secure coverage a reQ,ired Lmcer.Se tioa 25A of MGL c.152 can lead to the isaoosit_on of criminal penaUt es of a fmc up to$1,5W*.00 andror one-year imptisoammr,as weal as civil penalties in the fore,of a STOP WORK ORDER sad a fine of un to$250.00 a day ag that a copy of this statement may be fo v�axded to the Office o'Investigations of the DIA.for insurance covamge'e i$ ainst'tZe violator.Be advised cation 16 hereby cerhf the 'lr enakies of perjury that the information ryyded above is true and correct Sigilature: G�/ �7 Date: Phone*: 02 3 Official use only.Do not'orite in this area,to be completed by city w•town official I City or Town: Permitueense n Issuing Authority(circle one)i E 1.Board of Health 2.Btiilding Department 3.City/Town Clerk �.1«leetrical ect 6.Other p .or S.Plumbing Inspector Contact_Aersott: FRASCON-01 PAAS �- CERTIFICATE OF LIABILITY INSURANCE QATE(MMIDDIYY,Y, 9/19t2013 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 CONTACT Viveir°s Insurance Agency,Inc. (508)676-0309 P1,10 IEE, AshleyPaiva 375 Airport Road AIC No EXr: 508-676-0309 127 ;ABC,No): 508-324-9147 Fall River,MA 02720 ADDRESS:APA!va@Viveirosinsurance.com t INSURER(S)AFFORDING COVERAGE NAIC R - INSURER A:Granite State Insurance Co INSURED Fraser Construction-LLC - INSURERS: - PO Box 1 845 INSURER C: Cotuit,MA 02635 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTV1fITHSTANDING 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 LTR TYPE OF INSURANCE IN SR WVD POLICYNUMSER fvWD MMIff DD EXP LIMITS GENERAL LWBILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY - PREMISES Ea occurrence $ r CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE 3 GEN•L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP.4GG $ POLICY I PRO- LOC AUTOMOBILE LIABILITY Y - - (Ea accident)IN L'Ml $ ANY AUTO _ - BODLY INJURY(Per oerson) $ - AUTOS AUTOS BODILY - . BODLYINJURY(Per acddent) $ HIRED AUTOS NON-OWNED AUTOS ,. - (Peroccident) A $ UMBRELLALIAB OCCUR- - EACH OCCURRENCE $ EXCESS LIAB HCLAIN&MADE_ AGGREGATE DED I I RETENTION $ WORKERS COMPENSATION - _ WC STATl1• OTH- $ AND EMPLOYERS'LIABILITY - TORY LIMBS TH A ANY PROPRIETORIPARTNERIEXECUTIVE YIN N WC009930601 9/26/2013 9/26/2014 OFFICERIMEM3EREXCLUDED? ❑ NIA - E.L.EACH ACCIDENT $ 500,000 (Mendator E.L.DISEASE-EA EMPLOYEE $ 500,000 dbeunder und tf yes,describe DESCRIP11ON0. OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS ILOCAMONSI VEHICLE S(Attach ACORD 101,Additional Remarks Schedule.if more space Is required) LL _ CERTIFICATE HOLDER CANCELLATION LA OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable Building Division E EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CO 200 Main Street RDANCE WITH THE POLICY PROVISIONS. Hyannis,MA02601- AUTHORIZED REPRESENTATIVE O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD kF At Fraser- Co nstruction LLC 31 Bowdoin Rd. Mashpee, MA 02649 Email: info@fraserconstructioncaP ecod.com www.fraserconstructioncaDecol.com FAX 1.-508-428-0123/ PHONE 1-508-428-2292 -HICL#112536 CS#97668 WORK PROPOSAL DATE: April 1, 2014 PHONE: 508-775-3839 NAME: Bob & Carole Taylor ENTAIL: MAIL ADDRESS: JOB ADDRESS: 96 Elm St. Hyannis, MA 02601 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) Remove existing windows and replace with Harvey Classic Double Hung windows Price: 20 units X $350 each: $7,000 Initial: 2) Install PVC exterior trim on windows including new sill Price: $2,650 Initiail:- �s 3) Install PVC.premade corner boards'. 'Cutback shingles to accept new corner boards Labor: $700 Materials: $900 Price: $1,600` Initial:— 4) Install(2) large PVC Louvers Price: $200 Initial:' . 1 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: 7, i f. i" 700, � Homeowner Fraser Construction, LLC 3 ///a //O 2- Town of Barnstable *Permit# Expires 6 months from issue date h Q'� + BARNS'!'ABLE, � Regulatory Services ov Fee �S MASS. Thomas F. Geiler,Director �( 1639.. �0 '°rEc MP�a Building Division Tom Perry, Building Commissioner X-PRESS PERMIT 200 Main Street, Hyannis,MA 02601 - NOV 15 200 Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNHT APPLICATION - RESIDENTIAL D1�TLY -�BTABLE Not Valid without Red X-Press Imprint Map/parcel Number f b Property Address elm S ! Residential Value of Work Owner's Name&Address f o 64At Contractor's Name �QC.t�� i"��/�-t�•�-� Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ZWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner 0� I have Worker's Compensation Insurance Insurance Company Name hL i 4� Workman's Comp.Policy# 79 7 Permit Request(check box) 4- X,Re-roof(stripping old shingles) All construction debris will be taken to �_ ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Q:Forms:expmtrg I Revised121901