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HomeMy WebLinkAbout0022 GROUSE LANE a LLS e l.�-Yne- ALTERNATIVE - WEATHERIZATION TOWN OF BAR 'A `: lei9:FEB I a Ate: 9�,51 I�x�hSION'y ,, Date: C> 111/j Town of Barnstable 200 Main St. Hyannis,MA 02601 Re:Permtt# g The insulation/weatheri2atio8-wor at en completed— accordance with;7$QCMR.:.`" a5. .q Regards; Timothy Cabral, President CSL-105454 58 DICKINSON STREET I FALL RIVER,MA 02721 I (508)567-4240 i ALTERNATIVEWEATHERIZATION®GMAIL.COM " OTr Application numbe /. .. .. . . i T 2_/��1J.F Date Issued. ` . . ...... .......... . ......BUl .©iNG E Building Inspectors Initials.. ............................. s ®EC 0 6.2010 / ,� TQw f Ma;P/farce 4 ...� ......... _..,- .. _..... 34RA.►�T�1R1 TOWN OF BARNST ABLE �EXPEDITED PERNIIT,APPLICATION: r ® ROOF SIDING/aVINDOWSIDOORS/TENTS/STOVES/WEATHERIZATION 4 C Ls 06 2018 PROPERTY L�IFORIVIATION ,Tokd'�'es oV-H'T't'. uS NUMBER .STREET° VILLAGE Owner's Name: Gt-f' Phone Number ,12 8J3 , Bd a 7 .._­. Email Address: , ,11 C� f•./'tom- Cell Phone Number Project cost$ o? Check one, Residential Commercial OWNER'S AUTHORIZATION #ernc/�- five,, As owner of the above property I hereby authorize Iftmq an, ox- to make application for a building permit in accordance with 78 NIR Owner Signature: Ti e, .f.'rf a<," Date: TYPE OF WORK Q-Siding t > E3 Windows(no°headerchange):# insulation/Weatherization 0 Doors (no header change)# Commercial Doors.-require=dn inspector's.-review t E Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR';S INFORMATION Contractor's name &&--n&�hye_ . ' -Home Improvement Contractors Registration(if applicable)# 7J��`'� (attach copy) Construction Supervisor's License# 1105 1/J (attach copy) ewm Email of Contractor al Ne,UkAdhQAez_h -A, Phone number 5 P-57b9"%GYP ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN. A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................. *For Tents Only* 1 Date Tent(s) will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am--9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval, *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowners Name. k Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CAM the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature / Date l 2,1(111 V IF All permit applications are subject to a building official's approval prior to issuance. DocuSign Envelope ID:70FB9427-CC8D-4380-AC07-F93F4BCD5F2D erg # Aut orr ativn f✓ wNAer Form Site IC3 3401570 Barbara_Lassal,ly,. Customer: Barbara Lassally 1 ,owner,of the°p,roperty located at (towr es Name;pilnied) 22 Grouse Lane Hyannis, MA 02601 hereby auForiii�the Mass Save: r�me Energy Services Prograrrt assigned Partrcpating.Contfactor lrste3 .belova to act,oh my'b6half and obtain a'buildirfg permit to perf&fti insulatio n and/or weatfid i0h work on my,proper�ty r _ _ . DocuuS igned by: { W11etS SW3t{�re; teca 10/21/2018 19:42 PM EDT FOWOFFICE USE ONLY We have assigned the fo[ wmg Mass Save Home Energy Services Participat�ng.C€ ntrAttor.ta the.. ;above referpncgd'pro'ect: - P4rt iioating'Contractor Name: RISE Engineering Phone: 401-784-3700 Email: 9`vaaiuw' A au /wV✓[44GvwW�iurvlV(¢!✓aw�vwaA'.4. .. �Y�w'4tiGG4t'WIIYktruP.evPSK1tiHN� zzrK•. -.. ':muJ[�LK R N^.kta4G' , Rev 102Ci15 The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Lezibly Name(Business/Organization/Individual): ALTERNATIVE WEATHERIZATION, INC. Address: 2 LARK STREET City/State/Zip: FALL RIVER, MA 02721 Phone#:508-567-4240 Are you an employer?Check the appropriate box: Type of project(required): 1.❑✓ I am a employer with 16 employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.(No workers'comp.insurance required.] 3.M I am a homeowner doing all work myself.[No workers'comp.insurance required.] 9. El Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are sole 11. Electrical repairs or additions proprietors with no employees. 12.[:]Plumbing repairs or additions 5.r7 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.* 6.a We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑✓ Other INSULATION 152,§1(4),and we have no 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: LIBERTY MUTUAL INSURANCE Policy#or Self-ins.Lic.#: XWO(19)58867158 Expiration Date:6/8/19 Job Site Address: v' ��5�. `'-�l City/State/Zip: ' �/ Attach a copy of the workers' compensation policy declaration page(showing the policy nu er and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u d ain a p ti s f perjury that the information provided above ids`ue and correct Signature: Date: 7 Phone#:508-567-4240 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#: f DATE(MM/DD/YYYY) AC40 CERTIFICATE OF LIABILITY INSURANCEF06111/18 (:l 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 UUNIAGI NAME: Anthony F.Cordeiro Insurance Agency acNNo Ell: 508-677-0407 alc;No): 508-677-0409 171 Pleasant Street ADDRE Fall River,MA 02721 SS: HSouza@Cordeirolnsurance.com Fall INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Liberty Mutual INSURED INSURERB: Ohio Security Alternative Weatherization INSURERC: Ohio Casualty 2 Lark St INSURER D Fall River,MA 02721 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. INSR RUUL POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY _ EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTE7- CLAIMS-MADE Fx_1 OCCUR PREMISES Ea occurrence $ 300,000 MED EXP(Any one person) S 15,000 A Y Y BKS58867158 06/08/18 06/08/19 PERSONAL&ADVINJURY S 1,000,000 GEN'LAGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE S 2,000,000 PRO POLICY❑ ❑ PRO- JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S Ea accident 1,000,000 ANYAUTO BODILY INJURY(Per person) S B OWNED X AUTOS SCHEDULED AUTOS ONLY Y BAS58867158 06/08/18 06/08/19 BODILY INJURY(Per accident) S HIRED DAMAGE X ceAUUTOS ONLY POcAUOS ONLY eaid S S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 1,000,000 A EXCESS LIAB CLAIMS-MADE Y Y US058867158 06/08/18 06/08/19 AGGREGATE $ 1,000,000 DED I I RETENTIONS S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y I N STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 C OFFICER/MEMBER EXCLUDED? n❑ N I A XW058867158 06/08/18 06/08/19 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Action Inc and NGRID,USA its direct and indirect parents,subsidiaries and affiliates is added as an Additional Insured for General Liability on a Primary&Noncontributory basis per the terms and conditions of form CG2001 (041l3),for Ongoing Operations per the terms and conditions of form CG2010(04/13),for Completed Operations per the terms and conditions of form CG2037(04/13)and Waiver of Subrogation applies per the terms and conditions of form MEGL0241-01 (04-11) Additional Insured for Automobile Liability applies per the terms and conditions of form SCA005(02/16) Excess Liabilitv is a following form. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN NGRID USA ACCORDANCE WITH THE POLICY PROVISIONS. 40 Sylvan Road Waltham,MA 02451 AUTHORIZED REPRESENT � J ©19>s -2015 ACORD CORPORATION. All rights reserved.j ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD t ts4: uic • tom 'tia>fzrisd s 4 , I=A1:1. xr ------------- n— l~ Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02115 Home lmprovemeia %ntractor Registration Type: Corporation Registration: 175683 ALTERNATIVE WEATHERIZATON, INC Expiration; 05I28I2019 2 LARK ST FALL RIVER,MA 02721 s ` Q'YA Update Address and return card. dark reason for change, __. ...... ..1�dc3res _n. ez±azAaai .� >rnl am j§nt M Losf- .ar _....... ra., �If};, �•,ifJ ii{r:.l!ff.�ilJfi!Y� .'�(+Z.;w fif'ltfl.t,1�: .. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only ' TYPE:Corporation before the expiration date. If found return to: r ion Ex2iration Office of Consumer Affairs and Business Regulation 17'S6B3 0512812019 10 Park Plaza-Suite 5170 a ALTERNATIVE WE ATI-iERIZATION,INC, n,MA 02116 TIMOTHY CABRAL f� .! 2 LARK ST �, FALL RIVER,MA 02721 Undersecretary O V OUt 31 8>Ur� Town of Barnstable Building Post•,T.his Gard SoThat rt;is Uis�ble From the Street;,:A provedF Plans Mustbe Retained on Job andthis Card Musf:;be Kept Permit BA1t2vtTCAB1.E. ". ,,i '. •. t /, y... �.4 ,.,;z.; x p r � ri t ,3 ",` ry 5i r x., ',,. ... �f, M Posted Until fmallrispection HasBeen Made , Where aC1639, ertificate of;Occupancs R�equed,such BIdng;hIINobe Occupied untiFnal Inspect>tonhas been made Permit No. B-18-3654 Applicant Name: todd leduc r Approvals Date issued: 11/28/2018 Current Use: Structure Permit Type: Building-insulation Residential Expiration Date: 05/28/2019 Foundation: e Location: 22 GROUSE_LANE,HYANNIS Map/Lot 268 261 Zoning District: RB Sheathing: 7, Owner on Record: LASSALLY,EDGAR B&BARBARA A � Cont actor Name ,: .TODD LEDUC' Framing: 1 Address: 21 TIMBER LANE onractor License CSSL-106019 2 WAYLAND, MA 01778-5117 a� Est Project Cost: .$3,221.00 Chimney: Description: Insulation,See ContractPF, Permit Fee: $85.00 *;A Insulation: Fee;Paitl Project Review Req: $85.00 t Final: Date F 11/28/2018 Plumbing/Gas Rough Plumbing: . ,Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work author}iied by this permit is commenced within siz months after,issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for whi6,ihis permit has been granted. All construction,alterations and changes of use of an building and structures shall b in compliance with the local zoning ib lawsand codes. g Y g p gN, Y final Gas: This permit shall be displayed in a location clearly visible from access street oar road and shall be maintained open for public'mspeeUon for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures bythe Budding an�Fire Officials,are"provided on this"' ermit• Service: Minimum of Five Call Inspections Required for All Construction Work 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Person acting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: c= All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT . s # hV, Town of Barnstable x3* ' x3'...*�a. .�`4. �?f �l :.`'\' as'p ate-. t Building .t .n; vim . w .. c ,, ..�*s !-.. "-. _ . _• :- •Post��rls:Gard Sc�That rt-is��hsrb a ,o: �- heist-ee>".A roved.Plans:Musf:ber-Retarned�o.n:�J band this.Card.�Must.be::Ke t x.>.�:. t. � 'iA�ti'PABLE, r � s� Ptv �:...:«�Cr �� .r��,� p:P"'�. '�" f� ' a§ 'Q� �- �' � d '�. n �� .p �c Posted Until Fin - a)In n H ' Zj spectio as.Been�IVlade .� �. �, •,, ����-.,, � � � �, �� i,-" G�:'..A .t .R t�� +r�.\ Y �F S t�.. .a. h .. ,.., 1., ••,,. ,R ,,,... .. , .e.. �::. ....M.. .'.i' ,.x `;: �%%' „... .<:�...,.�`� .,, '�.,.Fa..;..,.. ....�..af� ...,.,a, >:. .:•....:.: p, gym.. :�Where•a�GertrfiCate ohO.ccu c rR � r. dsuch B ritlrn =shall=N t' �ed�un r; Y; `� 1 �rijll l.. .-. _ .�_:- �� t n , pa , y s� eq r e ,.<r,, Y u g o_be Occup t I arFinal Inspection hasbeen made _......... Perrnit'No. 13-17-2786, = z °'Applicant Name: Cape.&Islands Kitchen&Bath Remodeling Inc Approvals Date Issued" 08/29/2017 Current Use: Structure Permit::Type;.•Buil'ding=Alteration INTERIOR Work Only Expiration Date. 02/28/2018 Foundation: Residential Map/Lot 268-261 Zoning District: RB Sheathing: Location: -22 GROUSE LANE,HYANNIS k Conra rN tctor Name Cape&Islands Kitchen&Bath Framing: 1 Owner on Record: LASSALLY,EDGAR B&BARBARA A Remodeling Inc L v Address: 21 TIMBER LANE Contractor License 160266 Chimney: WAYLAND,MA 01778-5117 Est rProlect Cost: $49;892.00 * $304.45 Insulation: Description .:Remodel exisitng kitchen;and bathroom. Complete demo of bathroom Permit Fee: .,.and replace all fixtures in same location.Tub/Toilet/Va i Wflooring. Demo walls on 3 sides in kitchen insulate to code install new Fee Pard: $304.45 . Final: Datef 8 29 2017 cabs/counters/flooring ;� n / / u Plumbing/Gas Project Review Req: Remodel exisitng kitchen andbathroom Xornplete demo of Rough Plumbing: g g: bathroom and replace all fixtures in same I co anon t U� A Tub/Toilet/Vanity/flooring. Demo wallsa6 3 sides iri kitchen ' Final-Plumbing: in to code. Install new cabs/couner ts%flooring' v Building Official Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months'Ife issuance. All work authorized by this permit shall conform to the approved appli'St o nd�the approved construction documents for whicfAthls permit has been granted. Final Gas: All construction;alterations and changes of use of any building and structures'shall be in compliance with the local zonirig by laws and codes. . f This permit be displayed.in a location clearly.visiblefrom accessstreet or road and shall be maintained open for publcinspect on for the entire duration of the Electrical , work until the completion of the same. ,> K Service: The Certificate of Occupancy will not be issued until:all.applicable signatures#by the 13uildmgand Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Rough: J.Foundation or Footing Final: 2.Sheathing Inspection 3-All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4."Wirin &Plum i In g g Plumbing Inspections to be completed prior to Frame Inspection g g p p p a e . 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final:. 6.Insulation 7.Final Inspection before Occupancy Health Where applcable separate permits-are required for Electrical,Plumbing,;and Mechanical Installations., Final Work shalknot proceed untilAhe.lnspector=,has approved the various stages of construction.` r ,. . Fire Department.* "Persons contracti,ng;with;.unreg'istered.contractors:do.not have access to the guaranty fund" (as set forth'in'MGL c.142A): Final: -- Building plans are.to be available on site. All Permit'Cards are the property of the APPLICANT ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Ul U Parcel Application ;_�,-/� Health Division Date Issued g z5ll? Conservation Division Application Fee Planning Dept. Permit FeeV Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address Village Owner 1�C2 Address C;�a (Z041SE Telephone Permit Request 2P�- wc� .��i'.� �,r 1�� A ( �kAY ,`�S 1 h rc U //,�, D� 1 l c,4la,vs• ter✓/ &u K,44,A-) -as,LA 4 colr Ll�s 4w/ A/£"i C445, cx,- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed ,, Total new Zoning District Flood Plain Groundwater Overlay Project Valuation !%1'9" c)- Construction Type 4el i! 1� r Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting umentation. 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 .ft (sq ) 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 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 ❑ 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 APPLICANT INFORMATION (BBUILDER ORHOMEOWNER)- t Name ��j/ ' S �T Telephone Number Address 6e" ce,1�2y Q 2 License # _ � k" � Home Improvement Contractor#Email Worker's Compensation # AJC.S 3/536i'2OS/C7a ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME C. c? Wl INSULATION 9 FIREPLACE I ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING �Z i - DATE CLOSED OUT ASSOCIATION PLAN NO. ,�;..3 .....- -------�.� -� .....yam._.//_ _ ....____.._... --- - ------ _ 14.3,E _ -.�. --...- '- ._.._......_. . I ! i 5.5.4 32 8 5516 I .............. USF336 � '- ! � x�l � '��5�.: .. __ 1 ;y.1�' S� 1 DISHW2 lij 2 7�I BfP02 2 TI6 ' o r% �� '" SB24. . RT2 USF3 c1 I Nj SB.Sides will need to be o Q. half-mooned for Sink. 0- W / SIB off to right. oo j✓: o W ? UJ m Use extra filler as spacer for refrigerator C yLLopening to have tall cabinet end on corner I • ! m y/: Refer opening should be.3671/2 anyway according to appliance specs. m /i CO Crown molding will need to die:on itself at ! � - = r wall intersection. iJ� �y d1;w i - o CIO �J FtC.86 29/32 'Set Cabinets at 84-1/4 - ,y 4" Soffit + 2-1/2" S.kaker Crown to:Ceiling Pull.,qubraii forward`°even with doors �E G454062_ Z- VL _ q a , �4 Ix 3 _:. t lRr y 4l•a! '6'n '9 r .1 ! 1 r9 •+ t \ r}I'4 4 F t f � _.. ®. ..__.. m� 1.. �.i�„ �+�fzn:k ..q_tZ .. "� t r 3) 1 1e ' „�, LPnf All dim.enslons_size designations - This:iRl is an original design and must Designed: 4/17/2017� given are-subject to verification on :` not be released or copied unless Printed. 6/30/2017 job site and adjustment to fit'job �'� .-.._. .. j. j /: aPllicable fee'has:been paid or job conditions. order placed..(C)'Mark.Dupont - 2014 CAPE �jISL.PIN D i Lassally Kitchen LAN-PLANTDrawing #: l No Scale. _....... 1 3311 ti. t I 95-- 372 -- I VAL30 i - I aHOOD30-6 —"6W2430SWSL — __- � —W25301530R i CU r.;CO i -- r•�ro _ _ 00 I G CB36L DB1E GAS:30 . :B 15KS L c� I , P I 13.11 I I 36 —�— 3 I II I -----�64.'° _ - not:be rah of iglnal desi A11 dimensions size designations — — y given are subject to vei if cation on � cf � gn and.must' Designed: 4/17/2017 job site and_adjustment to fit jobs ased or copied unless conditions. Y. applicable,fee has been paid or job Printed 6/30/2017 order placed. (C) Mark Dupont- 2014 CA pE 'y-ISLAND, -------- K f T C'H E PM S --_._.. Lassally Kitchen I -- -- =---- —=_. . ._—..------ ng Drawi : v ----. __.__....__....._.._.__.._.—_—.._.. ..- _......_._.,....... ,._._._. ---- r 14316 -- -- -- - . _-_ -_ i 24". 31 '° �__ 33 8 - " 311" ----- 24' ------- I , 1 7 " I i I i I y VLn T _ O I DCW2430SW W3130. W31*30 DCW2430SWSL: r co a w 1 ll j i —.1- I CO -) i � 1 ❑:� � o I i e! CB36SWSSR DISHW24 SB'241 BP022.75 CB36L CO M I ' I -- "� — 36 2 2 -J,---22 4811 ---2411 71 5-°° ----- 16 --- —_-- -- - — ------- - .._...- —...._.. _..... -..,.. . . iAll dimensions _size designations This is an original.design and must Designed: 4/17/2017' I given are subject to verification on not.be released or copied unless Printed: 6/30/201 7 job site and adjustment.to fit job t�r u appaicable fee has been paid or job j conditions. order placed. (C.) Mark%Dupont - 2014 1 CAFE :'j-JSL.11NG I Lassally Kitchen. J.D,awing 4- 1 No Scale. 13 5 ry ! 16 Err _ -- 7 -T I �Cq ----- �j ce �W3613.5RB-24 — W2230LDCW2430SWSR LO VTFBNFSEP I 2787 CO LO `—B101 CB36SWSSR c f I � I _—.........._.._L i I rr 1 �rr r� 36 2 rr r� �rr_ 36rr_.... .6 8 8 3 rr 3^ 18 64 gtie � ill drmerisrons ._size de$rgnations This rs an original design And must Designed: 4/1 7/2017 given,are subject to verificaton'on �� ":, not be ie.leased or copied unless Printed 6/30/2017 job site:and adjustment to fit job applicable fee I.as been paid or job conditions. order placed. (C) M.ark.Dupont- 2014 tAP.E IsLAND. LK 1.T C::H t'N.Wtj Lassally Kitchen EI 1�— Drawing#: 1 No Scale: ®. ._._..__ _, ...... . _.... 131, i 94.16 4 ; i � N i i i r Y, $ w r , (1):Go , i co Cn _.... _ . jVL1884RII = TOILET 1 - DVT342-I / i/./%' i USF384 t�C0__ CF) I m 00 60L-BATH 1 j i rnl� �� r = FtC 86 27/32 � Set Cabinets at 84" + 4•" Soffit & 2-1%2"- , Shaker Crown to ceiling Cl . i 16 A11 dimensions_size designations - i This is an original design.and must Designed: 4/18/20.17 given are subject to verification on E I not be released or copied unless IPrinted: 4/18/2017 :job site.and adjustment to.flt job 1 applicable fee has been paid or job � conditions. xj order placed. (C) Mark Dupont - 2014 GAPEe.!y-ISLAND K:ITCEl:EI!S Lassally Bathroom —�FL-Pi,AN Drawing # 1 No Scale. f E. t WIN CAPE&ISLAND KITCHEN AND BATH REMODELING INC. 99 State Road, Route 3A Sagamore Beach, MA 02562 Phone: 50 ) -47 2 Fax: 508 8 - 1442 . Contract Date: 7-25-17 To- Brian & Barbara Lassalley 22 Grouse Lane Hyannis, Ma. 02601 617-320-0862 His 617-803-3027 Hers Cape & Island Kitchens& Baths Remodeling Inc.will provide the following renovations as per plans provided. Included in this proposal are as follows with respective allowances: Plumbing: • Provide all rough and finish plumbing for kitchen and bath. • Disconnect all plumbing in both rooms. • Cap pipes in kitchen. • Provide new water lines and pvc drain in kitchen • Provide new water shut off valves. • Connect all appliances in kitchen. • Provide gas connection to range from basement. • Provide same rough and finish plumbing for vanity sink and faucet. • Supply and install new tub. Allowance- $600.00 To be selected. • Supply and install new toilet. Allowance- $400.00 Supply and install new vanity faucet: Allowance: $250.00 • Supply new tub and shower valve with trim. Allowance- $500.00 • No sinks included in this proposal. See other contract. • No kitchen faucet included at this time. To be selected. Electrical: Kitchen: • Supply ad install [2] Xenon style under cabinet lights @ $200.00 per light. TBD. • Supply and install a total of[5] recessed ceiling lights @ $200.00 per light. • Remove existing ceiling lights. • Provide all required GFI receptacles, arc fault breakers etc. • Relocate any electrical required for new kitchen design. • Connect ;All owner supplied appliances. Relocate oil burner switch. • No upgrades to existing service panel. Bathroom: • Provide proper GFI. • Supply and install new Fan / Light combo vented to exterior. • Install owner supplied sconce over vanity. • Supply and install [1] recessed ceiling light. Switched from outside of bathroom. Flooring: 1st floor: • Wood: Oak • Size: 2 %" • Color: TBD • Size: 2 • Remove flooring in kitchen. • Supply and install new 2 1/4" oak to match existing. • Sand and refinish all wood floors. • Provide 3 coats oil based poly. • Finish: TBD Bathroom floor: • Tile • Allowance per sq. ft. $6.00 • To be selected from Best Tile. Tub and shower walls: • Tile • Same allowance as floor. $6.00 • All the to be sealed with Grout Once or equal. • Grout colors: To be selected. General: • Provide all necessary permits. • Provide trash container on site. • Provide proper home protection and dust control. • Complete gut of existing bathroom. Remove closet as per plans. • Insulate exterior wall. • Install Durock on shower walls. • Install Hardi Backer underlayment on floor. • Blue board and plaster,remaining walls and ceiling. • Install all owner supplied bathroom fixtures. Towel bars, paper-holder etc.. • Replace all necessary trim in bathroom. Window, base and door casings. • Remove all cabinets and tops in kitchen. • Remove old appliances. • Demo [3] walls in kitchen with cabinets and tile. • Insulate these walls. • Scrape existing ceiling in kitchen and living room at this time. Spot repair as needed. • Ceiling finish: Smooth • Insulate 2 walls in kitchen. • Replace window trim and base. • Painting: Paint new ceilings, bathroom complete and any kitchen trim required. Paint wall with pas ru. • Install owner supplied appliances. 5 �1s�� • Vent hood to exterior. rO '" ® Move and patch'old existing vent. Not included at this time: • No new doors or trim in hallway. • No other painting. • No kitchen faucet. • No shower door. Total job: $49,892.00. This includes original price to lay over ceilings. Price adjustment may follow. Possibly a wash on cost. This included the following additions: • Sand and refinish all floors. Added the $2,500.00 for wall removal and beam installation. Se!eGt .-d flush of headul down- 'onat-work. Payment schedule: SILL • Deposit required upon signing contract: $5,000.00 • Payment required upon completion of demolition: $12,000.00 • Payment required upon completion of rough inspections: $12,000.00 • Payment required upon completion of blueboard and plaster and floor delivery: $15,000.00 • Final payment due upon completion of work: $5,892.00 We propose to furnish material and labor in accordance with the above specifications for the sum of TOTAL OF$49,892.00 In the event that it is necessary to pursue any legal action to collect any outstanding balance the customer shall be responsible for the total balance plus all legal costs. ACCEPTANCE OF PROPOSAL: SIGNATURE DATE - t Michael Heinrichs .. Office oTConsumcr Aflairs&Business Regulation License or registration valid for individual use only ` OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: - ::,Registration: 1t0266 Type. Office of Consumer Affairs and Business Regulation Expiration 7/7/201& 10 Park Plaza-Suite 5170 Supplement Card Boston,VIA 0211ti Cape&Islands Kitchen&Bath:Remodeling tnc WILLIAM SCHMfTZ 99 State St. r Sagamore Beach,MA 02562 ci Undcrecretary No6alid without signature Massachusetts Department of Public Safety Board of Building Regulations and Standards . License: CS-076571 Consir uc !O% �'ur-ervisor WILLIAM L SCHMITZ 66 CARAVEL OW" HATCHVILLE MA 02636 � C Expiration: Commissioner 09/09/2017 • F'/ir FRil1iW��/YNi • - W ' CMj3eusz6alus��te 1lkTxkyft- ers t it�m#I a a Me2SePrhlt 9 --f c � 5 &�.m* OZZ2 ; Sod- -y�l Are$au an mq&yer9 Mite agprap late bma Type of prgecat �}: LO Iama emplaywmi& ! 4 ❑I am a F�9raI=dmctcW= I ❑Ides emplayeas P& "' ba4ehi[egme 7.❑ I an a sale gsopritor orgartMr- Sted authe xff-4,ed Sbeet 7 ❑Remodeling sbip and have no exuak5eas TEese sah ca .I a &- wading p I forms is arzg ' employees andbase s 9 ❑ [No wodmw -Ma MnM # S. p Wi earea andits i�Q atadd s 3_p lama hnMemmur doing auvadcofa'cetshavee�eresea r iLp Pbnz gr ormama. ins�ace r .j Y c- .fit andwe hwe no, 13 Q emplage� 1be `[No vm ��ay H�atc�bau�mast slsa fdiaa��e�aabdm�r�Bu��e�' pa�cgiafnaa�caL - � WAZWO msabn&0 ssMdaa 8ieps� eg c¢adB�en a�decrr mastsvhmicanew a3mdic wcfi �c�9�baz��act�s�addiGaQstsi�s'fiaar�tLeasa�aftHesa�-caseidsuQe��armtE�aseea�I� ' e�fiep�s T€ti��5- �eemgIo�s,�epnmstgmt>��r sod�as't�-pe�aaa�tx. - -Taat Errs r t isprrrsrcdnrg�t�arkers'rava er icn iesaraace cr y ' SeFaw is m pa$cy mtd]�sz�s �onaatiaa PoFicg orSe�f-ice Lim¢Gc1C Sal 3�9Foyv��- emanate= d-7 /8 ebbs Addre= s-e- ",;K MP4 - At#arha copy ofSoworors'compeasaS pgoTrcydecwatiaa pap(sh &epoNcy and eVirafinadah). Fame to secam caimmp as reSuitedunderSecti=25A of hM c-- 152 can lead to fbe imposidirm of pegs of a fim up to SL50D-CD esveR as aysl PendE ES mfbefoaa of a STQP VMKK0 Maada#M Of 13Pto a t#ag a the viol Be advised giat acW offis sbdem maybe hrwuded to flees or=of Ids oftbe DIA tor eaveaag vedfiediatL yri`a hereby tips and afgPry f daw F abone its has and=red M8 Phone 011i tai uwaafy. Do uatwife in fh areq,A&be eel by tsty arfawa ate£ City orlom= P ei (drcTeam): L Board of 11cald MI I at S.ClipFc"M oink �LmecfriralhcTectur S.P SuPecfsr b.Mar ct]}ersn a: MOW* - 6 + ' ® 4 DATE(MMIDDNY" ACORD CERTIFICATE OF LIABILITY INSURANCE 07117/2017 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 NAME:' Christine Davies DOWLING &O'NEIL INSURANCE AGENCY PH�NN Ext: (508)775-1620 IC.Ne: E-MAIL ADDRESS: cdavies@doins.com 973 IYANNOUGH RD ' - INSURERS AFFORDING COVERAGE NAIC# HYANNIS MA 02601 INSURERA: LM INS CORP 33600 INSURED INSURER B: CAPE& ISLANDS KITCHEN &BATH REMODELING INC INSURERC: DBA C&I KITCHENS INC INSURERD: 99 STATE ROAD ROUTE 3A INSURERE: SAGAMORE BEACH MA 02562 INSURERF: COVERAGES CERTIFICATE NUMBER: 173797 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER Ll LTR POLICY NUMBER M DDY EFF MHOIIIDDI EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED f_=1M`h'ADE 17 OCCUR PREMISES Me occurrence $ MED EXP(Any one person) $ NIA PERSONAL&ADV INJURY $ C _ 33_^�-AT-c LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO-JECT 17 LOC PRODUCTS-COMP/OPAGG $ t-=- AUFTOblOSILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident caj0 BODILY INJURY(Per person) $ 01�^t_D ' SCHEDULED N/A BODILY INJURY(Per accident) $ 1 s5 _I AUTOS -v-� .1 NON-OWNED Par eOr PER DAMAGE $ -.-� _ . +OSAUTOS I _Ull=_A L_ LWB OCCUR EACH OCCURRENCE S EXCESS LIAB y CLAIMS-MADE N/A AGGREGATE $ 'sue RETENTION S S 1 c RK=—M COMPENSATION X I STATUTE I I ER FdL? 'LortRS�LIABILITY r•=-O zf_T03?ARTNEWEXECUTIVE YIN E.L.EACH ACCIDENT s 500,000 t .". ticks. R )CCLUDEO? N/A NIA N/A WC531S369904027 07/03/2017 07/03/2018 {Mars story in NH) E.L.DISEASE-EA EMPLOYE S 500,000 :;_=C`�,10,14 OF er OP E.L.DISEASE-POLICY LIMIT s 500,000 a�R1-ii ION OF OPERATIONS below N/A r=SCRL�TION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If mom space is required) .—Ers Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay rs�ms=or benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. ,us�dfE,cele at insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the <e ea e c aus cert;cafe of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification -rea_r;-..ss.gov..4wdfworkers-compensationrinvestigations/. CE'RTU CA TE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Gf Sarn`ffbhk ACCORDANCE WITH THE POLICY PROVISIONS. 200 htat- AUTHORIZED REPRESENTATIVE Hy- MA 02601 Daniel M.Cr leow y,CPCU,Vice President-Residual Market-WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 fm4vl} The ACORD name and logo are registered marks of ACORD 17 - Z78'6 ®Boise Cascade Quadruple d-3/4" x 11-7/8" VERSA-LAM@ 2.0 3100 SP Floor Beam\FB01 Dry 1 span No cantilevers 1 0/12 slope July 28,2017 07:14:05 sC CALCO Design Report Build 5966 File Name: BC CALC Project Job Name: Alberti Description:ceiling girder Address: Specifier: City, State,Zip:Yarmouthport, MA Designer: Customer: Company: Code reports: ESR-1040 Misc: t 1 s-09-60 BO Bi Total Horizontal Product Length=19-09-00 Reaction Summary(Down/Uplift) (lbs) Bearing Live Dead Snow Wind Roof Live BO,3-1/2" 2,666/0. 1,571 /0 B1,3-1/2" 2,666/0 1,571 /0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 ceiling joists Unf.Area(lb/ft^2) L 00-00-00 19-09-00 20 10 13 06 00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 19,961 ft-Ibs 46.9% 100% 1 09-10-08 End Shear 3,687 Ibs 23.3% 100% 1 01-03-06 Total Load Defl. U338 (0.684") 71% n/a 1 09-10-08 Live Load Defl. U537(0.431"). 67% n/a 2 09-10-08 Max Defl. 0.684" 68.4% n/a 1 09-10-08 Span/Depth 19.5 • n/a n/a 0 00-00-00 Squash Blocks Valid %AI low %Allow Bearing Supports Dim.(L x W) Value Support• .-Member Material BO • Wall/Plate 3-1/2"x 7" '4,237 Ibs n/a 23.1% Unspecified B1 Wall/Plate 3-1/2"x 7" 4,237.lbs n/a. 23.1% Unspecified Notes Design meets Code minimum(U240)Total load deflection criteria. Design meets Code minimum(U360) Live load deflection criteria. Design meets arbitrary(17)Maximum total load deflection criteria. Calculations assume member is fully braced. Design based on Dry Service Condition. Fastener Manufacturer:Simpson Strong-Tie, Inc. Page 1 of 2