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HomeMy WebLinkAbout0043 IYANOUGH AVENUE -a- -�"- ty ` :r, " OF TQ�lm 9, ' ST ' � : s N S U L A T I O N {� S:.27 F—k Q"S SIA---­•ESS5 SPgAT FOAM SVSP[N4EP RAM 44TTSYS W64WFIow WuN4y -' 1-800-696-6611 p ilsi 'Town of Barnstable. Regulatory Services Building Division 200 Main'St Hyannis, MA 02601 Date: l Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insrulation, Inca performed .& completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit. application.-All work has been inspected by'a certified Building Performance Institute - (BP•I) inspector. All_work preformed meets or exceeds Federal & State Requirements. R Property Owner Property Address Village Insulation Installed: Fiberglass . Cellulose R-Value Restricted Unrestricted Ceilings (39') ( (X). Slopes Floors Walls ( x) Sincerely 'k He ry 1 as y.Jr,' President C, e Cod I , ujation, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 4 Map Parcel 6-1 Application # •,kz� Health Division Date Issued 3 Conservation Division Applicatio e Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board VC ti-23—►3 P Historic - OKH _Preservation/Hyannis Project Street Address f Village � Owner Address Telephone. !r b 7 W Permit Request " u hV�L � f l l ,4& mall Uvz, � Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuationyr Construction Type /GG Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) O Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kingly' ighway�_ Yes ❑ No � �a Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Yp Basement Finished Area (sq.ft.) Basement Unfinished Area (sqA) i Number of Baths: Full: existing new Half: existing I p� Number of Bedrooms: existing _new Total Room Count (not including bath;): 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 Au orization ❑ Appeal # Recorded ❑ Commercial Y Zo If yes, site plan review#Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name {6 6 Telephone Number 6-4 77S-- ►�t J/Address ���� �"U License# Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A& SIGNATURE DATE �2 FOR OFFICIAL USE ONLY • APPLICATION# r 3 DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ti DATE OF INSPECTION: FOUNDATION FRAME t INSULATION FIREPLACE �i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. >r 4 , f ;t 1 , ffW*;' mass mass save Wl�R .ns.uryt lhC+wY1 i't.;r�:rlJ..++>'4r PERMIT AUTHORIZATION FORM owner of the property located at: (Owner's Name, printed) C" + (Ffroperty St(eet Address) (City own) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. Owner's Sig ature 3Zz7 ZI 3 Date FOR CSG OFFICE USE ONLY Conservation Services Group has assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: Particiliating Contractor 6ate Rev: 12132011 w ;f NIANsuchusetts - Departmcttl of Public SA'CIN Board of Builtlin" Ile-Illations and 'Standards v Qonstrutction Supervisor License Nicene -CS o 100988 HENRY CASSIDY si& 8 SHED ROW WEStT IJARMOUTH, MA 02673 �P Expiration: 1 1/1 11201 3 uu�iis�i u�cr TrFi: 7620 ,ti C? `c�• ( �z n>y�ca -c���a l L Ma; Jcze/ee,j6?off Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/9_1b14 Tr# 233831 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE SO. YARMOUTH, MA 02664 Update Address and return card. Mark reason for change, L� Address ❑ Renewal .(_I Employment Lost Card ��r- `ff'nncrienrrrefc:rrll�n!`C.3 jl'r��rre'�u,lr'CC •- :a�\ Ot1i�c.ul'Cousunuer Affairs& Business Regulation License or registration valid for individul use only `j� F OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: registration: 153567 Type: Office of Consumer Affairs and Business Regulation •' - ;iExpiration: 12/15/2014 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAP[COD INSULATION,''INC.. tii:NkY CASSIDY 18 REARDON CIRCLE CIO YARMOUTH, MA 02664. — A Undersecretarywitho t mat re f h The Commonwealth of Massachusetts P{rint Form ' Department of Industrial Accidents Office of Investigations b 1 Congress Street, Suite 100 �r Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 5d 114e7u landpil Address: &/daL lii!Y� City/State/Zip: U!l4G IMA' Phone #: WJ Are you an employer? Check4tappropriate box: Type of project(required): l. I am a employer with Zed 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 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 working for me in any capacity. employees and have workers' [No workers' comp. insurance comp.insurance.: I ❑ Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I LEJ Plumbing repairs or additions myself. o workers' com right of exemption per MGL - y � p• 12.❑ Roof re airs insurance required.] t c. 152, §1(4), and we have no q ] employees. [No workers' 13. Other V`�eaff twl z hOYQ comp. insurance required.] *Any applicant that checks box#1 must also till 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. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: �o hc, Policy#or Self-ins. Lic. #: WCA 05 2'5 Oi Expiration Date: - Job Site Address: { City/State/Zip: w u WV Attach a copy of the workers' compensatE n policy.declaration page(showing the policy number and a piration 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 cer ✓ figer the ains_ynd penalties o er'ury that the in ormation provided above is true and correct. Si nature: Date. '7 Z Phone#: ' Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License#. Issuing Authority (circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other . Contact Person: Phone#: OIIenC1l': �1;iU7 cow),-��, C:L'INSUL. 4=�.I�IVIC�ATE OF LIABILITY INSURANCE -_ - ----._—_ '� "•" I L!i 1 l(hll 11111117'11 t I I L t:L k I II-, Fl I r I`;11 al)l:C)H:i A INgY7kR OF INFOIihIAItuIN(nVL)'ANL)CCINFER9 NO RIUlir9 Ur'QN TIiG CEI�TIFIC T' tl`hl'1'U'I;i Lr rlrl(.�1T1-(:Lj-001;:, Nc1) 6\1'F Ir<IwA-rIVLI_Y OR NEGA'fI\JEL Y AIM HO,FXVEND OR ALTER THE COVLRACL AFFORDED UY'rI1E PQLICIt:z; T i A to I-lU(.L)I^I,, Illlti UVV IIIIS CL1.hl1;1 Al E- r F IN8URANCE 00ES NOhGUI\'SIr1UIE AGUNrRACTBEIWiEN'IHL--1 ;,i1,11N(a INSUi�1:iIt(G),AU IIIQKI4Lu I LI'RL 11:NIAIlV1 1)F1p 1104'.)IlLFI2, pNn IllFC, RTIFICA EIIl.)uicI Ilr >tIItT\IJ1`:It thu llYlr:u[u lu,l4lur iv 4,11 ADUIIIUNALIN:iUKt Li Iirol!uhCy(Iel)ulLlxl hu cuditrx ll.II'alJLlh(1(:,L'___... ..._ .-_.. .- -_-_-. ulll c l n(Illlc!II h of llu, I,,UIICY, I:altyln I!oll[lue May I.,, \PION 1,4 WAIL la.),sul,luci,�t r , ��,�.,n uu4lglhnulnnL A nWlrrlronL Un 1111=i CA'lI III14a1IA:III,,N;I Ilul Glllrltif IluUla(.1(I,c uu,.,l„ "Ad of ul Ilu( 1,1:rush andvr;}4nlr:nl(;f). 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IAIVUuvi: .IrJY rur.r.tL.lu r..np N1 Iph41 C1h tsim.,llilrlUF AIVY CONTRACI'OR 01111 R UQCUhII::NI WIIJI 4:L-.t:il'kCl 'I(,) 4vllu;rl un:; I:Irt,, (SI I,i tll l.) lali MAl r'L:RIAW. 111E INSUhA1V(t nrr,112UCU8'' 1 (tl�POLICIES DES%I;IHEU W.-:RoN 15 SUl),IL.GI- 10 Al].. II(F hkmj. l)1 SUC'I•I ..... ,l(_S I.IMII;) SNp WIv 11 r,,1 r;, __.._._..... .... 11'F nuN hI OUCFf1 BY PAICI CLAlh1a t'• I Tr1 .IF IN.IURHN(t. Af]Di_:luria .. - -----.. -_-.__. PQr ICY CFF Mill ICV 4 kf��""'•'"`"'—_—___.,__-_ _ _.. ._.. .....__-.............. --��"9 ............- - III infhllC!pM1N1 h1hUr1D Y7Y 1 In,l'I,: 1.1ILI I, .._._.._.___ .. l.L--..._n _L . _..__._ I c.RPf)1.G3Utf� r11U'Il2ll'Il U41U 111Q 1.; cnc'rlocclnlrtLurl-_ y 9 UIIU UIIU - r\+! 161rlt ru,a%L IA-N(I(A_[LIAbILIIY —._.-__ ._ _..--.._.__. a_._.......__.. I __.._ rl H (INA„a AUV uv)inlY 11 U1111 000 _......___....._.._............._..._......_...:....,. OI'iMk -----1r11iL;(_Lllll .. . .. . ... ................. .I I 1.1_ I l NIt0001 1 1•1 Uhlr Il)1'AL l 7.� lll)-U,11111I f (( LC7_.....A _Il. L 'I ('C)htl]INII)51NGLr'l ll�ll1 ,.MM CKVrmh C�U112U12 p4(U•I/=U1; e,ur,drnn�_ ._. J,I Hu(IOU 0 MIN ..''{ AV rl.ry UQL)141'INJL1111'lP'.rr:a;,a.lanll.._A... xi ....... XON.145.1a 1-1IAlll'11211 l� U4/U'112U 1' c gu l nc l ul I t Nc l N I,ODU LIQU IIUU r 1 1 unn I:IVa N W('�IAI11 11111 I nu l 0 1 its I l sulI'JILI ly WC AUl1 11;i lU' 613U12U'12 11G13U12U'I' h t I t N I L l!M1I,hlul-h L C11.��pil�`)<h (;L Lac I I AG(Il1r N I '�'LlU tl ll UUA sw.u�ony Nrt, ,,:: ,;���.,n,o, „1.. G.L.❑ISf_Ai:C..�:a r:r,uu.nv�C. •h•I LlIUUIUUU - 1 i a.Iw�n.,n,Jr U('rr<ill li)N)lL.('Ji:AIIIfN$lVLirIICLIdS(AUauh ACOALI,u I,Ad,11,1 �.J io, w..c6•h uul I I -mm— `1Nuilu;r:. l;,nnL, Irlfurrnrill�an +'„ � M tl,111VIV tlppGY lb Itli11111YU1 L,rlvli4il i)Itlt;urc! Crr h1'(rhl'IdCUI':i - j ' L.v,uIl,:aLr, IIuliJ c, icf i,Iclucl r.cl XI:1 U11 u(Idiriallal in ura(1 unLlul (;unuial Lil Ulli(y Wtiuii roqulru(t lay wrltton i,.,ultr,l�t ur,:IYII'�crlx:lll. i ---- - -- _ CANCELLATION l..dl,UI;LM�IIIIr;l1lIlUN1,I11C SHOULD ANYOF THE ANQVl Qt!ACRII34rIP0L.IGlk%iIlkGANGI:hLIa]PhJUlil; TH8 EXPIRATION DATE THEREOF. No.I.IcL. WILL. ku1 ualvt-IktU IN I ACCORDANCE WITH THE KAJOY PrWVWIoN13. I Aulti(MI:LL)RkNHkSkNIA'IIVN ,2za-2 _ - 619111 --'�'UIU AC0110 C014PONA110N,All rl(illl:)IGIIGIra(I. iwv,l) I Or 'I I1w ACORL)HBflla antl 1000 zuu nl,)Is(uru(I marks 0ACOR0 GS:13U�Ui(V9H3U�lU I'd EzY - �V Town of Barnstable *L'ermi 016 -� xgir`s 6 n o the orz issu dote Rega lat®ry Services ]r Pee p�m Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601` www.town bamstable.ma.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PER30T APPLICATION - RESIDENTIAL ONLY /) Not Vaud wdlmut Red X-Presslmpn& leap/parcel Number v Property Address 0 - Residential Value o1FWor& 1 U3Jmum fe of$25.00 for work under$6000-00 Owner's Name&AAA -ess Z� �l Contractor's Nance ., L C elephone Number Home Improvement Contractor License (if applicable) 1 1 oZ `J 3(o , Constriction Superviscr's License#Cif applicable) ✓[,Worlanan's Compensation Insurance Check one: FEB 12 2013 ❑ I an a sole proprietor I am the Homeowner I have Worker's CompensationIussnance ' TOWN OF BAR(VST W union r y __� ABLE Lnsuraace Company Name a�toe�Gi� L �'"> �"i Pe `TM�Si3'r n C�2 �p Workanan'sComp.Policy4 �C-60c, Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) S Re-roof(stripping old shingles) All con--Irucxion debris will be taken to Q Re-roof(not stripph� Going over existing layers of roof} ❑ Re-side of doors Q Replacement Wmdows/doors(sliders.U-Value (maximtjTa.44)#of windows '"Where rcquh%x: Issuance of this penny dots not exeuapt compliance with other town deparmcew resulatlow%i.e.Eli w4q,Conservation,etc.. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the ado lfmprovement Contractors License&Construction Supervisors License is eqUOEr /. . SIGNATURE- - QlWPF=\FO MMI ' RESS.doc Revised 09080 t r 1 The Coms"nwe&&k,0f�fASSmkuSet�S ®f,{rre afInvesligagm 600 WbsAbTwn st eet Easton,MA 62-7.0 ! ramLgovldfir r workers,C�ntgens4ffiaJmsW'ance IieantlEformation Affidavit erslCal�rsetorsJ ectrici pl fibers Name tB�ess/o Please Pr�L rgamza�onllnarricit�,y' Ca n s-lf't� Address: . i CityltarelZi Ar�e�eat aR e'000 Er?Cheer tine approp tiate b,. i acu a empIayer wI�1 4 I am a„ aetal and I TyPe of prOjeef(i'equered): �I 2-0smpioyees(fhu az3d/orZsmt time}* havebfiedthe sublvatactom 6 1 am asoieproprietm-of pm - listedostthe atEmherl C N c chon sidp and have zto emplory These sob-coufraaors have 7 Remodelh a worlang foraaz~is zany rapacizq emplayees andbave workers' 8 Demolition INo workers'c ° -assurance D c,=p ire t 9, 0 Bailding adaition 1 3' T meowrrerda" - We are a.cmWmd n and its 10.�E tical or additions jNa'cvoz errs'�an wak officers have exezuised t myself 11_Q Plmabingrepahs or additions right of m mptim per MCA iirsnraazce reg t .. a 152,§1(4) mud we}nave no MO Roof repairs emPioyees-[No warkets' 13.0 0&m i R iasrrrance zequheci] ! "raPP afzacebtcksbox Imes:ahroas�loutrhese:coube�c�showmgth Y `oo oa j 1Eoaareowaeawhosabrmta[risg arsdaagsl[�varTcaadahea bi�odeso hem-lhatclteoJ[1 60:cmtesLa ecl�danzdaiuoDeid0b9 O SRbumaaew8fud3vuip j fly.-es If b thca�coFtBvsv sub cat acEors�ave empluYecs,�z9>akstptavids their svadcers Cumin mbrsaad sCue whetHeror4ot taose eatikes Save DalieYas¢mHcr, law apt�vrployer�a`is pmairirirg averlrers�c� � rnfornsrrtmrt 'aeon�ance.�orprry�ieyeSs.•.8elm��the•�Iiry a►xd job site •-- r iosncance Company Name• Policy�or Self-i1as.Tic.#: W�b�c��� - Evh- m Data: OJob �: g Z 4 aoi3 � s�eAda c.. Attac)D a copy oftlaewo eoai Caty� p_ �e Fazes to secure coverage as x p°h 'declaration gage(slrowiag&e policy za and e4 SectioaZSA ofN1GL c 1�2 can Ieadtotiaeiut =Pimtioan dare), fine iata$I,�00 00 and/flr one-year intluisonme ss vreT[as civil Phu ofI penalt es of'a f of up to 3 50 00 a day%zimtfaevzolatar. Bead ' Penalties ia*e form Of STGP WORK D�and a f&me f vrsed that a copy offlsis statement may be aed m the C+ffice of Invesfigaxious offt DTA fiori�raarrce mvemp veai&ation. 1 da herabV cer , 'rs d pena�eR ofYgfizrp Mar.the' I'IvIIhpg r T paovided tabave is true arrdcnn ones: ate: _.. mad useortty» 3Ja r�aatavzifeiir this are¢,foie co>,rplded by czdy ortom qhia'd 1� city or,Town: ! PCI'mittUeemse i(SSTr1mg A thorny(,arc.$e OA9): _ • ,. _ 3.Board o€'Heam Z B9ff&m9Dep3rtane f 3.Cit5,)fOwrr Merle 4 Edeetrics$S..0t3iea respectos S.PIrattbingluspector• CoxafacEl'ersaar. . i , MOS FRASCON-0t DATE(MMIDDNYYY) 11 '4�- CERTIFICAT E OF LIABILITY INSURANCE 101512012 THIS CERTIFICATE 1S 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 PRODUCI=R,AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate, holder is an ADDITIONAL,INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WANED,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 ofsuch endorsement(s). PRODUCER (508)676-0309 CONTACT Suzette Moniz V•ry Airport Insurance Agency,Inc. (AIico.No.Ext:508-676.0309 a c•No:508-324-9147 375 Airport Road Fall River,MA 02720 ADDRESS:SMoniz Viveiroslnsurance.com NSURr:NS)AFFORDING COVERAGE NA]Cw INSURERA:National Union Fire Insurance Company INSURED Fraser Construction LLC .. INSURER B: P.O.Box 9845 INSURERC: Cotuif, MA 02635- INSURER 0: INSURERS iNSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR C LTR TYPE OP INSURANCE rN RL WvO POLICYNUMBER NM1DDPOLICY F POMM1LIY EXP JC LIMITS GENERAL L"J TIY EACH OCCURRENCE S COMMEP.C[ALGENERALUABILfTY PREMISES(_Eaoaurrencel ,5 CLAIMS-MADE OCCUR - _ MEO FXF(Any one person) 5 PERSONAL$ADV INJURY S GENERAL AGGREGATE S GENL AGGREGATE LIMITAPPUESPM - I _ PRODUCTS-COMPIOPAGG S POLICY Ra J LOC S AUTOMOBILE LIABILITY COM3INED SI GLE LIMIT Ea aoctident S ANY AUTO _ BODILY INJURY(Per penmen) S ALL OWNED ' SCHEDULED AUTOS AUTOS BODILY INJURY(Peraccldent) S HIRFDAUTOS NON-OWNED PROPERTY DAMAGE AUTOS S er accident _ 5 UMBRELLA LU16 OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE 5 DED RETENTION S S WORKERS COMPENSATION T RYSIIM 0 R + AND EMPLOYERS'LIABILITY YIN _ X - A ANY PROPRIMRIPARTNERMxECUTIVE WCOOSS30601 W2612012 9126/2013 E.L.EACH ACCIDENT S 500,000 OFFICER1MEMBER EXCLUDED? -FNIA (Mandatory'b NH) EL DISEASE-EA EMPLOYE S 500,000 Ifyes,desenbeunder - 096RIPTIONOFOPERATIONSbelow E.L DISEASE-POLICY LIMIT S 500,000 OESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remaft Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE Fraser Construction LLC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 31 13oWdOin Rcl ACCORDANCE WITH THE POLICY PROVISIONS. Mashpee,MA 0Z649- AUTHORIZED REPRESENTATIVE ©1988 201 D ACORD CORPORATION, All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD f. I , • g Office of Consumer Affairs and Bus Regulation, 10 Park Plaza- Suite 5170 Boston,Massachusetts 02 116 Home Improvement'Ca2a \\ctor Rej stration _ '__'•'____- Registration: 112536 -7 Type: DBA F_xpiration: 3/23/2013 Try 205024 FRASER CONSTRUCTION CO. DEAD FRASER P.O. BOX 1845 COTUIT, MA 02635 Update Address and return card.Mark reason for change Address 0 Renewal Q Employment Lost Card DPS-CAI is 50M-04/04-3401216 nesss. Z o a License or registratiou•valid for inditvidul use only ` HE IMPROVEOENT CONTRACTOR before the expiration date- OM I£found return to: Registration: 112536 Type• Ofuce of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Expiration: 31.23Z013 D6A Boston,iV1A 021I6 WJR CONSTF7UCTION-CO. '� DEAN FRASER 104TVVINN VIEW LANE E FAf MOl1TH.11riA DP53n Uudexaccretary Not wall wrt utsi' re , . ', •. iyitissi►CEitisetts-Depf>9'tmeut of Pubiic`Sa�h' Bom-d of-Building- Regulations and Standat•ds Coln truolfbn Supervisor License Llcerise:-CS 97668 104 TU�fll�fll�W,<<OE EAST i�AL k(t A(12536 ' Expiration: W71=3 C:ammissinti�s' Trtt: 16692 i ®J' Feb, -Y7. 2013 1 :49PM No. 7939 P. 1 a . Fraser Construction LLC CONSTRUCTION � P.O. Box 1845, Cotuit MA. 02635 ' ' FINC, & SIVINGEma.il: fraser constructionOverizon.net SPECIALIS IS www.fras xroofPg.com FAX 1-508-428-0123 � 508-428-2292 HICL#112536 CS#97668 f RE-ROOFING PROPOSAL , ' DATE: December 19, 2012 PHONE: 508-771-4498 NAME: Mike Baker C/O: EJ Jaxtimer MAIL ADDRESS: N/A JOB ADDIREPS: 43 Iyanough Avenue, Hyannis Port, MA 02647 FRASER CONSTRUCTION hereby proposes to perform the following services in a neat, professional like manner in,accordance with the manufacturer's specification and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheatbing as needed. Fraser Construction will include a 4 Star Upgraded warranty with the selection of any 30 year shingles or any Lifetime shingles. ,CertainTeed SureStart Plus- The extra measure of protection when a credentlaled company installs an Integrity Roof System. 4 Star warranties have a 50 year Non-Prorated Coverage for any lifetime shingles, which will coves incase of any in warranty repair, Labor and Materials, any Tear-Off, *and any Disposal Fees. Upgraded wind warranty available on the following products when special application methods are used. See description below and in the CeatainTeed SureStart plus brochure enclosed, ASK US ABOUT OUR OVERHEAD CARE CMEMI Partial Re-roof Shingled areas only. Does not include rubber roofing. iSutyyly and InstaU - CERTAINTEED LANDMARK: LWETIIVIE WARRANTY CLASS A FIRE RATED,ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi-Layered, Architectural Style, Fiberglass Based Asphalt Shingle vith New England's Exclusive COPPER/CERA HC,Stones with a bull 10 Year Warranty ag - ContalX)]OC).ent_ . Vrith a SureStart Plus upgrade custeme receive 10 year 130 uxph wind-resistance warranty with six nails in common and area, Fraser construction includes six nails in common bond area Qti NO addiflonal eogt. See actual warranty for specific details and hrrAtattons Color: £^g N t PRICF,$14,875.00 lnit,44t�:� 1 I • I nlrn •n►I IISpl 1 WUTA14 rIA7 .7 •uvr Feb, .'7. 2013 1 :49PM No, 7939 P. 2 ,i n IV and Install - CRRTAIIITTEED LMDMARR PRO: CLASS A,FMFI,RATED, ALGAE Resir tart, Extra Heavy Weight, Self Sealing, Multi-Layered,Architectural .style,Fiberglass Based Asphalt Shingle with New England's EXclusive. COi'PER/c=AMIC stones with a Full 15 Year Warranty against AY-GAB CQntAw=ent. Landmark PRO is engineered to outperform ordlnaty goofing in every category, keeping you comfortable, your home protected, and your peace-of-mind -intact for years to come with a transferable warranty that's a leader in the industry. -WIba Max Def colors, a new dimension is added to shingles with a richer mixture of V' surface granules. You get a brighter, more-vibrant, afore drama appearance and depth of color.And the natuxal beauty of your roof shines through. With a Sure9tart Plus upgrade customer will receive 10 year 130 mph wind-resistance warranty with six nails in common bong area, Fraser coustmetlao.includes six nails In common bond area at NO additional cost_See actual warranty for specific details and limitations. Color: PRICFi815,750.00 Initial Supplyand Install - CERTAINTEED LANDMARK PREMUM:Limited Lifetime Warrauty, 10 year sure start protection, CLASS A FM RATED, ALIGAE Resistant, Extra.Heavy Weight, Self Sealing, Multi-UVer.ed, Laminated Architectural.Style, Fiberglass 13ased Asphalt Shingle with New England's E�ciusive COPPER/CERAWC Stones with a Fill 16 year Warranty agaiust.ALGAE ConTainrnent~ x.0 year 11.0 mph wind-resistance warranty Wind warranty upgrade to 130 mph when CertainTeed starter& CertainTeed hip & ridge are used. See actual warranty for specific details anal limitations. praser construction includes six nails in cocoon bond area at XO a"Houal cost. Color: PRICV$18,375.00 Initial Supply gnd Install - CERTAINTEED`LANDMARK TL:Lifetime Warranty, 10 year sure start protection, CLASS A FIRE RATED,ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi-Layered, triple-layer thielmoss,Laminated Architectural.Style, Fiberglass Based Asphalt Shingle with New England's Delusive COPPER/CERAMIC Stones-with a Full 15 year Warranty against ALGAE Containment. 10 year 110 mph win&resiistance warranty, Wind warranty apgrade to a�90 mph when Certa)ATeed starter& CertainTeed hip &ridge are used. See actual warranty for specific details and limitations. Fraser construction includes six nails in common bond area.at ' NO additional cost. Color: PRICE-$19,750.00 Initial Price includes rain.&Venter above lealuing chimney. Edge vent soffit venting where Note: price tore-sheath main roofw/ 3/8- CD x plywood to provi olid nailing base Price - $3t495.00 Initi tall proper vents in attic to provide buffer for blovm in in m�'tb roof only. Ins p p p . Price - $275.00 Inidai Remove &replace white cedar eiding on all dormers on main house to allow for up of new sheatbing. ce includes new copper-faced fiashing Price of Raw White Cedar: $2,295.00 Initial Pn1ce of Tate-11Qatch 100 Whito: $2,675.00 Ymitial 2 III,,,A-/ I'I n7 17 guar Nov. 11,,.2012 01:12 PM Stephen Baker"' 7072060162 PAGE. 3/ 3 this would be charged for as an extra at the rate of$6.00 per panel including. Mfrt.eriiiis Rs 1.4.rhor. There are 6 I-lar cls per sh.cet of hl,ywood Possible Extra-Any rotled'or otherwise deteriorated trim-boards,-plywood' ahenthing, lend flashing, or other c HrIp retry nt'c'ding re.placenlent will be'..done and charged for as an extra at, the rate of$110.00 per hour, plus 20%mark-up materials. r Possible Extra - If ice & water is found on current roof sheathing-removal of ,plywood will be needed as the existing ice fir, water ciannot he removed, Due to its melting to plywood. L'rice is lime. and.nlal.eritil at. 01c a'cttt'.ol,$1 .10.00 per hour, plus 20%mark-up materials. Any.deviation or alteration from"auove,specilication will be exec:u.l.ed upon written orders And will become an extra charge,over,and above the estimate. All figrecrnents conlirige.nt t.ipon strikes, kwcidents or,dclayg al'C beyond Qtal' -control. 0W11Cr %haulci Carry tire, to 'n.ado and othennecessary 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 OV ACCEPTANCE: omqownrpr Fr er Construction, LLC �c ,l l _ k IC,http://corp_ser state.ma.usJcorp/carpsearch/CorpSearehSummary.asp?ReadFromL78=True&llpdateAElosrred= FEIN= its b Bing P F -... ..:..7. s � k � �, .- ��{. .a -sow n ,�" -..... sw�k'..Ik' '"�.„,. .� ", - �B > y,.._ - �'^ - ,�. ar,.+ *,.. ��.. � •e: x •� The exact name of.the Domestic Limited Liability Company(LLC): HP ASSOCIATES LLC Entity Type: Domestic.Lunited Liabili T Company (LLC , e i Identification Number-: 461671313 Date of Organization in Massachusetts: .01/03/2013 � The location of1ts principal office. No. and Street: 43 IYANOUGH AVENUE _ PO-BOX 535 ' City or Town: HYANNIS PORT State: MA ' Zip: .02647 Country: USA" If the-business entity is organized wholly to do business outside Massachusetts, the location of that office: No. and Street: City or Town: State: Zip: Country: ! ,1 The name and address of the Resident Agent: Name: STEPHEN E. BAKER _: . • _J_.. 1.<t'Yl _ _ __A_'f T�T::A 1�Tl1T.T.!"�T T_A.T lTL.T.TTT' _:_- _., :��._.._ ,-.: ....._ --_: ,. - _ R :. }(a� t{ , ;,r .; .: n ., __ M Corn titer M =[�letwtrrk=PEa� ,Start Main.S stem..., Iicat�on,E ..I ,The=C�ranmo » Y p Y I a. l�� > G l �F G Assessor's map and lot number .. .. . .. ... FTHE TC Sewage 17ermit pumber .....Q.[.lc......,n.e......... ... S6PTIC SYSTEM aj� p ' STALLED Z 89HB9TADLE. i House number ........ �� compu 90 M"L ............................................. WITH TITS o,�=39.a\0m y N►►�IAO 0 Y TOWN OF BARD ' BUILDING INSPECTOR r APPLICATION FOR PERMIT TO .... ............... . .... ............................................................................................... TYPE OF CONSTRUCTION � ................... ....................... .T" ""' p. .......1911 TO THE INSPECTOR OF BUILDINGS: a The undersigned hereby applies fora'/ permit according to the following information: Location .G C �' sQ�� /..., .4."�L....... !....!.� ..... .,... ProposedUse . . ........^......... .............. ... .................................................................................... ZoningDistrict ..... ...... .................................................Fire District .............................................................................. Name of Owner oeTw--k... 1�1 � ,d;,.. - �1 /.21.'.y1��Address .................................................................................... .. 1 Name of Builder j ��/-I�,�.Address /L . Name of Architect .. .. ...Address ..q. ��...�! % .. .. � 'h � Number of Rooms ..................................................................Foundation Exierfor .. .:r.....................................Roofing ........ .... ...... . `. ........................ M� U Floors !► ..................................................................Interior ..........................:......................................................... Heating ................................................................ .................Plumbing ................ .......................................................... Fireplace ..................................................................................Approximate Cost ... ...... ram.. v- ........................ , n Q Definitive Plan Approved by Planning Board ________________________________19--------. Area Diagram of Lot and Building with Dimensions Fee 6-0....ice................. SUBJECT TO APPROVAL OF BOARD OF HEALTH Y III I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............ .... ... ....... t...... / �e~ BAKER, BERMAN & J\NNE W. = 23r68 ADDITION ` ,,No ................. Permit for ------------ ' "� ----. Iv ----'_ -...---.._^.----.-~-------.. ' ---''�-' �........................................ . _--..-. . . B ` ^ Ovvner .���zoza�l.._�..�����_T�|.. ........... � _ ` Type of. Construction . ........................... - . -------------------------- Plot ..... Lot ----------. - � ' - � June 3 ' | Perm it �,onx,6 _-----._..� -' ]A Rl ' 1 - ��. Date of |napechon -----.� ..lV �� ' ' J Date Completed -----_..,�������lP �/ � . PERM ^ _ ' . - {� - ^ _ �� � .---. ` l� - - . . ' 0 �� . _ �: �� . ....................~ �. . . --. ----.~---.-- -? �' -. -..`�.����' �� . . ~ . . .. . �� . ..��..--.._...~---.-.-.-.. � .................. ......... ............................................. - we ~ ^ ---^' ~'' ------------r~-. . | | ---------------- lg ' . . ---------'--'---^-^~~--'-^'---' [ ...................................... � � � Assessor's map and lot umber . 4 ../................ A//)j 'f Sewage`Permit number ..... !./.G.....,�... r 33AUSTAM E, i House number .............................................................../........ ro raea po,1639. \00� TOWN OF BARNSTABLE BUILDING INSPECTOR T � APPLICATION FOR PERMIT TO .......::......�f?!E.:.......................::..................................................................... TYPE OF CONSTRUCTION ....f�� ::........................................................................... ......................... ..................1911 TO THE INSPECTOR OF BUILDINGS,,,. The undersigned hereby applies for a permit according to the following'`information: p Location �.. .. �.,.. �............ ,•... r! ...... 14-1, ............................................... ProposedUse ...: ..............................................................I......................... ZoningDistrict ........... ...... .........................................Fire District ... ...................................................................... Name of Owner �� .. y!�ta3.' !1MfLY1�Address .................................................................................... Name of Builder .. ry .... /I�Lt�?!!!Is .Address .1.. Y. :✓ ,P/1.:....� 1.. /.. ... ....... :1. �/v,�u/`S Name of Architect .. .. .. ! .1 ,A ...Address ..:d. ..... �>.. t �! ...� Number of Rooms ..................................................................Foundation Exierior .....................................Roofing ...a41461 ........................ Floors ...,I,C, ..................................................................Interior ....................... Heating ....... ... .................................................. .Plumbing ................ ,. .......................................................... r p Fireplace .............."........................... Approximate Cost . ?!?....................,..... ". .. , Definitive Plan Approved by Planning Board ________________________________19________ . Ared � ... � .. . Diagram of Lot and Building with Dimensions �d 9 9 Fee ......../....,��...,�................. SUBJECT TO APPROVAL OF BOARD OF HEALTH U J l hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .�..en . �'!......... 23168 ADDITION Single Family Dwelli/n�g Locatio'4 ........ Hyannisport Herman & Anne W. -Ba.ker PERM111T REFUSED ....................................................xj ..... 19 ApproveJ ---------------- lg --------^^----'—~----------'- - ' --------------------^^---^—' 1 790115 rr, ^ 1 W To G Q ` Z 1 cn Polo- .. ' a "-.r-"�•Fr. t>.(.,1t x•'�1 4' YIC.1J r=**-L-:' h�.lj �y... 1 =� li � cc A. )VT _ y -- - Lt6_11c_ To '-:2 f5+ /9'lrt� �� �... .-�[._.._�..__'�•�' ��,i1� c��r--i �I.c>r^G-' AWEsaS �! � ` � j I � i ) � � ; -Tr' r�A-Tc�►'Wr�c "�r.' A.iv ! 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