HomeMy WebLinkAbout0017 MYRICA LANE l7 ��i'iccz, �a��
Samuel F. McCormack Co., Inc.
Insurance Adjusters and Appraisers
Samuel F.RKDm ack Co..Inc.
ADJUSTERS AND APPRAISERS
June 8, 2017
Barnstable Town Hall
Building Inspector
367 Main Street
Hyannis, MA 02601
RE ASSURED: Ronald S Bearse And Stella M Bearse
LOSS LOCATION: -17 Myrica Lane, Hyannis, MA 02601
POLICY NO: 1331063
TYPE OF LOSS: Water
DATE OF LOSS: 06/07/2017
OUR FILE NO: 17-01573
To Whom it May Concern:
Claim has been made involving loss, damage or destruction of the above-captioned property, which
may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to
be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 313 is
appropriate, please direct it to the attention of this writer and include a reference to the above-
captioned insured, location, policy number, date of loss and claim or file number.
Thank you for your anticipated cooperation.
h G+
Very truly yours, +
4d
John SheaCD
Adjuster
jbs@mccormackadjuster.com
cc: Board of Health
42 Holbrook Avenue,Braintree,MA 021841-800-972-5399(781)843-1222 Fax(781)849-8191
125 Waterhouse Road,Bourne,MA 02532(508)403-2600 Fax(508)403-2602
www.mccormackadjuster.com
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Fraser Construction; LLC
31 Bowdoin Rd. Mashpee, MA 02649
Email: info a,fraserconstructioncapecod com
www.fraserconstructioncaD
ecod.com
FAX 1-508-428-0123/ PHONE 1-508-428-2292
HICL#112536 CS#97668
-- ®®I° IN rP OPOSAL
Date 7 21 2015
Name Ronald Bearse
Email rbease nns llc.com
Phone 703 928=5779
Job Address 17 M rica Lane Hyannis MA 02601
FRASER CONSTRUCTION hereby proposes to perform the following services in a,
neat, professional manner in accordance with the manufacturer's specifications and
local building code.
Front:
CertainTeed Shingle O 9 ptzons
Good Better Best
Shin les Landmark Landmark Pro Landmark TL
Algae Resistant 10 vears 15 vears 15 ears
Wind Warrant 130 MPH 130 MPH 130 MPH
Weight/square 2401bs 260-2701bs 3051bs
Shingle design Two-Piece Two-Piece Three-Piece
Color Palate Standard Max Definition Max Definition
.Valleys Closed cut Closed cut Open copper
Investment �6,200 $6,600 N/A
* Ali above shingles quoted with CertainTeed 50 year non prorated 4-Star'
warranty n�
Shingle Selection:y I� '
Color: L. Initial:
i
Back:
CertainTeed Shingle Options
Good Better Best
Shingles Landmark Landmark Pro Landmark TL
Algae Resistant 10 ears 15 ears 15 ears
Wind Warrant 130 MPH 130 MPH 130 MPH
Weight/square 2401bs 260-270lbs 3051bs
Shingle design Two-Piece Two-Piece Three-Piece
Color Palate Standard Max Definition Max Definition
Valleys Closed cut Closed cut Open copper
Investment $4,000 $4,500 N A
* All above shingles quoted with CertainTeed SO year non-prorated 4-Star
warranty
Shingle Selection: 0
6-"
Color: Initial:
Paint and Repair Cei M
Investment- $2,500 Initial-
. ,
Ironclad, Lowest Investment Guarantee
Any contractor can price your roof for less by cutting corners and utilizing cheap
materials and unskilled labor. It's important to know what is and isn't included in the
roof you choose for your home. You don't want to be left with an inferior roof built by an
untrained labor force. That's why Fraser Construction offers the Ironclad, Lowest
Investment Guarantee. Not only do you receive a state-of-the-art roof built by highly
skilled craftsmen, you also receive peace of mind knowing you obtained your.roof for the
lowest investment possible. If you later discover a comparable roof for less money than
the one we constructed for your home, we will pay you the difference plus a $50 bonus.
All we ask is the comparison be "apples-to-apples."
"We have no quarrels with the man with lower prices,for he knows what his
product is worth.
PAYMENTS ARE DUE IMMEDIATELY AFTER JOB COMPLETION.
1./3 initial payment, remainder to be'paid upon completion
'Payments accepted are:
CASH- CHECK.- MASTERCARD -VISA-AMERICAN EXPRESS
*Any payments not invnediately paid upon job completion will be charged 0.005%for every day after the
given 5 day grace period upon day of job completion.
* Please note that roof prices reflect removal of(1) layer of existing roof unless
otherwise indicated in contract. If additional layer or layers are removed
additional charges will be assessed.
Possible Extra -After the shingles are removed from the roof, we will lift one sheet of
plywood to make sure that the insulation is not up against the plywood sheathing'
preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be
installed by; removing the plywood sheathing, installing the panels, turning the
plywood over and then re-installing the plywood. If needed, this would be charged for
as an extra at the rate of$6.00 per panel including Materials & Labor. There are 6
Panels per sheet of plywood.
Possible Extra =Any rotted or otherwise deteriorated trim boards, plywood sheathing,
lead flashing, or other carpentry needing replacement will be done and charged for as
an extra at the rate of$75.00 per hour, plus 20% mark-up materials.
FRASER CONSTRUCTION guarantees the labor for LIFETIME of roof.
FRASER CONSTRUCTION guarantees the shingles against Blow-Offs for'15 years.
Please note that all pricing is contingent upon current market pricing. If contract is
not accepted within thirty days of date of proposal, change in price may occur due to
deviation in material price.
Any deviation or alteration from above specification will be executed upon written
orders and will become an extra charge over and above the estimate. All agreements
contingent upon strikes, accidents or delays are beyond our control. Owner should
carry 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, ertificate available upon request.
DATE OF ACCEPTANCE:
Homeowner _ Fra ,er Construction. LLC
A
I
Roofing Product & Installation Details
Supply & Install - (Soffit Venting) Hick's Ventilated Drip Edge or
8" Aluminum Drip Edge with existing soffit vents.
Smart vents over white drip edge.
Protection against damage to the roofing materials and structure.
The most effective system is a balance of air intake and exhaust
that creates a uniform flow of air through the attic. This system
creates a condition in which the roof temperature is equalized
from top to bottom, supplying a uniform air flow along the
entire underside of the roof deck.
Supply & Install- Ice.& Water shield
Waterproof Underlayment System (3ft. on eves and
valleys, 18" on rakes, walls, and skylights)
Ice and Water Shield is a self-adhering
roofing underlayment used on critical roof areas such
as eaves, rakes, ridges, valleys, dormers and skylights to
protect roofing structures and interior spaces from water
penetration caused by wind-driven rain and ice dams.
Supply & Install- Surround Underlayment (A Typar Brand)
A smart alternative to felt, it is water's toughest
opponent, creating a secondary water barrier that reduces the
incidence of leaks caused by storm damage, wind-driven rain,
ice dams and worn roofing materials. It is a waterproof,
synthetic polymer material that will protect your home against
moisture,intrusion.
Supply & Install- CertainTeed Swift Start
With self- adhering asphalt starter course on all eves, and rake
edges. CertainTeed requires this product for Integrity Roof
Systems and upgraded wind warranties.
Supply & Install-Aluminum & Neoprene Soil Pipe Flashing ,
Supply & Install- CertainTeed Ridge Vent
High performance ridge vent with external baffle.
Supply & Install- Pre-Cut CertainTeed Hip & Ridge shingles
Shingle Ridge meets the hip and ridge accessory requirements
for the CertainTeed Integrity Roof System which is comprised
of underlayyment, shingles, accessory products and ventilation
J
u k .
all working together. The Integrity Roof System is designed to
provide optimum performance--no matter how bad the weather
conditions are. (As recommended by CertainTeed)
Clean & Remove - Debris from work area daily.
1 .
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�...� CERTIFICATE OF LIABILITY INSURANCE I °9:2°°yV;THIS C!?L IFICA7E is ISSUED AS A[JfATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERT7FICATc' HOLDER.TABS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER 7HE COVERAGE AFFORDED BY THE POLICIES
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT B67V1IEEN TFE ISSUING INSURER(S}, AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the parcy(ies}must be endorsed. If SU BROGAmoN IS VdAtVED,subject to
the terms and conditions ofthe policy,certain policies may require an endorsement. A statement on this cerQflcate does not Confer rights to the
certificate holder in lieu of such endorsement(s).
FRaoUcat 508 676-(13U3 CON TA
Viveiros Insurance Agency,Inc. NAM AS Kiev Pam
375Airport Road Ai No Ext-608-689-2713
Ip1C,Noi: aflS324-4�53
Fait River,MA 02720 ADaREss:APaiva rveirostnsurance.com
INSURERS)AFFORDING COVERAGE NAIC,'"
uas INSURE2A.Granite State Insurance GD
Fraser Construction LLC INSURERS:
PO Box 1845 INSURERc:
COWR,MA 02635
INSURER D:
INSURERS.
COVERAGES INSUaeRF: I
CERTIFICATE NUMBER: REVISION NUMBER
THIS U TO CERTIFY THAT THE POLICIES Or INSURANCE LISPED BELOW XA--vE BEEN ISSUED TO THE INSUPED N MED ABOVE FORTH;POLICY PERIOD
INDICATED. NC7WIT}iSTAN0ING ANY REQUIRHMEtdT.TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUIJ�NT WIT l RESPECTTO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTALV.-PZ- INSURANCE AFFORDED BY THE POLICIES DESCRI
sa ED HcREIN IS SUBJECT TD ALL THE TERMS,S,
ECCLUSiONS ARID CONDIT10Ns OF SUCK POLICIES.LIMMS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.LTR mE OFINSURANCe INS ME) POLICY NUMBER U _
GENERALL:ABIUTr .� rMM190D ,. M/DDrIYYYI LWTS
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EACH OCCURMCE
COWERCIALGENERALUAMRY i, '
CLAIMSaNADE17 I PREMISES Esom+r%res1
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WORKERS COPAPENSATION 5
AND 5M191.0'-'1F.Z5 L1A8"1fY x 7O �iA$ r
A ANY PROPRIETORIPARTNERre7C-CUTNE YIN WCQ09930604
OFFICEMI`MBEREXCLUDED� a NIA I 9F2&l2014 912SfZ013 ELFACHACCIDEPTr S 500,UG0
(lrandararylnUnC I F101SEASE-?AaiPLO:'� S 500,000
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OESCWFnON OF QPPRAT10N5 cefot'r
ZLDSEASE-FCUCYLw S 500,000
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DESCRPMON OF OPERATIONS!LOCATIONS I VEHICLES(Atddr ACORD 101,Addir]onat fterwrks Schmtale,ffmae space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY 0=Tr1E ABOVE DESCRIBED POUCI'cs BE CAid.^._L;ao SSzORE
Town of Barnstable Building Division THE IXPIRATON DATE 7HEREOF. ROMCE WILL BE D£LEVERED 1N
200 N7aln Street ACCOROANCEWITH rKE POLICY.pR0V1S1oNS
Hyannis,MA 02601-
AU11,!O n rtEM--SEMr'ATA'E
O 1988-2010 ACORD CORPOR'faMON-All r'ahts reserved.
ACORD 25{20TOlOb} The ACORD name and logo are registered marks ofACORD
The Commonwealth ofMassachusetts
�'--*--- Department oflndusnialAccidents
'— Offee Of inrestisaations
600 Washington Street
Boston,MA 02111
Workers'COmPensation Insurance Affidavit.Binders/Contractors/Electricians/PlunfDers
Applicant Informaition Please Print Le6ib1-
Name(Business/organs 'on/Individtial): 5!"� " i L�
Address: ��, D�� ,$�-�
City/State/Zip: r t ( ......._..Phone#:
Are y u an employer?-Check the appropriate box: Typ a of project re e
1. I am 2 employer with 10 4- []I am a general cos*traaror and I p l
employees(full and/or part time).* have hired the sub-contractors 6. ❑New constr ictio3
2.❑ I am a sole proprietor or p artner- listed on the attached sheet. 7- ❑Remodeling
ship and have no employees These sub-cointractors have g- D Demolition
worlcng for me in any capacity. employees and have workers'
[No workers'comp.insurance comp-insurance+ 9- []Building addition
required.] 5. D 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 recrii'ed.l t c.152,§1(4),and we have no D
employees.[No workers' i3.D Other
comp.iasm.ance required.] I i
Any applicant that checks box 41 must also fn opt the section below showing their wor=,oorapeasationpolicy iafonnatimL
Homeowners who submit this affidavit indicating they are do ag all work and then hire outside contractors mast submit a new affidavit indicating sLo,,
'Contactors that check this box must attached an additional sheet showima the name of the sub-contrzcto s and state wcether or not those caustics have
employees. If the solrcontraetors have employees,they must provide their workers'Comp.policy mrmber:
X am an employer that isprovzdin workers'compensation btsrrmue for my employeM BeTOW is tAe poCsCy wzd job site
information. t , 1-1, I
Insurance Company Name: ��f j �� v _ �'1t.�,� cot
Policy#or Self ins.Lic.#--Vf ✓ > Expiration Date:
Job Site Address: City/State0p:
Attach a copy of the workers'compensation policy declaration page(shoring the policy number and expiration date).
Failuze to secure coverage as regWred raider Section 25A of MGL c.152 can lead to the imposition.of criminal penalties of a
fine up to SI 500.00 and/or one-year imprisons rent;as well as civilpenalties in the form of a STOP WORK ORDER and a fi
of tip to$256-00 a day against the violator- Be advised that a copy of this statement maybe forwarded to the Office of ne
Investigations of the DIA for insurance coverage verification.
.I do herebv certify under the pains and penalises ofpedwy that the infornzationprovi&d above is true and correct.
Sisnature: Date: 7 /
Phone
[6-
fficial use only. Do not write hz this area,to be completed by city or town offzciaL
ity or Tow= Permit/License#
-leagA.vthority(circle one):
Board ollHeaith 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5-Plumbing Inspector
other
ontact Perso:ot: Phone 0•
Of of Consumer fairs and Busmess Regm-ilarian
10 Park Plaza- Suite 5170
Boston,Massachusetts 021 65
Home improvement Contractor kegistration
• Regisa-aucss: 1125a6
Jyae: DBA
ExpiraJon: 32312017 Tr? 263587
FRASER CONSTRUCTION CO.
DEAD ERASER
P.O. BOX 1846
CO T UIT, MA 02635
Update Address and rer=card_M,ark reason;or change.
sca 2CNrosl� Fj Address m Reanew2F Ci v_mp_ioymaat 7 3 ost Carat
C�Jrte�:.me�tcuaa��afPQ/�/�zc�tvdeQl.
_ Office of Consomer c—mb*c a Bush ess Rc.,21atjou Iicanse or relation 3-A id for individul use only
ON_iE IMPROVEMEW CONTRACTOR before the expbratiou dare- lffouyd return to:
' ore: 112536 Type: Mce of Cousumert�ffiirs e,3
and Business Ratior.
F.xpiratlom -3/23l2017 DBA 10 Parkphm-suite 5170
• Boston,MA 02]1G •
FRASER CONS'RU=ON CO.
DEAN FRASER
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e rALMOUTH MA 02536 T.dersecramty Notvalidwithoutsigmatsre
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Construction Suprn isor
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DEAN C FRASER
101 TWWNN VIEW LANE...'.:,. _
EAST FALMOUTH-MA:02536
✓ � �� y 06/07/2017
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The Town of Barnstable
BARNSTABLE. • Department of Health Safety and Environmental Services
MASS.
039. �0
�fD MAy A Building Division
367 Main Street,Hyannis, MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Inspection Correction Notice
Type of Inspection
Location :y &CA lei&�• Permit Number Q
Owner Builder - ,� -4 o ,
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
-fkx —54sim Su ry-ck j 4 -,Pv 5v fo o
0
Please call: 50& 0-6227 for re-inspection.
Inspected by
Date
r Q
Engineering Dept. (3rd floor) Map - '�f Parcel (2 Y �- 0 0;� Permit# 02% C2-5
House# / `7 Date Issued (o
Board of Health(3r floor)'(8:15 -'9:30/11:00-4:30) Fee.
Conservation Office(4th floor)(8:30-9:30/1:00;2:00) Z
Planning Dept.(1st floor/School Admin. Bldg.) PLIG '"E
NNEC t A anit
Definitive Plan Approved by Planning Board 19 Iv47pptTrN�ppEE OR THE
INSTS MASS. �DY O
TOWN OYBARNSTABLE
Building Permit Application
Project Street Address 1 L =r
Village 14 Li G v►n i S
Owner J,1�I i(�5� LQU S ck'111�rear&4 Address _ /-/caa f)j2 rA iVIA �Ze, b I
Telephone L,50 '79 0 a/:2.°7
-Permit Request �' ,S f�r UC Cj /y X /,q 5 U n r i)6 M 0� r•ea y
t
First Floor j%(„ square feet Second Floor square feet
Construction Type /,U pC C &a W e.
Estimated Project Cost $
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes 3 o
Dwelling Type: Single Family N� Two Family ❑ Multi-Family(#units)
Age of Existing Structure fHistoric House ❑Yes ❑No On Old King's Highway ❑Yes ONo
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
No.of Bedrooms: Existing New
Total Room Count(not including baths): Existing New First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other -d
Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
®Attached(size) ❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes j(No ' If yes, site plan review# 1 /�
Current Use de- ic:I Proposed Use
nn Builder Information
Name Telephone Number ► `7 7 l- D 3 03
hose- Cowpait/ _SAddress �
P 0- /2�0 X Home Improvement Contractor# /O p q 32L
,9q r U,s�2 � {'� y- 0,7- ?d Worker's Compensation#6 L,o,
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE e s- 48
BUILDING PE M IED OR THE FOLLOWING REASON(S)
*,,-1Z 0�(f 51C
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE'ISSUED
MAP/PARCEL NO. t
ADDRESS -- �. VILLAGE'. ± y f
OWNER
DATE OF INSPECTION:
FOUNDATION
t
FRAME _.
INSULATION 9Y ' • w
FIREPLACE
ELECTRICAL: .ROUGH FINAL
PLUMBING: ROUGH :'FINAL.
ir
t _
GAS: + '• •ROrJGH , FINAL
FINAL BUILDING �71
i
DATE CLOSED OU
ASSOCIATION PLAN!- r ± 3 ry
x
� 3-¢y .
Z07- III G6
N
CERTIFIED PLOT PLAN
LOCATION 8.........5
SCALE . ..!.�.`30'.... DATE J; /• ��9Z
PLAN REFERENCE A..../G•..�A.T. '�¢•.
.�ih
!S77�G vND.g'l7o.v
��� .r... I CERTIFY THAT THE ..�• ,
SHOWN ON THIS PLAN IS LOCATED ON THE GROUND
AS SHOWN HEREON AND THAT IT CONFORMS TO THE
SETBACK REQUIREMENTS OF THE TOWN OF
rzYv
• WHEN CONSTRUCTED.
DATE
REGISTERED LAND SURVEY R
DHIONIS RESIDENCE
ALTERATIONS ® ADDITIONS
17 MYRICA LANE HYANNIS, MA 02 601
THE HOUSE COMPANY
DESIGN • BUILD
JUNE 26, 1998
14'-0"
1� �7B�lO l��1�
J�1/ S REERDENCE ORCH ADD THE HOUSE COMPANY
SCALE 1/8" = 1'
6/10/98
1,
14'-0"
DHHO ly US REMENCI PORCH ADMIZON THE CA EOUSSE COMPANY
6/10/98
i
is
P. ROOF CONSTRUCTION
15#BLDG. FELT
5/8"CDX PLY SHEATHING
2 X 10 RAFTERS @ 16" O.C.
R-30 FG. BATT INSUL W/ BAFFLES
POLY VAPOR BARRIER
1 X 3 SPRUCE STRAPPING
1 x 6 V-GROOVE PINE BOARDS
2"X8"CEILING
JOISTS
EXT.WALL CONSTRUCTIO
W.C. SHINGLES-5" EXP.
TYVEK-TAPED JTS.
1/2" CDX PLYWOOD
2X4'S @ 16" O.C.
3 1/2" BATT INSUL
POLY VAPOR BARRIER
1/2" SHEETROCK 3/4"PT PLYWOOD ON 2"X 10 "
PT JOISTS @ 16" O.C.
0 0
SIMPSON CONNECTOR
10"SONO TUBES @
4' BELOW GRADE
DHHONUS REENDENC E - PORCH H ADDHTH®N
THE HOUSE COMPANY
SCALE 1/8" = 1'
6/10/98
DHIONIS RESIDENCE
ALTERATIONS ® ADDITIONS
17 MYRICA LANE HYANNIS, MA 02601
THE HOUSE COMPANY
DESIGN • BUILD
JUNE 26, 1998
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D1[7!J!O l�S RESMENCIE _ ®RCH �- DDR!1 RQ THE HOUSE COMPANY
SCALE 1/8" = 1'
6/10/98
1`-@"
DMONUSRESEDENCE - PORCH AMMON THE HOUSE COMPANY
SCALE 1%" = 1 •
. 6/10 98
. �
ROOF CONSTRUCDON
15#BLDG. FELT
5/8"CDX PLY SHEATHING
2 X 10 RAFTERS @ 16"O.C.
R-30 FG. BATT INSUL W/BAFFLES
POLY VAPOR BARRIER
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1 x 6 V-GROOVE PINE BOARDS
2"X8"CEILING
JOISTS
EXT,WALL CONSTRUCTIO
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2X4'S @ 16"O.C.
3 1/2" BATT INSUL
POLY VAPOR BARRIER
1/2"SHEEI'ROCK . 3/4"PT PLYWOOD ON 2"X.10 "
PT JOISTS @ 16" O.C.
0
SIMPSON CONNECTOR
10"SONO TUBES @
4' BELOW GRADE
THE HOUSE COMPANY
SCALE 1/8" = 1'
6/10/98
I
r
HOME> IMPROVEMENTCONTRACTORS REGISTRATION !
!
E3oa of E3uild.ing` Regulations and Standards I
r One' Ashburton P.1'ace -Room 1301 !
I
rtiFy� `� Boston`z Massachusetts 02108 !
rr $"tee -
� rpAr.�+�#�00'14��a's ,.«Yi{;
1OM E� IMPROyEN�ENM'6NTRACTOR - ---------- -------- - - --
09i. 104932 . Expiration 06/24/00 ! � � � �
Type PRIVATE,XORPORATION
�
! HOME IMPROVEMENT CONTRACTOR
! Registration, 100932
ct
OHC INC` DBA/ THE HOUSE: Type - PRIVATE CORPORATION
Jeffrey ol.dste`i.n I Expiration 06/24/00
30:,PERSEVERANCE:_-WAY-`UNIT .2B I
Hyannis MA`'02601 OHC INC. DBA/ THE HOUSE COMP
Jeffrey Goldstein
��hRSEVERANCE WAY UNIT 28
ADMINISTRATOR
a
1651K
DEPARTMENT OF PUBLIC SAFETY 165130
ONE ASHBURTON PLACE, RM 1301
BOSTON;` MA 02108-1618
CONSTRUCTION SUPERVISOR LICENSE ;
Number: Expires:
P
Restricted To: 00
114,00
JtFFREY GOLDSTEIN r3; 4
PO BX 1166,; , r
BARNSTABLE, MA 026
K ep top for receipt and change
o address notification.
� ��
fie �a��r�naiuv �a
t DEPA,RjNENT.OF PUBLIC SAFETY
CON$TRUC;T.I,ON.-,.S..UPERVISOR LICENSE
r. 4..
Expires:
t
Restt dteO,J6 . 00
� 7i JEFFRE.Y 60LOSTEIN�
PO BX 1166
BARNSTABLE, NA 02630
f
The Town of Barnstable
Department of Health Safety and Environmental Services
• Building Division
367 Main Sb�eet,Hyannis MA 0260I
Ralph Crossen
Office: S08.790.6227 Fax: 308-790-730 Building Commission:
For office use only
Permit no.
Date
AFFIDAVIT
SOME IMPROVEMENT'CONTRACI'OR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization•
conversion. improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelIIng units or to
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions.along with other requirements.
Type of Work: ' �QlJI�I�i a N Est.Cost l'70 D D aD
Address of Work: / ��11Y�'�c� �Uy► A4,a"Y?/STD
Owner's Name �l'►%�Y►I LQare-
f
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Jab under SI,000.
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS .PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PRO GRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a.permit as the a o o /-
Date Contract r Name Registration No.
OR
Date Owners Name
_ The Commonwealth of Massachusetts
�-4
Department of Industriid Accidents
Office of/nyesaffli oos
600 Washington Street
P Boston,Mass. 02111
Workers' Comjiensation Insurance Affidavit
rrt�ri arir��nrrraa ����������������� ����i
Otui1er• � �"
name: ° L)is
ocation:
ci hone# .5G
❑ I am a homeown performing 1 work myself.
❑ I am a sole proprietor and have no one working in any capacity
%%%//%/%%//%
%�%%%..... /%%//%%/%/%/%%/%
I am an employer providing workers'compensation for my employees working on this job.
com anv name: CD
address
ctty� phone# (aril) `77/- �30.3
insurance co. e (f nlicv S
❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who
have
the following workers' compensation polices:
com any name:
address:
city phone#:
insurance ca
cam anv name:
address:
city phone#:
insurance co. R01fCV Al
Failure to secure coverage as required under section 25A of 11GL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 mid/or
one years,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day again+t me. I understand that a
copy of this statement may be forwarded to the Orrice of Investigations of the DU for coverage verification
1 do hereby Gerd under the ' and penalties of perjury that the information provided above is try--and correct
Signature Date �� L- 9 _
Print Phone# to�
omcial use only don t write in this area to be completed by city or town official
city or town: permit/license fJ ❑Building Department
❑Licensing Board
❑Se
❑ ❑Health a checktf immediate response is required lect rtmee
—Department
contact person phone q• ❑Other
(rerun 9/95 9JA)
TOWN OF BARNSTABLE Permit No..34810,
BUILDING DEPARTMENT ""'
TOWN OFFICE BUILDING Cash ;,�Rz8:00)
Y HYANNIS.MASS.02601 Bond
CERTIFICATE OF USE AND OCCUPANCY
Issued to Bayberry Place Realty Trust",
Address Lot. #4 17 MCI rica Lane
e.
j
HN•annis Mass.
USE GROUP FIRE GRADING
OCCU1. PANCY�,OAD;'
THIS' PERMIT WILL NO i` BE VALID,`•AND:THE BUILDi.61
°.SIGNED BY.THE' BUILDMG'INSPECTOR.UPON SATISFACTORY COMPLIANCE.'.'WITIi
REQUIREMENTS AND iN ACCORDANCE WITH SECTION 119.0 OF'T#I1:i MSSACHLIS 'S;$TAT
BUILDING,CODE.
s.4 r tT 5i tip/
91)
19.... - i'� ,
.....
i
Y 1
.Building Inspector
... •i... ..v ...... ... ... .. .... .. a. t..;':. ^<�:.N.rv.�a.+i...i..w.`4''iar t
L
PAYABLE TO: TOWN OFBARN8TABLE
N1gAINCi OFFICE
Jacques N. Morin DATE C�30�907
ACCT.# O 1 to o cVo o
VENDOR# 6
ALM
_ Pot DU/
APPROVED BY �°
p'
TOWN OF BARNSTABLE Permit No. . 34810_ ..
BUILDING DEPARTMENT
I ""� I TOWN OFFICE BUILDING Cash ($228..........00)
�Yl .....
7
maw+',619
HYANNIS,MASS.02601 Bond ................
CERTIFICATE OF USE AND OCCUPANCY
Issued to Bayberry Place Realty Trust
Address Lot #4, 17 Myrica. Lane
Iiyannis, Mass.
USE GROUP FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID; AND..THE, BUILDING-SHALL NOT BE OCCUPIED:U.NTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY- COMPLIANCE WITH TOWN
REQUIREMENTS AND IN'ACCORDANCE'WITH SECTION 1190 OF-THE MASSACHUSETTS STATE
BUILDING CODE: _
Building Irispector
TOWN OF BARNSTABLE, MASSACHUSETTS
A-03-086-002
DATE January 29, 19 92 PERMIT NO. T9 1
48to
APPLICANT Steven Wilcox ADDRESS Wagon Lane, W. Barnstfabl@ -00Q18
(N0.) �i (STREET) - .. III
N.TR'S LICENSE)
PERMIT TO Build Dwelling � ' � a 1 s NUMBER OF
(_) STORY Single E'i�li kly 'Dwd*l -n(,g DWELLING UNITS'
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION).. Lot #4,- 17 Al rasa Lane Hyannis z ZONING
(.No ) - DISTRIC..
M (STREET) ( � ��i+-
V�1 BETWEEN ^ n
(CROSS STREET) (CROSS'-STREET) '
SUBDIVISION LOT
LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT, IN HE AND SHALLjCONFORM 1N CONSTRUCTI
TO TYPE USE GROUP
_BASEMENT•WALLS OR FOUNDATION
1 gg - .(TYPE)
REMARKS: S :wer W3546
Jo;zques N. y.Morin ($228.00).
2 304 Bearsea Wa Hyannis
1$7� s �) '
AREA OR ft ^^•,
VOLUME �' ESTIMATED COST. .�j r i'OQO•OV" PEEMIT 149. "75
(CUBIC/SQUARE FEET) pyk.
OWNER Bayberry 'Pl.acc._�tity. Trust .
- c- -�—�� r
=ADDRESS 300 ;fir--ear'; ay liyann s BUILDING DEPT.
BY 1.
THIS PERMIT C.ENCROACVEYS RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY C
�► PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED -UNDER THE. BUILDING CODE, MUST BE A
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINE
I-ROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT'FROM-T
{ ' OF ANY APPLICABLE SU-BDIVISION RESTRICTIONS. HE CONDITIOI
MINIMUM OF THREE CALL
FOR - "APPROVED PLANS MUST.BE RETAINED ON JOB AND THIS WHERE ARPL"ICABLE,SEPARATE
INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED_FOR
ALL CONSTRUCTION WORK: -:, CARD KEPT POSTED.UNTIL_ FINAL INSPECTION HAS BEEN
ELECTRICAL, PLUMBING AND
1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS .RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MINAL INSPECTION
TI TO LATHE FINAL INSPECTION HAS BEEN MADE.
' 3. FINAL INSPECTION BEFORE
OCCUPANCY. - '
POST THIS CART SvQ IT IS VISIBLE FR flw%M STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
2
2fI. 2 —
I , a JG
3 p HEATING'I ( ION APPROVALS % EN EERING DEPARTMENT
z ,
BOARD OF HEALTH
IOTHER _ SITE;PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL THE INSPEC• PERMIT w!LL BECOME NULL AND VOIDIIF CONSTRUCTION
TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN
CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE, ARRANGED FOR BY TELEPHONE OR WRITT!
NOTIFICATION.
o
"yz/C/-?
/Z .s>> so,
• Go: oo .
* 7a
CERTIFIED -PLOT PLAN
LOCATION ,5RA /�/ S
_57 ` /Rr!ti/!s�
` SCALE DATE
PLAN REFERENCE
�S, awN
EDW�7VD � �F
v uc1.LEY i
NO. 231 �r
I CERTIFY THAT THE !S?�'`�G. .�vNdF}�7o'v
SHOWN ON THIS PLAN IS LOCATED ON THE GROUND
AS SHOWN HEREON AND THAT IT CONFORMS TO THE
SETBACK REQUIREMENTS OF THE TOWN OF
(jjijTLn/.STABLE , ,WHEN CONSTRUCTED.
_ DATE ✓
REGISTERED LAND SURVEY R
��f�wEPP� s /t/v v
Assessor's offiW(1st Floor): r. /
Assessor's map and lot number 'q [� ��a /��
Conservation
Board of Health(3rd floor):
Sewage,Permit number 5 C1� ' ' t DeanTam,i ;
r � riva
Engineering Department(3rd floor):
a Rio rw a.
House number 4.%7
Definitive Plan Approved by Planning Boa d
z
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
' TOWN OF , BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO /✓
TYPE OF CONSTRUCTION
19
TO THE INSPECTOR OF BUILDINGS:
The undersign hereby applies for permit accordingto the following information:
Location JV7-4 f ) /,` /-�/� lyly.
Proposed Use
�C--f Zoning District Fire District
Name of Owner / Address 3040
Name of Builder Address ALA-4oAl ice. �,¢aP�ila
Name of Architect Address
Number of Rooms Foundation ���d�����"�/v�'
Exterior 474 Roofing A!;0 1 J
Floors G' rrl Interior ���iC
Heating Plumbing _ a��— vg'1
4
Fireplace / Lfv«y �' zqa Approximate Cost 0V o
Area le702�
Diagram of Lot and Building with Dimensions Fee /V `
Du' N�o�A�) t
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.
Name s%%%��
Construction Supervisor's License �G��/
BAYBERRY PLACE RLTY. TRUST
�y
34810 One Story
`� ,No Permit For Y
4 Single Family Dwelling
,Location Lot #4 17 Myri ca T.an+A
Hyannis 1
Owner. Bayberry P1 acP Rl 1;y T;j,g+ t
Type of Construction Frame
Plot Lot _
Permit Granted January 2 9 ,r."' 19 92
r
Date of Inspection 19
a completed 9 ,
'e • \�.. J ,Y` M ram) •
' l
- I