HomeMy WebLinkAbout0046 NOB HILL ROAD �i6 /22m--� /d�1L .�
�a-
oFrrlrion Town of Barnstable ' `off Sss�,
Py ti Permit#
Expires 6 mattths-front issue date
,. Regulatory Services Fee
* BARVSI'ABLE, #
y PASS.
1659. Thomas F. Geiler,,Director
Building Division
Tom Perry, CBO, Building Commissioner
200 Main Street; Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8
EXPRESS PERMIT APPLICATION - RE, ONLY Fax: 508-790-6230
E,
f� Not Valid tvilhouf Red X-Press linprin/
Map/parcel Nurnb6r
Property Address % (y®,� /��� �•�;
esidenfial Value of Work Minimum fee of$35.00 for work under$6000.00
Owner's Name & Address 04j-5, 5�01y(f
Contractor's Name f-Q (��r 5� j• h
�Y i�( �p Cl[�yS7�G-U�Ti(a.+ �• -_Telephone Numbe
Home Improvement Contractor License f/(if applicable) y
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance ��
Che one:
RESS PERMI.T
I am a sole proprietor ��� - �i01C?
❑ I am the Homeowner
❑ I have Worker's.Compensation Insurance . TOWN OF BARSTABLE.
Insurance Company Name
Workman's Comp.Policy# '
Copy of Insurance Compliance Certificate must accornpnny'each pe>mit.
Permit Request heck box)
Re-roof(hurricane nailed) (stripping old shingles) All construction debris will be taken to &Urk.~ hid/ ,
❑ Re-roof(hurricane nailed) (not stripping. Going over- existing layers of too fl
Re-side
#of doors
❑ Replacement Windows/doors/sliders. U-Value (maximum .35) # of windows
*Where required: Issuance of this permit does not,exempt compliance will,other town depwinient regulations,i:e. Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License & Construction Supervisors License is
required,
IGNATVI2F:
IWPI-tLES1f0RMSlbui1dingpermil forms\EXPRESS.do
evised 072110
508-888-0354 1-800-287-0354
- L.A.WINSFHP CONSTRUCTION COMPANY
Specializing in Vinyl Siding-Custom Aluminum Trim y, .
Residential Commercial
Home Improvements
General Contracting
33 LIVINGSTON DR. . PLYMOUTH 02360
CONTRACT r
I/We hereby contract with and authorize you as contractor;to do all of said work,according to the following
specifications,terms and conditions below described;
y6
Name Mr.and Mrs. Stone Address alf Nob Hill rd.
City Hyannis, Ma. Phone 775-5583
No Additional work shall be done, except as herein specified and expressly agreed to in writing by the Contractor.
---- Specifications:
1. Remove all old wood shingle siding from complete old section of house and remove from job site, cover
wall with Tyvek house wrap, installing new aluminum flashing where needed.
2. Furnish and install Maibec brand clear white cedar shingle to complete old section of house
3. Remove all old roof shingles from complete roof- old section and new section-removing from job site,
cover roof with 151b. felt paper and ice an water rubber underlayment under, new drip-edge
and ridge-vent.
4. Furnish and install a 30year Tamco brand or better roof shingle to complete roof.
t
Labor and Materials $ 15,000.00
Payable 1/3 to start 1/3 half complete 1/3 at completion
A. Rot repair to be billed as an extra- $ 35.00 per. hr. plus materials
Contractor will do all of said work in a good workmanlike manner.
It is understood that the Contractor is covered by Workman's Compensation and Public Liability Insurance
Customer agrees that in the event of cancellation of this contract before work is started,Customer shall to Contractor on demand twenty-five.percent
(25%)of the contract price as liquidated damages for the bench
No work to be done on this job other than that specified in this contract without additional charges.
All verbal or written agreements not mentioned on the face of this contract are void,and no salesman has any authority to change,alter or add to this
contract in any particular.
This contract contains the entire contract between parties.
A copy of this contract is hereby acknowledged to be received
This contract is subject to strikes,accidents or other delays beyond our control:
IN WITNESS WHEREOF,the parties have hereunto signed their names this........... ...:.......day ofo .....2010...................
Accepted: Signed..........
).. �C .�.... .
L.A.WINSIRP CONSTRUCTION CO: Signed...............................................................:.
Customer Signature
P ................................. _. 4 ......
Representative or Contractor
ivlassachusetts- Department of Public Safetv�
Board of Building Regulations and Standards I
Construction Supervisor License
License: CS 69916
Restricted to: 00
A `
LANCE A WINSHIP
33 LIVINGSTON DR
PLYMOUTH, MA 02360
n d
Expiration: 4/6/2011 '
('ununissiuncr Tr#: 14331
0Mce-OAO s e" rs Uiness egu a' — License or,registration valid for individul use only 4!
HOME IMPROVEMENT CONTRACTOR . before the expiration date. If found return to: -
R Registration:r444456 Type: Office of.Consumer Affairs and Business_Regulation
Expiration0/42012 DBA 10 Park Plaza-Suite 5170
Boston,MA 02116 _
IP CONSTy-C
t
E
f� �: � �•�•~
LANCE WINSHIP o:-
33 LIVINGSTON DR
PLYMOUTH, ma 02360 �'
y :=` Undersecretary Not valid without signatu
pe
�jN",
The Cotrrrriorriveaklr ofMassacliusells
--. --._...._. Deparfinen/of.fndits1rial.Accide�rai*s
Office of Inves,tlb lJllons
I; r6 600,Washinglon Street
=' iurs_,rtt.rnass.gotar'dia
NVorkers' Compensation InS='nce Alfi la -it-:'Builder:s/Conti•ictoi-&/Electi`icians/Pltimbe.rs
Applicant Information Please P2int Le�iblti
Name (Business�Orgauizotiau,'LndividCtal) J� </�( i rli
City/State/Zip: i-11 /'"!a`/' 0Zi,3XIO Phone #�: . ���
Are you an employer. Creek the zl proprintp box.: Type:of project(required): n
1...❑ I a employer with 4• I am a general contractor and I I
loyees(fu11 andlo'r part-time).
have lxised tl>e sub-contractors
S- ❑.lgew construction
2.. I am'a sole proprietor or p:artuei- listed'ou the attached sheet. 7. .Remodeling
slu and have no em to pees These snub-contractors hate
P P 5 8- ❑:Detitolition
e to es and have Workers'
�uLlrlcrng for me in.any capacity. 'pP 'le ,
9. .Buildin, addition
[No workers' comp:insuuance comp:tnsurance..Y g
5: u'e are.a cos. oration.ai�c1 its` 1 D.E Electric:al repairs or additions
required.] ❑ P
affic'ers have exercised their
3.❑ :I am a.homeotis er d'oing.all work 11.E P I bing repaus or additions'
myself. [No workers' comp. = right of exemption per 1fGL 12- f re airs
insurance:required.]t c. 152„yi 1�(4),and.we have no. p
e to es. a workers' 13. O:tber
Y W
comp.-.insurance.required-]
•Any applicant thatchecfis box#1'm st also fillout the.section bel",showing their worXers'compensa:tio'n policy infoni=tiaa
113omeovmers who submit this affidavit ini ating'they nre doing alf.work and then hire autside contractors mast submit a uew iffidni,it indica'tin'g such-
yCantractnrs that check this box mast attacbed sa'sddition�!sheet shotrrng the:nsme of the sub-eovtracrnrs sr.d stale vrl�ether ae not those entitses have
emplayees. Ifthe sub-c.ontractorshive employees;.ihey.must provide their.workers'coup.polky number.
T afrt'nrr ektpr',05*that is proaliding wor•kers,'comp'entrWh'on Ynsuiartagfor ntE,emplay ges. B.10n,is the policy and job sifv
informadoit _
Insurance Company Name:
Policy#or Self--ins.Lic.#: Expiration.Date:
Job Site Address: City/State/Zip
Attach a copy of the workers'compensation policy declaration page(shoiidng the policy`rlumber'and espirat on date).
Failure to secure coverage as required uncles Section,25A of NfGL c, 152 earl lead to the imp) itiori of criminal,penalties of a
fine up to$1.,500.00 and/or one,year imprisonment,as well:as ciTal penalties in the form of a STOP IVORP�°ORD:ER and a fine
of up to$250.00 a day against the violator. Be advised that'a copy of this stytten7e t may be.forwarded to th•e Office of '
Investigations of the D.IA for insurance coverage verification. t: ;
1-do hereby certify tYrtdertlie paints nits/ponalties ofper,/ury firm tlie.ittfortrtiTtiori prmrided abotre is trite.and correct.
Dater_ — /®
Phone
O
fficial use oalp. Do not write rat this area,to be c'otripleted by citt or tota it of ciaL
rTo)im: Permit/Liceme. #
guthoi it} (cif ce one):
rd of Health 3.B.uilding Department 3. City(Toiin Clerk . #,Electrical In pector.�,P}umbit>g:Inspec.tot
er
ct Person: Phone#:
vr.