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HomeMy WebLinkAbout0015 POINT LANE i S "Pa1 n-� 1�.�-�.� �� ill ALTERNATIVE WEATHERIZATION OF bete Town of Barnstable 200 Main St Hyannis,MA 02601 Re: Parmit# /3f� 3 , The Insulation work at has been completed in aeeordance with 78OCMR. Agency work performed far Regards Timothy Cabral; President CSL-105454 58 DICKINSON STREET I FALL i WIL MA 02721 I5fl8)567.42A0 I ALTERNATIVEWEATKERITATIONOGMAIL-COM ,. Town of Barnstable Building _ Post T'h�s CarSo�That�itas Visible�F.rgm the Street A ;roved,Plans Must�bew_Retamed on�ob andthis Card Must^be Kept„ >,, Permit• 1Axiil3t'ABLB, ',�:''. • M le tere a Certificate af�Occu anc is°Re wired,such Bwldmg shall^Not�be Occup�ed�untd�a'�F�nal Inspection has been madeti, Permit NO. B-18-1203 Applicant Name: TIMOTHY CABRAL Approvals Date Issued: 05/14/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 11/14/2018 Foundation: Location: 15 POINT LANE, HYANNIS Map/Loot:288-173 002 Zoning District:_ RB Sheathing: Owner on Record: BUTLER, ROSEMARY : Contra`ctorl me It ALTERNATIVE WEATHERIZATION, Framing: 1 31N,C. 2 Address: 15 POINT LANE v - Contractor Ucense175683 HYANNIS, MA 02601 Chimney: Description: INSULATION/WEATHERIZATION Et Project Cost: $2,205.00 Permit�Fee: Insulation: r , $85.00 Project Review Req: Pa d Final: Fee,Fa $85.00 Date 5/14/2018 z Ws 711 G , Plumbing/Gas g o .��-�-•- R u h Plumbing: Final Plumbing: Building Official Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorizedby this permit is commenced within six months afterissuance. Final Gas: All work authorized by this permit shall conform to the approved apple Lion and the approved construction documents for�which this permit has been granted. All construction,alterations and changes of use of any building and structures Shall be incompliance with the local zoning by la and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be ma tamedoen p forpubtrc mspeon for the entire duration of the Electrical work until the completion of the same. # 1 311 -Service: w The Certificate of Occupancy will not be issued until all applicable signatures by'the Buildangand�Fire®fficialsare provided on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: 1.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.Wiring&Plumbing Inspections to be completed prior to Frame Inspection " 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations'. Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered 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 B111L81N r DEpT Application Number........ •_ BARNSTAULF, * APR R 2 0 2018 Permit .....,......,,Other Fee................:....... %e39.. TOWN Ot=BA NST ASLE Total Fee Paid..., t... TOWN OF BARNSTABLE PermitApprovalby... .......on:.:. �`�.../.:� BUILDING -PERMIT � �.. ParCCt....,C.... ...• Map......,.... APPLICATION : Section I --Owner's Information an+d Projeet Location Project Address /6' PO1,:` LEI Village Owners Name Owners Legal Address S Avik;e- lCi State Zip Y7 'Owners Cell# Email fUS qZ^ e C P/— C.Uy� Section 2 —Use of Structure Vse Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3—Type'of Permit [ New Construction ❑ Move 1 Relocate ❑ Accessory Structure ❑ Change of use Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment f Sprinkler System Addition ❑ Retaining wall ❑ Solar 10 Renovation ❑ Pool ❑ Insulation Other—Specify WQ A e-i M Section 4 - Work Description Y- c�e S' aSP.rh Last updated;3115/2018 Application Number............................... . Section 5—Detail Cost of Proposed Construction S'u Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) 11.0 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist Design Section f--Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors [] Plumbing [] Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7 Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section S—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage, #of Dwelling Units(on site) Setbacks Front Yard Required Proposed Rear Yard. Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated:3/15/2018 Application Number............................................ Section 9.— Construction Supervisor Name howwalArat Telephone Number_608 5(i 7' claw v�Address �'c (R_ _City�f-G.Gf��/er` state /I1lq zip ea9;z1 License Number License Type Expiration Date 'Jle 9 Contractors Email Cell # -2 I understand my responsibilities under the rules and re lations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections,and documentation required 780 CMR an To fBarnstable.Attach a copy of your license. Signature Date 19�i— — Section 10—Home Improvement Contractor Name G V+a OQ'MP,ri ZCcA y7,.- Telephone Number 50?-J�D 7 �v?�D Address o7 1JZCL S� City Cl Ve - State /44 Zip 6A'7RI Registration Number /7(o LY Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building C de. I understand the construction inspection procedures,specific inspections and documentation requir 780 C d he T w of Barnstable. Attach a copy of your H:I:C... Signature Date Y�C ill Section 11—Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780. CMR 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 SIGNATURE Signature Date /5/ Print Name %m U sG &6raL Telephone Number 5-('7 �?�p E-mail permit ta: 6_V/ . l , Ve, 60""e4 Z�f-l'07���v+cy . cep Mt updated:3/15/2018 '` Section 12 -- Department Sign-Offs .Health Department ❑ Zoning Board(if required) ❑ . Historic District ❑ Site Plan Review(if required) Fire Department Conservation ❑ For commercial work,please take your plans directly to the fire department,for approval. Section 13—Owner's Authorization r> � , as Owner of the subject property hereby authorize_ to act on my behalf, in all matters relative to work atAhorized by this building permit application for: 6%h:r� (Address of jab) cs� Signature of Owner date Print Name Last updated:3/15/2018 Town of Barnstable Regulatory Se ices . DAWNS TABLE, Richard V. Scali,Director ;MASS. 1639. . ,�� Building on Paul Roma Building Commissioner 200 Matti Street,Hyannis,MA 02601 Www.town.barnstable.ma.us Office: 50 624038 Fax:.500-790-6230 Property wne ° Must Complete and. Sign This Section ROSEMARY BUTLER .. ..............._.____ ___...__.._ s owner of the subject p>'oprty hereby authorize /�v to act on. y behalf, in all matters relative to work uthorized by this bwau,,,j permit application for- IS Point Lane Hyannisport, MA 02647 (Address of Job( 0§r9 nature ref Cjz Da r ' Print Name tf Property Owner is applying f'er.pamit,please complete the Homeowners License Exe p#on Form. C:CUserskiacollik\AppDatalLoca]\Microsof NWindows\[NetCache\Content.0utlook\L,'7U69LF2\EXPRESS(2).doc 01/25/17 The Commonwealth of Massachusetts = Department of Industrial Accidents 0 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 Legibly Name (Business/Organization/Indi;idual):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): I.[E]I am a employer with 16 employees(full and/or part-time).* 7. ❑New construction I am a sole proprietor or partnership and have no employees working for me in '-� 8. E] Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.a 1 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10❑ Building addition I ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. • 12:❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.t 13• ROOF repairs 6.❑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:STAR INSURANCE COMPANY Policy#or Self-ins.Lic.#:0849257 00 Expiration Date:4/4/19 Job Site Address: A6 1A, (14 City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy n m er and exp(ation date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the D1A for insurance coverage verification. I do hereby certify under t e pains and pen *es Yof jury that the information provided above ' true and correct. Si nature: Date: hXvy Phone#:508-567-42 0 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ALTEWEA-01 SNERONHA A C►R'EY DATE(MMIDWYYYY1 1�,_,,,,..-- CERTIFICATE OF LIABILITY INSURANCE Osi23�2o 8 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be.endorsed, If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER I_ CT Christine Costa Mason 8 Mason Insurance Agency,Inc. ; Et):(781)447-5531 458 South Ave. iAr"xc Noy:(781)447-7230 ct:osta j Whitman,MA 02382 ss. masoninsure.com i INSURE S AFFORDING COVERAGE NAICE INSURER A:Evanston Insurance Co. 13537$ INSURED NSURER8:Safety Indemnity 133618 i Alternative Weatherization,Inc. INSURER c:Star Insurance Company 11$023 2 Lark street (INSURER 0: Fall River,MA 02721 — INSURER E: INSURER F: i COVERAGES CERTIFICATE NUMBER: _ REVISION NUMBER:. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 1 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, i EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ANSR? IADDL?SUER POLICY EFf POLICY ERP ! i LTR TYPE OF INSURANCE INSp j yrvD POLICY NUMBER MNlyyyyl; LIMITS A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1$ 1,000,000 IF —, 100,000i i CLAIMS-MADE OCCUR X X 3C42088 1 06107/2017 i 06/07/2018 °RE?Als s a NTE E °e cel s t .___....___�__.._....__.— MED EXrreperson) 5,000i i,(An v o 1 PERSONAL&AOV INJURY i S 1,000,00011 GEN'L AGGREGATE LIMIT APPLIES PER: I ; 1 GENERAL AGGREGATE 15 2,000,000 2 000 000 X ;POLICY --j Q LOC i PRODUCTS-COMPIOPAGG S ' OTHER, 3 s I COMBiIdED SINGLE LIMIT 1,600 000: B AUTOMOBILE LIABILITY I 1 fE3 aCcider??3 (S ' 1 —y ANY AUTO X 6237702 €0410812018 04/0812019 1 BODILY INJURY(Per person 's ..1! OWNED (X!!SCHEDULED 1 r t AUTOS ONLY 1 AUTOS I BODILY INJURY(Per acc den?) S X HIR i X NONry..00 c0 j Pf2OPERTY DAMAGE ,___i AUTOS ONLY _AUTOSIY ; i i P�accldemi 5 i s A UMBRELLA LIABI—X— OCCUR EACH OCCURRENCE ;S 1,0001000 X ExcEss LwB I CLAIMS-MADE! X ' X XOBW7126517 i 06/07/2017 i 0610712018;AGGREGATE S 1,000,000 r I DED 1 RETENTION S i C l�WORKERS COMPENSATION X ;PER AND EMPLOYERS LIABILITY YIN WC0849257 i 04104/20181 04104/2019 �ANYPROPRIETOR,'PARTNER..JtECUT1VE i i i i E.LEACHACCIDENT is 500,fl00i ONF�& MEIM B£R EXCLUDED? �i i N/A i I i j — --- ,{ Dry ) i I 1 I E.L.DISEASE-EA EMPLOYEE S0.000 if yes,describe uncer6000001 DESCRIPMON OF OPERATIONS beiow i E.L.DISEASE-POLICY LIMIT S ' I � a DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101,AddMonal Remarks Schedule,may be attached it 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(04113),for Ongoing Operations per the terms and conditions of form CG2010(04113),for i Completed Operations per the terns and conditions of form CG2037(04/13)and Waiver of Subrogation applies per the terms and conditions of form I MEGL0241-01(04-11). 'Additional Insured for Automobile Liability applies per the terms and conditions of form SCANS(02116). j Excess Liability is a following form. CERTIFICATE HOLDER CANCELLATION i J SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE i THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN NGRID USA ( ACCORDANCE WITH THE POLICY PROVISIONS. 40 Sylvan Road Itt Waltham,MA 02451 i 1 AUTHORIZED REPRESENTATIVE ACORD 25(2016JO3) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD � a 7 - �c�ri��rrt �or� ui • Is ~� FKJy V yIgm y aE 3 ; f' J?,r :. -" Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Ma��usetts 02116 Home lmproveme, )dntractor Registration Type Corporation ALTERNATIVE WEATHERIZATION,INC r Registration; .- 175683 2 LARK ST. - Expiration: 05/28/2019 FALL RIVER,MA 02721 € 4✓' Update Address and return card. Mark reason for change. _.. ,� .�>{±• (, .1t.il�Y:.i[f{:[:fll�i!r/..:?�CL..fll.3tlf.:Cf�' ,. v - .. _ - Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only 1 ' TYPE:Coronation before the expiration date. If found return to: Riigistration Wration Office of Consumer Affairs and Business Regulation 05128I2019 10 Park Plaza-Suite 5170 ALTERNATIVE WEATf'iEAi2ATJON;INC. n,MA 02116 . t TIMOTHY CABRAL 2 LARK ST, � G FALL RIVER,MA 02721 iJ O�V O 3� B tlTir Undersecretary TOWN OF BARNSTABLE BUILDING PERMIT APPLLICATI0, N Map Parcel 00;2--" Application FI ' 4 1 Health Division 3 W�' Date Issued h,7 ��� �G ) F. Conservation Division J��� 0 9 2017Application Fee Planning Dept. Permit Fee T01,VN,'OF A %,��c� n Date Definitive Plan Approved by Planning Boards..�I_E Historic - OKH _ Preservation/ Hyannis Project Street Address J PWr ,LV q t9y,0 6 P)ri Village Rg4,0NIS /CDr4- Owner f !z /�1'�` l�i e��-� ,� Address t5_ l iV.07' 4.v, POr-1- Telephone 90C-- S6,f',86�14 Permit Request Amove. 5ewsvz) --P&or decE' , /.U:�iAU 126tO BOM , 0f. P_e_- i ns4a,11 deck u -inQ 17ae d fna.7'W 0A Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. 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 (sq.ft) 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.._ (BUILDER OR HOMEOWNER) Name J4XgV Telephone Number `-Y-4 —366- Address 60 52>a UWL I,y WE License# oy1 mf)n 026,0/ Home Improvement Contractor# Email olr&Q�V-o h /f e P m ce- l• C DI" Worker's Compensation # WC;C b DD,c0 f 6 6`020Z Iq ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO TP)9J/91=E,_ S I AlI p� SIGNATURE - _ - _ DATE ��9�� FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED -MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 7 DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts v Department'oflndustrialAccidents d I Congress Street,Suite 100 Boston,MA 02114-2017 SV v www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):Alexey Lebedev/Dream Home Improvement LLC Address:60 Franklin ave City/State/Zip: Hyannis, MA, 02601 phone #:774-208-3589 Are you an employer?Check the appropriate box: Type of project(required): I.E]larn a employer with 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.] 9. El Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I I.❑Electrical repairs or additions proprietors with no employees. 12.[]Plumbing repairs or additions 5❑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.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#I 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: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. n I do hereby certify u er the a' s and penalties of perjury that the information provided above is true and correct. Si ature: Date: Phone#: 774-20 589 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#: DREAM HOME NPROVEMENT 60 Franklin Ave, Hyannis, MA 02601 PHONE (508) 332-8119 RUBBER ROOFING PROPOSAL December 7, 2016 ROSEMARY BUTLER 15 POINT LANE EM: rosemary.e.butler@gmail.com HYANNIS PORT, MA Tel: 908-868-8546/908-862-8546 COREY & COREY will perform the following services in a neat and professional manner and in accordance with the manufacturer's specifications and local building codes. Remove and Haul Away All of the Old Rolled Roofing Shingles from the Section Over the Bathroom (under the deck on the second floor). Re Nail All Plywood Sheathing as needed. Supply and Install NEW RUBBER ROOFING MEMBRANE TOTTALY ADHERED over V2 " STRUCTODECK UNDERLAYMENT Held Down with Plates and Rubber Coated Screws. Supply and Install NEW RUBBER EDGE TAPE with CLEANER PRIMER on All of the Existing Rubber Roofing Seam and NEW C-6 WHITE ALUMINUM RAKE AND FASCIA AREAS. REMOVE AND REINSTALL ALL THE NECESSARY TRIM AND CLAP BOARD TO WATERTIGHT THE RUBBER RUBBER INVESTMENT---------------------------------- $39500.00 Remove and Haul Away the Old Deck on the Second Floor Over the Bathroom. Save the Pressure Treated Posts Only.Re-build the Deck as it is. Supply and Install All of the Materials for Exactly Same Kind of Deck. Use the Pressure Treated Lumber to Rebuild the Deck. Deck Investment----------------------------------------------$5,500.00 No Painting is Included in this Proposal Clean and Remove the Debris from work area after job is completed. TOTAL RUBBER ROOF AND DECK PROPOSAL -----------$99000.00 DREAM HOME NPROVE.MENT 60 Franklin Ave, Hyannis, MA 02601 PHONE (508) 332-8119 RUBBER ROOFING PROPOSAL POSSIBLE EXTRA CARPENTRY: Any Rotted or otherwise Deteriorated Trim Boards, Plywood Sheathing, Missing Metal Flashing, Side Walling or Any other Carpentry Needing Replacement Will be Done and Charged for as an Extra: Materials Plus Labor at the Rate of$70 per Hour(per laborer). PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. Please Make Checks Payable to: DREAM HOME IMPROVEMENT DHI Warranties Labor and the Material for 10 years DHI Carries Workman's Compensation and Public Liability Insurance on the Above Work DATE OF ACCEPTANCE: SUBMITTED BY: ACCEPTED BY: ROSEMARY BUTLER ALEXEY LEBEDEV HOMEOWNER DREAM HOME IMPROVEMENT ACO® 7314/2016 (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 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 Ashley Paiva Southeastern Insurance Agency, Inc. A"oNE (508)997-6061 No:(508)990-2731 439 State Rd. E-MAIL ADDRESS: p a aiva@southeasternins.com P.O. Box 79398 INSURERS AFFORDING COVERAGE NAIC# North Dartmouth MA 02747 INSURER A Arbella Mutual Ins Co 17000 INSURED INSURER B AEIC Dream Home Improvements LLC INSURER C: 60 Franklin Ave INSURER D: INSURER E: Hyannis MA 02601 INSURER F: COVERAGES CERTIFICATE NUMBER:2016 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 UBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 MAGEPREMIS S A CLAIMS-MADE F OCCUR DA TO RENTED o 100 E Ea ccurrence $ 100,000 9520053178 3/8/2016 3/8/2017 MED EXP(Any one person) $ 51000 PERSONAL&ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 % POLICY PET LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N/A B (Mandatory in NH) WCC50050156792016A 3/8/2016 3/8/2017 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if mores ace is required) P Q ) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE display only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Ashley Paiva/AMP ©.1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 ronl4nn Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supers isor l License:CS-108208 ALEXEY LEBEDEV,; 60 FRANKLIN AVENUE Hyannis MA 02661 , Expiration Commissioner 11/27/2018 v�7rPi V�f ��f b Q CA71 J46"mie Office of Consumer Affairs and.Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration " =N Registration: 176777 t �4� Type: LLC -r ( Expiration: 9/25/2017 Tr# 270447 DREAM HOME IMPROVEMENT LLG?; ._, ALEXEY LEBEDEV fir;, _-------- 60 FRANKLIN AVE. rt. HYANNIS, MA 02601 =ems$ w�:?. ,•` y:'�Update Address and return card.Mark reason for change. SCA 1 c, 20M-0511 1 � Address Q Renewal ❑ Employment F-� Lost Card - d7/1 Office of Consumer Affairs R Business Regulation License or registration valid for individul use only =_ HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration 176777 Type: Office of Consumer Affairs and Business Regulation Expiration� 9/25/2017 LLC 10 Park Plaza-Suite 5170 • =' Boston,MA 02116 DREAM HOME IMPROVEMENT 1-C:' ALEXEY LEBEDEV 60 FRANKLIN AVE. HYANNIS,MA 02601 Undersecretary Not valid without signature a c� dD Ua � 2 • � 4 t{ o J Cl) � O m -54 o � \ cb _ LAAj� o. _ o o ce Town of Barnstable *Permit# �FZHE Tpk� Expires 6 mantis from Issue date Regulatory Services Fee ' gnu SB $ Thomas F.Geiler,Director 019�'ATEo,r►P+°i Building Division Tom Perry, Building Commissioner X-PRESs 200 Main Street, Hyannis,MA 02601Aj Office: 508-862-4038 JUN 2004 Fax: 508-790-6230 EXPRESS PERNIIT APPLICATION RESIDENT 'BARNS , Not Valid without Red X Press Imprint Map/parcel Number Property Mdress value of Work Residential Owner's Name&Address y- t �� E k Telephone Number Contractor's Name L I. i Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicablepvq ) orkman's Compensation Insurance Chec e: I am a sole proprietor I am the Homeowner [] I have Worker's Compensation Insurance Insurance Company Name a Workman's Comp.Policy# Copy of Insurance Compliance Pert!"ficate must be o Ile. Permit Request heck box) Re-roof(stripping old shingles) All construction debris will be taken tom_, Re-roof(not stripping. Going over existing layers of roof) �] Re-side [] Replacement Windows. U Value maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. o e t Contractors License is required. Signature Q:Forms:expmtrg Revise053003 r c LOR.- EY ' �p'� COREY The-, R-oofe' ra "' Rooftag Capp C94 $ 4agt I $ Tt 1684 Falmouth Rd. #115, Centerville, MA 02632 PAX 1 b -%M-420 HERITAGE " AR ARCHITECTURAL TAIAKO 11, April 10, 2004 ROSEMARY BUTLER INSTALLATION ADDRESS: 20 HILLSIDE DRIVE 15 POINT LANE SUMMIT,NJ 07901 HYANNISPORT, MA ; Phone: 1-908-522-1009 Phone: 1-508-775-5284 COREY & COREY hereby proposes to perform the following services in a neat and professional manner and in accordance with the manufacturers specifications and local building codes. Remove and Haul Away All of the Old Asphalt Roofing Shingles . Re Nail All Plywood Sheathing as needed. Supply and Install TAMKO HERITAGE 30 AR: 30 YEAR WARRANTY, 5 YEAR FULL START PROTECTION, CLASS A FIRE RATED,ALGAE RESISTANT, 240 POUND EXTRA HEAVY WEIGHT, SELF-SEALING, 70 MPH WIND WARRANTY, DOUBLE-LAYERED,LAMINATED ARCHITECTURAL STYLE, FIBERGLASS BASED ASPHALT SHINGLE with New England's Exclusive Full Line COPPER/CERAMIC STONES with a FULL 10 YEAR WARRANTY AGAINST ALGAE CONTAMINENT CLASSIC HERITAGE COLOR: RUSTIC EVERGREEN ` Supply and Install TAMKO ICE & WATER SHIELD WATERPROOF UNDERLAYMENT on Roof Eaves,Under the Step Flashing on the Skylights, Chimney and Gable Walls. Supply and Install 15# SATURATED BLACK FELT UNDERLAYMENT PAPER Supply and Install 8" WHITE ALUMINUM DRIP EDGE on All Eaves. Supply and Install AIR VENT SHINGLE VENT H RIDGE VENT on the Entire Main Ridges. Supply and Install ALUMINUM &NEOPRENE SOIL PIPE FLASHING Clean and Remove Debris from work area after job is completed. TOTAL INVESTMENT �450.00 Payable immediately upon l n. POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards,Plywood Sheathing,Missing Metal Flashing, Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus 20% and Labor at the Rate of$50.00 per Hour. PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORD SCHEDULE: All Roof Work is Normally Scheduled for Completion Within 30 Days of Acceptance and Receipt of Deposit providing the Materials are Available. Please make checks payable to CHARLES COREY COREY & COREY Warranties the Shingles and Labor for 10 years. TAMKO Warranties the shingles and labor 100% for the First 5 Years and then the shingles on a pro-rated basis for 30 Years Total. TAMKO Warrants the Shingles up to a 70 MPH WIND WARRANTY. TAMKO Warrants the Shingles to be Algae Resistant for a Full 10 Years. Any alteration or deviation from above specifications,will be executed only upon written orders and will become an extra charge,over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tornado,and other necessary insurance upon the above work.. This proposal may be withdrawn by us if not accepted within thirty days. COREY & COREY carries Workman's Compensation and Public Liability Insurance on the above work DATE OF ACCEPTANCE: `> ACCEPTED BY: SUBMITTED BY: MARY BU C RLES CO Y HOMEO R COREY &, REY Page 2 42 Pages Results Page 1 of 1 Home Improvement Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City,Name, or License number Select Search type: r AND (7) OR Search' Search Results Reg. No. Applicant Street City State Zip Name Title Exp COREY & 1684 COREY, 136066 COREY HOME FALMOUTH CENTERVILLE MA 02632 CHARLES OWNER 6/E IMPROVEMENTS RD. 4115 Total of 1 Records matched. Back to Home Page BBRS Privacy Statement http://db.state.ma.us/bbrs/hic.pl 6/25/2004 0 - Y TOWN OF BARNSTABLE Permit No. 27008 7 ----------- ,�{. : Building Inspector Cash N,vnn, ---------- - u OCCUPANCY PERMIT , Bond --------- Issued to J3,eS & pa-tr1Cia 13Etltord Address Lot 15A, 15 Point Lade, liyanlZis Wiring Inspector �! f�. Inspection date �,t �.•.— Plumbing Inspector / -T Inspection date Gas Inspector Inspection date Engineering Department f .,f ,�`IZ Inspection date,_ - � Board of Health Inspection. date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ........................................................... Building Inspector FROM . TOWN OF -BARNSTABLE . BUILDING DEPARTMENT Mr. Francis Lahtea.neF , +p - 367 MAIN -STREET HYANNIS; MA 02W1 Town Clerk Phone: 776-1120 SUBJECT:' { FOLD HERE ~ - DATE - - - March 6 1985 j MESSAGE - Oro Work has been completed under Permit #27008 ' (James '& 'Patricia. R�tM Betf ord) -P•1-ease-r-el-e-ase- Bond. - SIGNS-' j DATE - REPLY j __ _ .. - . .. •SIGNED - N87-RMI - - RECIPIENT:RETAIN WHITE COPY,RETURN PINK COPY f PRINTED IN U.S.A. SENDER:SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. Assessors -map and lot number ............................. ofTHE To 4 Sewage Permit number ............ ... ..........� f... 3 STAB i House number. .....� .....: �y-gy........ fe +���E++F !P i( 9OO Nb 9 STABLE, aaL$.. a. c Mar a�0 t- TOWN OF BARNS ABLE, LC: TOWN BUILDING IN•SPE TOR APPLICATION FOR PERMIT TO G1/f aS/.lL' L`L .. ......... ........................... TYPE OF CONSTRUCTION �f.. L, :�.. .� ....... � ......................Iq TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ../..p/�7f 4�lG:r...lT�r/%�,. ProposedUse ....................... .................................. .......... . .................... Zoning District ..'"G,C.1.......................................................Fire District !1/1.L.. ........................................................ �4..pr... ( ......Address .. .. C',�,ShVA...��Lc-... . LOcala ` J Name of Owner �!,� . �s. ..�H. c `�-� Name of Builder ...............:...Address ..6:/ j•%��1P.. ............................ 1 Name of Architect ...................................Address ...................................................:. Number of Rooms .....1,57 .......................................................Foundation .................... Exterior .Cf/9. ..............................................................Roofing �...................................................... .Interior ................... Floors , ... . .A�l.4.�/.�� ....................................................... .... ................................. Heating ..,/.�..1. ...-. ...lJ.�'GG ... .... � ,Y..................PlumbinceQ�I,.:.�/y;/J.�....................................... Fireplace !'.. !I .................................................................Approximate. Coast .. ���� .. ........................................... Definitive Plan Approved by.Planning Board ---------------_---------------19--------. j Area Diagram of Lot and Building with Dimensions Fee ............. .. ............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH ���' f ,• OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Townof Barnstable re ing the above construction. . • r Nam ............ Construction Supervisor's License ..............................:.", ,... ,.-BEr—F-ORD, JAMES & PATRICIA ,Perrii�tt:for 11 Sto..................... t No 27008 ' r SingleT FamilX..Dwelling........................ Location ..Lot 15A, 15 Point. Lane r << Hyannis ' .....'.......................................................... ! wr !Owner James & Patricia Betford Typeof Construction ... rame............................. y t'Plot ..`(.......... Lot ................................ 1 E . ��el Permit,Granted ...... ,eptember 25� 19 84 D to of Inspection .....................................�. :19 Date'Com,pleted:l!`!�. •.......fi.F .... 19p Y y � Assessor's map and lot number .................... 1 ��F THE Sewage Permit number �.. �1........: Z 33M .STABLE, i House number .... IS..............................:...................:..: 9� NAM � i639' 90 MAI TOWN OF BARNSTABLE BUILDING + INSPE IN R APPLICATION.FOR PERMIT TO r-,./../. .. �� �° r �-•'................................ 7 f ` ) TYPE OF CONSTRUCTION ., Cr' rE'� fit` `..:. z?`/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby/applies for a permit according to the following information: Location ../ ii, > ,s�!/�F. t>i����?�a;,sfr7r.. .........�07...� •fl......................... ................................... °` ProposedUse ............ .................................................................................................. ..... ........................ w /. Zoning District ...:. 5... ......Fire District .; rf?!�. C Name of Owner r::. ..�,r�.:{ �:.. ...y`� 4�. r .... .Address .1. �rk: � �, L k .. KiA. .Name of Builder .if/..%..... !-............=........... ....................Address l S 1/>! ���/ j ............/........... f Name of Architect � �. ��'/��/ �.�'F'c� �S,�e_ (�` .....,.......,....................f:....................................Address .........4......... ............................................................. Number of*Rooms ..... ........................Foundation .:. :/il e ..... ''fir f` ...................... Exterior l /,�1� ..........................:.Roofing .... 5:.: ..�/................:::....:.................................... .. /��.�i./�`�t ..sue ... Floors / _ ..............................................................`Interior .... : ........................................................ � J ........................ Heating �� �r'i �l /i`/?/„ !: ,t - Plumbin �r,/1e.(' f' 21,5....................................... /.......:�....:....:.............. g��....., ..............A roximate. Cost .... ............................................................h� Fireplace ..:..................................................... pp Definitive Plan Approved by Planning Board -----------_-------------------19________ . Area :........... Diagram oi• Lot and Building with Dimensions Fee .............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS . Fl • I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. a Name ................................... 00 o y9.. Construction Supervisor's License ............................... BETFORD, JAMES & PATRICIA A=288-173-000 27008 12 Story - No ............ Permit for ..........Singh Fami�,Y.. ?s? .. ................. Location Jjot�.'15A.F.....15...20 XA e........... Hyannis Owner ...James & P . cia Betford Type of Construction ....Frame.... ...................... Plot ............................ Lot ...................... September 25, 84 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 J