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0087 SEVENTH AVENUE (HYANNIS)
__�.,_ �R ������ 13$ �� ��> , , � I � I �� ;� Gi VVL �-r a Town of Barnstable � f( 6(0(o 00 Ext+frrs ' Regulatory Services , Thomas F.Getter,Direr 1 — Boding Dt'ViSiQII Tom Perry,CB0, Building Commissioner 200 Main Strom Hyannis,MA 02601 WWWADWTI.bamstsble'.mus Office: 50&962AO3:8 Fax:.509-790-6230 EXPRESS PERAUT APPLICATION' - RESIDENTIAL ONLY '1t'at Vd&with0wRedX=Preen I,nprint Maplgarcel Number Property Address_ G / 0 e n 0 A QI e ��{� �' f���t NN j S D D/Z ko [3Residential 'Value of Work �t; Q minimum fee of S35 00 for work under$6000.00 Owner's Name&Address -P 4,0 L ct W i) J a C �Y+1" . P 0 1304 -705 . 1lyell,rt���rT, N't Cott or' Name Arty G U.) �'4�J o N CC !zor o T arse / .qrc �TelephoneNurn s 4 a i Home improvement Con license#(if applicable) Construction•SupervisWs License#(if applicable) 7 YM LWorkman's Compensation Insurance Check one: I am.a sole proprietor _ N 0 V 2 2 011 . �t am the Homeowner I have.wod=4s Compensation Insurance TOWIq OP BARR\ISTAB E Insurance Comp arty: atne C e v/0 eA� ccnP CAsv4 �f Workman's Co Pots # N:L C-C.L'jWA U Cary of Insurance Couaptia,ace C:ertia"te most:accompany each permit. . Permit Request{c}tecl.bck) Q Re-roof{hurricane nailed)(stripping old shingles) AU construction debris will be taken to Re-roo {hx�rrtcaute nailed)(no stnpptug Going over existing Iayers ofii�ofj:: Re-side #of doors Replaiiement'WindowsJdoors/sltders U Value 3°� (mwd.mtm 3S)#6fWindows (ve Ilfa("4Vhert c uir�f Issue at flits peiiTattt dues not ea co a�.K.:.ant . n 3 6 whafl=loom� caia�ie Fzsazc,GoneaYcn,eft. I I.TMOerty.1er i00 sign.Propefrfy Ctw 60 Letter of Permission; A opy Hoare Imprrovement CiDntrsctors Eocene#Cons rtrc6o t Supervisors License is. SIGNAT11 . : [~tUse�sldecmi 1A lu Ri 'mdawsS e#sgic ary'i�temet Fite$kcontmt.ouoo4'1t DV87AAZt 'iESS doc Revised o721.110 The Commonwealth of Massachusetts. Department oflndustrial Accidents Office of Investigations 600 Washington Street ' Boston,'1L 02111 ivww.mass.gov/dia Workers' Compensation Insurance Affidavit: Bnilders/Contractors/Electricians/Plumbers A Ucant Information PIease Print Le ibly Name(Business/Organization/Individual): . -Address: /p 2 cc/7d v1 City/State/Zip: a fyi f/'`l D A�L3 J Phone.#: 5 ,?' Are you an employer? Check the appropriate box: Type of project(required):. I am a employer.withf= 4. ❑ 1 am a general contractor and I employees (full and/ part-time).* have hired the sub-contractors 6, ❑New construction 2.❑ I am a sole proprietor or partner listed on the attached sheet. T 0 Remodeling shipand have no em to ees ,These sub-contractors have . P Y 8. ❑Demolition working for me in any capacity: employees and have workers' comp. insurance T- 9- ❑Building addition [No workers' comp.insurance p required.] 5. ❑ We are a corporation and its' 10.0-Electrical repairs or additions 3.❑ lam a homeowner doing all work officers have exercised their I. Plumbing repairs or additions . myself. [No workers'.comp. right of exemption per MGL 12. Roof repairs insurance required.] t c.152, §1(4),and we have no employees. [No workers' 131KOther 1 wino o a� 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 anew affidavit indicating such.' tContractors that check this box must attached an additional sheet showing the name of the subcontractors 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 isproviding workers'compensation insurance for my employees. Below is the policy and job site information.. Insurance Company Name: C �1�1y r1J'elz y 4- Cif 504 L' ,j" Policy#or Self-ins. Lie.#:/�(.l}�C 7 3.Za Expiration Date: ,� d/ Job Site Address:, �� f���Ul4 Q.V tk Q. tt '' - City/State/Zip: W.•,.1�" I�Nl�po el, Im Attach a.copy of the workers' compensation policy declaration page'(showing the policy number and.expiration 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$1,500.60 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 copyof this statement;nay be forwarded to the Office of Investigations of the D'IA for insurance coverage verification — I'do-here-by-c-er-tify-unde-r-rize pains and penaltie--s of p'e-rjuri�-that-the-info-r-mation-provided-abope-is-ir-ue-rind-correct. Si ature:. Date: ( 261 t Phone#:: Official use only. Do not write in this area,to be completed by city or town official . City or Town: 1' : Permit/License# Is Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town.Clerk 4.Electrical Inspector 5.Plumbing In b: Other' a , Contact Person: Phone#: Client#:47298 CAPIHOM .AC&D. CERTIFICATE OF LIABILITY INSURANCE °6102120�1'"' 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 N AM E: Karen Walther Rogers&Gray Ins.-So.Dennis PHONE 508-760-4630 F 508-258-2230 . (AI., A/C No Ext: A/C,No 434 Route 134 ADDRESS: waltherka@rogersgray.com P.O.BOX 1601 PRODUCER .. CUSTOMER ID#: South Dennis,MA 02660-1601 INSURER(S)AFFORDING COVERAGE NAIC# INSURED _ INSURERA:National Grange Insurance Co.. - Capizzi Home Improvement,Inc. INSURER B: ro Casualty ACE P &Cl Ins.Co Property•lerty asua Capizzi Enterprises,Inc. INSURER C: - - 1645 Newtown Road - - .INSURER D: - - Cotuit,MA 02635 - . INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,' EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - DDL UBR POLICY EFF POLICY EXP - - - - LTR TYPE OF INSURANCE NSR D -POLICY NUMBER MMIDD MMIDD LIMBS A GENERALLIABILITY MPB1075H 06/08/2011 06/0812012 EACH OCCURRENCE $1000000 _15NMAGE TO X COMMERCIAL GENERAL LIABILITY - PREMISES Ea occurrence $500,000 - CLAIMS-MADE OCCUR . EXP(Any one person) $1 O,000 - $1,000,000 MED .PERSONAL&ADV INJURY - GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2.,000,000 POLICY PRO- LOC.. - _ ." $.. . . JFCT AAUTOMOBILE LIABILITY M1M28044. 06/08/2011 06/08/201 COMBINED SINGLE LIMIT $ p` a (Ea accident) S00 OOO ANY AUTO u* BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ X SCHEDULED AUTOS - PROPERTY DAMAGE - X HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS X Drive Other Car $ A UMBRELLA LIAR. X OCCUR CUB1076H � 06/08/2011 061*2012 EACH OCCURRENCE $5 000 000 - EXCESS LIAB'.. `* 'CLAIMS-MADE .' _ AGGREGATE $5 OOO 000 DEDUCTIBLE t X1 RETENTION $ 10000' - - - $ . B WORKERS COMPENSATION NWCC45843208 12/25/2010 12/25/2011 X WC STATU- OER TH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY/N NIA. - _ E.L.EACHACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? - - - - (MandatoryinNH) E.L.DISEASE-EA EMPLOYEE $1,000,000 . Ifyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 161,Additional Remarks Schedule,if more space is required) .. - Additional insured status is provided under the general liability when required by a written.contract with the certificate holder CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street' Hyannis,MA '02601 AUTHORIZED REPRESENTATIVE 0198 -2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009109) 1 of 1 The ACORD name and logo are registered marks of ACORD MEE #567537/M67480 ' Page 7 of 7 Capizzi Home Improvement Inc. Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT OWN THE PROPERTY LOCATED AT v IN MASSACHUSETTS. I HAVE AUTHORIZED— CAP ZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING DE. SIGNATURE OF OWNER: I OWNER'S ADDRESS: . OWNER'S TELEPHONE: - LESSEE'S SIGNATURE: LESSEE'SADDRESS: -.. LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS:.-, , 1645 Newtown Rd., Cotuit, MA 02635 - APPLICANT'S TELEPHONE: . 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: i -� ✓iLe't��7;�r� a�rla c�✓r2aQ„cr�ur�r�2 - . Office of Consumer Affairs&Business Replation License or registration valid 3or indi idu!use Only ` = OM.E[PRO �I t=iENI'CQt T`�AC i O, before the_ex�iration date. If fonod reborn to: it 4 Office,of ConsuFrer fairs and Bns6t ess Regulation Ragistratior;_4&.,aJ Typ - 10ParkPlaza-Suite SLJO Exp �J 7 '= 1 :u tome tt CaEcf Boston,INL&02116 Go-tuft,MA 02635 '—�-:� Undersecretary *,3idout signature a at�z:tcltu rti , Dcpa►-tmcnt of Public Snfct} t<r �f iiIdin RcWt hlt, it)tt,,,,ad Standards se construction Sugecviscsr #itRtKn License: CS 74640 w; GARY GUSTAFSO 8 S�N{L?i��//°++WAY ��ryy56y Expiration I Et? 32 TC- 7055 z_ t. , 4 I . i Town of Barnstable *Permit#2 D I`50 VW ,g RVires 6 manths from issue date r7 °^ Regulatory Services Fee • w Richard V.Scali,Director } Building Division Tom Perry,CBO,Building Commissioner X-PRESSPERMIT 200 Main Street,Hyannis,MA 02601 www.town barnstable.maus O C T 15 Office: 508-862-4038 Fax: � 5790-6230 EXPRESS PERMIT APPLICATION - RESIDENYM ONMYNSTABLE Not VaUd with ed X-Press Imprint Map/parcel Number a���r Property Address be , U) t�(y /a &Kesesidential, Value o£Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Al J ( /tw Ty✓ , Ike ul. juafinis 29 Contractor's Name I xS r-- ILL Telephone Number 2Z q Z. Home Improvement Contractor License#(if,applicable) A 7_ j�, Email: Construction Supervisor's License#(if applicable) q`y (v s5 o • ZWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor . ❑ I am the Homeowner have Worker's Compensation Insurance Insurance Company Name t, ✓ A sa; 1 c,�� 1�t S���-u;P;t C s Workman's Comp.Policy# 4 Q 0.o i Copy of Insurance Compliance Certificate must accompany each permit. Permit Requ (check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to 56en dial t_j� ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (Inwdraum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide.detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where requizrd: 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. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: QAWPFILES\F0RMSUstu7dmg orms - . oc Revised 040215 Y7ze Cqmmonweala ofM0M&'chusetts ATarttiaent 0fbI&=idAcddents -` Office ofhvestibatiorzs rr 600 WasluttgtoT4 Street Bastdn�MA 02111 ��"='y �u rnass.a ovldia Workers'Compensation Xnsmance Affidavit:Btuldexs/Contractflrs/Electlie aris/PlmnbEr5 Applicant luformabiom Please Print Legibly f Address- ()I bay Cif/state/zip= rN l Phone - C r�� 0�9� Are pit=employer?Check the approprbte bo= L Iapzx_exaployerw _ a- Iaizi2a neralconcrarandlFeo#project(requirc :_ euployees(fish and/or panttime)_o have birad fae sub-contcze tors 6. ❑New constw on 2.❑ I=a sole prop23eior orpartner- Iistr d on the atn aed sheet 7- Ren odeImg ship and bave no employees These sub-cor�ractors have $_ [�` Demo!Hon oAzh2g for me L-auy capacity- enlp2oyees aid bare vvorken,o b`inddiag addifion vroxken^,'comp-msrEtance Corp.warp bS=ce.•' rested.] S. E] We=e a co por mt on and its 10.E Electdcal repair;or additions 3.❑ I an a homeowner doing;all work officers have emercised their I I.❑Phnnbsng repairs or additions myse'M[No workers'comp. tof exemption perMGL I2 C]Roofx pans ins ce regni'�cLj c.1SI§1(4),and we have ro enralogees-_fNo worms' 13.0 Other camp-zas�ance requ�sLJ t°�JaFPv th=cIc*sbox*I—talsoMouttbes:cicnbeiowshwimgfaeirwoz cs comp p�L 3omeowaei,who submit�is aft-dz�it macatia b 11y moo. S Y�da Qzllwarg. shre out 3ecoatzetoismustsok tanzvzffidzrtindicabgseeb_ �Con4zctorstbat check tLisboxsastaztz hectare atidt3a�a1 sheet shove the9aRl.of the svo aantzctaa mdsazewret�er or�otseeatities save emaloy'eS TPt#te5o3.ct�ooshaveenPlaY +l�Ymustovid:taeswofsers'aorngpolicya , X am an employer that rspratndnzb workers'compensation arsarmrce}or»ry empio3ees: Belmo is the poky=d job site infartrcoxioK ��r�/ Lwa=ceCommany came: `i-o i� Policy#.`or Self ins.Lic. Expir&,onDate: lob SiteAddess: City/StmeJZP: Attach a cow of the workers'carepensaidon policy dechrztxon paye(showhg*e polzaq nm ber and expiration date). Fat a to sesare co verge as rued r Se.^tion25A of MGL t I52 can lead to the imposifron of critt�nal penzltzies of a fine up to S1,500.00 ausl/or on.e-yearimpxisomnem,as we)l as civdpenaxes in the form of a STOP WORK ORDER anda J`n e of up to$250-00 a day a7g¢tst the violator. Be advised that a copy oftbis st8Z=eatmaybe foraasded ro the Office,of Inves+igadonsoffae,D A.for insurance coveragevexi6cag n_ I do hereby T under t7iepazns andperraTtses ofpet fa y that the£nfbrmadorzpro7Z&d above is t7rre and correct Si Phone Of}ww use only. Do not w7 to in thin m=ea,to he completed by city or town afJz daL City or Tovrn: Parmit/Dicense Tss A atlxorify(circle one): L Board of Heat Z_BmI<r�Depar(ment s-ckyjTowz Clerk 4.ElecWcai Ltspecoor 5.2?iaoobingTiaspecCor 6-Other Cotoa�act Person Phone 9 It FRASCON-01 PAAS CERTIFICATE OF LIABILITY INSURANCE 1 DA91291DDlY2414 rM 12914 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 oolicy(ies)must be endorsed. If SUBROGA71ON 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 (508)676-4349 NpAnE: Ashley Pam r Viveiros Insurance Agency,Inc. PHONE Nc 508-689-2713 iA�.Not: 508324-4553 375Airport Road Fall River,MA G2720 ADDRESS:APaiva V-rveirosinsurance.com + INSURER(S)AFFORDING COVERAGE NAIC INSURERA:Granite State Insurance CO INSURED Fraser Construction LLC INSURERB: PO Box 1345 INSURER C: Cotuit,MA 02635 INSURERD: INSURERS rINSURERF• 1 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER,: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH ?ESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OP. MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERNS, EXCLUSION'S AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1ITSK TYPE OF INSURANCE L� FDUCYWCF INSR VD POUCYNUMBM rMMO� i W "Derr OONYYY1 LIMITS GENERAL LIABILITY l EACH OCCURRENCE S COMMERCIAL GENERAL UASIUTY U PREMISES Eaocalrrentei S CL IMS4AADE OCCUR I MED EaP(A anepersnn) S PERSONAE.&ADVINJURY S GENERALAGGREGATEE S GENtACO -GATEUMrrAPPUESPE'Zi: PRODUCTS-COMPiOPACG S POLIO( PRO LOC S AUTOMOBIL=LIABILMY . C01111INdED ent}S NGL_ .IIT $ ANYAVTO SODILYINJURY(P--p-..rson; S AL L rOS N� AV OLEO BODILY INJURY(Per aJdeh:; S NON-OWNED fPEI2AC D ENT) S HIRED AUTOS AUTOS j S UNL4RELLALW3 OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMSMADE I AGGREGATE S DED I I Rt'rENnON € S VIOWSRS COMPENSATION I X TaRSTAT. OEM AND EMPLOYERS,LIABILITY A ANY PROPRIETOPJPARTNERr2XECUTIVE YIN WCOOS930601 9MI2014 912612015 E.LEACHACCIDEUT S 500,000 OFFICEFUNIENIBERE<CLUDHD� (--� N!A �._ (Mandatory In NFQ E.L.DISEASE-EA EMPLO.-rEa S 500,000 IfyyeS aesvlbe wrier DES�RIPTIONOFOPERA-IONSbelm E DISEASE-FOL'CYL7vIT S 500,000 DESCRIPTION OF OPERAMONSILOCATIONSIVEHICLES(AttachACORDIQ1,Addleonal Remarks Schedule.ifmorespacelsrequired) CERTIFICATE HOLDER CANCELLATION SH OULD ANY OF 71H E ABOVE DESCRIBED POLICIES B=CANCELLED BEFORE Town of Barnstable Building Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IR 200 Main Street ACCORDANCE W17H THE POLICY PROVISIONS. Hyannis,MA 02601- AUTHORED REPRESETCrATn/E tea. . O 1988-2010 ACORD CORPORATION. Ali rights reserved. ACORD 25(2010f05) The ACORD name and logo are registered marks ofACORD Of of Consumer Affirs aed D tress.R.eg-vaf-on l4 'ark Plaza-Suite 5170 3ostop,Nlassachasetts 02116 Home Inprotiemeet Cimtacfor Reg of om Recft�rmffcn: 112 B ;ype: DBA E 225en: 3/23/201 i T r= 2ew-07 FRASER CONFS T RUCTIOIN Co. DEAN FRASER P.O. BOX 1846 CO T Uii, MA 02535 Upa2te Address tad:ecaz a card.YYs k rmsoa for"x�e sce.s 4 =cMosn; ❑.Address Renew2l 0 Tsralo_=z-.t Q T.os:C=-d ��ie�pro�.o�er.�aclGE��/l Lz�uxeQ� _ OfBcea`Com er azrs So�aaasR�*-�8oa 1.2ce=orse-gisfx�onvaW4-brir&i idial use only orm&1lL�ROVEmaii'CONS TACTOP, beforetaetacpi vd5w dam iffomd retzau to: on: 1-12536 Type_ OM me of CD=merAZasrs sad]Basntess llf, ioa Fxp s-a ' •3123/2Q t7 D3A 10 P2rkx'Yara-Suite 5l70 - Bosbon1MAi1L1>;6 S=R CON STRUCZION C.Q_ ; DI EkN FRASER 104 e rALMOUTfi MA 0253E 'Umdenoe--Y bfotv3l4d oIIts-t di ae ? s iMlassachusat -�V�aa,:�;2n:c ruciic5ar_:r Construction Supcn-kor r CS-097668 DEAN C FRASER 104 TWWN VIEW EAST FALMOYJTH-MA';02536 Ccrr is;rc;,e•- OW0712017 Fraser Construction, LLC 31 Bowdoin Rd. Mashpee, MA 02649 Email; inWfraserconstructioncapecod com www.fraserconstructioncapecod.com y FAX 1-508 42,8-0123/ PHONE 1-508-428-2292 , 112536, CS#97668 HILL# c PARTIAL RE=ROOFINGPROPOSAL ISDate NameP.�CIayton .. .w.. �� Email �£ `' pcclayton@comcesR.net Phone .T 508 771 6784 R n ,. Job Address = 87 7th Ave, W. H yannis ort FRASER CONSTRUCTION hereby proposes to perform the following servicesm a neat, professional manner m accordance with,l e,mar ufacturer's specifications;and local--'building code. 4ll.` k INA kV , All shingled portion of main=roof: CertainTe"a Shin le O .bons rs ° Goo- x Better' ' Best Shin less" Landmark Landmark Pro Landm*ark TL Al ae Resistant 10,r'ears t; 15; ears 15y ,ears Wind Warrant 13",MPH 31 A30 MPH 130. 1VIPH Wei ht/s uare� _ 240 1bs 260-270-1bs = 305 lbs Shingle design r Two-Piece Two-Piece x Three-Piece k Color Palate Standard - �Ma-,.Definition, ; Max Definition x � .. Valleys } s y{s Closed cut r { ' `:r Closed cut '1 j Open copper Investments,» k '$4295 ,xk , `$.4'',750 , �$7,595 * All above shingles quoted uizth=CertainTeed„50 year non prorated 4-Star warranty x .Shingle Selection: �'� Initial:_. ) r Siding: - White cedar siding above roof line including ice and water barrier run up vertical wall under 16oz red copper. - Price includes 2.front facing cheeks, back left side cheek with siding to ground in trouble area, and back right side partial above window. Price: $1,995 Initial:q rC Skylight: Back small skylight replaced to fit current opening with Velux C04. Skylight Options = ry Good Better y , Best Skylights yFixed Manual Venting ti°Venting Solar . i #.. Powered Glass Tempered' Tempered d_ Clean, quiet Low-E Argon Low=E Argon Laminated Safe. Gas filled' Gas filled Glass ; Factory Pre finished Pre=finished Pre-finished-_ Interior White White White Extra -Operating Hook -Integra.Control Features White insect -. Pad f..,,; s =.M. screen -No handsiran r.; sensorf Factory installed r µ solar° ower blind Investment $i }150 $1,495 ;$2;450 =$735 tax credit $1,715 after credit fi"lk Skylight Selection: 7 �Inrtzal: P C' C ' *All units installed with 10 year No Leak Manufacturer's warranty and lifetime.labor guarantee from Skylzghtsof.Cape Cod ` Additional Options I - Add Factory Installed Solar Powered Blinds to Fixed or Manual Venting skylights , y Price: $495 each Initial: J - - 30% Federal Solar Tax Credit($148.50( Total Investment after.Tax Credit: $346.50 each - Add Laminated Safety Glass to Fixed and Manual Venting Skylights Price: $95 * Please note that the 30% Federal,Solar Tax.Credit is only applicable to Solar skylight units and Solar blinds. The aFederal,'Tax Credit is credited to the homeowner when'he/she submits their taxes at the end of the year. Federal tax Credit is contingent upon Federal Tax eligibility Please consult with a tax professional for.more information on solar tax credits For mere information on Federal Tax Credit please go to www:veluxusa:com" u Skylights installed:with Velux Manufacturer's warranty for the duration of 20 years on the glass`10 years, NoJeak Warranty fonithe unit and b years on blinds and controls..Sun Tunnels installed with Velux'Manu i:'turer's warranty of 20 years on the'`reflection-enhancing material on13the unit. Ironclad, Lowest Investment Guarantee Any contractor can price your,roof for less by cutting comers and utilizing cheap ' materials and unskilled labor: It's important to`know,what is and isn't includedin the roof you choose for your home. You don't want to beileft with an inferior,roof built by an untrained labor force. That.'s why Fraser Construction offers the Ironclad,,.Lowest ..., Investment Guarantee Nof,only do you receive a state-of-the-art roof buid l y highly . skilled craftsmen;;you als&,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 prcces,for he knows what his product is worth "5 PAYMENTS ARE DUEJIMMEDIATELY AF"i'ER JOB COMPLETION. 1/3 initial payment, remainder to lie paid upon completion Payments accepted are: ' CASH= CHECK- MASTERCARD-VISA AMERICAN EXPRESS *Any payments not immediately 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(l) 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,',-'lywood. If needed,-this would be charged for as an extra at the rate of$6.00 per,panel including Materials 8s Labor. There are 6 Panels per sheet of plywood. Possible Extra -Any rotted or`otherwise deteriorate boards 1�, , plywood sheathing, lead flashing, or other carpentry needing`replacementwill be done and charged for as an extra at the rate of V5.00 per hour, plus 20% mark-up materials. FRASER CONSTRUCTION guarantees the labor for LIFETIME ofRroof. FRASER CONSTRUCTION guarantees the shingles against Blow.Offs for 15 years. f . 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 = " zF Any deviation or alteration from above specification i ll be executed upon written K,: orders,and will become an extra charge over and,+above the estimate. All agreements ' contingent upon strikes, accidents or delays dare beyond,our control. Owner should car necess carry ary insurance upon the above!work. We if not accepted within thirty days may kifhdraw this proposal. �J^ vis k FRASER CONSTRUCTION, LLC: Carries;Workman's Compensation and Public Liability Insurance''on'he above work,:;certificate.available Apo req st. DATE OF ACCEPTANCE:, V 2C1 h o Homeowner ` Fr as r Construction, LLC " 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 roddeck. . Supply & Install- Ice & Water shield Waterproof Underlayment System (3ft. on eves and valleys, 18"'on rakes,walls,x d skyhghts) Tc6 and Water Shield is a self-adhering :roofing underlayment used on critical roof areas such f i as eaves, rakes, ridges, valleys, dormers and skylights to protect roofing structures°and mterior space93from water penetration caused by wind-driven rain and icedams. Supply,&Install - Surround Underlayment (A Typar-Brand) A smart`='alternative to felt, 1 is.water's toughest opponent, creating a second ary=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;Ix, synthetic polymer material that will protect your hone against moisture intrusion.;'' Supply & Install- Certain-Teed Swift Start ' ^y Withaelf- adhering asphalt starter course on,all eves, and rake edges., CertainTee&iequires this product foraIr tegrity Roof Systems and,upgraded wind warranties Supply & Install-:EAluminum.& Neoprene.;.Soil Pipe Flashing Supply & install- CertainTee&,,,Ridge Vent Y ri. 'i High performance ridge vent.wrtli external baffle. Supply & Install - Pre-Cut CertainTeed Hip4& Ridge shingles Shingle Ridge meets the'hip and ridge accessory' requirements for the CertainTeed lritegrity Roof System which is comprised of underlayment, shingles, accessory products and ventilation 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. I Town of BarnstableBuilding Post�h,is CardSo:That�it is Visble�F.rom_the�SLreet �A roved�PlansrM�u'st be Retained,on;aob an`d this Card MustAbe.Ke t MASKPosted�ntll�Final'Inspection HaseenMatle ' = �'rpPermit Whe�re�a C�ificate o�#�Occupancy�sReq�wred;�such�Buldmg shall Nowt be�Occupi d:�nl a Final Inspection has�been made F Permit No. B-18-460 Applicant Name: todd leduc Approvals Date Issued: 03/08/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 09/08/2018 Foundation: Location: 87 SEVENTH AVENUE(HYANNIS), HYANNIS Map/Lot 246-149 Zoning District: RB Sheathing: g4 Owner on Record: CLAYTON, PAUL.0&JACKLYN B 3; z Contractor Name:' TODD LEDUC Framing: 1 Address: P O BOX 709 F 2 �,,�1 Contractor License CSSL-106019 WEST HYANNISPORT, MA 02672 = Est Project Cost: $5,000.00 Chimney: Description: Air sealing and insulation of kneewall slope,crawlsf" and Permit Flee: $85.00 common walls. Insulation: i Fee Paid $85.00 q Project Review Re t Date 3/8/2018 Final: ' y : g i 'Plumbing/Gas Rough.Plumbing: § Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six,nonths a ter Issuance. All work authorized by this permit shall conform to the approved application'and the=approved.construction documents for which th s permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and strUcctures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road4hd shall be maintained open for public inspection for the entire duration of the .Final Gas: work until the completion of the same. 2,Z 43 " a y " Electrical r r j The Certificate of Occupancy will not be issued until allapplicable signatures by the Building andxFire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing �', 2.Sheathing Inspection u`' £: Rough: -� 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final 4.wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT VL?�'E Final: O Town of Barnstable *Permit# Q S Expires G mantis from ivsuc dale BARNSTABLE, Regulatory Services 3 ee ° - �$ iMASS. ,a Thomas F.'Geiler,Director AP D �w Building Division � S PER �� Tom Perry,CBO, Building Commissioner 200 Main Strect,Hyannis,MA 02601- JAN. 5 2004 www.town.barnstable.ma-us Office: 50 4038 Fax: 508-790-6230 f&-iN OF SARNSTAB EXPRESS PERUr APPLICATION RESID-EN IAL ONLY Not Vulid without fed X-Press Imprint -- Map/parcel Number . Propert dress=d' y� / 1_(_L�G1 f'1 0.46 Residential Value of Work minimum fee ° 5 of $2_.00 for work under$6000.00 Owner's Name&Address Contractor's Name / 1� Telephone Numbe2J - Home Improvement Contractor License It(if applicable)_ Construction Supervisor's License It(if applicable) Workman's Compensation Insurance Check one: ❑ I am a sole proprietor - ❑ I a he Ilomeowner I have Worker's Compensation Insurance Insurance Company'Name,y/ - Worlcman's Comp.Policy 1f�l Copy of Insurance 1 oOmpliance,Certlfacatc mast be on file, Permit Request(check,box) Rc-roof(stripping old shingles) All construction debris will'be taken to Ej Rc-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.c.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. e Improvement Contractors License is required. SIGNATURE: Q:Forms:cxpmtrg Revisc071405 t The Commonwealth of Massachusetts Page 10 of 10 Department of Industrial Accidents A ! Office of Investigations 600 Washington Street Boston,MA 02111 www.Mass gov/dia Workers' Compensation Insurance Affidavit: Btiilders/Contractors/Electricians/Plumbers Applicant Information �-- Please Print Legibly Name (Business/Organization/Individual): PA U�-- J ' L2 z e 0,V�� E -fins rR 0044/J (r-_TjV L Address: 10 31 1 Y1 S`� City/State/Zip: 5 U 1 eM A021n S S Phone#: So& y 28 - l I ^I-I Are you an employer?Check the appropriate box: Type of project(required): 1.,S I am a employer with V2— 4. 0 I am a general contractor,and 1 6. E]New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet 1 7• ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. workers' comp.insurance. 9. 0 Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its 1011 Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL I I.❑ Plumbing repairs or additions myself..[No workers.'comp. c. 152, §1(4),and we have no 12,1K Roof repairs insurance required.]t employees.[No workers' 13.❑Other 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 their workers'comp.policy information.. I am an employer that is providing workers'compensation insurance for my employees. Below is cite policy and job site information. Insurance Company Name: p Policy#-or Self-ins.Lic.#: Expiration Date: Job Site Address:_ 42 L7,-z t 1V / City/State/Zip: ` Z Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration 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 certify and the pains and penalties of perjury that the information provided above is true and correct. Si attire: Q Date: 1 Phone#: `O� Official use only_ Do not write in this area,to be completed by city or town official City or Town: PermitlLicense# 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#• Property Owner Must Complete & Sign This Form If Using a Roofer / Builder. I (print) as Owner / Agent of the subject property hereby authorizes Paul J. Cazeault & Sons Roofing Inc. to act on my behalf, in all matters relative to work authorized by this building permit application for: Address of Job P,7 Signature of Owner Mailing Address of Owner Telephone# 2,1 Date 1 (Please return this form to Cazeault roofing along with your signed contract;.It is needed for us to obtain the building permit required by your town, to complete your roofing project, thank you) fax#508-420-4555 Boar o u1 in e ula ons /an�Mnar�s g g One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Imvrovementt' ontractor Registration - _ - Registration: 103714 Type: Private Corporation Expiration: 7/9/2010 Tr# 269847 PAUL J. CAZEAULT & SONS, INC Paul Cazeault :---. _, ----_-- _- 1031 MAIN ST 7 ----------- — OSTERVILLE, MA 02658 Update Address and return card.Mark reason for change. 'S-CAt a 50M-07/07-PC8490 Address ❑ Renewal Employment Lost Card Jt/Le �/G�7L7/Z0�26(fC2GGlt O�✓I�GQ.ddp�[6P.�6 Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: IF .. t��: =-�Registration: 103714 Board of Building Regulations and Standards Expi!ati.on .779/2010 Tr# 269847 One Ashburton Place Rm 1301 -„ Boston,Ma.02108 TyP:Private Corporation PAUL J.CAZEAULT':&s- . SONS,INC. Paul Cazeault gkBET6W-ui din e ulat�ons an t g g an ards a One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Construction Supervisor License = License CS: 26325 Restriction: 00 4`' -— Birthdale: 10/20/1959 Expiration: 10/20/2009 Tr# 6311 PAUL J CAZEAULT 1031 MAIN ST OSTERVILLE, MA 02655 - - - Update Address and return card.Mark reiison for change. DPS-CA7 ❑ Address Renewal .Lost Card i y 50M-07/07-PC8490 �-- -�—�..— .... � . . ._ i i� �- ✓1'ae ZJovnmw�rrtaea.�i ✓�Gadvac�i�.cae�tb as Board of Building Regulationg and Standards Ar Construction Supervisor License. µ License: CS 26325 x. Exprratfon D/20[2005 Tr# 6311 iM 17i� �'�° Restriction 00 PAUL.J CAZEAULTJ`= ACORD„ CERTIFICATECIF LIABILITY INSURANCE " CSR oA CAZE.Pi-.5 5 08/11108 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE GERTIFIWE MacIntyre Fay & Thayer Ins Agy HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 77 Accord Park Drive Unit H-1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Norwell MA, 02061 Phone: 781-261-2000 F'ax:781-261-2099 INSURERS AFFORDING COVERAGE NAIC# INSURED j INSURER A: Affierican International Co. INSURER B: j Paul 3 Caxeault & ; Sons Rogfin - Inc- IINS URERC: 3 1031 Main Street ;INSURER D: Osterville MA 02655 .1NSURER.E: j COVERAGES _ 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 CONTRACTOR OTHER DOCUMENT WTH RESPECT70 WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRIADUi PVLi(;Y EFFECTIVE.I POLICY-XP! TION LTR INSRLI TYPE OF INSURANCE POLICY NUMBER DATE MM1DWYY DATE .MD E - LIMITS GIENERAL LIABILITY s FACH OCCURRENCE S- ` .COMMERCIAL GENERAL LIABILITY I i ,PREMISESSEB occurence)_ $ I CLAIMS MADE OCCUR! MED EXP(Any one person) is . PERSONAL$ACV INJURY ;$ GENERAL AGGREGATE !S GEN'L AGGREGATE LIMIT APPLIES PER: i PRODUCTS-COMPJOP AGG 1$ ������� � f I j�l POLICY 1 ECT I 11 LOG I- i At1TOMOBkLE LtaOktlTY COMBINED.SINGLE LIMIT ANY AUTO I (I accident) _----- ALL OWNED AUTOS ! �" 1 i BODILY INJURY $ j SCHEDULED AUTOS I.(Per person) i j i HIRED AUTOS I ! I BODILY INJURY —J I 1 NON-OVINEDAUTOS I (Peracc+dent) $ I-PROPERTYDAMAGE. I$ I i (Peracadent) I. , GARAGE LIABILITY I I AUTO ONLY-EA ACCIDENT is j ANY AUTO ` I OTHER THAN EA`ACG- 5' AUTO ONLY. AGG $ r t EXCESSIUMBRELLA LIABILITY I t EACH OCCURRENCE S 1.00CUR CLAIMS MADE ( AGGREGATE -S- i 1 S j�DEDUCTIBLE ! S I RETENTIONS- I WORKERS COMPENSATION AND - r 1 X,TORY LIMITS I ER EMPLOYERS'LIABILITY � 0 A j ANYPROPRIEI'ORJPARTNERJ£XECUTIVE 697B565 8/10/0 S 100000 8 08/10/09 ;E.L.EACH ACCIDENT -�OFFICERIMEMBEREXCLUDED7 I EL.DISEASE-EA1EVPL OWEEj.$'1000 00 It SPECIALes,deSPROV S QNS,helaw it t under E L-DISEASE-POLICY LINT 3 5j00000 I OTHER -I - I I I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION FOR REC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING.INSURER WILL ENDEAVOR-TO-MAIL.030 DAYS-WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL For information -Purposes IMPOSE:NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES- - - AU. OEAlED REP S TAID6&.� ACORD 25(2001108) / ©ACORD CORPORATION 1988 Dowling&O'Neil Insurance ONLY AND CONFERS-NO--RIGHTSUPONTHECERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND EXTEND OR Agency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyanough Rd., PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAiC# `INSURED INSURER A: Western World Paul J.Cazeault&Sons,Inc. INSURERS: ' 1031 Main Street INSURER C: Osterville,MA 02655 - INSURER D: INSURER E: COVERAGES 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 CONTRACTOR 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.AGGREGATE:LIMITS SHOWN MAY HAVE BEENREDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LTB. NSR _ TYPE OF INSURANCE POLIGY NUMBER ._DATE.: M D•-n+:....__DAT:MMIDD _ LIMITS - A GENERAL LIABILITY NPPI145484 04/30/08 04/30/09 EACH OCCURRENCE $1 000 000 --DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY $60 00 CLAIMS MADE Q,OCCUR -MED EXP(Anyone person) .$5 000 X BI/PD Ded•1,000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE $2 000 000 GEN'LAGGREGAT.E.LIMrr.APPLIES.PER PRODUCTS.-COMP/OP AGG $1 j000 000 POLICY F1 PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO - (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY - $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident)- GARAGE LIABILITY_ AUTO ONLY-EA ACCIDENT ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $- EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ k OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ . RETENTION $ $ C S WORKERS COMPENSATION AND WY L IfATU- ER EMPLOYERS'LIABILITY ' ANY PROPRIETORIPARTNER/EXECUTIVE E.L.-EACH ACCIDENT OFFICER/MEMBER EXCLUDED? EL.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E-L DISEASE-POLICY LIMIT -$ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS AbbED-BY ENbORSFMENT.1-SPECIAL PROVISIONS- Operations performed by the named insured subject to policy conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Paul J.Cazeault&Sons DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL __1.0 DAYS WRITTEN Roofing,lnc. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 1031 Main Street - IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Ostdrville,,MA 02655 REPRESENTATIV€S. AUTHORIZED R RESENTATIVE �.- -7L t ACORD 25(2001/08)1 of 2 #52027 LS1 0 ACORD CORPORATION 1988. ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' Q Map IL�� Parcel Permit# Health Division. 4�00 �� Date Issued Conservation Division R Application Fee Taz Collector Permit Fee 08. :Treasurer Planning Dept.' EXISTING EPTIC SYSTEM Date Definitive Plan Approved by Planning Board #OF BEDROOMS Historic-OKH Preservation/Hyannis LIMITED TO Project Street Address 1 ri S e_va,.-kL. Aue- Village �' .r.t Owner C •1- .4i Address 504VL�L Telephone ''I'le - C•`�' Permit Request LFb «, ,44 -zip Square feet: 1st 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 El Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name 21,Ex I. j [c "4e-n Telephone"Number Address 5eAjt1,k . tt c•� License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ' DATEY ! joy FOR OFFICIAL USE ONLY 7 w PERMIT NO. - DATE ISSUED y MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL j t- PLUMBING: ROUGH FINAL GAS: ROUGH rt"► FINAL W FINAL BUILDING 0 0 rn tj DATE CLOSED OUT • t .i ASSOCIATION PLAN NO. 04/14/2005 1�3;3S 5027300509 I_1i.TF TP.JC PAGE 05 --- The Common of a a5st chmens Department of'IndtastraalAcciden& 6✓1a Washington Street Boston,Mass. 02111 Worlters'Compensation insurauce Affidavit name- i city i r_ _ nhene I I am a hooleowner peorming all worm lt;yaelf. — LL I a soli proprietor and have no one working in any capacity ® 1 mtB an employer providing workers' compensation for my employees wonting on this job. U' . UtltiE'Cdn.re 'T4n�t & Pa'rty, IriC.INJIS ..:.. d 1 mer,i s n Wd�r jpaafranes:ca ! 1 Granictt.e State Ins Company UlPlliey# WC;990610 t am a so{d0,proprietor,g"eml contractor,or homeowner(circle one)and have hired the contrutors listed below who have ;the following workers'compensation polices: I - AJ i l>allY'# phone#: Failure to Meare iiaverage as regnired under Seal ae:SA of:`1IGL IS3 can lead to the im position of criminal penalties of a One up to 31 00.0e and/or onp ye®rt'llnpriaii.ment 27 well as civil penalties in the form of a STOP WORK ORDER and a Rae of S190,00 a day agaiust me..t understand that a i copy aFtnit State fflcfit flay be forwaY, ed to the 0Mte of InVestiltaxions a 'he DI for coverage veri ilea do%. I d e hereby cenr judlo.0 the pain a penalriey dj perjury Ihair I&infarmarivn provided above is Ime and cOrra[L.Re Date ...._._ _._ _.:°.. Frint tltlnlC_ ;i'A 7- i , It ---_ phone*4 Sd?H R=a Cl{1 f1 official use aniD{ do nutwrite in:his rRa is be otropieted by city or town oiRciai l permit/ticense.# -MvIlding Department [3Llcanelnp Board cheek if imitltdlate respon>a is reguiet-i omecimcp'a Office CHeaith'9epar^tment Mullet Mowed —. �—_ � phone e: 4MAM.Jne 01.411 ,I r AA .. _. ul JL Qlfratncluft do, A tome- FMANUFACR�URL] IST D D . AMUCffWff NUMBER NORMITOLLYWOW. CA - ° d lop a Is to f descolbed home be4m fftino retwdamt'.. FA STATE. - - Ceftiffe."on is hereby made # #�: fabft or a CaRfornft e Ltarshol. Trams namof fisuoqc=uw hbm air �MW name s t RolLo o v . A , �.�.. t ; catot Flame R"sbont inis yagy q����y�p S ..4.7�LC.IiB'31n89 LA4 C- Ny yam¢_ ♦e 1 _� i a k (flerfificaft Of 11twu &5isixtut W �► Issum a y DAIM CW MANUFACTURE APPUCAYMN CEMML r ® n NORM HOLLYWOM. CA ® � Vol This is to Oeft"tibm the nmtodaft descrUbed hmm been ftme retanlMt t1MOftd (of' s are Inherently a e). ► � H FOR . A ►. CfYY . STATE - ► Certffkafton is hemby made that ► The andafts d"=ibed on this flacaft labft of meNgemd and by fte of CuRforoft Fbv MuraftL R; a � � Tt1dT�tow Md weigmof wwa hw Un 1 5X3'0 r lob. *� n u: di a of AppgWor of Flame Resis9c nt FiMsh 4 , ► LO CD 001"Y=r M3WdWWWL ► fK, ®. c � .71 � -r - r +. Off MMMMINVO I tt P 1 I r IA CL Uf iftame X"I �5 REGISTERED ISSUED 8v FABRIC Dale :e a NUMBER TOPTEC, INC. rtanu#a�wad ^` _ • 1905 N.E. MAIN ST. F'19 i SIMPS€ NVILLE, S.C. 29681 r -v APO g; .4 1/9195 This is to eertrty that the materials described on the obverse side hereot have beep flare-retardant treated(or are intwently nonflammable). FOR UNDER-OVFR TENTS 80 MIDTECH DR UNIT 3 F ADDRESS � _ CY W YARK'OUTH _STATE __ per.—.__ 0 26 73 Cerfificasfion is hereby made that. (Check "a., or „b") a.> (a) The articles described an the obverse side of this Certificate have been treated with a fia.me-retardant chemical approved and registered by the State fire Marshal and that the application of said chemical was dame in conformance, with the laws of the State of California and the Rules andlia,x Regulations of the State Fire Marshaal. Name of chemical used.........---------....... .................._----------- ----------Chem. Red_ No...___ Methodof aapplicaatior.............................................. ............ ........... --..__._..._.__..._.... (b) The articles described an the obverse side hereof are made fro ze a flame-sesistant fobtic ar materisa2 registered and aapprored by the State Fire Marshal for such use. The Flame Retardant Process Used WILL NOT Be Removed By Washin L„. TQPTEC, INC. SERIAL# _9 5{D 7l--' cJ,�;na of fradualiorr$e�g�rinrrvea4avet •-----._.__..._.._._ €4 gJ2905 50879 07E09 - UCTF ?I'JC PAGE 04 Rimy-'a -4�$- 11 :30A - � r ..r. INSURAN jar as THIO cawnivIQAn a ,a"A m&rr[R or 111i GMAT" I OMLV AND COR1 ONN *0 WOMTi UPON THIS C4111w"Tt mashed %dtAPuranco A9440y, ZAC. MtiLO�• 1"11 CfMWWATW AFW r WTTH ti m[t10e W I Gst�rviX1 , DRA. 02665 j 505-11�0-9�II i o�ta>�o _ 1Nif01t�Afpf3lRDi11$i10V�l11�09F lNiliNkti undo, rover Tent R P4wt . Sua. T iwruf¢Rr w --------- afir+lRi:i►Y. 7awr�wuR �t6 Maiarwelf iYr1�4o9P' 31 #jmqwi430u WAy V!jcit&Q.- Dqu�h D"Ini.il. D p�65G rfiwuaufTo Tar PCL CIES CT 1">IWANGt L*fL'C 140ft xAVff agcN*$LAID TLn r"i fiasvAeQ WA1410 AWI 000 THE WOV VtPdOt IS*4;A1WaJ NOT7Wlt0a�TA��i ANTI PtE�A,riVAt P�Nt� Gib CJivCi'ICN OF ANY CCNdtaRAC?d�Of4LIA DOCi� M"I bWTN RaSpECf f0 W MCWTWlt ttWiFCATE MAY SF R.0 CW bdAa'i EtaTA1Ri,THIS�4:E/ef6�]it81�� 6►1 tG41s�W AL`CI�6W F ik sat iVt JffCT T A L TKB TRR�+$,$uGa u6lArvi "MON6 of t'A4M � �lCfE3.4�6R `T��f�a�f9 'ta!�e4�wwwv�tCffEtV9R1,�vC�t�O�'p�€A,l?affi - ------ + i f►�.i� w ��Itis C:calEillCLAL U*NRAAl LANUIT 1 ,6}AfAi -ACG EA.4USAA�OR%P 9YM IOai i Q �+ AGWNJVPV o �,oao,00e lmo Of-ov".•OciittAAf@ uMi,AWUzSM6R'i P RoftC%-eft#*PA" i i- -AUTVK*t..AOkl�" 1 i gott+Ip�oor�iE UAVI 'S , i hN'a�TC� � i f ill I I �y ' �{M� OF.�4AR I�p{�prtfWiVitr 't 8C►R9 jLtU At.fQ6 �• ..� - � piITQUiKY fAACGICiNY Is CAACC.R 4 ixCAaRr� AfeRf VOL,twoi- :N 6Lt1Rt�l6l 4 - a' '•IICYCI9`IdM t ! u NIEC081�M9wtfRMAwD twjqAmka,. ttv 1 r� � wY • t,000�000 wn sWp►tl�tfo�tf�Nlruesu+Mt � w ,w.Arwweoua�e.w�a* ♦ 9p/�3.a0 - ; 6+�/1510` � "3401g109 v► ooiataK,FA$uwimvR 14, MIIAM OItCTM1hdlr t 00 c� s�i� �riaae� ! 90007A�ia osllvQ4 ,I 05/15/01 !?onto 4i mattwialp tl 4vf i �' :rorJw:LRIs E�IC!.u9arvROQtUi`r� uc;f l +S j 'M.IVATR AOM0t7CZATIOM L LAM ! 1 U10hW AYr w TN6 ABM 2Ygf:4414004,1CCt 09 CAai=i W MGCM TAP F~1100 pAYe TmtAgop 9Hg 1i4Wi"miiYRlJ4 W" go"ANORTC "IyIL VAY!{NNIWL'4 . ! [dGTK��C liar CiRTM,fJYR ii XM{I"l TO Tt4 Lbf T,4S,T fait VAe TOM 86 iMtl tMPtl6R MO®pygt�RYtp'N 4� L AWU n V W ANY iUN0 VM*i/A I MOW.a,i t AUN VI tlA i MYA!wi4• 25 r To V --1 Date Time�— 1 WHIL YOU WERE 01 IT M of Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL M888a9e a Operator AMPAD 23-021-200 SEES �JL] EFFICIENCY® 23-421 -400 SETS CARBONLESS The Town of Barnstable BnBNs rABM • 9� 116 q Department of Health Safety and Environmental Services ArEDMA'�a Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR 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 dwelling 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: ��.Q \ Est.Cost �Q,L1 ,S Address of Work: \ ja:Lti,p A Owner's Name R1� pp Date of Permit Application: t I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. 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 PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES Tgenof I hereby apply for a permit a e owner: f, Date Contractor Name Registration No. OR Date Owner's Name r The Commonwealth of 4fassaclr#setts Department oJlrrdustrial.9cciderrts Office Of1flVMfgations 600 11 ashinrton Street +" Boston, Afass. 02111 ' Workers' Compensation Insurance Affidavit ----,-- -- --.--- . . . -• Please PRINT legibly..�............_..."�•..�..+.•..,.�:.�--••-- �rplicant information • _ b =.� • m c • J!v nhone# I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working; in any capaci tY t ._. «!A..vww' .+w^�av-:`T,^`•S - 9•!'.�,7i�ewr.trw�7{1Cs!'^f*T�6+'f.16'�...�„'^ga�'�rT" . ...:::_ �`+F�_�^�.�.�,,,,,,,,�'.^r .� 1...._ '.....�...1.. - -- ._rt,.. �...•.wu�r_..___V+" S.a1..Lt'i:M.�..,._. .i7y,�.L _.., ...au.::JJv .�� •�. I am an employer providing workers' compensation for my employees working on this job. om in v name: �ddres - City: t?J.l�_/V� :n 11hone#• 3 l•"I '�"f S(S • insuranceCO. lie # �..�.�..�.�M..•...•�.�� ��. I am a sole proprietor, general contractor,or homeown (circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name- address: ch phone#• insurance co ---Y- '.�..f:::- -..`�.•C:_.. -Z'.:�'-rt_ "_ _ ��.-T--rcbT-I'�.C�'7`..•f� .S1.F' T,R.. _ .��.a:^i:or4-..__�.a.:..�� company name: address• cit phone#• .insurance co, nolicy# .-..,.._._._........'.'.._..._..._—.--:-----• --•-ram+---- ..,:?'��._--�*.M,:;--.--- .Attach additional sheet if necessa 5.:: ' Y.�::4.-�`� s!t"'r`'T "+`••'• � �£' ^- �:_ �7 __ •`. . ._.,_._y �„��e„y.;c s:rs Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one%cars'imprisonment a• • as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this Staten] v be fo yarded to the Office of Investigations of the DIA for coverage verification. 1 rlo herehr c• ift•t title the pains and penalties of perjury•that the information provided above is true and correct. Si_nature Date-! ` tie d o Print name +, ••= Phone# 35 Lf rci ficial use only do not write in this area to be completed by city or town official ty or town: permit/license# r 1fluilding Department Licensing Board O check if immediate response is required �Sclectmen's Uftice ` 011calth Department contact person phone M. r'IUthcr . (Mined 3f'05 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law an emplmme is defined as every person in the service of another under anv contract of hire, express or implied, oral or written. An enzpl(►rer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more c the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However G17e owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the ' maintenance , construction or repair work on such dwelling hews dwelling house of another who employs persons to do to shall not because of such employment be deemed to be an employer. or on the grounds or building appurtenant there MGL chapter 152 section 25 also states that even• state or local licensing agency shall withhold the issuance or rene++-al of a license or permit to operate a business or to construct buildinhs in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the evidence of compliance with the insurance requirements of this chapter ha performance of public work until acceptable been presented to the contracting authority. _.— _-7--7----�7:. Applicants Please fill in tite workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the cite or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers- compensation police, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding fife applicant. Plea hich will be used as a reference number. The affidavits may be returned tc be sure to fill in the permit license number w the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions please do not hesitate to `ive us a call. _ Tile Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents ,w office of Investigations 600 «'ashington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 k Y Car intimber and footing detail rY 9 a r " 4 g 1)Built-up 2"X 1.0 P T. Southern Yellow Pine,Glued w/PL-500 Adhesive. Galy. fastenersc Column spacing 2) Standard Lally Plates, Fastened Wth ' P .:. 3) 31F TIally column 4) 30"x 30"z 10"`poured concrete footing, with 9/2" re bar'remforcement 9 .Yt x ,v k� '. ''d..' 3' .•:-. - ' a y •. 1`s r rY d !L � 7 e ` 1 ut... 1f V 6X1/� x' 'r: ,. 5 a .kl -•s tl 1 Y �1-..9 'S k,,�' ? # ".' "5'�Y Y. � k ati¢'} Y x55 #4 S f} ♦+ � 2 :t ? Os .(p�(� ' sy x< pt . �e+ ,P ^'' Ok 01 � s � �.5_e ,� p.t � �.� _u v� k'z�. a ,� 7.�,�"* 1 � � -.�� <,F > � .�' �. +.r•{K �' �` � � � ti+...'+t l .... p r,y, s a '" ,4 L x ?✓r Y 5,,;,. 4 %'., �' i'. K v x'l t„ '.t r *. -,,_ .,.£ :..z.. �,t , 1 m. 4' '.-�Y a'� rsn...rt, �i37'Y Y�•�x k4 a. 1,`ck � Y}.i x � .T > .. - �".#rs a .r'� x va $�+• \' i«` 1� A:v-�v F t} ,�: t .Y� S'. 7 z, J iu ', a#t i` � . • . r L .tz � _ sr 9 C � cte -.Seat ..,. � �xcense gr':reg►stratibn valid for individual ilA lisoarr only use Fonly before txpirahon dare 1f kl nd Mores 'return`to:`One Ashburton Place Rm 1301Tulare !.o`possess r $os ` Y }. rent dition ti tie rt ;' a uildie Code uase v ion o Is DEPARTMENT license r ' DEPARTMENT OF PUBLIC SAFETY HOME IMPROVEMENT CONTRACTOR .. Registration 124811 CONSTRUCTION SUPERVISOR LICENSE 10 Type - INDIVIDUAL jeuaber ,, Expires: , is restricted-,To: 00 Thomas J. Florence Eg � Woodside Or THOBAS t IORENCE 132<1i00D$1 E OR ADMINISTRATOR Barnstable MA 02668 j �f Y,BARNOABLE, MA 02668 1 r � r}.,'r sy °'Y�� i Syr'�y ,s,.,,� � `• , _ r^,`a d ... f - '�� s r:`} � � k .. 44. ._.�.�-�.1F 1.. ,�l� .-,IY.:...1_..,___ �_ • a � �.�P�•Q W�. .�, ��1��.1.✓� \Vv1..� ,-�, 4�4�a� »�r�.•r'7.M'+i��� 7 � 4 € � At l f.i. _ . .. I �� n L , 1 �, � .�. ::.. .,..�. _...�..-. �/►_ �� �.`.i,',..1,.. 1/1:�: �+'f�f".. m `�s^ti#.�+{ asyr�l* I 1 , S , I 4 --{_- �.-.__.;1-_..._.«.:.......�i•--_.^-�._ ...1 _-......i--..'-,.�:. I .. ) .. _ .�_ .—il-_..... �ic� R 1f����(fi( _ � I-w-nF i.,.¢ ��" ... �� , M�(I+rh 10✓1 i� (,{�/v�✓ e�& 4i"':1,'3y�m 01 ,,:. ��. -+� .. 71 ok 77 AQ bw � I y 1 #» I ! I a I• �\ 1 �� S. 1 T(GM" `� 4 {��• j t ��� I F _ y, ;�' 1 # . t I .h �...:. 1�__..... ...,. .i.a.-.-,.�....._.-,...4, ..�.,.,w-._...:.,........i,R x �.__..:.... _i'; _.f...r. 4...... 1 ,yj.= ... � .. �• .. I �,I »1.+:�!4. W�" .F`�.�/].�5� °� ��V. �it� � ' '� . x ,{l. .''�' y t 7.:�v5 t 4 ,�,�..�, .m:�..._•,_,,.i:_..:..._._.v-,........__,._.,P...�:.«_....'. _.i. .I I i � ; I--- i i � I -.,--�_ vi —� .•.—i---.--,_. '•-,-`- �. � t W }'i 1 77 �s t- .1 wa r i t _ ,. « � -�.r - 1 '< �tx � P 1�• sr .,dy'' k I .�. I I s t ( 1 rx Mr s:. ...,.,,..;.,,_......_ .-._..y.....-,-.--, .u.. _..,....:..�_ «. � I �. Man# si,e {^>, i �� e « 1.. .� 1 •�� 1 ••� ..� ';i ) # ' r { ��, �lr, It _.i7.- 7 - s.',�'�''...•ci�} at ':';. tl „«eat,.. 4 � s � - � I .I� t _ I ; •*, t II � `�� ' lI 4 F `*r.� r �I } x ��� �.}•7 iq r G, � a sl'i%�'f r�.iµ. i f .l.».. 1 71 � ,- .. - •,�x^ha+ts•;,. . �. 1' ... ..ram +tt _�_.wJ._ _.�� .» -t ._.. ,_ �.._ i�-_..._.�,._. i_.. _I. _—+1.___..i..__...-�_--•-... _._.,_l. t• (f ---r t .t— �j ^+" j �s:--.•.�, }-- �r � 4. � •j -+�—_ _ .—.-I_.._�«.... ... .. -i �_...�+. �....a n.�•-+.«nn- .d Krb $d _X� -• 1 _k._ {__..I' i i :.�_. , t ..`�& n.}-`..'. ;: �-"'"' _. "s 'I:p F x 4 ..} .,f'..,., 1,._....-1 _ - .,-.�n_T..-_.1.. ..{... .�.__ _ •e+ {.:•«..S -.�... ej _ a t -- �., �� `' e�( ' i i i �. I t !. ., i } i 1�� 3 i i 1• ; i'; t �•y'# § >k S...rt� -` ' A 'yw ,,,t•�"s ' �'� _,:;ii w-r-' s Engineering Dept. 3rd floor Ma Parcel �� Permit# � / 9 t� g P ( ) P �yl�L � 1 a House# Date bg Board o ea d o °- f H lth(3r flo r)(8:15 9:30/1:00 4:30) Feed � -4� A isr �� �',t�, .• c�.6, O Conservation Office(4th floor)(8:30-9:30/1:00- 2:00) 3 c �1� '�1 C � �3b°�q�� TO� �®� Bs tHEWIV Alvo `b BARNSTABLE.P ��fD Mpi s`iP . TOWN OF BARNSTABLE Building Permit Application ProjFreetss �! Q LtCn�� - 0, -_ 4—. Cam T, Village c� Owner \, Address Telephone 1 (c, --1 4 n ,,Permit Request i First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ ERD Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 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 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 ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name ,��, c,k _ r_ Telephone Number t.t - ' 5ao Address _ License# C7 V, Home Improvement Contractor# 11 � c p ` D Worker's Compensation# \-Z C.\,1 aGO I `1 7 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION RIS kESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR + DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY 1 PERMIT NO. �\ 1 DATE ISSUED; "_ MAP/PARCEL NO *= e y` f ADDRESS — VILLAGE 1 OWNER of #I DATE OF INSP CTIO s N: f i } FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUM.BIN61 ROUGH FINAL GAS: ROUGH FINAL - 1 FINAL BUILDING, fJ DATE CLOSED OUT z ASSOCIATION PLAN NO. TOWN OF BARNTABLE -11f Wood Stove Permit �TTXE TO Date TOWN OF BARNSTABLE FEE: DAHd9TAn 6 9, MASSACHUSETTS IN Solid Fuel Stove Permit DATE OF APPLICATION ............................................. FIRE DEPT, ISSUING PERMIT ............................................................ NAME (owner) ........... ......................................................... ...................... NAME (Installer) .......................................................................i.............................. ADDRESS ............... ADDRESS ......... ...................................................................................................... STOVE TYPE .............. ... ................................................. CHIMNEY: NEW ..................... EXISTING ........................ Manufacturer ................................... ........................................ CHIMNEY: Masonry ............................................................................................. Mass. Approval 61vt a........),I..0........................................... CHIMNEY: Metal .............V.................................................................................. PA�-1 IL7q/ This is to certify that.the above installer has permission to install�a solid fuel 'burning appliance at the listed address in accordance with an application on file with the r. ...............!....................................................................... Fire Department, sr and subject to the provisions of the Commonwealth of,Massachusetts State Building Code and regulations made under the authority thereof. IssuedBy: .............................................:.........Title ................................................................................... Date ......................................... Permit to install expires 60 days after issue date .........................................................I......................................................................................................................................... Stove ....................k-A- k- --e-)tA. ............W Stove Clearance .............. ........................................................................................................................................................ .......... Floor .............. ...........0.4 ............................................................................................................................................................................................ iy SmokePipe ....................................S.................................................................................................................................................................................................................................................. SmokePipe Clearance ................. ..........5 ............................................................................................................................................................... Chimney .................; A.9 ............................................................................................................................................................................................................ SmokeDetector ............................................................................................................................................................................................................................................................................. The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au- thority of permit dated ...................................................... has: been made in accordance. with provisions of the Commonwealth of Massachusetts State Building Code now currently in effect and pertaining thereto ....................................................................... Installer INSTALLATION APPROVED .......................d.a.te By: 94.)...... ..............I........... Title: WHITE: FIRE DEPARTMENT CANARY: BUILDING INSPECTOR PINK: APPLICANT Assessor's offiop (1st floor); � �� � of THE ro Assessor's ma and lot number ...... ...... Board of Health (3rd floor): ��tt �/ INSTALLED IN COMPLIANCE fO � Sewage Permit number .........EP-7..�:/..f!............ �� �lK r TITLE 5 L BaaNAGL E, i Engineering Department (3rd floor): �`7 rb 9• a� CODE AND House number ..:...............................................................:..... TOWN AEGULAMJ APPLICATIONS PROCESSED 8:30,-9:30 A.M. and 1:00-2:00 P.M. only APPRovzTOWN OF BARNSTABLF blecos'tsormUft m UILDING INSPECTOR no 6afjRMIT TO Ak�......!' �j� TYPE OF CONSTRUCTION ...........UX7�.�''�.........Dd.�.f...............1e `.Gip.-�t. . �,,�......................................... ry «t�? ?..............................19 m TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...8.?.........-7Y.......... vt................w.':. 5l1� ............................................................................ Proposed Use ...... ..... .! O ..C� Q, ................................................. Zoning District .............,.�. .... ...........................:...................Fire District ..dV.,4N.Nt...5 . ...... ... .................................... Name of Owner` �� � TU1'r< .V�...�,. �?..`�� ................................Address ( �............ ! e Name of Builder .q7,...q.........+4✓rti ...............Address ..... .:.. + .............. Nameof Architect ............../��e......................................Address .................................................................................... Number of Rooms ............tJg`!e .......................................Foundation ........ .......`�:.................... Exterior ....................fJ .::.............................................Roofing ��1.'Q'�T .... .. .......................................................... Floors ................... .?�...................................................Interior ..... Plo :A— ........................................................................... Heating .� •.. .`... >... ..................................Plumbing ........ ��......... } ...... �_ y m� Approximate Cost .. ..... . .,..., Fireplace ...........j. ..". .................................. G Definitive Plan Approved by Planning Board ________________________________19________ . Areayi-v .. � Diagram of Lot and Building with Dimensions Fee �j SUBJECT TO APPROVAL OF BOARD OF HEALTH rs-(1vovY� (_ � � li�jCamDp`r� 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 ...1...... ...: ,... .............. .................. Construction Supervisor's License Wk l . ............. ............ .CLAYTON, PAUL C. ; No 31.5.5Z... Permit for . REM;.DEL..INT... :- ..............-Single Fa;CI�,¢ ,y��Aw.e ,-1 ng........... t. Location ...... ...................... Owner Paul...C......Clap.l�.. TWe of.Construction ..F.Ame..... J .......................... ..............' . .... "' r} Plot ... � ..................... Lot .......'........ _ ........... M •X Permit Granted ......I x14is X.y....21 �.'..J.19 8 8 �+ 4 . Date of Inspection ................ .��'..0............. �C1 &: Dat' Com ted ............................ .... 19410 ts {{}tj ji wing jr 4d - T _ ,a -'ti Assessor's offioe (1st floor): ,QQ / p .. 7 �J ./T�. C. �fTNETO Assessor's ma and lot number . .... ....... .......................... .. Board of Health (3rd floor): Sewage'• Permit number .........8` ....... t B,BD9T/1DLE, Q KK T Engineering Department (3rd floor): -t C!7 `, '� M63}9. 0� House number ............................................`............................_ t �FoYPYa� APPLICATIONS PROCESSED. 8:30-9:30 A.M. and 1:00-2:00 P.M. only,, 1 TOWN OF BARNSTABLE BUILDING INSPECTOR -77?/AAPPLIC�FOR PERMIT TO !T ..., L �1�L/liU/2 ........................................... .... .... ......... ............ TYPE OF CONSTRUCTION ........... ? d .......7 r . .............. � 1.1�/ f........................................ s. .......:?.........................19.m TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 'V Location ... !r 5 7- t..%1.........��..........�� ..................G ....... ...3?'� ...J�Q?�.................................................................................. �iiC+ Q, \ Proposed Use .....................' ..... .................................................................'�...�N I.....................;................................... ' . ............................ ..Zoning District I.�. ..........................................Fire District ...... f Y............ 5 . ..y�. Name of Owner c3v�..��. ........ Y1................................Address .:�.�...S.��Zr�. .!✓T-...ST . ....................... �� r. `� J •.r Name of Builder ?/S?f?.....`^�.j-:!....'4'-'...S...............................Address .�.��....(�lJ(° SOr�.....h.�n:e..... .:. .'.!.�.�... .......... Nameof Architect ..............N-4Y ........................................Address .................................................................................... Number of Rooms ............(Jtn1......................................Foundation ........ ."P.......................... ........................... Exterior ...................)lJ� 0....................................................Roofing .................................................................................... Floors ................... ...................................................Interior ....r��..Q, C�L ........................................................... f� Heating (4 E- .> �S t ..............Plumbing ......... ..-7 y.... ...... . ... >0...... Fireplace ).0 I.'l0V. ..............................................Approximate Cost ..uG,..� ... .......... ................ / --- Definitive Plan Approved by Planning Board ________________________________19________ . Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH R ` s �4. r � r 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 :...�,.,�,.(.,.. �� ........ ...... . � C� !! ... Construction Supervisor's License..7N......R.�!.............. CLAYTON, PAUL C.- A=246-149 !14C1 No ...31,557, Permit for .Remodel,,,In, e, for Single Family Dwelling Location ...... 7...7 th Avenue ........................ Hyannisport................... Owner ....Paul. C. Clayton Type of Construction ..Frame ............................................................................... Plot ............................ Lot ................................ January 21 , 88 Permit Granted ................................. 19 Date of Inspection ....................................19 Date Completed ......................................19 ` The Commonwealth t fMassachusetts -- M. :Jv Department of Industrial Accidents li=% ,l . 'r. 600 11 a.vNig int Street Boston,A1ass. 02111 �1'„°"• Workers' Compensation Insurance AlTdavit Ti�`- e ""s���?m'"e ` 'Anlcan nnmat'n PsePfiNle• nme* a t L3 ( � L - f L. 47 v S location• city phone# 1 am a homeowner performing all work:myself. 1 am a sole proprietor and have no one working in any capacity _.- 42'1 am an empltiver providing workers' compensation for my employees working on this job. comae y nnmc: Let-,,,Ltatj 4�ne-� �yr`j� dbz 7 iwtL-.C_t &r), S address: w(r`12 C:�>T-- r. ,......«„ k am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: W. •n cry: phone#! insurance co. peficv if L�` .� 'r•.'-:T::-•- — .:_ rcn'�r..4.:.ar•sr-e+*s�+r,.:.•'cT'K"fT++r'�i� - -- •r'�[%:""'� _ i►:r,`±�+�' .�r3_*�'�`'�^st m v e• insurance co- nolicv 0 :Attach addidiiiial'sheetifriiie -,'a Failure to secure coverage as required under Section 25A of hIGL 152 can lead to the imposition of Criminal penalties of a fine up to$1.500.00 and/or one Mrs'imprisonment as well as civil penalties in the form of a STOP WORK ORDER sad a fine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Once of Investigations of the D1A for coverage verilieation. I do hereht•certify under the pains and penalties of perjuq•that the info d provided above is true and correct Signature t -�� ate Z" Print name ��i I � �•.Go ri— t- t �'`'`s Phone# "f?J l� oRcial use only do not write in this area to be completed by city or town of icial city or town: permit/llcense N riBuilding Department �l.icensing Board ` 0 check itimmediate respunse is required QSeleetmen's Office ptlealth Department contact person: phone tY;. nUther Irevised 3,h5 PJA) - Information and Instructions , Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees:- As quoted from the "law", an emplgvee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An emplityer is defined as an individual, partnership,association• corporation or other ; gal entity, or any two or more of the form-, engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwellings house having not more than three apartments and who resides therein, or the occupant of the persons to do maintenance d++e1Ln house ot another�+ho employs p , construction or repair work on such dwelling house appurtenant thereto shall not because of such employment be deemed to be an employer. unds or building a P or on the pro g PP MGL chapter F5.2 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the common,%vealth for any applicant Who has not produced acceptable evidence of compliance with the insurance coverage required. dditionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the • performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. .•—we.r.!�,!.f�'!�.. w.•...�.-w.•�wn :::: S.ij :wra (•�a:: ay:.• ice' _a�[�:.:_ ...�y�y �y`y--�.:. :�r ... ..r�� .{}..7'r5• R•f .,• .y.••fr. ,.1 . ....-. �!�• ,Ml ,si.. �.• Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying-company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested• not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. �7r�wrrap�.�l. - .. -•.i-_iF. ti;y fi Ff.-. % 77 Wilm .R3;,}i?'• �+Wts'�, 5+,• 7`y... :. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. •. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. .-�...�..6.,..=-„.... .--•TT.M .. ..,,. _. .... ,.�•... - �• .:��.. :. ,•, .., .fit: ,`. i,.�..• .� • •,.:a-;✓K:- _r .,.�s....•.. .. r.:••�,. .v��.wc<.•.a••f..it..rni �.+• �•,. '�•�,• The Department's address, telephone and fax number. The Commonwealth Of Massachusetts y Department of Industrial Accidents �. Office of Investigations 600 Washinaton Street Boston,Ma. 02111 fax#: (617)727-774.9 phone#: (617) 7274900 eat. 406, 409 or 375 The Town of Barnstable g Department of Health Safety and Environmental Services t659. ` Building Division 367 Main Street,Hyannis MA 02601 Office: 508 790-6227 Ralph Faac 508 775-3344 Building Commissioner For office use only Permit no. AFFIDAVIT HOME E"ROVEMENT CONTRACTOR 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 prz-e)CiSting owner 0°cup'ed building containing at least one but not more than four dwelling units or to structures which are adlaernt to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: a1rrCO3-V,-EsL Cost U � Address of Work: l ��^ 44 Oaner.Name:,, c&O C�l�7�rn Date of Permit Application: I hereby certify that: Registration is not required for the following reasonn((s): t/ Work excluded by law ob under S1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: CONTRACTORS OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNTtEGTs'TTED FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c 142A SIGNED UNDER PENALTIES OF PERJURY I hercby apply for a permit as the agent of the owner. Date Contractor name Registration No. OR ' Date Owner's name a' - � tVIR AL E R1 - . 508-775-1500 P.O. Box 1069 Centerville, Massachusetts 02632 800-564-0345 Building•Remodeling•Environmental Inspections Construction&Design •Lead Paint Removal COMMONWEALTH OF DEPARTMENT OF PUBLIC SAFETY MASSACHU ~ONE ASHBORTON PLACE cwsea�saoarrent SETTS s:808TON;MA 02108 z s d�aSO&Wa le,ing # I �� a�mseB�rrev®oatlon EXPIRATION DATE CAUTION RESTRICTIONS I EFFECTIVE DATE FOR PROTECTION AGAINST NONE C N0. QQ LI - THEFT;PUT RIGHT THUMB PRINT IN <lJ�:I jt 9L la I t�3I i :L r iat BOX ON LICENSE BLASTING OPERATORS �� � - f���`K•h.w'rA t 41 �1��- � v r _ y�str Y � - { : x- ;Building Inspwdon-Lead Paint!m Formaldehyde•Asbestos •New'Construction.-Water Quality' �,'��,�-�� �y�,��k* � ��z f��3FFI�sl~1e�trmn�euc Radi�txon•ltadots Gas Tesaag•.Air Momtoru►g•Ua�etground Tanks x f✓ 1 �r #3 tr- �r, .7�.�-`" A#". z'ast"",K:"iY' T�k�-.t 'Jit r-• �� !� F,.. ?. �.. ,..-_•u ;,+'- `S ,x.ri;, �".'• �S`y a �,z• °"ra"A'I�'y,-''�v .. �„r.�';(r,?:-'y-'i-� �l.�'r.F�3 x, k"*slx ��al,-�t��+i.F-., w`.f�y;S4. >�iz�'�.k.`,�. t s� A�t � �"� 7+, �Y�'� :3=7' t s A�"�'�;'i+';•?'.4'e:.4.'!.'-s:.?".n''c+°,-retf"'y�.j?i�ws�;s+,M"v'$..+k:,2'S�`:#:`�i;.d"nT?L''5k�'".��+S�fu ".s+�'h3P:K,+r:..y^.s�e�dY�Fau��=.;'hara;r,�^,s-.,Js.:. .!::•ia rh,tty'_'�s:h-ru�.�y..r.�s.:a.rss.,ih....-a.�{A:5-.�._'L='a_yw,,. .+e. ;.,,. ....,;.rn�„'-.--..:.... 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L'.r, "< low 1 1 ASf ff�ifir�r) Map ' �p - Parcel # /.3 Conservation Office(4th floor)(8:30-9.:30/ 1:00-2:00) �, ab�l ISate Issued Board of Health(3rd floor)(8:15 -9:30/ 1:00-4:45) ?,0 0 Fee Engineering Dept. (3rd floor) House# lid SEPTI MUST RE P INSTA MPL1A N 19 E 5 r ENVIRON L CO =. � . TOWN OF'BARNSTABLE TOE . Building Permit Application Pr ' ct S dress s'-7 `/ q, ''r= Village Owner ?A�21.. CL-A�Dl� Address Telephone ty 17-- L�yil- 9 SO Permit Request #47)tb1T7W T"G fSTI nc, �iPStcJP�n CY First Floorg�� AIVr—,b square feet Second Floor o pt•, 11-jrp-&p square feet Estimated Project Cost $ A1/S, ew Zoning District 2 Flood Plain Water Protection Lot Size 114 7!i 414A i Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Tel as 2 Proposed Use 61e5,c&,_ Construction Type tWcyp f:121nL e Commercial Residential v] T' Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure294 Basement Type: Finished P)b Historic House " Unfinished ftma-t- 5 Old King's Highway 'JI 1l_ Number of Baths-IL No.of Bedrooms 3 Total Room Count(not including baths) First Floor Heat Type and Fuel AAS Central Air P�® Fireplaces NCB Garage: Detached �� Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name 1L0I'._ _cftrns Telephone Number `77 S—/5_C5_ Address 3:5-LJn. - S%— License# 01t'D q_s( Home Improvement Contractor# Worker's Compensation# V2C-11 C 7 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 VAe(d//S Add!a, t�Prnsr,��iP -t- �-rnoJ�i �- �f1Z�96Z7�rJ.S cy� ��rcr.�c- SIGNATUL--t. c� a--� � DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) w!Yy 1 FOR OFFICIAL USE ONLY PE IT NO. b ISSUED P/PARCEL NO. 7 j r a i Y f., r ''• '~ ADDRESS x.t ; VILLAGE 1 'i _ � . •• d ` r `r 1 it r t , OWNER ' DATE OF INSPECTION: FOUNDATION' J fy)s FRAME INSULATION _ FIREPLACE ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH FINAL GAS: �;- O.UGH• FINAL t tr FINAL BUILDING ITI 41, DATE CLOSED OUT r , ASSOCIATION PLAN!NO. ii 1 PHILRROOK ENGINEERING 107 BEACH STREET DENNIS, MA 02638 CONSTRUCTION 1-508-385-8682 5� ENGINEERING DESIGN • CONSTRUCTION INSPECTIONS BUILDING, ALTERATIONS & RENOVATIONS 20 May 1996 Mr. Ralph Crossin Building Commissioner - Town of Barnstable Main Street Hyannis, Massachusetts 02601 Re: Residential. Roof Frame Review 87 7th Avenue, West Hyannisport, MA Dear Sir: At the request of Doug Williams, Builder, I performed a site inspection at the above location on 15 MAY 96. The purpose of this visit was to examine the in-place framing of the rear roof. An engineer design analysis was conducted to determine if the construction 'as-built ' is proper and will meet the Mass State Building Code requirements for design and serviceablity. There was concern that the new rafters are over-spanned and may sag in time. This is a cathedral roof and deflection will be a concern. For the alteration work plans called for doubling 2"x 6" rafters spaced at 24" o/c. The projected horizontal span from outside wall plate to ridge is 17 ' 6" . Any combination of 2"x 6" will be undercapacity. The builder replaced them w/ 2"x 10" stock, #1 or BTR S-P-F spaced 16" o/c. Later it was pointed out, to him that in accordance w/ the State Building Code these were also under- sized for the prescribed span. After inspecting the construction I conducted a design check and determined that for the present slope and snow load the following work would be required to rein- force the construction and meet load requirements : A. Double up everyother 2"x 10" rafter so that effectively the 2"x 10"s became 10 . 8" o/c. This work would meet load requirements and insure a stiff roof structure. B. Install Simpson H2 . 5 hurricane clips at the tails of the rafters where they sit on the outside plate. C. Insure that all of the in-place collar ties and beams . are adequately fastened to provide thrust restraint. The following loads were used IAW Art . 34 of the Building Code: �96,3L . 20 lb/sq ft for Snow Load (9/12 pitch) : 17 lb/sq ft for Dead Load (Cathedral Ceiling Frame) OF M4-' Respectfully submitted, T. VARNi)M J� PHILBROOK N o MECHANICAL y� n No. 30690 �4 ^9f'31W0�— Q T. VARNUM PHILBROOK P.E. .09 0STF��� �FFSSIONAL ���\ AMERI HOME ENVIR . ENTAL 508-775-1500 P0. Box 1061) Centerville, Massachuscrts 02632 800-564-0345 Building• Remodeling• Environmental Inspections Construction & Design • Lead Paint Removal Town of Barnstable Building Department Inspector Richard Stephens. Hyaanis Mass. 002601 8-21-96 Dear Mr.Stephens, Enclosed is the certificate long waited on 87 7th Ave, West Hyannisport. Sould you require any additional information please call. Respectfully, Douglas L. Williams Sr. lJ, PHILBROOK 107 BEACH STREET ENGINEERING & DENNIS, MA 02638 , Y CONSTRUCTION 1-508-385-8682 ENGINEERING DESIGN • CONSTRUCTION INSPECTIONS • BUILDING, ALTERATIONS & RENOVATIONS 25 July 1996 Mr. Ralph Crossin Building Commissioner - ,Town of Barnstable Main Street Hyannis, Massachusetts 02601 Re: Residential Roof Frame Review dtd 20 May 1996 by Philbrook Engineering & Construction Dear Sir: I inspected the framing modifications specified in the above prepared report on 20 May 1996. At that time the following work had been accomplished: A. For the long span section every'.other 2"x 10" rafter had been sistered as specified., B. Tie-down hangers had been installed along the out- side plate lines . C. Additional nailing had been installed in existing collar tie beams . - In addition to this work two partial height walls, already in place during the earlier inspection, had snow posts added so that the main. ridge gained redundant support mid-span and at the each end. I certify that the framing modifications were done IAW the speci- fied design and meet construction requirements of the Mass . State Building Code, 5th ed. P°Id-32 Respectfully submitted, OF T. VARNUM ,r T. VARNUM PHILBROOK, P.E. PHILBROOK N MECHANICAL No. 30690 Q- '$p�f ZONAL '. COPY �WM row The Town of Barnstable BARE. ~ Department of Health Safety and Environmental Services MASS �► i63q. �0 '�FON1P�p Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 4c" Z / Ralph Crossen Fax: 508-790-6230 5`1 l ^�j`P c ` Building Commissioner 2ti IVLC I CC Inspection Correction Notice `V4' 7 W j V(S-14'te Type of Inspection �` 1 C1 � Location 4U-41 Permit Number 13 41 Owner Builder 1 L.V t nr J One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: Ll *k(,A V\- V-7- r � Qr-h A 01A r5y�� �4) V-VVN r\e(J- Please call: 508-790-6227 for reeinspection. Inspected by , 5-v,-Xjtr-l % Dater i LOT 590 4 168t 2e � r / 64'1QJ / 1 l co / EXIST. DWELLING I o / LOTS 586 & 588 TOP FNDN / = 18.42 EXIST. SIDEWALK / 11,714't UPLAND ==DECK / I� EDGE OF WETLAND PROPOSED I N ADDITION l 165t l , EXIST. L. PITS E STREET IN (NOT CONSTRUCTED) 1 j BARNSTABLE ASSESS. MAP 246 PCL 149 ZONING CLASSIFICATION: RB YARD SETBACKS: FRONT 20 fit. SIDE/REAR 10 ft. FLOOD ZONE: C JOB # 96-=013 i CER TIFIED PL 0 T PLAN LOCATION 87 SEVENTH AVENUE (WEST HYANNISPORT) BARNSTABLE, MASS. PREPARED FOR: SCALE "s" = 20' DATE : FEBRUARY 1, 1996 PA UL CLA YTOlV REFERENCE DB 2467 PG 210 PB 84 PG 23 i �i I HEREBY CERTIFY THAT THE STRUCTURE off 506--362--4541 SHOWN ON THIS PLAN IS LOCATED ON THE , ;F�= �� fia 508 362- 0 GROUND AS SHOWN HEREON. K. down cape engineering, inc. a � f CIVIL ENGINEERS LAND SURVEYORS -_-- ------- -----= _- ---------- -- 939 main st. yarmoutr, ma DATE REG. LAND SURVEYOR