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0380 SOUTH STREET
30 z f � tY .Tow: of Barn table •. M K :.,+v,^ �.u:. .yt sF-":,.'7prE.. at z ..,:. .ri, M.. a"^• ,.i e.' »;+,rx,.. .,. ..,. c,r...,,. ..N£n ... ...... # ,.. .., x. Y",., N > w '�.. a 'i , .....�^�s K. 1 lil .. � y •- • ::A roved=iPlans-Must,be+Retained�ob and:-thisGard,�,s k„be Ke't ble.E am the Str t� .. P >w pP. ,..,: . ,, r, �;�. , .. ro?:,•, l l 7 Y.. f /i' 3�= ,a...":?'�" .w> ..hrf, , `�'• .t #'s..� � ��y,,#;Y „3 Zr:� .. h( .. y.... n., G.f. "°_'E -'S - ..._.:: : a. . � , _ Posted.U, x y .> r� � ..,.�:�...#,�'+C :; - Buitd� shall:.Notfrbe Occu'ied.untd.a Final,ns eetionhas een,madeat- 4 - _ Whera�C�rt�ficaare�oi;Occupan�yis Required,SuchX rAg u. k..- -.. ��' 'ts*ysu'�'a�' Permit No B-17'2860. '' Applicant Name: ::BAKER.&•:ASSOCIATES INC.` Approvals Date Issued. 09/01/2017 Current Use Structure Foundation- - -Permit Type,:7if3uilding='Siding/Windows/Roof/Doors Expiration Date: 03/01/2018 Location: 380,SOUTH STREET, HYANNIS Map/Lot: 308429 Zoning District: SF Sheathing: Owner on Record: BUCKLEY,CAROL A ET AL �' Contractor Na np: BAKER&ASSOCIATES INC. Framing: .1 S, Address: PO BOX 2634Contractor L ic ense 162600 2 r 1 HYANNIS,MA 02601 It,stProject Cost: $938.00 Chimney: Description: replace 2 windows '_ y Permit Fee: _ $35:00. i Insulation: .Project Review Req: replace 2 windows ,Fee Paid: $35.00 i � r Date 9/1/2017 Final: ww • r � r �4 -- Plumbing/Gas 5 ( Rough Plumbing: C b { N ✓'L .. r '• � Building Official FinalPlumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within s,z' hs after issuance. Rough Gas: All work authorized bythis permit shall conform to the approved applicationsnd the;approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and st d shall be in compliance with the local zoning bylaws amend codes. . Fin This permit shall be displayed in a location clearly visible from access street o06ad and shall be maintained open for public inspection for the entire duration of the al Gas. work until the completion of the same. zV Electrical _ The Certificate of.Occupancy will.not be issued until all applicable signatures by he B ild,ng and Fire Off,c,als are p ov,ded on�this permit. Service: Minimum of Five Call Inspections Required for All.Construction Work: 4 � �) dig' 4 Y x^'- 1.Foundation or Footing a Rough: 2.Sheathing Inspection 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 _,;..: ",;.P: .rsons eQtiti:act,in g:with tln.re gcatered>:contra _ . Final toth yfund asse M c142A) "ctors dQ,not_have access uaran fo- hinGL - re_Department F, Buildingplans are to be available on'site Final. _, ; ;.;AII Permit Cards are the property of the APPLICANT ISSUED RECIPIENT` ct - _ V �VWma�a Town`of Barnstable-,. *Permit# - -c;Ce6 ~p Expirees 6 months from issue- Regulatory Services F r B^MAW Richard V.Scali,Director 1639. Building Division Paul Roma,Building Commissioner A 2 2 ��� 200 Main Street,Hyannis,MA 02601 l` ` . . ��pp www.tow O�����n.bamstable.ma.us �<: , 1 l��7 �lJ�. Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION' - RESIDENTIAL. ONLY Not Valid without Red X--Press Lmprint Map/parcel Number U Z� WR erty Address Qesidential Value of Work$ 1VIinimum fee of$35.00 for work under$6000.00 Owner's Name&Address V 0 (, (S 6A, Contractor's Name. ? 4fd >Telephone Number SV J C7� / TV — Home Improvement Contractor License-#(if applicable l Email: iA C(Vl Construction Supervisor's License#(if applicable) t XWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name f. Workman's Comp.Policy# . Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles).All construction debris will be.taken to ❑Re-roof(hurricane.nailed)(not stripping:.Going over existing layers of roo,f). . Re-side / Replacement Windows/doo`rs/sliders.U-Value (maximum,32)#of windows #of doors: .*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. A cop of the Home Improvement Contract s License&Construction Supervisors License is r r qu' SIGNATURE: C:\Users\dec6ll,ik\AppDat4\Local\Microsoft\W.indows\fNetCache\Content.Outlook\L7U69LF2\EXPRESS(2),doc - 01/25/17 Authorization Form: . I �' ,has owner of the subject property, hereby authorize B- er&:Associatess to act on my behalf, in all matters relative to work authorized by this building permit application for Address of.property: ' 380 South Street Hyannis, MA. (Signature—o-f owne __ _ ala (Print;-Na e: _ �-- , (Dated i E % CS 7A z - , A,02600 + " x a Mice oaf Car►si mer Affaim'and B sine .Regulatibn 1 Park PIAzA - Suite 170 usetts Home lr�prover�eitt o trader Regi trati l Type Supplomefit.G�trd �latrai i curl 15E3�4 BAKER &ASSOCIATES,INCiration ax 5/2o1q, P. Bbx '^ Centerville; PIA 02632 e P . . IJpdate Address and return card. Mirk reason fc+r change, r Offte of r arssuno.r Affairs Sun€nes A" rs h HOME tPdf?f3tv34if�fir CONTRACTOR=, Ftlstralion valid for individual usennfy . f" P , a€ Ft.rpent'�E#r:. before the a pirativra d te. If found return to. Office of Consumer Affalm'and,Business i gul�tson .!,i 9 10 Park Pl .Suite `€70 Boston,MA 0211Ei IN BAKER ASSOCIATES C, s� ili r" r wry �0 v8�1d W�l tplf S ftaff�f t Client#:9742 2BAKERAS ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY,. 4128/20812017 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 NAME: Dowling&O'Neil Dowling&O'Neil Insurance Agency. PH°NE 508 775-1620 FAX 5087781218 AIC No Ext: A/c,No 973 lyannough Rd,PO Box 1990 . E-MAIL Hyannis,MA 02601 ADDREss: coi@doins.com - INSURER(S)AFFORDING COVERAGE - NAIC# 508 775-1620 INSURER A:NGM Insurance Company 14788 INSURED INSURER B:Associated Employers Insurance 11104 Baker&Associates,lnc. INSURER c P O BOX 923 - -Centerville,MA 02632-0071 INSURER D INSURER E:- 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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR - POLICY EFF POLICY EXP LIMITS f LTR INSR WVD POLICY NUMBER MM/DD/YYYY MMIDD/YYYY - A GENERAL LIABILITY MPJ7223M 4/19/2017 04/19/201 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY - PREMISES Ea RENTED occurrence) $500,000 CLAIMS-MADE 7 OCCUR MED EXP(Any one person) $10,000 - PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO- JECT LOC _ , .. $ - AUTOMOBILE LIABILITY - - COMBINED SINGLE LIMIT - - Ea accident $ANY AUTO - - .-e BODILY INJURY(Per person) $ - ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED - - - PROPERTY DAMAGE HIRED AUTOS AUTOS - - Per accident $ $ UMBRELLA LIABOCCUR - EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE - AGGREGATE $ DED RETENTION$ - $ - B WORKERS COMPENSATION WCC50050024542017 4/23/2017 04/23/201 X WC STATU- OTH. Y/N AND EMPLOYERS'LIABILITY - _ - TO Y L S E ANY PROPRIETOR/PARTNER/EXECUTIVE / E.L.EACH ACCIDENT s500,000 OFFICER/MEMBER EXCLUDED?- ,^� N I A . (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE s500,000 If yes,describe.under - - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY'LIMIT $500r OOO - DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD.101,Additional Remarks Schedule,if more space is required) - Insurance coverage is.limited to the terms,conditions,exclusions,other limitations and endorsements: Nothing contained in the certificate of insurance shall be deemed to have'altered,waived,or extended the, coverage provided-by the policy provisions. CERTIFICATE HOLDER CANCELLATION Baker&Associates,Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED"IN PO BOX 923 ACCORDANCE WITH: THE. POLICY PROVISIONS. Centerville, MA 02632 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 -of 1 The ACORD name and logo are registered marks of ACORD #S190160/M1.90159 k CBD They Commonwealth of Massachusetts Department of Industrial Accidents i f I Congress Street,,Suits 100 Boston,IVA 021.14-20.1 "sw><t"tnass.govIdia: AVorkers'Compensation Insurance Affidavit:BuilderslContractorstk.lettricia6s/Ptumbere. TO DE FILED WITH THE PERMITTING AUTHORITV. Apolicant Information Please Print LC ibi, Name(Businessr'Orguntzatiotvinclividutal).Baker&Associates, Inc. Address: PO Box 923 (521 Shootflying Hill Road) city/State/zip;Centerville, MA 02632m M^LL Phone#: 508-362-2445 Are van an employer'Check the appropriate box: Type of,project(requirt:d}' I. ✓ i am at employer with ernpttzyccs(full ancf'or lxtrt-tintcl< 7. Ej ?ttt„w construction, . 2.0 1 inn et sole proprietor or partnership and have no employees wor'ktng for me in' ,._.I $. 0 Re'modeling any capacity iNo workers, comp mstainice roquioAl J.[D I;am a homeowner doing an work myself,lNo workcrs'comp.insuruncc required.]' 9. 0 Demolition ` B,n I nna a homeowner and will be hiring ccuattactors to conduct all work on my property_ I will IQ[j Building addition ensure that all contractors cither have wprkcrs'ciaratpcnsatie'n insctrance or arc sale 1.1 Q L lectrical repairs or additions proprietors with no empioyecs. 12.n Plumbing repairs or additions .�1 am a general contractor and I have hired the scab,-contractors listed on the attached sheet. rhesc subcontractors have employees and have vv'orkers'comp.instifinec t MO Roofrepairs -. 6.E]1vr ark a corivration and its ofticcrs haves exercised their right of exermplion per h1Cil_c. 1�°t iOther 12,§1(4),and we have no cmpioyees.[No workers'comp,insurance required,] Any applicant that checks box#I most also 611 but the section below showing the workers'conipensition policy inl'onnation. 4 IIonrcowne m who sctbntit this aft'idavit indicating they arc doing all work and then hire outside contractors must submit a new affidalyit Indicatting such. 'Contractors that check this box roust atiached an additional sheet showing the mute of:the suta•contrttcttsrs and state whether or not those rntatics have cmpioyccs. If the sub-contractors have employees,they roust provide their workers'cotmv polies-number_ I ant art ensployer lit at is providing workers'campen;m ition insurance fir trtlr employees Below is the policy andjob site. itt fortttation. Insurance Company Name,Associated Employers Insurance Company Policy tl or Sclt-ins, I ic.#: WCC 500 5002454 2017A Expiration Date.: `4-23M18 Job Site Address: � City'Si to/2ip:� _._._ Attach a copy of the Workers'compensation policy declaration page(shcawing the policy number and expiration date). Failure to secure coverage as required under t1.GL c. 152,§25A is a criminal violation punishable:by a fine up to$1 500.00 tndr'or one-year imprisonment,is well as civil penalties in the form of a STOP WORK.O'RDE R and a fine of up to$250.00 a day against the violator;A copy of this st_aternent.may be forwarded to the Office Of Investigations of the DiA for insurance coverage verification. . I do here y c�erti 1 tt}der the Sin c art a ncclti n r u tha#the Information r avlded above is true and eorree t p p' 1P J +y' p' tSimriajurc: Date; l� 7 ne/f: 508-3 - 4 Official ase onty, Po not write itr this area,to be completed by eke or town n,licial. City or Town; I'ernt t/I,iceetts # . Issuing,Authority(circle one): 1.Board of Health t Building Department 3.C tyfl"own Clerk 4.Electricail.Inspector 5.Plumbing Inspector 6.Other C iintact Person; Phone#; t T Town of Barnstable Expires 6 moWhs from issue date- i�egilt® Sel'�TCeS Fee f�,(ljjp' 9s639 �0� Thomas F.Geller,Director m Building Division lkss ry t_ Tom Perry, Building Commissioner 200 Main street, Hyannis,MA 02601 �'� S�P 97 Office: 508-862-4038 �^lOF ?004 Fax: 508=790-6230 eq/�NS A)c EXPRESS PEA APPLICATION - RESIDENTIAL ONLY cs Not Valid without Red%Press imprint Map/parcel Number Q a Property Address DResidential Value of Work b 7j? ' y Owner's Name&Address Contractor's Name , v�? �-- Telephone Number F Hgme Improvement:ContractorLicense#�(f-applicable) -�i�1-i�1d--t1r, d tton sor' License (f a hcb 4 . -.4914 r nS8t3tW�I36itfiGt: 71 asole: ropnetor j I have Worker's Compensation Insurance M Insurance Company Name. r AA c.t l 4 ( :: / (^Viz,-I p workman's Comp.Policy#_ Permit Request(check box) \ Rte-roof(stripping old shingles All construction debris will be taken ❑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. Home Improvement Contractors License is required. Signature Q:Forms:expmtrg Revise053003 f °Ft KKE Town of Barnstable Regulatory Services * BARNSTABLE, • MAss. Thomas F.Geiler,Director o;A � Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property 1Cr7u�, 1� hereby authorize Y1i-2 - _TYU�J 2k,�,, act on mp behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name Q:FORMS:O WNERPERMISSION t Lib"Mutual Group Liberty PO Box 7202 mutum.. Portsmouth,NH 03802-7202 Telephone(800)653-7893 Fax(603)431.-5693 November 14,2003 TOWN OF BARNSTA13LE BLAMING DEPT - 367 MAIN STREET I-IYANNIS,MA 02601- RE: Certificate of Workers Compensation Insurance' Insured: NICKERSON HOME IMPROVEMENT.NC PO BOX 2476 ORLEANS,MA 02653. • Policy Number: WC5-3-1S-318102-023 F:fllectiSe:• I-1/6/2Ut13 Expiration `11Afi'/2004 ' C ncrage afforded under Workers Compensation Law of the following state(s): MA Einplovers Liability_ Bodily Injury By Accident: $ 1,000,000 Each Accident Bodily Injury by Disease: S 1,000,000 Each Person Bodily Injury by Disease: 5 1,000,000 Policy Limits As of this date,the above-referenced policyholder is insured by LM Insurance Corporation under the policy listed above. The insurance afforded by the listed policy is subject to all the terms,exclusions and conditions_and is not ' altered by any requirement,term or condition of any or other documents with respect to which this certificate may be issued. This certificate is issued as a matter of information only and confers no right upon you,the cerfiflaite holder. This certificate is not an insurance policy and does not amend,extend.or alter,the coverage afforded by the policy Iisted above. If this polio is cancelled before the stated expiration date.Liberty Mutual will endeavor to notify you of such cancellation. . Ali rHURIG'ED REMSENTATYVE L1131-:11TY I LYWAL INSURANCL GROUP 'M6 CcAitiwtc ih wc"utcd t-y),J.Rr111-YN(UT1JAL WSURANCE MOUP is mpum such insti mcc u it by thme cump:m m cc: Insured: Producer of Record-. NICKERSON HOME IMPROVEMENT INC PIKE INSURANCE AGENCY L IC PO BOX 2476 P O BOX 16i*t ORLEANS:Mi A 02653 ORLEANS,MA 026-53 r 123805 NICKERSON HOME IMPROVEMENT, INC. P.O. Box 2476 HYANNIS, MA 02601 a (508) 790-5880 Fax (508) 255-5107 s tt)i:E DATE TO Pat Keegan 508-280-2622 7/28/2004 23 Curtis Street Joata ire: ocarlora Wakefield MA 01880 380 South Street Hyannis JOB Oi''.tr:'.BEP..-- !JOB Pkiomw 781-587-0233 1. Roof Estimate �Cv-1�1hQc� yiOB?� Jrlr� S Strip shingles off main house complete (20(Ov NiqkTAicl, 6-Aa t5k Renail all loose sheathing Strip white cedar sidewall from dormers on right side of structure Cover stripped sidewall areas with tyvek or equivalent house wrap Install new flashing between roof and dormer Replace white cedar sidewall shingles Install 8"white aluminum drip edge on all lower edges Install ice&water shield on all lower edges, in all valleys, around all openings and complete over front porch area Install black underlayment felt paper on stripped areas Install new flanges around vent pipes All trash and debris will be removed and disvosed of properly All materials, labor and debris removal OPTIONS: To install 30 year Woodscape Series algae resist— ---1-itectural shingles ads. : .o above To install 50 year Independence shingles add y above To install lifetime Landmark TL shingles add ; :o above Install ridge vent e - . r lineal foot PLEASE INDICATE SHINGLE COLOR AND YES TO ANY OPTION ON RETURNED PROPOSAL 2. Garage roof option: Strip asphalt roof shingles off main portion of garage roof and over bay windows Renail all loose sheathing E PROPOSE hereby to furnish material and labor—corripiete.in accordance with the above specifications. for the sum of: Cont'd ww aetrars is l Payment to be made as toflows: --posit upon signing, progress payments upon request, balance upon completion All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above soecifica- Authorized lions imrolving exim costs will be executed only upon written orders, and will become an Signature extra charge over and above the estimate. All agreements corrtngent upon strikes,accidents or delays beyond our control. Cramer to carry fire,tornado,and other necessary insurance_our Note: propoz-al may be wolccrs are fully covered by?^lorker's Comp:_nsation Insurance. 30 withdrawn by us it nor accected within days. ACCEPTANCE Or PROPOSAL—The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized SignatureUY to do the work as specified- Payment will be made as outlined above, — I J�ytc J! ! (/vO� Signature Cate ct Acce Junco:� ' -- � 200,;i4EP-10 14:54 FROM-Mal-Nuke Qiaimosti:c Services +17819T93559 T-1:66 P.001/001. F-231 c4' ti• Town of Iarnstable _ 44 Regutatory Services lUwm F.Ceiier,Director BuMing Division Tom Petry, Budding Commisstoner 200 Nbin;street! Hyannis,MA 02601 Office: 508-962 403g Fax: 50&7 -6230 1 rop" Owner lust Complete and Sign This Section If Using A Builder I d ,as Owner of the subject pxapeA7 hereby a�atho:ize 1 t/S O� �'► "Y' Ups,! art on rap flea , in all watters xela6re to work authav=d by this building permit application for (Address of rob) signatute of Owner Date Print:Name Board of rtji/ffmgWcguliitii5f��fNfFr License or registration valid for individul use only HOME IMP EMENT CONTRACTOR before the expiration date. If found return to: a Board of Building Regulations and Standards Registration: One Ashburton Place Rm 1301 Expiration: 8/17/2005 Boston,Ma.02108 Type: Private Corporation — I NICKERSON HO PROVEMENT MARK NICKERSON. 12 COMMERE DRIVE ORLEANS,MA 02653 Administrator Not valid without signature �y