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0087 STETSON STREET
S i Town of BarnstableBuilding OX&M• SM Post This Card So;That it is,U�s�ble;From the Street Approved glans M„ust beyRetamed on J,ob and this Gard Must a Kept • M"A PosteclUntiFinal Inspection Has Been Mader � � Where a.Cert�fieate of Occu anc yRe„uretl,such Building shall Not be�Occupied until a,F«ai Inspection`has been made Permit „ Permit No. B-19-1223 Applicant Name: Paul Eaton Approvals Date Issued: 05/14/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 11/14/2019 Foundation: Location: 87 STETSON STREET, HYANNIS Map/Lot 3306 059 Zoning District: RB Sheathing: Owner on Record: BROWN,STEPHEN M&KATHLEEN j Contract�o�N me PAUL A EATON Framing: 1 Address: 87 STETSON STREET z 8 Contractor License. CS 088720 2 HYANNIS, MA 02601` Est p- ct Cost: $21,000.00 Chimney: Description: Install 5.355kW solar panels on roof. Will nd roof panel,but Permit Fee: $ 157.10 will add 6"to roof ot excee f height. 17 total panels. Insulation: Fee Paid: $ 157.10 g Final: Project Review Req: ®a"te ,.xx 5/14/2019 Plumbing/Gas Rough Plumbing: x,. ,:�, W � Hsi m iaa This permit shall be deemed abandoned and invalid unless the work authonzed'by this permit is commenced within six months after Hsi 1 Final Plumbing: All work authorized by this permit shall conform to the approved appl'icat on and the�approved construction documents f6Fwhhich this permit has been granted. All construction,alterations and changes of use-of any building and structures;shallbe in compliance with the local Zonmg-by;awsi'a.nd codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street o r band shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: t i-' ' The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this,permit. Electrical Minimum of Five Call Inspections Required for All Construction Work. x .� 1.Foundation or Footing Service: 2.Sheathing nspection 3.All Fireplaces must be inspected at the throat level before firest fluelinmg is installed " ;, �, , Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: S-C Application number 1.J.. ....... �► ? Fl Fee.............................. ....... ..... ................. Building Inspectors Initials....... ................. Date Issued...........�.. .vv ........................... Map/Parcel... .Ql.K..... .................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: g-q S+Z S 0 V v 5 STREET VILLAGE Owner's Name: rO VJ kA— Phone Number Email Address: Cell Phone Number Project cost$ 5, 6 00,00 Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: ✓� Date: TYPE OF WORK Q Siding 0 Windows (no header change)# Q Insulation/Weatherization 19 Doors(no header change)# Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# 16 9 0 q ?� (attach copy) Construction Supervisor's License# 106 040 (attach copy) Email of Contractor 2 co�A 1 u1 C° ( • °t M Phone number 1-D' ?-A6 9 0/0 L-_ ALL PROPERTIES THAT HA VE STRUCTURES O R 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. �i APPLICATION NUMBER.....................................................°°':..... *For Tents Only* r Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X. X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being used LP tank 20 lbs. or>Yes No ,if yes, a gas permit is required. Natural Gas Yes No , if yes,a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9.30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back _ left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date Q I 18 All permit applications are subject to a building official's approval prior to issuance. The Commonwealth of Massachusetts Department of Industrial Accidents — -- Office of Investigations 600 Washington Street - _ Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le gib Name(Business/OrganizationdIndividual): CC) - Address: d"`'� ( � PO V�CL G+ City/State/Zip: Phone#: 5vs `T 6 9 0C 0 2_ Areyou an employer?u Check the appropriate bog: Type of project(required): 1. I am a employer with 10 4. ❑ 1 am a.general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity, employees and have workers' $ 9. El Building addition 5. W required.] [No workers'comp.insurancecomp.are a corporation and its 10.❑Electrical repairs or additions ❑ 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.[ ther 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state Whether or not those entities have employees, If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: q 4 0 12.3 Expiration Date: 06(03 (q Job Site Address: 7� Ul . City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number an 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pa' d !ties of perjury that the information provided above is f true and correct: Signature: Date: 1 1 Phone#: 75'K Lt 6 0 I Q Official use only. Do not write in this area,to be completed by city or town of City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapt.er 152 requires all employers to provide workers' comp ensation for their employees.'" Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of 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 the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)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.eonstruct buildings in the commonwealth for any applicant who.has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"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." Applicants r ' Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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 r A z_:•,,�ti nt„-__11_._..L..-....-.... ,-Q1:n,+g reprdiror the I-ir or if crnn are rernnrPd to obtain a workers' Inca stri'al t�L'lrcui5. �L1VUld yvu ua;v auk :iu; u.r:... -I--,, , compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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 permitilicense number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the'affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The,Commonwealth of MassadhuseW IIepartment of Tndu.sttial.Accidents Office of Investigations 600 Wa§Wngton Street Bostan,ILIA 0211.1 TeL 4 617-727-4900 ext 406 or 1-877-MASSAFF, Fax#617-727-7749 Revised 4-24-07 wwwmass,gav/din A�®® DATE(MMIDDMYY) ��. CERTIFICATE OF LIABILITY INSURANCE F06152018 THIS CERTIFICAYE 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 Linda Sullivan DOWLING & O'NEIL INSURANCE AGENCY ICON o xt; (508)775-1620 1 AIC E-MAIL ADDRESS Sullivan�dos com - ._.._.._,h.___ 9731YANNOUGH RD INSURERJS)AFFORDINGCOVERAGE _. _ NAIC# HYANNIS MA '02601 INSURERA: AMGUARD INSURANCE CO 42390 INSURED INSURER B. a CAPE COD HOME IMPROVEMENT INC' IN SURER C: INSURER D: 27 MILL POND ROAD INSURER E. WEST YARMOUTH MA 02673 INSURER F: COVERAGES CERTIFICATE NUMBER: 281511 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 CR 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. ILT R" TYPE OF INSURANCE tADD IW VD' - POIICY EFF , POLICY EXP LIMITS LTR POLICY NUMBER ) MMIDDIYYYY , MMIDD/YYYY) MRCIAL GENERAL ABILITY EACH CCURRENCE .COMCLAIMS MADE F-3lOCCUR ; DA�MA PREM$ETO I fcItED ce} j MED EXP(Any one person) S NiA, ' 1 PERSONAL 3 ADV NJURY i GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE r ( I PRO- POLICY I.PE i }LOC ; PRODUCTS COMP40PAGG._S_i _ ..___. 4 IOTHER - 8 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY 1 i i ----_----------- . ........_.:_.. I ANY AUTO E BODILY INJURY(Per person) S ._._.._... ALL OWNED ! SCHEDULED I( I NIA ,BODILv INJURY(Per accident) S AUTOS AUTOS - I NON-OWNED i PROPERT7DAMAG6 S .HIRED AUTOS t AUTOS ( jPer acadent) _,.. UMBRELLA LIAR I OCCUR } EACH OCCURRENCE S EXCESS LIAB _ — } I CLAIMS MADE} NIA AGGREGATE S .i.DED I I RETENTION S 9 WORKERS COMPENSATION # 4 PER OTH- LAND EMPLOYERS LIABILITY X:STATUTE ., ER. YIN'' t E L EACH ACCICENT S 1,000,000 JANYPROPRIETORIPARTNER/EXECUTIVE A OFFICERIMEMBERE.XCLUDED7 NIA]! E NIA NIA' R2WC940123 06I03/2018 0610312019 - (Mandatory in NH) E L DISEASE EA�MPL�YEE 5 1,000,000 If yes describe under _. DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT S 1,000.000 N/A I i i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only. Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,,or has hired those employees outside of.Massachusetts. This certificate of insurance shows the policy in force on the d_ate that this certificate-Nas issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Anatoli Sivitsk! 222 Buck Island Road 6-8 AUT-IORIZED REPRESENTATIVE West Yarmouth MA 02673 Daniel M. Croiw'ey,CPCU,Vice President—Residual Market—WCRIBMA. P 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 251(2014101) The ACORD name and logo are registered marks of ACORD P t . I t Commonwealths ° s ' DivisionProfessional is n Board l* afions and Standards pecialty Constructia , S 05/14/2020 CSSL-106040 tres 's E� elk, _ F tr f' ANATO LI SIVITSKJt 27 MILL PON&41- 1) x • a VAST YARM 1l.l A ��02674 � . AW . Uornmissioner Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improve tractor Registration Type: Corporation Registration: 168043 CAPE COD HOME IMPROVEMENT,INC.27 MILL POND RD Expiration: 12/06/2020 WEST YARMOUTH,MA 02673 rat l o- 7C QV% Update Address and Return Card. SCA 1 b 20M-05/17 - awe �mmai�uh;�ell�z a�✓ar�oJ�2c�iUcl,Gl Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYP@t.Corooration before the expiration date. If found return to: Reaisft&tion_ Expiration Office of Consumer Affairs and Business Regulation 16SD43 �? 12/06/2020 1000 Washington Street•Suite 710 CAPE COD HVIt IMROVEM NT,INC. Boston,MA 02118 t r> ANATOLI SIVITSKI 27 MILL POND Rd ?-�� 6 " \�-... WESTYARMOUTH,MA02673 Undersecretary NOtVeH�lNltholltsignature c � I r CAPE COD Home Improvement CAPE COD HOME IMPROVEMENT TM 27 MILL POND ROAD, WEST YARMOUTH MA 02673 (617) 710.1001, (508) 46"102 CAPECODINC@GMAIL.COM, www.RoOFCAPECOD.COM, www.FACEBOOK.COM/CAPECODHoME ---------------------------------------------------------------------------------------------- PROPOSAL 12.04.2018 TO STEPHEN BROWN LOCATION:-___87_STETSO N_ST_,�HYAN N IS WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR MAIN COMPOSITION SHINGLE ROOF: • REMOVAL OF ALL EXISTING ROOFING AND FLASHING MEMBRANES TO THE PLYWOOD DECK SURFACE. • REPLACEMENT OF ANY DAMAGED OR DETERIORATED PLYWOOD DECKING AT AN ADDITIONAL COST.DECKING WILL BE REPLACED IN WHOLE SHEETS ONLY IN ACCORDANCE WITH RECOMMENDATIONS BY BOTH THE NATIONAL ROOFING CONTRACTORS ASSOCIATION(NRCA)AND THE AMERICAN PLYWOOD ASSOCIATION(APA).NEW DECKING SHALL BE APA RATED FOR STRUCTURAL USE.DECK FASTENING WILL MEET OR EXCEED LOCAL BUILDING CODE REQUIREMENTS. • REPLACEMENT OF FOLLOWING FLASHING MATERIALS:STEP FLASHINGS,PIPE FLANGES,PERIMETER DRIP EDGE MATERIAL AND ALL SKYLIGHT FLASHING MATERIAL.ALL MATERIALSTO MEET OR EXCEED MANUFACTURER'S REQUIREMENTS. • ONE ROW OF ICE AND WATER PROTECTION MEMBRANE SHALL BE INSTALLED IN ALL VALLEYS AND AROUND THE CHIMNEY. • ONE ROW OF ICE AND WATER PROTECTION MEMBRANE SHALL BE INSTALLED ALONG ALL EAVES AND SHALL EXTEND PAST THE INTERIOR WALL LINE A MINIMUM OF 18 INCHES TO PROVIDE PROTECTION AGAINST DAMAGE FROM ICE DAMS. INSTALLATION OF ONE LAYER OF ROOFING UNDERLAYMENT ON DECK SURFACE NOT COVERED WITH ICE AND WATER PROTECTION MATERIAL. • INSTALLATION OF NEW,ARCHITECTURAL-STYLE ALGAE-RESISTANT CERTAINTEED SHINGLES.SHINGLES WILL BE INSTALLED .. .... ... ..... IN STRICT ACCORDANCE WITH THE MANUFACTURER'S SPECIFICATIONS AND SHALL BE FASTENED USING 5IX NAILS PER SHINGLE. • COLOR OF ROOF PENETRATIONS AND FLASHINGS TO BE CHOSEN BY OWNER. • INSTALLATION OF A SHINGLE-OVER RIDGE VENT.VENT IN THIS AREA IS CONTINUOUS AND WILL PROVIDE MAXIMUM INTAKE VENTILATION FOR THE FULL ATTIC VENTILATION SYSTEM. • REPLACE ANY DAMAGE FASCIA-BOARDS OR RAKE-BOARDS AT AN ADDITIONAL COST. • ALL GROUNDS TO BE CLEANED UP ON A DAILY BASIS.ALL BUSHES,SHRUBS,AND FLOWERS TO BE PROTECTED. HOMEOWNER IS ASKED TO SUPPLY ELECTRICAL POWER IF NEEDED. CAPE COD HOME IMPROVEMENT'^' GUARANTEES THAT ALL COMPONENTS INSTALLED PROPERLY -•• PLEASE FEEL FREE TO CALL CAPE COD HOME IMPROVEMENT TM WITH ANY QUESTIONS OR CONCERNS PLEASE INITIAL THIS PAGE .Y it .100 CAPE COD CAPE COD HOME IMPROVEMENT TM Home Improvement 27 MILL POND ROAD, WEST YARMOUTH MA 02673 (61'7') 710.1001, (508) 46"102 CAPECODINC@GMAIL.COM, www.RoOFCAPECOD.COM, www.FACEBOOK.COM/CAPECODHOME e OPTI N I CERTAIN ED LANDMARK SHINGLES 50 YEARS NO RO TED TRANSFERABLE WARRANTY LABOR AND AT PALS: $5,750.00 DUMPSTER: 450. O TOTAL: $6,200.00 OPTION 2 r CERTAINTEED aNDMARK SHINGLES 40 YEARS PRO D WARRANTY(1 O YEARS NON-PRORATED PERIOD) LABOR AND MATERIALS: $5, 1 50.00 DUMPSTER: $450.00 TOTAL: $5,600.00 WE WILL MATCH OR OUTBID ANY LEGITIMATE COMPETITOR CAPE COD HOME IMPROVEMENT Tm IS PROUD TO PRESENT YOU WITH SUPERIOR 10 YEAR WORKMANSHIP AND SERVICE WARRANTY. THIS WARRANTY IS IN ADDITION TO,BUT RUNS CONCURRENTLY WITH ANY MANUFACTURERS'WARRANTIES.IT COVERS ALL SERVICE CALLS RELATED TO WARRANTY REPLACEMENT AND/OR INSTALLATION ISSUES FOR THE FIRST TEN YEARS AFTER PRODUCT INSTALLATION PAYMENTTERMS: 30%AT DEPOSIT; 30%AT START; 400/6 UPON COMPLETION. JOB IS ESTIMATED TO COMMENCE APPROXIMATELY 2 TO 8 WEEKS AFTER DEPOSIT RECEIVED WORK IS SCHEDULED TO BE SUBSTANTIALLY COMPLETED IN APPROXIMATELY 1 TO 2 WEEKS. ANY WORK ABOVE AND BEYOND THE SPECIFICATIONS WILL BE PERFORMED AT 56.00$PER MAN HOUR PLUS MATERIALS OR PRICED ON REQUEST.ALL ADDITIONAL WORK,INCLUDING TRAVELTIME AND LUMBERYARD RUNS,MOVING ALL PERSONAL OBJECTS, FURNITURE,ETC.FROM WORK AREA,WILL BE SUBJECT TO EXTRA CHARGE.IN THE EVENT OF ROT REPAIRS,ROOF REPAIRS OR ANY RELATED WORK REQUIRING IMMEDIATE ATTENTION,WE WILL PROCEED WITHOUT CUSTOMER APPROVAL CAPE COD HOME IMPROVEMENT TM GUARANTEES THAT ALL COMPONENTS INSTALLED PROPERLY PLEASE FEEL FREE TO CALL CAPE COD HOME IMPROVEMENT TM WITH ANY QUESTIONS OR CONCERNS PLEASE INITIAL THIS PAGE L CAPE CODCOen Home[m CAPE COD HOME IMPROVEMENT TM 27 MILL POND ROAD, WEST YARMOUTH MA 02673 (617) 710.1001, (508) 469.0102 CAPECODINC@GMAIL.COM, www.RoOFCAPECOD.COM, www.FACEBOOK.COM/CAPECODHoME CAPE COD HOME IMPROVEMENTTM WILL PROVIDE CLEANUP ON A CONTINUING BASIS AND ALL DEBRIS WILL BE REMOVED FROM SITE (PROFESSIONAL CLEANING DOESN'T INCLUDE).ALL PRODUCTS INSTALLED BY CAPE COD HOME 1MPROYEMENTIM WILL BE TO MANUFACTURER SPECIFICATIONS.ALL WORK WILL BE PERFORMED BY INSURED PROFESSIONALS. ALL MATERIAL IS GUARANTEED TO BE AS SPECIFIED,AND THE ABOVE WORK TO BE PERFORMED IN ACCORDANCE WITH THE DRAWINGS AND/OR SPECIFICATIONS SUBMITTED FOR ABOVE WORK AND COMPLETED IN A SUBSTANTIAL WORKMANLIKE MANNER. OWNER TO MOVE ALL PERSONAL OBJECTS.FURNITURE,ETC.FROM WORK AREA.ALL ITEMS AGAINST WALLS SHOULD BE CONSIDERED FOR REMOVAL DURING ANY EXTERIOR SIDING JOBS,ADDITIONS,ETC.TO GUARD AGAINST DAMAGE.IN THE CASE OF ANY ROOFING AND RIDGE VENTING,DUST AND DEBRIS SHOULD BE EXPECTED AND ANY ITEMS IN THE ATTIC SHOULD BE REMOVED.CAPE COD HOME IMPROVEMENTTM IS NOT RESPONSIBLE FOR ANY DAMAGES IF SAID ITEMS REMAIN IN PLACE. CAPE COD HOME IMPROVEMENT TM IS NOT RESPONSIBLE FOR ANY DAMAGES THAT MAY OCCUR DURING CONSTRUCTION TO LANDSCAPING OR ANY FINISH GROUND WORK,PLANTINGS,ASPHALT OR STONE DRIVEWAY,ETC.FLOWERS AND SHRUBS AGAINST HOUSE MAY NEED TO BE REPAIRED OR REPLACED BY HOMEOWNER. ANY ALTERATION OR DEVIATION FROM ABOVE SPECIFICATIONS INVOLVING EXTRA COSTS WILL BE EXECUTED ONLY UPON WRITTEN ORDERS,AND WILL BECOME AN EXTRA CHARGE OVER AND ABOVE THE ESTIMATE.ALL AGREEMENTS CONTINGENT UPON STRIKES, ACCIDENTS OR DELAYS BEYOND OUR CONTROL OWNER TO CARRY FIRE,TORNADO AND OTHER NECESSARY INSURANCE UPON ABOVE WORK.WORKMEN'S COMPENSATION AND PUBIC UAE31U Y INSURANCE ON ABOVE WORK TO BE PLACED ON THE RESIDENCE AS A CONSEQUENCE OF THE CONTRACT.OWNER WHO SECURE THEIR OWN CONSTRUCTION-RELATED PERMITS OR DEAL WITH UNREGISTERED CONTRACTORS WILL BE EXCLUDED FROM ACCESS TO THE GUARANTY FUND.COSTS OFF COLLECTION,INCLUDING ATTORNEYS FEES WILL BE RECOVERABLE,IN THE EVENT OF NON-PAYMENT. WE LOOK FORWARD TO WORKING WITH YOU: PLEASE CALL IF YOU HAVE ANY QUESTIONS. SINCERELY CAPE COD HOME IMPROVEMENT Tw THIS CONTRACT NOT VALID UNLESS SIGNED BY ANATOLI"TONY SIVRSIO ACCEPTED BY 5 e�ff`el� WL i .YlOLI-4' - SIGN DATE r ACCEPTED BY v '' SI DATE p('�� CAPE COD HOME IMPROVEMENT TM GUARANTEES THAT ALL COMPONENTS INSTALLED PROPERLY PLEASE FEEL FREE TO CALL CAPE COD HOME IMPROVEMENT TM WITH ANY QUESTIONS OR CONCERNS PLEASE INITIAL THIS PAGE 0-04Application number.......L.1.... .o....... s� ���i� Fee........................ ... .................... .............. wilding Inspectors Initials.........;.. ....................... . \�\1 Date Issued..................4.� ...f. ............. Map/Parcel......,. .Q ....... /......................... TOWN OF BARNSTABLE r EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO W S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: Jpi- E014 3f. ,-,.1 S' NUMBER STkEET U VILLAGE Owner's Name: ?9P brO t.;k-- Phone Number Email Address: Cell Phone Number 1,111/ Project cost$ ° 600, 00 Check one Residential Commercial OWNER'S AUTHORIZATION I! t As owner of the above property I hereby authorizer to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK © Siding 0 Windows (no header change)# 0 Insulation/Weatherization 0,( Doors (no header change)# Commercial Doors require an inspector's review FE Roof(not applying more than 1 layer of shingles) 7 Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# M i 0 Y3 (attach copy) Construction Supervisor's License# 106 0 V 0 (attach copy) Email of Contractor , PCOd it Vv ' yKa 1.W W Phone number —Vly 1,690102— ALL PROPERTIES THAT HAVE STRUCTURES4&ER 7S YEARS OLD OR IF THE SUBJECT PROPERTYES IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. --- --- 177- APPLICATION NUMBER .. .i *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X , X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being used LP tank 20 lbs. or> Yes No____,if yes, a gas permit is required. Natural Gas Yes No , if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9.30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval, *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature A & k Date .a� All permit applic ons are subject to a building official's approval prior to issuance. The Commonwealth of Massachusetts Department of Industrial Accidents — -- Office of Investigations _ 600 Washington Street ` Boston,MA. 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information �Please Print Legibly Name(Business/Organization/Individual): Address: J q PVJ RJ City/State/Zip: W. Phone#: � g69d1 OZ- Vn an employer?Check the appropriate bog: Type of project(required): am a employer with 10 4. 0'I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance. $ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions, right of exem lion per MGL P P myself. [No workers comp. `12.❑Roofrepairs' insurance re ed t C. 152, §1(4),and we have no ] employees.[No workers' 13.b 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 state whether or not those entities have employees, if the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. �, Insurance Company Name: Tl m 0GtC Policy#or Self-ins.Lic.#: 9�o�2 Expiration Date: D � Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number anV 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 fo ance coverage verification. I do hereby certify under th n enalties of perjury that the information provided above is true and correct Signature: Date: ' 2-7 Phone#: �c7� (O � o 'JI a Z. Of use only. Do not write in this area,to be completed by city or town officiaL { City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector. 6.Other - Contact Person: Phone#: Information .and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of 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 the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)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 commonwealth for any applicant who has not prodgced'acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"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." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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 retained to the city or town that the application for the permit or license is being requested,not the Department of .n�i 01-_—l-3,.;W. t__._ e + ron� �tnn+}a.lazy nr if nn are rPQLred to obtain aworkers' t y — Indus ri4i Ac,cA-dien s. •31luutu vU kn_ auk lu t _W�_> compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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. In addition, an applicant that must submit multiple permMicense applications in any given year,need only submit one affidavit indicating current « ions in or policy information(if necessary)and under Job Site Address the applicant should write all locate -(City P cY town). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth ofMassaehusetts Depmmentt of Indu.stiiat Accidents office of Investigations 600 Washington Wtx,et Boston,MA 0211.1 TeL##617-7274900 ext 406 or 1-877-MASSAFD Fax#617-727-7749 Revised 4-24-07 www-mass.gov/dla d CAPE COD H Im ro ment CAPE COD HOME IMPROVEMENT EE ENT TM 27 MILL POND ROAD, WEST YARMOUTH MA 02673 (617) 710.1001, (508) 469.0102 CAPECODINC@GMAIL.COM, WWW.ROOFCAPECOD.COM, WWW.FACEBOOK.COM/CAPECODHoME PROPOSAL 12.04.2018 TO STEPHEN BROWN LOCATION: 87 STETSON ST, HYANNIS . WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR MAIN COMPOSITION SHINGLE ROOF: • REMOVAL OF ALL EXISTING ROOFING AND FLASHING MEMBRANES TO THE PLYWOOD DECK SURFACE. • REPLACEMENT OF ANY DAMAGED OR DETERIORATED PLYWOOD DECKING AT AN ADDITIONAL COST.DECKING WILL BE REPLACED IN WHOLE SHEETS ONLY IN ACCORDANCE WITH RECOMMENDATIONS BY BOTH THE NATIONAL ROOFING CONTRACTORS ASSOCIATION(NRCA)AND THE AMERICAN PLYWOOD ASSOCIATION(APA).NEW DECKING SHALL BE APA RATED.FOR STRUCTURAL USE.DECK FASTENING WILL MEET OR EXCEED LOCAL BUILDING CODE REQUIREMENTS. • REPLACEMENT OF FOLLOWING FLASHING MATERIALS:STEP FLASHINGS,PIPE FLANGES,PERIMETER DRIP EDGE MATERIAL AND ALL SKYLIGHT FLASHING MATERIAL.ALL MATERIALS TO MEET OR EXCEED MANUFACTURER'S REQUIREMENTS. • ONE ROW OF ICE AND WATER PROTECTION MEMBRANE SHALL BE INSTALLED IN ALL VALLEYS AND AROUND THE CHIMNEY. • ONE ROW OF i6E AND WATER PROTECTION MEMBRANE SHALL BE INSTALLED ALONG ALL EAVES AND SHALL EXTEND PAST THE INTERIOR WALL LINE A MINIMUM OF 18 INCHES TO PROVIDE PROTECTION AGAINST DAMAGE FROM ICE DAMS, INSTALLATION OF ONE LAYER OF ROOFING UNDERLAYMENT ON DECK SURFACE NOT COVERED WITH ICE AND WATER PROTECTION MATERIAL. • INSTALLATION OF NEW,ARCHITECTURAL-STYLE ALGAE-RESISTANT CERTAINTEED SHINGLES.SHINGLES WILL BE INSTALLED IN STRICT ACCORDANCE WITH THE MANUFACTURER'S SPECIFICATIONS AND SHALL BE FASTENED USING alA NAILS PER SHINGLE. • COLOR OF ROOF PENETRATIONS AND FLASHINGS TO BE CHOSEN BY OWNER. • INSTALLATION OF A SHINGLE-OVER RIDGE VENT.VENT IN THIS AREA IS CONTINUOUS AND WILL PROVIDE MAXIMUM INTAKE VENTILATION FOR THE FULL ATTIC VENTILATION SYSTEM. • REPLACE ANY DAMAGE FASCIA BOARDS OR RAKE-BOARDS AT AN ADDITIONAL COST. • ALL GROUNDS TO BE CLEANED UP ON A DAILY BASIS.ALL BUSHES,SHRUBS,AND FLOWERS TO BE PROTECTED. HOMEOWNER IS ASKED TO SUPPLY ELECTRICAL POWER'IF NEEDED. CAPE COD HOME IMPROVEMENT'^' GUARANTEES THAT ALL COMPONENTS INSTALLED PROPERLY PLEASE FEEL FREE TO CALL CAPE COD HOME IMPROVEMENT'm WITH ANY QUESTIONS OR CONCERNS PLEASE INITIAL THIS PAGE ` i � r CAPE COD Homem TMmCA E C HOME,IMPROVEMENT 27 MILL POND ROAD, WEST YARMOUTH MA 02673 (617) 710.1001 , (508) 46"102 CAPECODINC@GMAIL.COM, WWW.ROOFCAPECOD.COM, www.FACEBOOK.COM/CAPECODHoME OPTI N 1 CERTAIN ED LANDMARK SHINGLES 50 YEARS NO RO#ATED TRANSFERABLE WARRANTY LABOR AND "ATIALS: $5,750.00 DUMPSTER: 450. 0 TOTAL: $6,200.00 OPTION 2 ` CERTAINTE D aNDMARK SHINGLES 40 YEARS PRO D WARRANTY(1 O YEARS NON-PRORATED PERIOD) LABOR AND MATERIALS: $5, 1 50.00 DUMPSTER: $450.00 TOTAL: $5,600.00 WE WILL MATCH OR OUTBID ANY LEGITIMATE COMPETITOR CAPE COD HOME IMPROVEMENT Tm IS PROUD TO PRESENT YOU WITH SUPERIOR 10 YEAR WORKMANSHIP AND SERVICE.WARRANTY. THIS WARRANTY IS IN ADDITION TO,BUT RUNS CONCURRENTLY WITH ANY MANUFACTURERS'WARRANTIES.IT COVERS ALL SERVICE CALLS RELATED TO WARRANTY REPLACEMENT AND/OR INSTALLATION ISSUES FOR THE FIRST TEN YEARS AFTER PRODUCT INSTALLATION PAYMENTTERMS: 30%AT DEPOSIT; 30%AT START: 40%UPON COMPLETION. JOB IS ESTIMATED TO COMMENCE APPROXIMATELY 2 TO 8 WEEKS AFTER DEPOSIT RECEIVED WORK IS SCHEDULED TO BE SUBSTANTIALLY COMPLETED IN APPROXIMATELY 1 TO 2 WEEKS. ANY WORK ABOVE AND BEYOND THE SPECIFICATIONS WILL BE PERFORMED AT 56.00$PER MAN HOUR PLUS MATERIALS OR PRICED ON REQUEST.ALL ADDITIONACWORK,INCLUDING TRAVELTIME AND LUMBERYARD RUNS,MOVING ALL PERSONAL OBJECTS, FURNITURE.ETC.FROM WORK AREA,WILL BE SUBJECT TO EXTRA CHAKGE.IN THE EVENT OF ROT REPAIRS,ROOF REPAIRS OR ANY RELATED WORK REQUIRING IMMEDIATE ATTENTION,WE WILL PROCEED WITHOUT CUSTOMER APPROVAL. 1. CAPE COD HOME IMPROVEMENT TM GUARANTEES THAT ALL COMPONENTS INSTALLED PROPERLY PLEASE FEEL FREE TO CALL CAPE COD HOME IMPROVEMENT TM WITH ANY QUESTIONS OR CONCERNS PLEASE INITIAL THIS PAGE f s CAPE COD Home Improvement CAPE HOME IMPROVEMENT TM 27 MILL POND ROAD, WEST YARMOUTH MA 02673 (617) 710.1001, (508) 469.0102 CAPECODINC@GMAIL.COM, www.RoOFCAPECOD.COM, www.FACEBOOK.COM/CAPECODHOME CAPE COD HOME IMPROVEMENT'M WILL PROVIDE CLEANUP ON A CONTINUING BASIS AND ALL DEBRIS WILL BE REMOVED FROM SITE (PROFESSIONAL CLEANING DOESN'T INCLUDE).ALL PRODUCTS INSTALLED BY CAPE COD HOME IMPROVEMENTS WILL BE TO MANUFACTURER SPECIFICATIONS.ALL WORK WILL BE PERFORMED BY INSURED PROFESSIONALS. ALL MATERIAL[x;GUARANTEED TO BE AS SPECIFIED,AND THE ABOVE WORK TO BE PERFORMED IN ACCORDANCE WITH THE DRAWINGS AND/OR SPECIFICATIONS SUBMITTED FOR ABOVE WORK AND COMPLETED IN A SUBSTANTIAL WORKMANLIKE MANNER. OWNER TO MOVE ALL PERSONAL OBJECTS,FURNITURE,ETC.FROM WORK AREA.ALL ITEMS AGAINST WALLS SHOULD BE CONSIDERED FOR REMOVAL DURING ANY EXTERIOR SIDING JOBS,ADDITIONS,ETC.TO GUARD AGAINST DAMAGE.IN THE CASE OF ANY ROOFING AND RIDGE VENTING,DUST AND DEBRIS SHOULD BE EXPECTED AND ANY ITEMS IN THE ATTIC SHOULD BE REMOVED.CAPE COD HOME IMPROVEMENTTm IS NOT RESPONSIBLE FOR ANY DAMAGES IF SAID ITEMS REMAIN IN PLACE. CAPE COD HOME IMPROVEMENT'°' IS NOT RESPONSIBLE FOR ANY DAMAGES THAT MAY OCCUR DURING CONSTRUCTION TO LANDSCAPING OR ANY FINISH GROUND WORK,PLANTINGS,ASPHALT OR STONE DRIVEWAY,ETC.FLOWERS AND SHRUBS AGAINST HOUSE MAY NEED TO BE REPAIRED OR REPLACED BY HOMEOWNER. ANY ALTERATION OR DEVIATION FROM ABOVE SPECIFICATIONS INVOLVING EXTRA COSTS WILL BE EXECUTED ONLY UPOrA WRITTEN ORDERS,AND WILL BECOME AN EXTRA CHARGE OVER AND ABOVE THE ESTIMATE.ALLAGREEMENTS CONTINGENT UPON STRIKES, ACCIDENTS OR DELAYS BEYOND OUR CONTROL OWNER TO CARRY FIRE,TORNADO AND OTHER NECESSARY INSURANCE UPON ABOVE WORK.WORKMEN'S COMPENSATION AND PUBLIC LIABILITY INSURANCE ON ABOVE WORK TO BE PLACED ON THE RESIDENCE AS A CONSEQUENCE OF THE CONTRACT.OWNER WHO SECURE THEIR OWN CONSTRUCTION-RELATED PERMITS OR DEAL WITH UNREGISTERED CONTRACTORS WILL BE EXCLUDED FROM ACCESS TO THE GUARANTY FUND.COSTS OFF COLLECTION,INCLUDING ATTORNEYS FEES WILL BE RECOVERABLE,IN THE EVENT OF NON-PAYMENT. WE LOOK FORWARD TO WORKING WITH YOU: PLEASE CALL IF YOU HAVE ANY QUESTIONS. SINCERELY CAPE COD HOME IMPROVEMENT THIS CONTRACT NOT VALID UNLESS SIGNED BY ANATOLI'"TONY"Slv sm ACCEPTED BY " ^ VK 0 U -�r�- SIGN DATE '` ACCEPTED BY S DATE CAPE COD HOME IMPROVEMENT TM GUARANTEES THAT ALL COMPONENTS INSTALLED PROPERLY PLEASE FEEL FREE TO CALL CAPE COD HOME IMPROVEMENT TM WITH ANY QUESTIONS OR CONCERNS PLEASE INITIAL THIS PAGE lea Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improve tractorRegistration Type: Corporation CAPE COD HOME IMPROVEMENT,INC. Registration: 168043 r Expiration: 12/06/2020 27 MILL POND RD -- w WEST YARMOUTH,MA,02673 r ! r � 1 ,• Update Address and Return Card. SCA 1 O 20M-05/17 .'��.e �i�rnzaizcuea��o�✓�/�a..�ac�itellJ ._ __.._ __----......._,_.. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE,Corporation before the expiration date. If found return to: ReaistPat�oh Expiration Office of Consumer Affairs and Business Regulation 8D4 3 12/06/2020 1000 Washington Street-Suite 710 Ill 16 8 _ '7 CAPE COD H Ml IM RC1VE NT,INC. Boston,MA 0211. ANATOLI SIVITSKI R CL 27 MILL POND R�' \�-.,, WESTYARMOUTH,MA 02673 Undersecretary No vH without signature / y r _ Commonwealth Of Massachusetts Division of Professional Licensure Board of Building 90 Regulations and .Standards Ll Constructi Upef-AA r Specialty CSSL-106040 APires: -1 01 C ANATOLI SIVITSKI, < 27 MILL PONDR, D WEST YARMOUx IAT2 - q1, M "A Commissioner Cj DATE(MMIDD/YYYY) AC o® CERTIFICATE OF LIABILITY INSURANCEF�� 06/15/2018 ..-. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS F 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 endorsements. ' PRODUCER - CONTACT NAME; Linda Sullivan DOWLING&O'NEIL INSURANCE AGENCY PHONE 508 775-1620 FAX No: E-MAIL ADDRESS: Isullivan@doins.com 973IYANNOLIGH RD - INSURERS AFFORDING COVERAGE NAIC# HYANNIS MA 02601 INSURERA: AMGUARD INSURANCE CO 42390 INSURED - - INSURER B CAPE COD HOME IMPROVEMENT INC INSURERC: INSURER D: 27 MILL POND ROAD INSURERE: WESTYARMOUTH MA 02673 INSURERF: COVERAGES CERTIFICATE NUMBER: 281511 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMIDDY EFF MM DDEXP LIMITS LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RETE CLAIMS-MADE OCCUR - - PREMISES Ea occu ence $ MED EXP(Any oneperson) $ . N/A - PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: - GENERAL AGGREGATE $ POLICY❑PR0 �.LOC JECT PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY CEOM�BINdEDtSINGLE LIMIT $ ANY AUTO - BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A - - - BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED. PROPERTY DAMAGE $ HIRED AUTOS AUTOS - (Peraccident) $ UMBRELLALIAB HOCCUR EA&OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A - AGGREGATE $ DED RETENTION $WORKERS COMPENSATION - - - X I STATUTE ERH AND EMPLOYERS'LIABILITY ANYPROPRIETORMARTNER/EXECUTIVE YIN - E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? NIA N/A N/A R2WC940123 06/03/2018 06/03/2019 - (Mandatory in NH) _ E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy,inforce on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Aflat011 SIVItSkI ACCORDANCE WITH THE POLICY PROVISIONS. 222 Buck Island Road 6-8 AUTHORIZED REPRESENTATIVE West Yarmouth MA 02673 Daniel M.Cro"y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 1WN OF BARNSTABLE BUILDING PERMIT APPLICATION Mai! 2610 6 0JJ Par' �el `mot,,TAI /'0Ii.," Permit# � l f p Date Issued He 6 alth Division , +��/ Conservation Division / nq ' Application Fee �e ` .Tax Collector Permit Fe$e' W 0. 0 0 TreasurerTV sy SEPTIC w .M MUST BE _ Planning Dept: INSTALLS.��:, IN O-OMP41ANCLT Date Definitive Plan Approved by Planning Board WITH TITLE 5 ENVIRONMENTAL CODE AN[) Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address 0✓L" c S T Village /�Y/9 /V fV1 s Owner g�j f t/iL 6Z )L O W 41 Address o`Z.�� d4 Q-Y CLL<cry n� Telephone 2 03 —X7 112-5- "a l—G/Ldi 42 6 T, C2 6 60 Permit Re uest � N T f N I v q &f iv G V/j r/o,?/,_ N£.k/ w rN 0 cl w5 1�rvd s�o D"I j R/iMirY Sv J-6 Te&/% F_s;T$Le-Ck 'ivT�.&jc 7f1 i cif. &Ew P�yf�c(jjv.G Cd E c T 4,r C C 6 vsf_c,� 8 Y I r>,4-: f--z C_ v iv° ivy C1111.,V4e Je z Square feet: 1st floor: existing proposed i 7 2nd floor: existing 7a proposed Q),D Total new 7 , Zoning District Flood Plain Groundwater Overlay Project Valuation 100 Construction Type Lot Size Grandfathered: 0 Yes ❑No If yes, attach supporting documentation., Dwelling Type: Single Family . Two Family 0 Multi-Family(#units) Age of Existing Structure Historic House: 0 Yes U<o On Old King's Highway: ❑Yes ❑No Basement Type: YFull O Crawl ❑Walkout 0 Other Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing 6 new Number of Bedrooms: existing new O Total Room Count(not including baths):existing �7 new First Floor Room Count Heat Type and Fuel: ®Gas 0 Oil O Electric ❑Other Central Air: 44es ❑No Fireplaces: Existing New Existing wood/coal stove: :O'Yes U<O- Detached garage:❑existing O new size Pool: 0 existing ❑new size Barn:0 existing 0 new size Attached garage:❑existing O new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use " Proposed'Use 4- _ . BUILDER INFORMATION Name W 4& 41 A/ ft_Alo IL 1�T'IrzyV Telephone Number Address n I gA 1 C&ry 14211 Y License# 7 2, D U V1 / 4 ,0 Home Improvement Contractor # ` 7'/ Worker's Compensation# /6 q ���O y®�fi ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 0fl N PL5 76 Pl O 4" cS/T-E Ya 101&0 Z& �0/I/ L SIGN ATURE (� �[,r�t � �� DATE ` r FOR OFFICIAL USE ONLY PERMIT NO. t +DATE ISSUED r.mAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH > FINAL c U. t p FINAL BUILDING " r - DATE CLOSED OUT "f ASSOCIATION PLAN NO. co f RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations. $50.00 S D, 0 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= dG.Z 0 0 a x.0041= plus from below(if applicable) GARAGES(attached&detached) _square feet.x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. t >120 sf-500 sf $35.00 >500 sf-750 sf - 50.00 >750 sf- 1000 sf. 75.00 >1000 sf-1500 sf - 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) $30.00= Deck.... :.. .. . :._ x . (number) Fireplace/Chimney . x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) t` Permit Fee Projcost Rev:063004 p • �� �' The Commonwealth of Massachusetts Department of Industrial Accidents' 66a Washington Street _ Boston,Mass. 02111 J Workers'..com ensation.hsurance Affidavit-General Businesses Aliellik �. ISO /V state: � r address 6 � • work site locatiori full ' I a'm•a sole proprietor andhaveno and ' Business Type: 0�ffi Salesuiant/Bin atin E state,An os�etc•) vvorlang in any capacity. ' . . g . . • . I am an em to er with • ern'1 ees full&' art time . ❑Other %//////%%//%/ //'�i.%�/�.%/%%/�%��/%�/�%%%/�%%%�%/////�//%%/�/�//%/%%/ ptiirig v� loyer provi orkers'cbmpens-ation for my employees working on this fob. fr +:Yt .�. 1�1}:V:" ;`�;' �'�: ''z' •:i. t: ••��. r• _ -�.':;:'(r +.74t' :ty.>,�'•alf ;.S{ '�` �...:��^ 'COIN�BII^ ''81IIet �,:x.; ,.r., ri�: c, :�. '{�5.= .1 '.+';.••j'.?i:•i: ,As'.:%:'�:i,jrt ... ' , f :�. .a.' �/'•�' 4i r q• ', � , •j :- 'A'z:'.:{ ,,,;t:fVSl�y:::i..t�-;• =;%•:5�.':.!,t'�..5 e• '" :; ...'„•,. .•.� hone.• I •t ' �e-t,:.'.•.:,, , ' 'lamas e proprietor an hired the independent contractors listed below•who have the following workers' •' compensation polices: :t'r�., .+d'3 4'1'�JS:+i :i'.et. tip„ •s �.�•: :i'::1!ti:^i' •.l•'r t\:•,t•' �J,• 'fv• ,r•t:••'r ,,•.. .<' •'fi .}:', <,..:,Li..1�}:^' •.Y�:.1�(,, •11• Y i• 9II name: t. - I. ai:i: fi•a' :iii fr \'Y +:+::•,.; :. ?' :t•r•..t y..,,' a tw':; e•• •r.{.�j t°: ' .. ,�, , ;'.L: :••:: ai ..:, tom:' ei1dL@53:. ,S.' .' '^ ' +�(.•Y'+;��, .', '• %t• ':t •.'a •` •Cr i:•.. "J". ;.�• ' •1 •"Y. • .i ` ^+•�• ,ti:• iJJ�'•.•7.�..'�:Y',v: rl.,.�f h•';• ,'. •'•''•' .l' i. ,..� :,lJ••. CI• , o \' yo I r.Y^ S; Y.•,;'n:` i f An:.. ... 'r t 15 r2};;::• :.,,.' .r. , is 't: I.�iY •• •;f;' •,••. •;�'';' '., '`•,^i.'" 'ylt�{,r•,:., •� •�;�• •:+.-'• o7ic :[: �,r• ! +.T:i>h,l,/.�:5:t; '...;�r:�.. vJ.C.: -?'b•p. l:.i:.:.S .. :.::,.':•.. '• ��/////��/�/ 1I13i1PaIICe CO. ;,, - •.i :i ,L nr•;5 i :t;if ?'•:''• _� 't.S% ;'r •I. .'{:. ,,:(t:• ini:. t• t. ,{,,•.,�•.i f. J{..,^• .I:*-''•' r ,i:�;�• .�'•' 'S•.., •r:t.�.,dnt�y,t• •?•l?�4`.L.-5,�:,+C,• :!•TI .•5•?•rf Y,',i.a:..,�. •t' `{ A•s> '�� ., :•(J..T:,'.' coin ari• asafe Mhone .•f•• {1};. •r•.�bi ..�:e- .'�.; •.t,t: ,;rt...,;.4.e't., .!�•'rh vti+..,p i'?5:,,�{•.'.•a+ r,.::. :�„. . :t` 'i't l' :f.:+..1.•:,'i+�•'^.`�.x.',f' 'i: 4'•..r ' 'p:CO:•f•: L•?. .?, {:;•.I';.. .;p,�..t. ;,•'':.`S::J.i:'.t' f.;,:•i>.S;:s•-J.a'. > of a to$1,500.00 sition of c Failure to secure coverage as required under Section 25 0 oaf M of a 152 can lead to the WORK ORDER and a fine of$100 DO a day sgainstmme�I understand that Kr one years'imprisonment as well as civil penalties in thef copy of this statement maybe forwarded to the Office of Investigations of the DLAfor coverage verification. I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct G Date Signature ` J 'L 746 Phone##_ ® :• f �� print name 1 1 official we only do not write in this area to be completed by city or town official permit/license# [Building Department city or town: ElLicensing Board ❑Selectmen's Omce [}check if immediate response is required ❑Health Department , phone#; ❑Other contact person: (revved Sept 4003) it � ' Information and Instructions Massachusetts padmal Laws- pter�i52 section 25.requires all employers to provi&-•workers' compensation for their. employees.. As quoted from the law', an employee is.defined as every person in the service o�another under any contract of hire;express or in*lied; oral or.written. An employer is defnied as an individual,partnership, association, corporation or other legal entity, or any two or mgre of the foregoing engaged in a']oint enferprise,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. 'Howevei.the owner of a dwelling house having.no#'more than three apartments and-who resides therein, or the:occupant of the dwelling house bf another who emplbys persons t .. domain capce, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such,employment.be deemed to be.an employer. MGL chapter i.52 section 25 also'states•fhat'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.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 performance of public work until acceptable evidence of compliance with t�e insurance requirements of this chapter have been presented to the contracting . authority: Applicants Please fM in the workers',compensation affidavit completely,by checking the box that applies to your situation.,Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Departmentof industrial Accidents-for confmnation 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 theC'claw"or if you aie ers'co ensation policy, lease call the Department at the number listedbelow. , ork �Y P. . required to obtain a w . rap P City or Towns Please be sure that the affidavit is complete andprinted 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 n the permit/hcense,number which wigl tie used as a reference number. The.affidavits maybe returned to the Department bj�.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 nothmitate to give us a call. The Department's address,telephone and fax number: . ' The Commonwealth Of Massachusetts- Departm.ent.of Industrial Accidents Brace of ft i es WMWns 600 Washington Street Boston,Ma. 02111 fag#: (617)727-7749 1 r , To CMK,kpp=,dtt I �atttiaucd] 7xHte,I5.1.,1h( gdt.ed tf4th gcsxfl F'urlx ' e far fld Z'rro-Vx=lj'Afsid°ati�t xnildia�t prClerfptiy pxeksg an sa ' MINIMUM Slab 'Ij g/coating 14'IAXMUM ceiling Wail Floor gzsccar�s �� �{pmcat Flfrciar (}lags$ R- 4 g.Y�lisCa WsLI [ �f Q'l�dns IZ-YxI� gerS g3� 5701 to 6500 Heating 13 6 Nacm�t 13 19 10 6 jlamtst I2'J� 0''w 38 l9 19 10 6 15 Am O.SZ a 13 19 10 A Norm iZ'h 0'S0 13 Z.5 N1A Normal S r a.3s 31 19 10 6 15 AM I5/. 19 T 15rh 0.46 3� 13 25 NIA � 0A • L5 Ai;crs V 0.52 30 19 19 10 141A ?tarcrsal I5'J. 3d 13 15 NIA NIA Plamtal 1b`!� 032 19 25 NIA 40 AFtfE X � 0,42 33 ig 1a d gO.AFUs z ISY' 0.42 1 I9 19 t0 6 0.50 AA ' 1. ADI)nsS OF PROPERTY: ivA/S 2, SQ VARE FOOTAGE OF ALL)XTER'q?-WALLS: ' r 3. SQVARE FOOTAGE OF ALL GLAZING: . 4. aka GLAZINQ AREA(93 DNIDED BY#2)� ' g SELECT PACXAGE(Q-•' 'sae chart above}: 0,1, RMOgF,SOLVED METHODS OF DETER JN1Ilt G gKERdY gEQ�ENiENTS 0'T8 ARE AVAILABLE, ASK1JS FORTMS INFO nOVI - r N B�,,DIHG ZNSFECTOR APPROVAL: NO' I YES: E r Town of Barnstable °hyo R.egulatou Services • Thomas F.Geiler,Director anxr�sT�tom, . 9 16;9• ,�� Building Division �''lFD MA•l�` Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 permit ao. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.142A requires that the"reconstrmtion,alterations,renovation,repair,modernization,conversion, ed y GL c.142 removal,demolition,or construction of an addition to any pre-existing wr,� p building n=t,cont removal, a least one but not more than four dwelling units or to structures which are adj acent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Q G D� l o n�S Estimated Cost Type of Work: - of Work Address , Owner's 1i.cation: Date of App I hereby certify that: Registration is not required for the following reason(s): [Work excluded by law [Dlob Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWNLERMIME EaROVEMENT WOI UNREGISTEREDR DEALING WITH ON HAV CONTRACTORS FOR APPLICAB ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDERPENALTIES OF PERJURY Ihereby apply for apermit as the agent of the own4.er: �1 O Contractor Name RegistrationNo. Date OR Owner's Name T..fin Town of Barnstable OF•fHE fpk, Regulatoiry Services 3 $ O Thomas F.Geiler,Director 9�pjE0'r '�� 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 Tf'Cy�' /">/�i(�I/ /�,� -- -- .,as.Owns.•ofthe.subjectpxopetty-"...._..._. .: hexeb uthotize 1 � �--�`� to,actt�n�npb.ehalf,. ya ' Sall tnattets relative to work authoiiFc�tig this building permit apltcation for: b (Address of Job) S4=tuxe of owner Date S i� -pi-jai Name - ( 4 .BOARD,OF BUILDING REGULATIONS •'I cense: CONSTRUCTION SUPERVISOR I Number..'CS,, 074928 �� Birthdate� 1961 tI I piras J 10004 Tr.no: 261 i Re`str(ct 1d N WIL•L•IAM i •� 122'POND�STREET��,; (�;�,.,;,,� BREWSTER a MA'?`02631 -' s Administrator :�.iia..�•:-�- .iTw::......«.:I.,+:iC:• .^.1.'.Ya- �.v.. s.t:-4 .Jf�.'.�ds:--...__._�..JI 1 - �//1'Q VO)N!/fU//IIIC(L�l�. O/l.�(UIJS(/CIfUJ(.G(d x Board or Building Regulations and Standards s,�'"`'•G HOME IMPROVEMENT CONTRACTOR is R;1;tratlon: 9244 lration 7/30/2005 Type: Private Corporation Whalen Restorati Services Inc. William Whalen 22 American way South Dennis,MA 02660 Administrator - WHALEN RESTORATION SERVICES INC. 22 AMERICANWAY SOUTH DENNIS MA 02660 - (508)760-1911 FAX(508)760-9995 . MA LIC#CS-074928 HIC REG# 129244 Complete Fire, Smoke,Soot,Water&Mold Remediation Service 1 st floor 47,6" , 11'3" 10'6" 24'5" _ Closet N Bath Dining � Kitchen 14' �KrG Hall SHI ,o T 2'10" 3'2" 10'3" N opens, MBDRM Porch In i Living room �D Alt Foyer 15'5" 13'10" 36'1.1" . 1 st floor BROVJINCONST2 07/13/2004 Page: 2 WHALEN RESTORATION SERVICES INC. 22 AMERICANWAY SOUTH DENNIS MA 02660 (508)760-1911 FAX(508)760-9995 A MA LIC#CS-074928 HIC REG# 129244 Complete Fire, Smoke, Soot, Water&Mold Remediation Service L 2nd floor 9'4" ,U'8" +2'2" - T TII 8'8" M tc • 2'8" Bath F---2'8"_ s y �2'6" Halo Bedroom2 2'9" ��g Bedroom 3 !!® 2 qx �2'8" °v in I(f V GO(ID so b FP 4 F2" —i Roomy 3'S" ,4'2'. +4'1" 18'2" 1 2nd floor BROWNCONST2 07/13/2004 Page: 3 WHALEN RESTORATION SERVICES INC. 22 AMERICANWAY SOUTH DENNIS MA 02660 (508)760-1911 FAX(508)760-9995 MA LIC#CS-074928 HIC REG# 129244 Complete Fire, Smoke, Soot,Water&Mold Remediation Service E Basement 49'6„ 37'6" Basement Crawl M F-3'6" 137 11'4"-� N T b Z,10" m iv 3,Z" 3 1" FP utility � if ROO Lf 38'2" .. Basement BROWNCONST2 07/13/2004 Page: 1