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0303 STRAIGHTWAY
3D3 S��a��k-+-ww� _ __ i Town of Barnstable *Permit Regulatory Services Fees 6 moat s from issue date i i r "STAB Richard V.Scali,Director 639. !Ep Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable:ina.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Numbe<'�)j(a la q- I Property Address residential Value of Work$ `C� ® ®Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Q A QX 'A jN_Z- Contractor's Name C-0 t`Qw Co (`R Telephone Number ', ®S 7 7 5@2 911Q "A o Home Improvement Contractor License#(if applicable) '� �® 2 Email:._Cm Vv ,- Construction Supervisor's License#(if applicable) ' V ❑Workman's Compensation Insurance ® � Check one: POMP) ❑ I am a sole proprietor APR 20 zot� ElI am the Homeowner VI have Worker's Compensation Insurance TOWN OF BAR NS ABLE Insurance Company Name ' Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Rest(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken toe® G -Fo r ems"�l&k 0,j� ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/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: ^pe O e must sign Property Owner Letter of Permission. copy t IMn, ontractors License&Construction Supervisors License is equire . SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\L7U69LF2\EXPRESS(2).doc 01/25/17 Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement=Contractor Registration Type: Supplement Card Registration: 183202 ARMEN SAFARYAN Expiration: 09/13/2017 67 Sea St Apt A4 Hyannis, MA 02601 4: , -� SCA 1 % 20M-05/11 Update Address and return card. Mark reason for change. ''%fie�ciicrnninuenl/�r/%>.,ljtr.;ac�n�c/C ' Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR a TYPE:Supplement Card _ Registration galration 1'83202 09/13/2017 ARMEN SAFARYAN : .:.. DB/A COREYAND.COREY. EVGENYSUSHKO 67 Sea St Apt A4 Hyannis,MA 02601 Undersecretary • I Massachusetts Department of Public Safety t® Board o Building f 9 Regulations and Standards License: CSSL-106102 Construction Supervisor Specialty .ARMEN SAFARYAN 67 SEA STREET APT A47°;' HYANNIS MA 02601 i Expiration: Commissioner 10/02/2020 COREY A COREY , 1672 FALMOUTH RD #117, CENTERVILLE, MA 02632 P)K 0114 1 k .-S ei 8) --T Z 4, Cr IR RX,T&I 1A,Tr R, R-; Di k A RK Q K A Rk C Kv I Tr K C r U Rk A L S,1 rr Y L 1 11 Rk 01)01 F I RK ei P R_, 01 P 0)S-)A L April 12,2017 RICHARD DeFONZO Tel: 508-778-1416 303 STRAIGHTWAY MAIL: P.O.BOX 361 - HYANNIS,MA HYANNISPORT,MA 02647 COREY & COREY hereby propose to perform the following services in a neat and professional manner and.in accordance with the manufacturer's specifications and local building codes. Remove and Haul Away All of the Old Asphalt Roofing Shingles(One Layer)on the Entire House. Re Nail All Plywood Sheathing as needed. Supply and Install CERTAINTEED LANDMARK PRO SERIES: LIFETIME WARRANTY, 10 YEAR SURE START PROTECTION,CLASS A FIRE RATED,COPPER) CERAMIC STONES for a FULL 15 YEAR WARRANTY AGAINST ALGAE CONTAMINENT,250 POUND,EXTRA HEAVY WEIGHT, 130 MPH WIND Wes,CATEGORY III HURRICANE,STORM/HURICANE NAILED (6 NAILS PER SHINGLE), MULTI-LAYERED,LAMINATED ARCHITECTURAL STYLE,FIBERGLASS BASED ASPHALT SHINGLES. COLOW MAXIMUM DEFINITION COLONIAL SLATE Supply and Install ' HICK'S VENTED ALUMINUNM DRIP EDGE After Cutting an Opening at the Top of the Fascia Boards Supply and Install CERTAINTEED WINTER-GUARD (Ice& Water Shield)WATERPROOF UNDERLAYMENT SYSTEM on Roof Eaves. Supply and Install RHINO SYNTHETIC UNDERLAYMENT on the Rest of the Roof. Supply and Install AIR VENT SHINGLE VENT H RIDGE VENT on the Entire Main Ridge. Supply and Install —ALUMINUM-4-NEOPRENE SOIL PIPE FLASHING Supply and Install All New Rake Boards with AZEK-&-SCREWS AND PLUGS-in.-One-Piece Runs. Clean and Remove Debris from work area after job is completed. TOTAL INVESTMENT ------------ $ 6190.00 i jJ+ ( Y yC R Z11I, _' T h,e Fm o,o,f 0.r-"ss POSSIBLE EXTRA CARPENTRY: Any.Rotted.or Otherwise Deteriorated-Trim Boards,Plywood "Sheathing;Missing Metal Flashing,Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus Labor at the Rate of$ 40.00 per Hour. PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORK SCHEDULE: All Roof Work is Scheduled for Completion Within 60 Days of Acceptance and Receipt of Deposit providing the Materials are Available.Therefore Deposits Received are Non-Refundable After a Three Day Cooling OR Period from the Date of signing. This Proposal May Be Withdrawn By Us If Not Accepted&Deposited Received Within Thirty Days Or Before The Next Price Increase In Materials Please Make Checks Payable to: COREY & COREY COREY & COREY Warranties the Shingles and Labor for 5 years. CERTAINTEED,__ Warranties the-shingles-and labor400%-for-the First-10 Years ^ and the Shingles your LIFETIME if the shingles becomes defective. CERTAINTEED Warrants the Shingles up to a CATEGORY III HURRICANE-130 MPH WIND WARRANTY. CERTAINTEED Warrants the Shingles to be Algae Resistant for a Full 10 Years. COREY & COREY carries Workman's Compensation and Public Liability Insurance on the above work DATE OF ACCEPTANCE: -/1,3 f� ACCEPTED BY: SUBMITTED BY: RI DeFONZO CHARL REY, SULTANT HOMEOWNER CO Y < The Commonwealth of Massachusetts Department of Industrid Accidents Office of Investigadons 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers Applicant Information PIease Print Lembly Name(Businesslorganizadon/Individual): Arl;i e-n =art f' Address 4 ci 'f !� �' �a:�-sir>o5' `�i�G�C'E` City/State/Zip: Phone M. a 2 �7 7 C-Q % y Are you an employer?Check the appropriate box. Type of project(required)- 1-Q I am a employer with 4. ❑I am a general contractor and I employees(full and/or part-time)." have hired the sub-contractors 6. New construction 2.01 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have S. Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance cone.insurance 9. []Building addition $ required.] S. We are a corporation and its 10.❑Electrical repairs or additions eq � ❑ rP eP 3.❑ I am a homeowner doingall work officers have exercised their 11. Plumbing re. ❑ g pans or additions myself:[No workers'comp, right of exemption per MGL 12.0 Roof repairs insurance required,]t c.152,§1(4),and we have no employees.[No workers' ME]Other comp.insurance required.] 'Any applicant that checks box#1 must also till 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. Contractors that check this box mist attached an additional sheet showing the name ofthe sub-contractors and state whether or not those entities have employem If the subcontractors 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 poUcy and job site information.Insurance Company Name, � AZ r /-0 le-C.CV, 2�!C Policy#or S elf-ins.Lic.#: -� .Sv/- ' i% ��0 674 Expiration Date: ���' C`i/ 7 St v Job Site Addi s 3 .St � `� City/State/Zip: Attach a copy of the workers'compensa on policy declaration page(showing the policy nunilAr 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 a violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA f ec2YEMeverification. I do hereby certify r s pry that the information provided above is true and correct Si attre: /i Date- 0 3 Q 7- j 7 _ FOther only. Do not write in this area,to be completed by city or town offtciaL n: Permit/License# hority(circle one): " I. Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son; Phone#: A`oity® CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDAYYY) 9/16/2016 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 NAME. rshley Paiva Southeastern Insurance Agency, Inc. PHONE (508)997-6061 FAx AfC No_(508)990-2731' 439 State Rd. A�E�apaiva@southeasternins.com P.O. Box 79398 INSURER(S)AFFORDING COVERAGE NAIC# North Dartmouth MA 02747 INSURERAArbella Protection Insurance 41360 INSURED INSURER B AEIC Armen Safaryan, DBA: Corey and Corey INSURER C- 67 Sea Street Unit A4 INSURER D: INSURER E- Hyannis MA 02601 INSURER F COVERAGES CERTIFICATE NUMBER:2016-17 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 ADDL SUER LTR TYPE OF INSURANCE POLICY NUMBER PMMIDDY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY OCCURRENCE EACH $ 1,000,000 A ( CLAIMS-MADE �$ OCCUR PREMISES a occurrence S 100,000 9520046441 9/18/2016 9/18/2617 MED EXP(Any one person) S 5,000 PERSONAL&ADV INJURY S 1,000,000 GENL 2,AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 000,000 E POLICY❑JECT LOC PRODUCTS-COMPIOPAGG S 2,000,000 OTHER Employee Benefits S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Fa accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) S HIRED AUTOS AUTOSSWNED PROPERTY DAMAGE Per accident S S UMBRELLA LIAB OCCUR EACH OCCURRENCE g EXCESS UAS CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ - S WORKERS COMPENSATION PER OTH AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORMARTNERIEXECUTIVE OFF10ERIMEMBER EXCLUDED? N I A E.L.EACH ACCIDENT $ 1 000 000 B (Mandatory In NH) WCC-500-5015091-2016A 9/18/2016 9/18/2017 If yes,describe under EL DISEASE-FA EMPLOYEE $ 1 000 000 3 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) - i ' CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Display Purpose Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Ashley Paiva/AMP ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025 onunn ' ��v�^vp,, map and /�x number .�/^�*^^^-'f���' � /7 -_ ��_ ��y n -'- . THE ' Sovvo' Permit number -. � '-_-.. ----_ (7�� `)n -�x ' ' | 33ARNSTABLE, ' House number -------� .......................... ` ! ' ^ . � r���-����7 ����� ��� ��l�T�Zr�� � ��l� �� TOWN�� |"� � ��� BARNS TABLE ���������u / ^ ' . 0NN �� 0�� INSPECTOR -- � ��0NN �~N0N ��N� N ������N~0° � NN �� � -- -- - ---- - -- ~- - -- -~ ~ ~~ .~ ~ ~~ ~~ . ' - � APPLICATION FOR PERMIT TO -- .............../ J. .���~/ ........................................ � TYPE OF ����3����CONSTRUCTION ----.. .----.---.--.----.---------- ' . ...-.!~L, /,��� ----' r' - TO THE INSPECTOR Of 8V|G0NGS The undersigned hereby applies for o permit according to the following information: ' Location^ ......^--------^ ...... ---------'---T-''`^----~'-r^ .............................................................Proposed � Use --. .......................................................................................................................... Zoning- District ...........W/ A .............................................................. District -- /--~-----_,-______. � � ^ b ~U "Name of Owner ���Z�o�� '� �� l/[ ^ 1 �1 A66nso � ��' ���� ���/� � �� ............................. ' | ' '' -- -'' --' ' �--� -' '' - -^ ^' '' . � , Nome of 8oi|6*r ^/ 4/ / ���'f' �- A66n�s .......... ....... C�-. . . -. -. ---.. - ---. � ^ -'--T----------------' ----'� ' ' -' - - ' ' Nome of Architect ----------------------A66res -------------------~-----___ ' � Number of Rooms ----�------------------Foun�oiion .. -.l�<��<.�<�.!��.------. Exterior � � ��-/� --- -. 'RooGng - . � � � -'_---`--------. �� ---. -----.-----~- � \ Floors ---�- ......................................./�' /� �------.|nterior -' .......................................................... \~ � Heating --.;!��^�,�'�!�-._�'.���'�����-'------.`..Plumbing ...../�.;���`-7�..[.. -{---------.� . ��' �� /^/� Fireplace ---.{���/���»�-----------------..Approximate Coo --'��.�. .... ^(.��____,____,, ' ' � Definitive F1on Approved by Planning 800nj � ''�"^ ' '' lR Z--. Area -' ------' ' � � Diagram of Lot and Building with Dimensions Fee _______________ . ' SUBJECT TO APPROVAL OF BOARD OF HEALTH � � ^ ' . ^ ~ . ~ ' | ' | hereby ogee to �s and ���� � t� �� of Barnstable regarding t� o�� ' construction. � Nomel����..J��'. ....................................................... ` Greenbrier Dev. A=2,64j--2o-o No Permit for ...1...sto-ry--s-ii:�gl-e-- family dwelling ................................................/........... ...... ...... 4 ......... .-�n��.,,1, .... ar Location ljd-t—�#j .. 303--,1ttratgh.t-w .......... Hyannis ........................................./.................................. Owner ........Greenb.d. r..Dev............................ Type of Construction ..........frame..................... ............................... Plot ........................ Permit Granted .............S.P-P.t.......2) 1.19 79 Date of Inspection .............................N....... 9 Date Comple/leed ... ....................19 PERMIT REFU�SD NN ............... .......................... 19 .L.=..... ................ ........ . ...... .......... ............................................................. .................. ............................................. ................... ..................................... ......................................... Approved ................................................ 19 L ........I....................................................................... E7] L - ..............................I................................................ s� TOWN OF BARNSTABLE _ permit No. 21693 1 pit : Building Inspector MA J' Cash — 1639. • X OCCUPANCY PERMIT Bond _ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector. ; Issued to Greenbrier Development GorrAddress Box 510, Centerville lot #10 303 Strai,ghtwav Road. Hyannis p Wiring Inspector Inspection date Plumbing Inspectorr r` Inspection date Gras Inspector r Inspection date Engineering Department � f f , rr Inspection date f/ THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. � C ...._..._, 19" 7 .....................oxd)lf,. ...._......_.....__._ _ Building Inspector , ' l ..3 T )Z1 -W -t - f 1 oj� I%i tt T 4k, a 7 ,) Air, 4,t ko� t, jy - i i, �P A 4) 46 to r i/l, 31tn If- At 4, 4 4,fC A 7 ., V", p4 GFOXQE -N, L 0 w-, j s, JR1. y e� ?rl.F);, 7 4 A 7' -5 7r- WA/ ss reor s map and lot number .�?...... .....: -� -� Sewage Permit number ...... .........7............................... d sE14M`+SyMft 6HN ABLE, i House number ..................... ..� .......................... INSTAUM fN M�a 1639. `00 -""' 5 O MPY a' TOWN OF B XRNf% CODE AND ULATIONS BUILDING %,INSPECTOR APPLICATION FOR PERMIT TO ...... ..1/.N..S.. �W................. ............................... ....................................:.. y, . TYPE OF;�;�dONSTRUCTIO, N:'�:.............5...4!�. ... ........1.E4 k!0.�4:.............................:............................................ ............ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following info/rmation: Location ...... nr ......5 /v,� /�'l �✓ / ........LY�..94IM5:... ProposedUse ..........`.....��LL 11..... ............................................................... ..................................................... Zoning District .........W46 District .......C./.y /"il✓� Name of Owner ...k'>.t�i'°°✓ �tLC .... �1. ."..1.1J( ....Address ..... 0.'.. �o...( /�=. L��� .. tiff Name o'f:A-bllder ... , .q ..............r ........................Address .............�6�. .�..�.............................................. Nameof:',Architect ........................................Address ..............................:..................................................... Number of Rooms Foundation ...�/Ql✓�Cl ... ��! �/1L°,�(.. --................................................. ..... ............... Exterior ......C,/-, 0."..................................Roofing .... fFf.�f1........................................................ Floors �/� <..... ...�//.l✓..........................Interior ..... .. ?'./ .C.................................................. .....Plumbin Heating___...__......(.�... ./��.... .....4.l..F:!..�...................... g .....Xv•••4:.....������!................... ....... Fireplace .......... ..................................................Approximate Cost ........ . ..V0....., .............................. Definitive Plan Approved by Planning Board � _ C J .6. -------------------�9---- --. Area ...... Q. .. .. ..... ................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ® '6jo I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name 1 Greenbrier DeV, A=269-200 ~ 21693 .~ PLdrmit for .—l...�tor«..S `RgT�� '. f=mf7��.� lI ing Az ------------.—.--------.---- ' | Location ...........l01. #1-}....3C3.-S±zo�nh . Rd . , Hyannis . .---.---.—.^.�---~.----------.. Owner ...OeeRbP-iep''Qe*�----------'' ' Type of Construction ...fnmp............................ —.—.--.~—..--------.—.---~----- . ' _ . ^ Olot ............................ Lot ................................ ' ` Permit Granted ......S@pt,—.��-,L--/ .......lV /Q ^ /~ Date of Inspection .. --.:l9 Dote Completed ... ............ +�...---lg ' <� �� / . ` ,~- ^�� / ` ' . . � . .UZMIT REFUSED ~. ` ~ ' l9 �� ----. ----' ��.— /—.. .` . * ................................... Approvec ----------. 19 ' ' ` .......................... � ----^---^--^^—'--'--^--'~--7^^' �