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HomeMy WebLinkAbout0096 THIRD AVENUE (HYANNIS) � �� � J ,, 1 0 ��e e The Town of.Barnstable 1A111TA141 n •••� > Inspection Department ql O� 16T0• `� ,'''",'' '�• •y' 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner: . r ' April 20, 1993 Mr. Daniel Turr P.O. Box 408 North Chatham, MA 02650 RE: A=246 091 a 96 Third Avenue, West Hyannisport Dear Mr. Turr: Lot "B" containing 6,735 square feet with a dwelling as shown on a Re-Subdivision of Lots Nos. 161-163-165 at West Hyannisport, Mass. Property of Ralph P. & Viola E. Greene dated July 8, 1947 by Bearse & Kellogg, Civil Engineers is a legal non-conforming lot with a dwelling. Article 75 approved at the 1949 Anr.,:ial Town Meeting established the first zoning in Hyannisport in August, 1949. This is the basis for my opinion re the non-conforming status. Peace, Jos I eph D. DaL z Building Commissioner JDD/gr • ���A3181PxE 241 I, CHEPYL BISBEE of Third Avenue, Barnstable (West Hyannis Port), i Barnstable County, Massachusetts, for consideration paid in the , }f amount of SEVENTY-NINE THOUSAND NINE HUNDRED '� RED AND 00/100 ($79,900.00) � DOLLARS, grant to JAMES C.HAWKINS and GLORIA E. HAWKINS, husband and wife, as tenants by the entirety, both of 8 •Indian Spring Ashland, Middlesex County, Massachusetts, with QUITCLAIMCOVENANPS, the land, together with the buildings thereon, situate in Barnstable (1 (West Hyannis Port), Barnstable County, Massachusetts, bounded and described as follows: (i FIRS_ T PARCEL; Parcel B on plan entitled "Resubdivision of Lots ' numbered 161, 163 and 165 at West Hyannisport, Mass., Ralph P. and Viola E. Greene, July 8, 1947", drawn by Bed=Bat& of Kellogg,i Civil Engineers, which plan is filed in Barnstable County ~ Registry .of Deeds in Plan Book 80, Page 11, and bounded and ., described as follows: WESTERLY by•Third Avenue, as shown on said (55.00) feet; plan, Fifty-five ? NORTHERLY by Lot A. on said plan, Eighty-one (81.00) feett WESTERLY by by Lot A, Sixty-five (65.00) feett 2 y Pine Street, Nineteen (19.00) feett - EASTERLY by land marked Clifford Allen Betts, on said plan, One Hundred twenty (120.00) feett k fir; SOUTHERLY by land now or formerly of Haberer, One hundred € (100.00) feet. ` r Containing 6,735 square feet of land, more or less. yy Y SECOND PARCEL: Lot A as shown on said plan, bounded and described - r ..a as follows; WESTERLY by Third Avenue,. as shown on said plan, Sixty-five(65.00) feett ` SOUTHERLY by Lot B. as shown thereon, Eighty-one (81.00) feett EASTERLY b 7,4"'� Y Lot B aforesaid, Sixty-five (65.00) feett and NORTHERLY by Pine Street, as shown on said plan, Eighty-one ~} (81.00) feet. t Said parcel containing an area of 5,265 square feet, more or less. For airy title, see deed from Paul E. Bisbee and Cheryl Bisbee, to me i x duly recorded with the Barnstable Count Registry 2783, Page 141. Y rY of Deeds in Book WITNESS my hand and seal this �ti ' } day of--L-'r- �c.:�_. 1980. *CO'M FAITH OF MASSACHU5ETT5 tzreo Cheryl' Bisbee ��\y COMMONWEALTH OF MASSACHUSETTS Barnstable, as: i 1980 t t ... Then personally appeared the above-named e Isf the foregoing instrument to be her free a�beforecmkeowledged x Xi<i y�+ # ^� Notary Public F My commission expires: - {;Gf►�LU OCTZ9 80 / o ��r�� 2 _ � � � .� ��_ C `/I�� �. �� �.�� � __ � s ��,�-fit �?��'� �- r �� � �� _ __�u sue" �'G1�q ..c_c���� r�_ . _ �" - ! � l- r ��7w� ,�, l �- - ����__ . _. -- -�=�i�C - _SAS- - - �� �_ _� --�- ` __ _ �- � d.� - ----- _ � ----- -- - ���_. _ _ _ • i 1.5'u.A RE' A ear E. ,'f:::i S 5•ftil e( 1{ (.l"�+f .d,f' L.}C.r Hy k.:.A.lY:.? .rat a'"..:�,.��_.�_.�.� s"". I...� l irk .f `, 8 w 0 J h _Ly.l R A k TJR S,. J!A}:tl F y jr'A P '<R i-'4•' j Y ':N- :y s:e.; k!r .. I a..A}.Y:i (7%..,v X i,�? is :�d '.�i. .'• :,, f E'3 !? re }t Mitt t;._� ,... 71-7 'v'7` ,. .,.. ,- ..< z !`.i r,ji.J•�5`.= i'.f<. .I 2_, A�!,. .:..`'a,':` :r f 7 d f, FFVS., inir,�.i; Ll2�• !, .,.r .}:..; EGA, *rep: : )ems,: ............. a ., to�e a.. ,.:1'+.[i• .1 .5 t 1 F'k"' J.A k, n E i F :�} (�.{'•�•..f� tc f: •j �'I F•,T J » i Cr7 73{ � :, ��5C++�rrn. s +' � ' a� t(`.F L,JA ... a 1 .x. �€f�: 'E ^ t ES. 2 ».<., :,a.,t.,A,1.^;W 7»-•�.�t`�3-.d_: .�: ,• � a.!,.._t y:f. �.,�,,:r .t`5..z.. �., - ,z•.:�-..:.:,,i:. „':•:�.t .3 - SPACE S C: ?'d;'i.. 5.:i_i_r J'9 'r F7 OfIKE2--, Town of Barnstable *Pe mtt Qy Expires 6 nrontlis fi 'ssue dale STAB Regulatory Services Fee BARN7b i65� ,$$ Thomas F. Geiler, Director Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY ^� Not Valid without Red X-Press Imprint Map/parcel Number qC0 Property Address t l 11t V1; 6UV1.VL0 [residential Value of Work �/ Zb Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address J ley—fit r4►t-w k i I f<< A-L)t — Contractor's Name rl-r-L-o` '12y 't'l. T6ecc Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) �� -� ❑Workman's Compensation Insurance Check one: ® ESS PERMIT ❑ I am a sole proprietor ❑ I the Homeowner - AUG 10 2009 I have Worker's Compensation Insurance TOWN OF BARNSTRBI.E Insurance Company Name- A-C Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on rile. Permit Request(check box) ❑ Re-roof(stripping old shingles) A11 construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof} ❑ Re-side Replacement Windows. U-Value c t- t (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc. ***Note: op Owner must Prope y Owner Letter of Permission. H e Im oye o rac License&.Construct Supervisors License is required. SIGNATURE: Q:\WPFILESTORM Express\EXPRESSPERM IT.D_OC Revise06O4O9 du c C J f L 7, G10 TWI,_1 71 iV (r`2 1 o )Norke_33 cc,-,mplrsfitlon Alid1al.A.t., Appli,ennt Inform-ation Please Print Legibly Name (B u sines s/.Orc,an ization/Individual): c-_ TD, T4 L, Address: Cs Z Z City/State/Zip: 0 S -5 Phonek Z Are you an employer? Check the appropriate box. Type of project(required)- r- 1. I am a employer with 4.❑ 1 am a gep-eral contractor and I have 6. El New,construction employees(full and/or part-time).* hired the sub-contractors listed on -7. E] Remodeling 2. F] the attached sheet. 9. ❑ Demolition I am a sole proprietor or partnership These sub-contractors have and have no employees working for employees and have workers' comp. �9. Buildina,addition me in any capacity. [No workers' insurance.t comp insurance required.] 5. We are a corporation and its J0. EJ Electrical repairs o additions 'r officers have exercised their right of 11: D Plumbing repairs or additions 3. ❑ I am a homeowner doing all work exemption per MGL c. 152 § (4),and 12. ❑ Roof repairs myself. [No workers' comp. we have no employees. [No workers' 13. Other li insurance required.] t 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 attach 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. Iam 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.#:W C 5-6 1 Expiration Date: 5 Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby under the by�cu er pa s a pe ties of that in motion provided above is true and correct. Signature: Phone#: Official use only.Do not write in this.area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: CERTIFICATE OF LIA ,B?ILIITYINSUR---AN--C-r-.-,. 1 0'5,/2 11/2-103S- CAA 5 C;8 M -52, R 7 1 F;,--, IiS i j;-: A. 4L ynA R N P MA : i 1P 3"-i C R'G�4­3 UP C N R Mad A nr re 7 n su raric s� Agr-ric-y, Inc. CZ IMCA'E HOLD`E�-_T�4.11 ��CES NO`AMIDMO,EX7ENO'OR 11 Wiest Ma4in :Si et A!_7 tp r!,7 E C%l R:,G Si T L�C^1 OISS S-ELOVY. f%SR A i3 N 12,i:Q V-�:'RAA MAIC D Cada,- st W,0 6 u r n N 1A G I THE POLICIES 0:--NSURA�NCE'_IS7&_�SELOV-J HAVE BEEN!SSUEO TO 71HE PoISURE-E.,NAMiED ABOVE FDF TH,-"-' PERIOD NDICATC0.NOTAITHSTANDIN3 ANY RECUIRE'1404T.TERM OP.CONDITION(i;'ANY CONTRACT OR OTHER RESPEC- MAY BEE ISSUED OR MAY PERTAIN,THE INSURANCE Ar"OREIC0 BY'HE POLICIES HER I,I IS SUBJECT ECT TO -,,�E T Elp M S,EXC LUSICNS AND CON D T 10'IS OF SUCH POLICIES.A(ZGRECZATH LIN]ITS SH0-i'JN MAY HAVE SEEN REDUICEI)B',,'PAIC CLAIMS. INSR ACO'L TYPE OF INISUPkNcs POLICY PfjL1C"1EFFF-^TIVE PCL1CvEXP1RA1*IQ.N I TRfNSRQ -rr'm GENER.iki LIABILiTY UP 8 5883 70 121.3 1 j 2008 12,,,'31./2G09 oco,cool X 30,0,000 A 1,000,0001 2,000,on 7 2,0001 01 r�EP AUTO hiO&LE UA3117�-* B."k 95841*74 12/311/2008 1.2/31/2009 0 ..... 00 of ........ _,FIELDIJIECIAUTIJ� 1N.,4j7'- �7 GARAGE L ASILWY II f"r,' H p "EF,T10. EXCESS10,49RELLALIASILiTY CU 8582578 12/31/2008 12/31/2009 5,000,000 X CL.I�i',As PM' 5,000,000 A 'T 10,000 "5 T WORKERS CCIAPENSATION AND ViCB645074 05/01/2009 OS/Olizolo T1 x ''H EMPLOYERS'LABI1TV 500,000i A I JT I'. (.Fri,H.r,,N1S,ARER E,.C,' F.I. $ Soo,oo F.L.D.GEA>E-PGUC r U10IT :E 500,000 OTHER DESCRIPTION OF 0PERkTONS ILOCATIONS IVEHICLES I FXCL.USIQNS hCDEU BY ENMORSEMENTI SPECIAL PROVISIONS R 1 KATE HQLDER c -E; LATIQN %-�OULD ANY OF THE ASOVE DESC.RISED POCCIC-.S BF CANCELLED BEFORE THE EXPIRAIION DATE THERSOF,TH2 ISSU;NG INSURER W-1-L,ENDEAVOR TC MAIL GAYS V4RITTEN,,4cTirE-rO THE CBR_rflCATE BOLDER NAMED To-rr1E;_EPT. 2UT-AILURE 10 MAIL SUCH NOTIC ',HA:!_WPOSE NO OBLIGATION OR UAGILITY _R,ITS AGENTS .4 11YES OF Alf KIND UPON THE INSURI NTS CR RFPRESE?TA �ALTHORIZCO REPRESENTATIVE 'I mo hy J. Mcr.-nagh ACORD 25(200VDa) FAX: (617)998-1096 (DACORD CMPORATION 1988 C 07-22-`09 10,52 FROM-Newpro-UlheehngAve 1-781-932-0860 T-017 P002/002 F-307 . C7.I1eg*O6os216 58766 RI Reg#26, 3 wrndows staMg ana lRore Corporate Headquarters,.26 Ceder St,Woburn,MA,(P)800-342-2211(F)781-933.9626,www.newpro.com THIS CONTRACT MADE THE � day of 70 ✓7 e— 20 between C4 1'n 'd S (Home Owners) { (Home Phhoonno) ,,[(Bus./,Cee/i Phone) of �6 �`ii�� �./C 1/✓e3/-' // ��arl/);��o�/ , /�//� Oae (Address) (City) (St ta) (Zip) the"Owner"and NEWPRO Operating, LLC, "NEWPRO". The job address is a condominium. NEWPRO hereby agrees that it will for the consideration hereinafter mentioned,furnish all labor and material necessary to install the following described work at the premises located at Job Address E Mall for,ppropriieta, use only TOTAL yrjpC Additional Model TOTAL Windows Purchased NEWPRO Work Number Qty CASH y/eqly Window Color In: i' Out: Slidin PRICE Capping Color "Affe Steel Security Door oor Out: DEPOSIT de Model Name Model Numbers 0 Sidelites WITH t�210r Double Hung New ORDER Picture Window LBALANCE Casement Obscure OM DUE AT 2 Lite 13 Lite Slider Screens INSTALL J Bay I Bow Frame Please Initial., , Roof. ❑ .�'�—� Customer understands that NEWPROO does not �+ Garden Window do any painting or staining. (le:when removing Balance lier at inSWIlation Awning or replacing interior stops or trim) Hopper NEWPROO is not responsible for conditions or Shaped circumstances beyond its control including con- INANCE Other densation resulting from or due to pre-existing Bank com ol etl orm signed at installati GRIDS Euro conditions. DESCRIBE WORK: e-ow✓e C ram., �o OGG ;/ a/►') �r�/ � � �,� �irn GTcJ6c G3 i C 3 iS s-7 2? -7 c,d it cz e-�� Est.Start Date: d Customer understands this is an"estimated date" Wn . Est.Comp. Date: c�G nInitiale um a e . It shall be the obligation of NEWPRO to obtain any and all permits necessary under this agreement,as the Owner's Agent. The Owners who secure their own construction-related permits,or deal with unregistered Contractors will be excluded from the guaranty fund provisions of MGLC,142A. All Home Improvement Contractors and Subcontractors shall be registered by the Director and any inquiries about a Contractor or Subcontractor relating to a registration should be directed to: Director,Home Improvement Contractor Registration,One Ashburton PI,Room 1301,Boston,MA 02108,(617)727-8598. If the Owner is obtaining financing by way of a Retail Installment Sales Agreement,such Agreement shall include a time schedule of payments to be made under said contract and the amount of each payment stated in dollars,including all finance charges. The Retail Installment Sales Agreement shall be incorporated herein by reference. If the Owner is obtaining a revolving credit line to pay,in whole or in part,for the contract amount herein,the terms of the revolving line of credit including interest rate and payment terms,shall be dearly set out on the credit application. The portion of the credit application referencing a time schedule of payment,to be made under this contract,and the amount of each payment Stated in dollars,including all finance charges,shall be incorporated herein by reference. NEWPRO represents that it carries Workmen's Compensation and Public Liability Insurance in the amount of$100.000-$300.000. If the Owner refuses to permit NEWPRO to proceed with the work herein,or in the event of any breach of the Owner of this agreement,for any reason whatsoever shall cause the owner to pay NEWPRO a sum of money equal to thirty-three and one-third percent of the price agreed to be paid,as fixed, liquidated and ascertained damages,end not as a penalty,without further proof of loss or damage. NEWPRO shall not be held liable in damages for delays In the performance of this contract due to causes beyond its reasonable control. Owner warrants that he is the owner of the property on which the work is to be performed or that he is otherwise authorized on behalf of the owners to enter into this agreement. This contract represents the entire agreement between Owner and NEWPRO and cannot be changed except in writing signed by both the Owner and NEWPRO. You are entitled to a copy of the Contract at the time you sign. Keep it to protect your legal rights. We,the aforesaid owners, certify that immediately after the signing of the aforesaid agreement,a copy was furnished to us. You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller,which may be his main office, or branch thereof, provided you notify seller In writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement. (Saturday is a legal business day). See the attached notice of cancellation form for an explanation of this right. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. he owner has seen"sample"warranties that will be provided by NEWPRO upon itistallation. Sain ware noes provided tc Owner, y IN WIT WHEREOF t e par/Lies have hereunto signed their names this day of f/ V.?e �i/ EINO Signed az Marketing Representative Printed Name - Owner Accepted: NEWP sting,LLC By /!!' ! Signed Owner CORPORATE OFFICE SHREWSBURY BRANCH OFFICE WARWICK BRANCH OFFICE 26 Cedar St 151.153 Memorial Drive Business Pk 24 Minnesota Ave Woburn,MA 01801 Suite B-C Warwick,RI 02888 (P)800.242-9974(From NE) Shrewsbury,MA 01545 (P)800-356-3312(From NE) (F)781-933-0717 (P)800456-0555(From NE) (F)401.732.1371 (F)506.842.9248 l WHITE: Branch Copy YELLOW: Customer's Copy PINK: File Copy GOLD: Finance Copy US-15 R0508 0 lj� 'A Ij �3. A h 0 U 3 !A Boa 1d of Building-­Rcguu,�i.10-11i a r".,8:(ar,,, ..Cot I istr.u 1.c 11 t OP 11 S'Ll-pervi. License 0 r Sl httafe 413d1965 3r 96093 T.v%,t. ... .......�; THOMAS OEACobk.jR:i:�',��;��--�."-,�',� 38'OAK-L.AND NVEKIOE KO K a L� 3�3/S f Barnstable *Permit# 0 7l .: , Town o libSAM , + - - Geller,Director • _ .. . t11IIg$till 6 .. .._ DIVISIDII" _- .. _. •--Torn Perry, Building Commissioner MA R f • --200Mem ,-Ayands,NIA02601----.. z RESIDE TUL ONLY. Not Valid ivithoutRed X-Press Imprint (parcel Number ►Adddress -(71Q [tesidential Value of Work R g�. r Minjmmnfee of$25.00 for work under$6000.00 nerJs Name&Address R�S Te1ep$oneNumb ' a_,� —kr,--JAA ftactor'sName ore Improvement Contractor License#(if applicable) nshnction S ,visor's License#(if applicable) - ood roads Compensation Insurance Check one: I am a sole proprietor theliomeovmw ( 1 have Worker's Compensation1nsoranct sM=W company Name T hl)ELF:a 5 rorkman's cam.Policy# to ef Usuraaee Gomplia$ce Gertirmate must be on Fite. emrit box) Re roof(shipping old sbingles) All construction debris will betaken to ❑Re-roof(not stripping. Going over existing layers of root) ❑ Ro'side, ❑ Replaaemeat Windows. i3-Valae ( -') *Where tegWred. Issuance of Brie permit does not exert co Mlisnce widi offer town d tng"Ous,i.e.HistOdc,Conservation,etc. ***Note• Property Owner nm'.st sign property Owner Letter of Permission. o Contractors License is required. Signature Q:Fomw.cgm rg " RevisdO63004 v _---- r. P fee'V�o�rrmeo�u!aea�i�✓t�ad BOAR©OF BUILDING REGULATIONS License:'CONSTRUCTION SUPERVISOR Numbe#: CS 002881 1943 t _ 06 Tr.no: 18791 CHAPLEs E 1684 FlLMOUTH I CENTRRVILLE, " Ad ng m s oner Board of Building Regulations and Standards HOME IMP$OVEMENT CONTRACTOR Registrationo-t136066 C ts,i 06 ' 2, z COREY&COREY2k ,V�MENTS CHARLES C64EY �7r'= ' 1684 FALMOUTH Rw: ;r' C.L.�� i,rt ✓ CENTERVILLE,MA 02632J i Administrator The Commonwealth of Massachusetts Department of Industrial Accidents ,' — ONIaBf{anesl�sd�S — 600 Washington Street '� r Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit-General Businesses name: r f ,� .. . �` ,S - ., ;- .... •:•; -_,:� . , address: state:AS work site location(full address): ❑ I am a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/Bar/Eating Establishment working in any capacity. ❑Office❑Sales(including Real Estate,Autos etc.) ❑I am an em 10 er with em loyees(full& art time). ❑Other �� %%/%//%/%%%%/� �%%/////%%////////�/ [ I am an employer providing workers' compensation for my employees working on this job, Company namAA e: address: ci ;:✓ hone#• insurance cot.: ., V':g .•`.`::::_' DO _ I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: com en name: addres'; ' • .4'. , ' city insurance co. com ari•,neriYee address .. . Phone# irisuiance --: `olicv Fallure to secure coverage as required Hader Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years'imprisonment as well as civ11 penalties is the form of s STOP WORK ORDER and a fine of 5100.D0 a day against ma I understand that R copy of this statement maybe forwarded to the Office of Invntigatiom of the DlAfor coverage verification. I do hereby cent' un e i s andpenaities of perjury that the information provided above is true andytorredl Signature Print name Phone# a `official use only do not write in this area to be completed by city or town official city or town, permit/license,# ❑Building Department ClUcensing Board ❑check if Immediate response is required ❑Selectmen's Office i ❑Health Department contact person: phone#; ❑Other ��,' (severed Sept 20M) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an 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 defuied 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`tle legal representatives of a'deceased employer, or the receiver'.or =tee 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 binding appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any,applicarit 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 the insurance requirements of this chapter have been presented to the contracting" authority. Applicants ' compensation affidavit completely,by checking the box that applies to your situation. Please workers, CO , Please fill in the � supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure-to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being equested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill.out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pernrit/license number which wfil b'e used as a reference number. The affidavits maybe returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you coop eratim 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 Massachusetts Department of Industrial Accidents BMW of 088992dons 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617)7274900 ext.406 f - C,,' OREY & ,COREY Thla,, Ito - ���I�5 �I®J 01 1684 Falmouth Rd. #115, Centerville, MA 02632 P b,O N1It k FAl i m$0iIt--7)7)'-�a'4OJ TAMi 0 HERIITAG-1E 30 AFCHITECTIJRALLSTYLE RE - ROOF' IING PROPOSAL December 2, 2004 JAMES HAWKINS INSTALLATION ADDRESS: 81 INDIAN SPRING ROAD 96 THIRD AVE ASHLAND, MA 01721 HYANNISPORT,MA Phone: 1-508-881-1596 Phone: 1-508-771-3656 COREY & COREY hereby proposes to perform the following services in a neat and professional manner and in accordance with the manufacturers specifications and local building codes. P g Remove and Haul Away All of the Old Asphalt Roofing Shingles on the Entire House. Re Nail All Plywood Sheathing as needed. Supply and Install TAMKO HERITAGE 30 AR: 30 YEAR WARRANTY, 5 YEAR FULL START PROTECTION, CLASS A FIRE RATED, ALGAE RESISTANT, 240 POUND EXTRA HEAVY WEIGHT, SELF-SEALING, 70 MPH WIND WARRANTY, DOUBLE-LAYERED, LAMINATED ARCHITECTURAL STYLE, FIBERGLASS BASED ASPHALT SHINGLE with New England's Exclusive Full Line COPPER/CERAMIC STONES with a FULL 10 YEAR WARRANTY AGAINST ALGAE CONTAMINENT JJ CLASSIC HERITAGE COLOR: m i gy A S b Supply and Install TAMKO ICE & WATER SHIELD WATERPROOF UNDERLAYMENT on Roof Eaves,Valleys,Under the Step Flashing on the Skylights,Chimney, Gable Wat and 100%Total Coverage on the Rear Dormer and on the Shallow Pitched Area Connecting the Front Original House with the Two Story Rear Addition.. Supply and Instill 15# SATURATED BLACK FELT UNDERLAYMENT PAPER Supply and Install 8" WHITE ALUMINUM DRIP EDGE on All Eaves. Supply and Install SMART VENT RIDGE VENT SYSTEM on All of the Main Ridges. Supply and Install ALUMINUM& NEOPRENE SOIL PIPE FLASHINGS Clean and Remove Debris from work area after job is completed. TOTAL INVESTMENT $ 9995.00 Payable immediately upon completion. POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards,Plywood Sheathing,Missing Metal Flashing, Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus 20% and Labor at the Rate of$ 50.00 per Hour. PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORK SCHEDULE: All Roof Work is Normally Scheduled for Completion Within 30 Days of Acceptance and Receipt of Deposit providing the Materials are Available. Please make checks payable to CHARLES COREY COREY & COREY Warranties the Shingles and Labor for 10 years. TAMKO Warranties the shingles and labor 100% for the First 5 Years and then the shingles on a pro-rated basis for 30 Years Total. TAMKO Warrants the Shingles up to a 70 MPH WIND WARRANTY. TAMKO Warrants the Shingles to be Algae Resistant for a Full 10 Years. Alterations or deviations from the above specifications will be executed by the contractor without prior notice if needed to complete the job satisfactorily and will become an extra charge over and above the estimate. Alt agreements are contingent upon strikes, accidents or delays beyond our control. Owner to carry fire,tornado,and other necessary insurance upon the above work.If this proposal is not accepted within thirty days it may be withdrawn by us. COREY & COREY carries Workman's Compensation and Public Liability Insurance on the above work DATE OF ACCEPTANCE: 0z Z 0 ACCEPTED BY: SUBMITTED BY: d HAWKINS CHARLES C REY—' HOMEOWNER COREY & OREY Page 2 of 2 Pages. Re-Sub chi vi s1 on . of Zoe .5 Nos.16/-/63- /65 r G AT = WEST H YA N N I , POPT, MASS. PROPERTY O F _ PALPH VIOLA ` E. E- 1 Scale : lin. = 20 9 - ju/y 8, 194 hearse 4 Kellogg ct'vi 1 Engineers. PINE S T. S 85'- 29'E 81. 00 l9.00 `goo t ,5. 2 65OU LQ e C4 81. 00 , qUA 5' 2 9"E 9735 sq.g kQ: - Q G 0 - 100..00 N 85 2 9 1N - willi..?m c Jessie Haberer. x , Y "VI- 1 'A_-_ F 1748