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HomeMy WebLinkAbout0016 BRIDGET'S PATH i � ' ��� � . . ,. } : :: .., .. : : ,,. , , ,. .. .. e _ G u ., - - � .. .. .. .. i .. - .. m ... � � - } �. � � � h _ ` � 'I a � .. .. .. .. �, .. c .. .. „ ., �' r '- „ ppp .. n �, � �� - �� .. .. _ �,. � .., _ u .. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ' Application # ® �'`Ys Health Division Date Issued ^lIt Conservation Division " Application Planning Dept. 'Permit Fee Date Definitive Plan Approved by Planning Board q� -11�lt Historic - OKH _ Preservation/ Hyannis: Project Street Address 89 s PA >W Village CL_ NT2"'1ZV1 L-J- ' Owner C-ft/. I- L-ti��� 57�►2� Address� 6 ►3et D��T'S ��7�! Telephone ��8" -�3 I a 9�1 —7 717— o(o Permit Request /'ry �..mod (� I�� �"` tta.� � '" � 1� �'Lt.,..�GR•`L- 'Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0 6.0 CO.___S.Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family )4 Two Family ❑ Multi-Family (# units) Age of Existing Structure IT?11 Historic House: ❑Yes 'WNo On Old King's Highway: ❑Yes XNo Basement Type: '4 Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) N �l.1 Basement Unfinished Area (sq.ft) $ Number of Baths: Full: existing 'Z new Half: existing new Number of Bedrooms: `'>{' existing _new Total Room Count (not including baths): existing new First Floor Room Count C;; I' H at Type and Fuel: ❑ Gas 1kOil ❑ Electric ❑ Other u a= Central Air: ❑Yes No Fireplaces: Existing New Existing woos caanal stov�❑�s ANo uF .. k�. Detached la ❑existing ❑ new size=Pool: ❑ existing ❑ new size _ Barn: ❑ existinganew' ize_ Attached gara e: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: co Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name V/ S 7--7Z d Telephone Number - Z 3 !� (0) S= Caw Address / D 9 License # Home Improvement Contractor# Worker's Compensation # --ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO h S) �o `,�„� SIGNATURE / DATE Ir i FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED t f 1 MAP/PARCEL NO. { `* ADDRESS VILLAGE- OWNER DATE OF INSPECTION: FOUNDATIONS)56w 6s t 11 FRAME 2"7 INSULATION 4 FIREPLACE -{ ELECTRICAL: ROUGH FINAL ti PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 9 'g t x DATE CLOSED OUT z ASSOCIATION PLAN NO. T � t AI�N 'The Commonwealth of Massachusetts .. Department of Industrial Accidents ,t Office of lnvestigdtions ;il ire 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers C pplicant Information PIease Print Legibly ame(Bus iness/Organization/Individual): / ~� �?"� ddress:ity/State/Zip: �---r�3�'7Z V® t- �. Phone Are you an employer? Check the appropriate box. Type of project(required): 1.0`I am a employer with _ 4.'0 I am"a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition. working for me in any capacity. workers' comp. insurance. 9. Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3 .I am a homeowner doing`alI work right of exemption per. MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.[] Roof repairs insurance required..]t employees, [No workers' 13.V Other b tz fik comp. insurance required.] *Any applicant that checks box#I.must aJso fill out the section below showing their workers'compensation pol icy information. t Homeowners who submit this affidavit indicating they am doing all work and then hire outside contractors must submit a new affidavit indicating such., IContractors that check this box must attached an additional sheet showing the name of the sub-contrectors and their workers'comp.policy information. [am an employer that is providing workers'compensation insurance for my employees. Below is the polio and job site informadorc. Insurance Company Name; Policy#or Self--ins. Lic. #: Expiration Date /: Job Site Address: f 82�4 P� _City/$fate/Zip: GL 1r11IF, 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-ye t, as imprisonment well as civil penalties in the form of a STOP WORK ORDER and a flue of up to$250.00 a day against the violator. Be advised tli'at a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do her certify u er the pains and pen o erjury that the information provided above is true and correct Signature: y @� Dater Phone Officiahuse 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 S. Plumbing Inspector 6. Other Contact.Person: Phone#: "THE Z Town of Barnstable Regul"atory Services H� O ,.. Thomas F. Geiler,Director aAtixsresLi:, - , Muss. =6S9. .�� Building Division PrED {� Tom Perry,Buildfng Commissioner 200 Mairi.Steet, Hyannis,MA02601 _.. www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 509-790-6230 HOThIEOWXER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: � � i2i.� �,�'f �c�� �L�rJTL7'C y� GC� j✓I�Q number'./ (� (1�7 street village "HOMEOWNER": Y ] C��U12 J U"/� A✓ �j �� aa 5 31�2 �CS2�O �' S"-�35-7(�lS� name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The cturent exemption for"homeowners,';was extended to include owner occupied dwellings U,six units or less and to allow homeowners to engage,an mdiyidukHor hire who does not possess a license,provided that the owner acts as supervisor. ER t n )TF77�TIION•OF HdMEO•�i�7t Persons)who owns a parcel of land on which he/she resrd'es or intends to reside, on;which there is,,or is intended to- . be, a one or two-family dwelling, attached or detached structures,accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on.a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under thry ldin' permit. (S_ection 1,69,jy,lr)k The undersigned"homeowner"assumes responsibility for complianteee++with the State,Building Code and other applicable codes, bylaws,rules and regulations. The undersigned`:`homeowner"certifies that,he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and s` `!r A � ♦k Si attire of Homeowner, Approval of Building Official r c Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to cornpIy with the +State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that "Any homeowner performing work for which i building porn it is required shall be exempt from the provisions of this section.(Scetion I D19.1.1 Licensing of construction Supervisors);provided that if the homeowner engages a perso (s)for hire to do such work,that such Homeowner shall act as supervisor. Many homeowners who use this cxerttptiair are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In.this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The hoincowirer'acting as Supc sor .is ultimately responsible. -- ------.,..,----�--- To ctuutc that the'fiomcowner is fully aware of Sis/hcr responstbilitics,.many communities require,as part of the parmit application, that the homeowner certify that hdshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by " several towns. You may care t amend and adopt such a fom-Jccrtification for use in your community. Q:forms:homccxcmpt :4 f` .i srti Town' of Barn-stable... ` Regulatory Services ! f quxr`MASI E� Thomas F.Geiler,Director Building Division i . Tom Perry,Building Commissioner 200 Main Street, Hyannis,Na 02601 www.town.barnstabTe.ma.us Office: 509-962-4038 Fax: 508-790-6230 .t '4 '� t -- Property Uwuer Must Complete and Sign This Section If Using A Builder as r of the subject.property o14� hereby authorize 16 CA % I l' F?'Si il& o act on my behalf, in all matters relative to rk authorize y this building permit application for: f 6 6 R,! S ), � yr 44 Ad ss of Job) 1 rgnaturt C15Fwner IYate VICTb2 S- S' n A/ riot Name If Propedy Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FO RMS:O WNERP ERMISS)ON �- t1i"Iq Y tl-k; x) s;--z r,) . s-aS- ya 6'3) `6 13 em2&--r 1s / q1s- Cer� v.�i TM Pro OD' eck Ou"kesiga-a n In 0 (9 -,6) k6 a )ot1+L 1 �PYL Joist Layout View 3� (21 IZ"oG .tq � UN 9 � tA LI�o&CM 1 1 ft OC DO ; 1 ft OC 10inOC o 5' 5, 5, a 5, 5. W A A A A - A A A A A A W 0 0 0 0 0 0 0 0 Notes: All joist and stringer spacing dimensions are measured in OC. Warning and Important Instructions: This is not a final design plan or estimate. EDGENET, INC.assumes no responsibility for the correct use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Advertencia a instrcciones importantes: Esto no es un plan ni una estimaci6n final del diseno..EDGENET, INC. no asume ninguna responsibilidad del use o de la salida correcto de este programa.Toda la informacion contenida en esta pagina esta conforme a los terminos en la negaci6n,situada en el extremo de este documento. Copyright©1989-2011 Edgenet, Inc. Page 6 of 18 Doc ID a6babdad-3dc247la-btea-dc50c00560d7 T0WN Or Bill.P NISTf LE Nil JUL -6 P(H 12: 05 DIVISI N .js 1 6 i 4 ' 4' ! ti Y- L-Zi u -3 nn x> C► ��.7�'cift ve L L1,, TIM Pro Deck Design 3D View bid 5 `4`j \ S. F a 'tip s i sx 1, Warning and Important Instructions: This is not a final design plan or estimate. EDGENET, INC.assumes no responsibility for the correct use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Advertencia a instrcciones importantes: Esto no es un plan ni una estimaci6n final del diseno. EDGENET, INC. no asume ninguna responsibilidad del use o de la salida correcto de este programa.Toda la informacion contenida en esta pagina est6 conforme a los terminos en la negaci6n,situada en el extremo de este documento. Copyright©1989-2011 Edgenet, Inc. Page 2.of 18 Doc ID a8babdad-3dc2-471a-btea-dc50c00560d7 TOWN OF &Ak",711 STABLE I j L -6 F3l 12: 0-4 x ISM , t 'F M �.- *; I*- : ` .� � l� Y !' a �c�. can a �N . /. /�yo. LD7 �0 n ;LOT'.2l ' t' #°a y <E,y�y �'Sob ELSE V;. ,� 43• �-A )44 p/r J' S�c/,TO' �S'FS - /y,a '® T Tq `�',�'`f LOT /' �Yt �/ S. ^ 1p k__ z FST - , 3d G0 S T .B r 1.�, AND L �i `� `'o1. Cr of tia 1. fi !! a:4�4 !� 1. / ,� rt:EV; 5 ;: �:31' Alp px \ , ,zl -� �• N6 c,c.JA r:� LNcC' 9r 1. 1. .' /✓��` ? `LcJ N < LJA TER I ' AV �- :4 T /,9 . Q,9 �, F7 s --- o S'� -Y.u � �� /afi �: . ,. /3 . / ,_' /vG: S ETC3., ALr.d S C�:.L / �{�U/k'E.M,!E/7_ . r . ... r erz SEf-'�"/.G . 5`yS,T�M°COn✓STlZ„UG:T/Ohl Sf-/A.[_L :CONF02 M 7 O NjA S. C7�S/�/V TLOGt/ -� . N v/2 o/vn9 L n/1. ., , COOS /r r� Y L.C 'C.�/ /�A TE Er1S137lN %yE�SLTH ���uLA7'iDNS:; '�QU//2 D LLx 4C.4/ .�I,e . Te�F�y[jyC��3�FJ�� '.t LTA L LLt.1— 4. ��/�Yr) +a. k1.. lb�Kl1 N P �tro•���-T"�...f'�+.Gl .�^•�a'���Y.�..�.� i !. {,'$ r k OF ._? '.y � N P, � /`9Ar11NOL'E �.Gb✓E--�P Tp E-X TE nrD -'7'O Tl0, ,a2 Wi T�/.YN / :,OF F//�!/5</�c7 , l�'AD :' Flo/ ,. ,i 1 S To -- l , "o,rc s I n/Sr f �� i Go q�` I l30X I :Z ' ti/Un.I � _— _._ - ___x i. r/ L/T IP/TG�/ FA7, ,L/NE MAN G'jT�f/" _ 4 D/q ��i . COL /r �4 FOOT ,, /D /w/<l/ /44 � OoT 2' pI/N h/TYr� Y Minh.;. f /.. ,..Fao UCH c � � �il:.l� t.� � n/tr e r 4 ,__,07/G iTA h%•L 1. ELEV 1 6W,A.T��7"/G N 7� %�1l I/EIZT ,`� (Z pir /. I v r N p. �l C�3atC E e/ivDE,e `( --- _ r. 9" 2D ,A)/ nilUit./ , <%/' y< 6 LO A7 %Onf; [A NSTlfL�E L /�l '' ,WkTl' :4-) MASS r r t1 {tt . SEX�T/G`;. TA/V�C� /.5T'r2rG is f v a S C1.UT. 'E� i Z� GE.4 FOIE -r! /; ,°rf�,,�ti_;.3 G , O OF E/^✓FO>�''C�Z � L3 �: LIR `}� i` t T,I ,T� t , �� C�NL�le?E Tom. C/vGr�: �� 11 : j � �6'r � � � � ... fit `'. _ 1 (.r 1 .l_.:1.. �: 41 7 f'�°, _ _ ., 1. ,vi / E:,.''°{:d . : r " t:�P �� i= jJ 'I.V WAY 'ti1. /�T TO'.'£�E. / '' //'/9 � -N n�--ZEE Si6A, L0;c1 Li.�/G /� .ul - I C P7 I Y TNT Ex I S T�N� D nr DAT/ON /,� : , , a alrn _UR c'E 7' y9 .. . 5f/L�IuN A ', l7'. C1 5 �,:_� ems' . Town Of Barnstable . k Expires 6 months from issue date - RESS PERMIT Regulatory Services Fee JAN — g Thomas F.Geiler,Director Building Division Aq TOWN OF BARNSTABLE Tom Perry,CBO Building Com missioner 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 G Property Address 1 Ca - a/z rcYX l [Ktesidential Value of Work Y V Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Y e s g c5(6:6c /�( _4 • o -1 A A P, Ial.00 3 r Contractor's Name r ti Telephone Number-50�— ��" 9 C-) ` _ Home Improvement Contractor License#(if applicable) or 3(P Construction Supervisor's License#(if applicable) CS f ry t0 101workman's Compensation Insurance Chedl one: ❑ I am a sole proprietor ❑ I am the Homeowner have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# t,,(, 3 — 0 3 g t rn 55 t —� Copy of Insurance Compliance Certificate must be on fate. Permit Request(check box) D-Re-roof(stripping old shingles) All construction debris will be taken to CL tiytxL< ❑Re-roof(not stripping. -Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement.Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 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 Legiblv Name (Business/Organization/Individual): FA 0�� (_�ll�ao L LG Address: City/State/Zip: � 0a635 Phone#: 56 91— 9 90`� Are you an employer?Check the appropriate box: Type of project(required): 1 J2�_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.❑ 1 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' [No workers' comp. insurance comp. insurance. $ 9. Building addition 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 myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no 13.❑ Other employees. [No workers' 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 isproviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Ll rl_� — 3 M $,5 6 — Expiration Date: Job Site Address: PaA City/State/Zip: 6o 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cep he nd pe lties of perjury that the information provided above is true and correct Signature: CC Date: Phone#: UQ V ya e' �2 oC A Official use only. Do not write in this area,to be completed by city or,town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: ad ofions Emd One A b at ����� e m OOM ds PIIPJ�Istratjo 1301 EA �P. m���7�+�[J�-l�l�l C®• -x. Rent TVAe: 12636 0' ®Og�'�®Q,, SA a fra#Pon: 008 �'����7"8 ® Gas TnP 127220 D1�8.OA7 mooIL - of Imunding3lagulathwa CD mad Hordg 2 d and ed 1an�g"aws f or dfta% for jadj� Board Efd CO e: p i ThP 927820 �AbC] Loft card b . DEN PRA82R RUC77�1�O. , ������ 06 25 1 �T • - U1T.MA 02gg$ - I 0944 g Rcg jw4Lud S6udlanas i j - erl V TIF 97�6b8 DEAN FRUM. 1 Oii Ti1�YlAit�+'k/EW EAST FA_LMOUTH,'lVA U536 � Ct mmwionir RightFax C2-2 10/1/2008 1 :00:56 PM PAGE 2/002 Fax Server :•::........................... ISSUE DATE 10/01/08 THISCERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY PRODUCER AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WISE&QUINN INSURANCE AGENCY COMPANIES AFFORDING COVERAGE 449 PLEASANT ST 449 pLE SAT 02301 COMPANY A HARTFORD UNDERWRITERS INSURANCE CO LETTER INSURED COMPANY B FRASER CONSTRUCTION LLC PO BOX 1845 LEITECOMP NY C 677ER COTUIT MA 02635 COMPANY D LETTER COb1PANY Ej -:�•r.•r::'::v ::�:}::'{:• LETTER TIDS IS TO CER CDTY THAT THE POLICffi OP 1NSURANCB LISTED BII OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITI{STANDINO ANY REQUH(ENffi IC.TERM OR COND[170N OF ANY CONTRACT OR OTIM DOCUMENT WITH RESPECT'TO WHICH THIS CERTJPiCATl'MAY BE ISSUED OR MAY PERTAIN,THE QVSURANCE APfORD®BY THE POLICIBS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO TYPE OF INSURANCE POLICY NUMBER POLICY POLICY LIMITS LTR EFFECTIVE DATE EXPIRATION DATE MM/DD MIDD/YY GENERAL LIABILITY OENERALAGGREGATE $ PRODUCI'SLOMPIOPAGO. $ ❑COMMERCUIL GENERAL LIABILITY PERSONAL&ADV.INJURY $ ❑ CLAIMS MADE ❑ OCCUR. EACH OCCURRENCE $ ❑OWNERS&CONTRACTOR'S PROT. FIRE DAMAGE(Any One Fire) $ ❑ MET).EXPENSE(Any ooe person $ AUTOMOBME LIABILITY COMBINED SINGLE LIMIT $ ❑ ANY AUTO BODILY INJURY $ ❑ ALL OWNED AUTOS (Per PersoM ❑ SCHEDULED AUTOS BODILY INJURY $ ❑ HIRED AUTOS (Per AKWem) ❑ NON-OWNED AUTOS PROPERTY DAMAGE $ ❑ GARAGE LIABILITY EXCESS LIABILITY EACH OCCURRENCE $ ❑ UMBRELLA FORM AGGREGATE $ ❑ OTHER THAN UMBRELLA FORM STATUTORY LIMITS A A WORKER'S COMPENSATION EACH ACCIDENT $500,000 AND UB- 09/26/08 09/26/09 DISEASEPOLICY LIMIT $500,000 0341M556-08 EMPLOYER'S LIABILITY DISEASE_EACHEMPLOYEE $500,000 OTHER THE PROPRIETOR/PARTNERS/EXECUTIVE OFFICERS ARE INCLUDED. DESCRIPTION OF OPERA•PIONS/LOCATIONSMMCLEMPECW,TTEN18 THE INSURER'S MA WORKERS CCMPU49AMON POLICY AND ITS LIMITED OTHER STATES INSURANCE ENDORS®YIENT AUTHOIHIS9 THE PAYMEYI'OF BENEFITS FOR CLAMS INSURED HLRE9,OR HASSH MA EWLOYEKS IN�,IDNPLOYMCS OMSIDE OF MA.THIS POLICY DOES NOT PROVIDEA70 OTHER THAN MA.NO ON 19 GIVEN TO PAY CLAIM FOR BENEFITS IN ANY COVERAGE FOR ANY STATE OTHER THAN MA.STATE OTHER THAN MA IF THE THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO TM CERTIFICATE HOLDER AFFECTB9G WORKERS COMP COVERAGE ='i•'r:i iY:'r:{ryi}::::•.:.Yitii•:Y:•:•:-:•}::•i::i? . .......................... .....:............................. :............ ......... FRASER ENMTBRPRISES LK SHOULD ANY OF THE ABOVE DESCRIBED POLL MCMATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAP. PO BOX 1845 " JB DAYS wwT m NOTICE TO THE CERTIFICATE HOLDER NAMRD TO THE LEFT, COTM MA 02635 BUT FAU=E TO MAILSUCH NOTICE SHAM DV PM NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE COMPANY ITS AGENTS OR RBPRFBSNTATIVES ° AUIHOBPIHIRBPRIMPFTA JAM ...............................................:................... L=LL LN,S G.=,tL. qNUEL032 Fraser Construction LLC CONSTRUCTION ROOFING SIDING P.O. Box 1845, Cotuit MA. 02635 SPECIALISTS' Email: fraser constructiongveri.zon.net www.fraserroofing.com 'FAX 1-508-428-0123 508-428-2292 MCL#112536 CS#97668 RE-ROOFING PROPOSAL DATE: November 18, 2008 PHONE: Cape 508-420-5312 NAME: Victor Stern NY 845-462-6495 EMAIL: statman39@optonline.net Cell 845-797-0658 MAIL ADDRESS: 38 Slate Hill Dr. Poughkeepsie, NY 12603 JOB ADDRESS: 16 Bridgett Path Centerville, MA 02632 FRASER CONSTRUCTION hereby proposes to perform the following services in a ne t and professional like manner and in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. SURRly and Install - CERTAINTEED LANDMARK /WOODSCAPE AR 30: 30 - Year Warranty, 5 year Sure Start Protection, CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi- Layered, Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10 Year Warranty against ALGAE Containment. 5 year 110 mph wind- resistance warranty with six nails in common bond area, Fraser construction includes six nails in common bond area at NO additional cost. See actual warranty for specific details and limitations. Color: 1z PRICE- $4,480 Initial Price includes replacing woo s tails & back kick dormer corner board Supply and Install - CERTAINTEED LANDMARK /WO SCAPE PREMIUM: Limited Lifetime Warranty, 10 year sure start protection, CL S A FIRE RATED, AI.,GAE Resistant, xtr eavy Weight, Self Sealing, Multi-Layere , Laminated chitectural Style, Fibergl Based Asphalt Shingle with New Engl d's Exclusive CO ER/CERAMIC Stones wi a Full 10-year Warranty against ALG Cont ' ment. 10 year 110 mph 'nd-resistance warranty Wind warra y upgrade to 130 h when CertainTeed sta r & CertainTeed hip & ridge are u d. See actual warr ty for specific details and 'tations. Fraser construction inc des six nails in com n bond area at NO additi al cost. Color: PRICE- ,595 Initial Price includes rep ing wood rot on 4 rake tails & back kick dormer corner boar T / ,;ZRTAINTEED Warranties the shingles and labor 100% through the Sure Start Warranty duration. CERTAINTEED Warranties the shingles to be ALGAE; resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: 01 Homeowner Fraise onstruction, LLC i i Supply & Install - CertainTeed Winter - Guard: (ice & water shield) Waterproof Underlayment System (3ft. on eves and valleys, 18" on rakes, walls, and skylights) Supply & Install - Roofer's Select Underlayment Paper (as recommended by CertainTeed) Supply & Install - Kick's Ventilated Drip Edge or 8" Aluminum Drip Edge Supply & Install -Aluminum & Neoprene Soil Pipe Flashing Supply & Install-Air Vent Ridge Vent (as recommended by CertainTeed) Clean & Remove - Debris from work area daily. *4 Star Warranty Upgrade will be applied if proposal is signed and returned within 10 days. (see enclosed brochure) 2% Discount if paid by c immediately upon completion NO MONEY DOWN - NO Payment at the start or part way thru Payments accepted are: CASH - CHECK- MASTERCARD -VISA-AMERICAN EXPRESS *Any payments not made within 30 days of completion will be charged 1.5%for every 30 days the payment is late. Possible Extra-After the shingles are removed from the roof, we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$6.00 per panel including Materials 8a Labor. There are 6 Panels per sheet of plywood. Possible Extra-Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$55.00 per hour, plus materials, plus 15% overhead mark-up on total extras. FRASER CONSTRUCTION Warranties the labor for 12 years FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. i TOWN OF BARNSTABLE Permit No. -.--------_--------- Building Inspector 7Aasnuc Cash --------- 01 eo 'ra Val 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 jF _g K. rm j t� Address ot. rid.pet's Path, Centervibl:b.. Wiring Inspector fj� � Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date 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. ...................................................... 19...... ................................................................_......_......._................_..._._._ Building Inspector l_ Assessor's ma and lot number SYSTEM p �. .... ./<P. .�� d MUST 8E ` l-, ��:.,; 0% .�•% �_ �'? - 'y {��' L b IN COMPLIA FTMEto�f Sewage, Permit number WITH MITICLE STATE 2 9 ..... . ........................................ ... '�r.�t:�lY CODE AND T .. t'i '.�''w,,t.i�T�a;CQ ..AN® hAHB9TeDLE, i 7 House number ......................... •��P............................. .aILS., r6 a \e� TOWN OF BARNSTABLE ,f BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... ©k T�LUCT �1 l l L lvG ............. ... ........................................... 01 TYPE OF CONSTRUCTION .............\. ........ fz ............................ .....................�.J..az................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... ...... ...... 1, ...:....::..... ............................ ProposedUse . ..! .......................................................... .................................................................. Zoning District ..?5 �. .T.�. ...... 11. S T �U 111_C Fire District .................................. .... .............. Name of Owner . ......Ate' ! �(.3.....S.�1.�..:I.:�:k.................Address ..,�U..R(?;IDS.....�,3... ........................................... ....... Name of Builder ...... ,...St'`11.a.. .................Address ... 5 r.!�L$ ............................................ Nameof Architect =...........................................................Address .: .............................................................................. Number of Rooms ..:.�-�.............................................................Foundation ..... .QRT�- x....... .................... L� Exierior ..................................................Roofing ...... 5. IC.1...................................................... Floors ....W.M�......TQ...N',AQ1.L1.........................................Interior � ?.. Heating ... Irs......Na�.). ....O.'!I . ........................ ...Plumbing .......N...... ....................................................... Fireplace ......IW�:...............................................................Approximate Cost ........ ...............................�`...... Definitive Plan Approved by Planning Board ________________________________19________. Area ..................J�..,O................. f Diagram of Lot and Building with Dimensions Fee cc�� SUBJECT TO APPROVAL OF BOARD OF HEALTH 4 A/® I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. i Name bl-h�. ....�..��!"��.e....�...................... « \ �mitb, James K. + ' . . . ` - I 1/2 story No -- Permit for ---.------.-.' � - � « family dwelling --�—.������-----------------'' ° ' ` - 18 8ridoet'o Path Location -------...�.------------ Centerville ---.—.------.----.----------- James K. OOwner ---------�� Smith -----..--..—..�—.. Typo of Construction .............frame................... � + ' ----------------'�---------' ' #2O ~_ _ Plot ......................... Lot ................................ 22 ' 79 Permit GrantedA January- - lg Date of Inspection � l '1 �� --'l9 ... Date Completed 19 | ' . . PERMIT REFUSED ' ..`__--_---_.-------._—. lV -------..-------�----------. --..-----.--.—.-------------. , —.-----..------.------.---.~. ~ � ---------~—~..----~..--~~~.—... Approved ` - ----------------. lA n ^ --------.----.---~.-----..--- ' . . - . . ~ '.— --------------...—.- � ^ ' � ` Assessors•map and lot number ) !�. .,... Se-.iage Permit number .......................................................... ,r Z BAHBsTADLE, i House number ......................... ./•......... .............. 90 MABa. O 039• 9� YPY M1. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO h;�=,1 L I IUC� { TYPE OF CONSTRUCTION ............ ?........�Ei t .-A . ............................................................................... ....................)..1.. ................19. 7 ! TO THE INSPECTOR OF BUILDINGS: �- The undersigned hereby applies for a permit according to the following information: Location 1_:a-r C 1J i 12 ��I L L E . ..........�........................ ........,. ..... ............ ........................................................... ... ProposedUse 1 ..S.t.`�Fts1 ....E.A ........................................................................................................ Zoning District ..................................Fire District ....!;.............................Q ,U i LI C - SSTE�U I LLG Name of Owner MC•� �(�..... .M.�..........................Address ... A2N ..;A1,�,LE.......................................... Name of Builder A�, S.....? ..... M1"t.. .................Address .... 'f_ i2, `ar- ." R1 C':............................................ Name of Architect '-- .........Address � r^ , Number of Rooms pij 'F .C110 Celt .:.�...........................................................Foundation ............... ...............:.... .......... T.!:c.................... Exterior ......T............................................Roofing ......:N. ... .. ...................................................... Floors .... .... tJ rL� ....::7�G \tips!..........................................Interior � �►'. ':.A..t :........................................ . ............. HeatingS=Hr�� hSt ....................................Plumbing ....... ......r4.!X.,^.+....................................................... Fireplace ..... ...............................................................Approximate Cost ........ ........................................ Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area ... .''.�............ ,........... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH " j�J /V0 I hereby agree to conform to all the'Rules and Regulations of the Town of Barnstable regarding the above construction. } Namer�k•r.,�. a 1r ..........................:... Scaith, James K. A=169-111 N No ...''...20987Permit for .......1..11.2-atary..... ............single familY..... . . J jag.................. Location 16 Bridget 1 s. Path.................... Centerville ..... ..................................... Owner Ja es K,...Sma.th..................... .... ....... Type of Constr tion ..............frame................. Plot ...... .................... Lot ... ......��2Q....... ....... Permit Granted .............Ja uary 22 ..........19 79 i Date of Inspection . .................................19 Date Completed ......................................19 PERMIT REFUSED ..... ....... . .... w .......... .....j. ........................ ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... Oa %t•e� (?-/R- e`1 Assessor's map and lot number, THE - OFT t v Swage Permit -number.... d� �: . SEPTIC SYSTEM MUST BE t BAHBSTADLE, House number ............� ........:.............. _ I` �> 9oITH Aea 39- t t'. TOWN. OF BAR 1ST1A1B,;,LE�;z ,gin BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... l( ... '.. � / r.. .. ?% . „ .Np.. . . TYPE OF CONSTRUCTION ........trU.. ... w�........................................ ....... .....:. J s � .....:..19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... ��l :rAr� ..U?•��" `�'" .:............. ..... ..... ......... ....... lei !.d ........................... Proposed Use �., .rya:. �*,�. .ram.ro1�..-� ...... .. ..:�'.......t�:... ............. .................... ........................................ Zoning District ..... ... .. ..1... ........... ... ...........Fire`District..... .�. ,, .....:;.......( c................ Name of Owner Ar ..... ..... :........Address �h....41 ► .............................. Name of Builder ,a ... . .... ^: ° .<a:. .Address ...... Nameof Architect ......:.......................:....................................Address .................................................. Number of Rooms ...�...r. .* ...... �. Foundation ...... -?x.�:.: .:!? ....................... y. .... �................. Exterior ,,:. .... _ ......................................... ..�� ,:�.::::r..d��.-, : ...................Roofing ....:... �..:��.... ; .•.:.. Interior --r Floors ... `".................................................. ..... ..,.......... .., ........................ Heating ...... •• � � *4..........Q— ..................Plumbing ...... ti�� .................................................... Fireplace .......... ..... ............................................. ..Approximate. Cost ..... � ..........................:..... Definitive Plan Approved by Planning Board --------------------------------19________. Area f/.. .r<-7 ........ Diagram of Lot and Building with Dimensions Fee p. SUBJECT TO APPROVAL OF BOARD OF HEALTH eL - 1-4w-4 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS t , all h Rules and Regulations of Town-of Barnstable I hereby agree to conformo t e u es a egu o regarding the above construction. Name '. .. ... G-............... Construction Supervisor's License Q�� .!',�.�........... MAMA, STEVE , No 26312 Permit for ADD 2nd FLOOR Single Family Dwelling f .............. ........................................... ......... - I 16 Bridgetts Path _ Location .. Centerville ............................................................................... Owner f Steve Manni �.......................................... ............ .. ............................................ .... Type of;Construction ..Frame , t .......j . .............. :.......... ! Plot ....'....................... Lot ................................ ; : April 18, 84 a Permit Grant ............:.....................19 „r Date"of I coon ........- ....Z'�......19 Date"kCompieted ........ ..........................19Q 5 i Assessor's map and lot number .........l��"-.��! :.� ........... .. wage Permit` number s.......it.. .................. Z BARNSTABLE, i MA8 aHouse number ' f ...........................:...................... 'O f 039. TOWN OF BAR3NSTABLE • i BUILDING INSPECTOR /V am,,.,,.J APPLICATION FOR PERMIT TO - - s TYPE OF CONSTRUCTION ....... -r* :-.. .................................. t .................................. .......... ........I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby appl�ie.,ss for a permit�according to the following information: Location .......... , iz-r f ?........n .a/............................ Proposed Use a Tj,, '� - .... :f-fir!-- ! . Zoning District ....................... .. ..�::A:.....................................Fire District y ...:./�t '.... . ?:.+ f: .r.� , ( ........:r5................ Nameof Owner .....Address ........................... '.................................... Name of Builder .' sn.......e{ �. !.!... "j ? ! - A'....Address r. ............................. Nameof Architect ......................................................" ........Address .................................................................................... Number of Rooms .. ....... n,.4✓a...... .�A- � -..,..........Foundation r,,.-�+,. r ;:r;! ........................................ Exterior L� '!".. g a ......................................... 1...................Roofs n ................ .......... n /i -- ................ /.,/, ,..rr� �,,. � ��.. Floors ........ .. . •..., ... Interior .....��.. ...... j.... ................................ Heating -'�+` "j f'�✓f't< C,c 0- Plumbing C Fireplace .............................................Approximate. CostG'. GC! Definitive Plan Approved by Planning Board ________________________________19________. Areal: .` .. ''?"........ Diagram of Lot and Building with Dimensions Fee . ... ................ SUBJECT TO APPROVAL OF BOARD OF HEALTH Al OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Namels' i�`7, dry-............... Construction Supervisor's License ...' .......... MANNI, STEVE A=169-111-000 No 26312..... Permit for .ADD 2nd FLOOR Single Family Dwellin I.............................g.......................... t Location 16 Bridgetts Path Centerville ............................................................................... Steve Manni Owner .................................................................. Type of Construction Frame { f w Plot ............................ Lot... ...... ril Permit Granted .......AP...........1..8.!..................19 84 Date of Inspection:.....................................19 Date Completed .................19. ` c V � aL a r i TEST MULE a.00, 00 NOY. -9- 19 78 PAUL M Uf?RA Y - .lN 5PCCT'0R LOT �.d � 17so8 ° �Ev. i7 2 LOT 21 �S �3 '� ---- w '''6 O '4/T 0 - 30 LOR M A N D i ®PT/C Rg'Te LOT /8 SUBSOIL Fs�- �� ' 30 - 64 MED/UM SAND �l £k y /d2 /5 T /gi; 0tF \ AN L? LIGHT GRF V,cL �{ ''vo eD /44 Me-13IOM SAND F-L.EV. 5,a spr ,RDA NO LIATFR ENCOUNTERED '47`r 70LL)N L,-)ATER /5 AVA /L A L34. N LOT /9 Gar �� Sa '10 \ w/oF ti.///✓/�-r c�z SCALE 40 , F2aN T 1 _ /�20�O SED .� .BE.D200M5 � SEPTIC 5 y5 TAM CC)A/S T2 UC T/ON 5HA [_L CONFO/zM TO MASS . 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