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0012 BUTLER AVENUE
�a 3 � .. .._ .: �� _ � � .. 6 _ d ° I � ° .. �.m � e O , ? Application number ...................................... ® � t Date Issued ................. ;. A Building Inspectors Irntials -b .. .. f Map/ParcelY! �.�� TOWN OF BA►RNSTABLE. �' . - EXPEDITED '°PERIVIIT AEPI,IC 'DN. ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATIERIZATION r, PROPERl'Y 1�NFO., 'A1. N . w .. Address°ofProject: - l a 1J le"'t" /qve t/ G R STREET VII.LAGE y Owner's Name:/4&!1 Phone Nunbei Email Address: 0-Jan.-M f shoern� r-o 4it,aS/ . Cell Phone Number Cvir< Project cost$ 9 — : ." < Check one: Residential :. 11� ACommercial , As owner of the above property L+hereby authorize: . , � Oav to make application for a building.. it m perm accordance with 78 MR a k .....w :..,. .0 ....,. ,,, Owner Signature: (M it,QAG!�c/�C-.� Date: s<< TYPE OF WORKqc k A, 4 ; Siding ❑ Windows(no header change)# Insulatlon/Weathenzaton .: ❑ Doors(no header change)# Commercial Doors require an a�rspector'srevrew ❑ Roof(not applying more than l layer of shingles) ;. Construction Debris will be.going,to CONTRACTOR',S:INFORIVIATION\. Contractor's name Qld Home Improvement Contractors Registration(if applicable)# /7J�f'O � (attach copy) Construction.Supervisor's License# � y. (attach copy) Email of_Contractor QAQ/&' f- II Phone number,,.h'U ALL PROPERTIES THAT HA.VE:STRUCTURES OVER.75 YEARS OLD OR IF THE SUBJECT PROPERTY lS IN A HISTORIC-DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFOREAPERMIT CAN BE-ISSUED. APPLICATION NUMBER............................................................ *For Tents Only* y ,aDate Tent'(s)will be erected Removed on number of tents total Doesahertent 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. 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 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 APP IC T'S SIGNATURE Signature Date ya4l 9 _ All permit applications are subject to a building official's approval prior to issuance. �V* Town of Barnstable Building 8ARti9CAEiLF, � Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept b �aE Posted Until Final Inspection Has Been Made. Permit ea ` Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-19-1739 Applicant Name: ALTERNATIVE WEATHERIZATION INC. Approvals Date Issued: 05/24/2019 Current Use: Structure Permit Type: Building- Insulation- Residential Expiration Date: 11/24/2019 Foundation: Location: 12 BUTLER AVENUE,CENTERVILLE Map/Lot: 226-018 Zoning District: CBDCV Sheathing: Owner on Record: SHOEMAKER,ALAN M &WILTRUD M Contractor Name: ALTERNATIVE WEATHERIZATION Framing: 1 Address: 12 BUTLER AVENUE INC. 2 CENTERVILLE, MA 02632 Contractor License: 175683 Chimney: Description: Weatherization Est. Project Cost: $4,589.00 Permit Fee: $85.00 Insulation: Project Review Req: Fee Paid: $85.00 Final: 09-7111)14r Date: 5/24/2019 Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �F YMe r�� 4� Town of Barnstable V, Building Department Services - s' Brian Florence CBO Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038- Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, ALAN M SHOEMAKER , as Owner of the subject property hereby authorize / to act on my behalf, in all matters relative to work authorized by this building permit application for: 12 Butler Avenue Craigville (Address of Job) '•i '�iC� c��'!1 s Signature of Owner Signature of pplicant &A sveMC4� Print Name Print Name Date i The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston, MA 02114-2017 - www mass.gov/dia «'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Aimlicant Information Please Print Leeibly Name(Business/Organization/Individual): ALTERNATIVE WEATHERIZATION, INC. Address: 2 LARK STREET City/State/Zip: FALL RIVER, MA 02721 Phone#:508-567-4240 Are you an employer?Check the appropriate box: Type of project(required): 1_❑✓ I am a employer with 16 employees(full and/or part-time).* 7. New construction In I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.(No workers'comp.insurance required.] 3.M I am a homeowner doing all work myself[No workers'comp.insurance required.]' 9. ❑Demolition 10 Q Building addition 4.[]I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I I.Q Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.' 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.0✓ Other INSULATION 152,§1(4),and we have no 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 is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: LIBERTY MUTUAL INSURANCE Policy#or Self-ins.Lic.#: XWO(19)58867158 Expiration Date:6/8/19 Job Site Address: lot & P� . City/State/Zip: a V le Attach a copy of the workers'compensation policy declaration page(showing the policy number d expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u d ain a p ti s f perjury that the information provided above is true and correct Signature: Date: l Phone#:508-567-4240 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#: Commonwealth of Massachusetts _. Division of Professional Licensure Board of Building Regulations and Standards Constrt�>i�Si ,-visor r CS-105454 „ 5Apir es: 05/08/2021 TIMOTHY CAP .1 58 DICKINSON S FALL RIVER 7.24' % I } Y r Commissioner lee, i Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home lmprovement..Contractor Registration Type: Corporation , ALTERNATIVE WEATHERIZATION, INC. Registration: 175683 Expiration: 05/2812021, 2 LARK ST - FALL RIVER, MA 02721 .� ' Update Address and Return Card. SGA- c: 20M-05!1 ./� �/i1%i'r(Y2C(r�•(i//�!`/..rT�/L-ir'[r!llii/lr i' , 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: Registration Expiration Office of Consumer Affairs and Business Regulation `17565.3 = 05/28/2021 1000 Washington Stre -Suite 710 ALTERNATIVE WEATH'ERlZATION,INC. ton,MA 02118 TIMOTHY CABRAL 2 LARK ST FALL RIVER,MA 02721 Undersecretary ' of Valwithou signature 1 ���® DATE(MM/DDIYYYY) �� CERTIFICATE OF LIABILITY INSURANCE F06/11/18 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 have ADDITIONAL INSURED provisions or 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 UUNIALA NAME: Anthony F.Cordeiro Insurance Agency A/C NoPHONE El: 508-677-0407 plc,No): 508-677-0409 171 Pleasant Street E-MAIL Fall River,MA 02721 ADDRESS: HSouza@Cordeirolnsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Liberty Mutual INSURED INSURERB: Ohio Security Alternative Weatherizatlon - INSURERC: Ohio Casualty 2 Lark St INSURER D: Fall River,MA 02721 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY 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. ILICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDY� MM DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTE[5— CLAIMS-MADE X OCCUR PREMISES Ea occurrence S 300,000 MED EXP(Any one person) $ 15,000 A Y Y BKS58867158 06/08/18 06/08/19 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATELIMITAPPLIESPER:- GENERAL AGGREGATE $ 2,000,000 POLICY❑PRO- ❑ JECT LOC PRODUCTS-COMP/OPAGG S 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident 1,000,000 ANY AUTO BODILY INJURY(Per person) S B OWNED X SCHEDULED Y 13AS58867158 06/08/18 06/08/19 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE Y Y US058867158 06/08/18 06/08/19 AGGREGATE S 1,000,000 DED I I RETENTION$ S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER _. ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S 500,,000 C OFFICER/MEMBER EXCLUDED? n NIA XW058867158 06/08/18 06/08/19 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000 i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Action Inc and NGRID,USA its direct and indirect parents,subsidiaries and affiliates is added as an Additional Insured for General Liability on a Primary&Noncontributory basis per the terms and conditions of form CG2001 (04/13),for Ongoing Operations per the terms and conditions of form CG2010(04/13),for Completed Operations per the terms and conditions of form CG2037(04/13)and Waiver of Subrogation applies per the terms and conditions of form MEGL0241-01 (04-11) r Additional Insured for Automobile Liability applies per the terms and conditions of form SCA005(02116) Excess Liabilitv is a following form. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN NGRID USA ACCORDANCE WITH THE POLICY PROVISIONS. 40 Sylvan Road Waltham,MA 02451 AUTHORIZED REPRESENT ©19k8'_2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD A.LT'E.-..*A .: ' 'A HERAZATION k w, e7 l 1'7 119 . v� "T Date: 7 ` Z. Town-of Barnstable •.:;If;i'.::�f.:,4" is .. ..:? .200 Main St. . � :,,,w.r .,r:��;. ��;;•,a�r: :.,,r. ;r,,,,y. . . Hyannis,MA 02601 ..a��c��rx'.� �,�-�•' ,,: . `�':a>'i''rn�t�L jt.i.:crta'.pi7�',�:;` ::.Nt`.:.,.;'..d;:•' •.�i'l,w.a•:•'.74�ri�� D .thy / / .ft:'n'^'•K'•..''�"�•Y'�'�'�Y '1Y lllag'P. r`riI=J: . . 'Re:pernu "~ M1":• g �,:a�y:��:>,Y�����' �W'���• � . : .. ^'Yi'F,K�j+�.�yM1;u.:M1d.•:t}��.•' � Y''�`I.Y9ttw"�•�,1.,,`0'.`•I�TY:'vtiM1' .. � � � • ' ,:�Yq�i'.�7�.'..'"�:.'�'i'.1�jC:�� V. .f�Y��:q.�v:..p.wr � •. 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( iS.hY .;,G,.:c. ,Jtr:'rr'�r:u'U= ".Jr'tt.})v�:'r.; .:.Y'rx„.ram, R .f'1pK^.... .,,,;.•j:;!';1,:`;,r'.'i•,) ;..).!r,:.,��£"s:I>�";. /1,j :%)�•,�.J?:�51;',.,:a^,fal uJtv.: 'X;):', •:'X'9r :'t r`^^�' :°:� '•, yi.Y,; :�Y,..,, 4r''ia.• Jlr•�:`, f/.•I.�,��<'. :<\�t�.'>�^'. � :'r-C:'"..�'�tf'�j::/' �.��'K%G}fX:1•'".?�:jr�:%: 6:.,'!�; (e`=::�J. .;N 4 .a..3. Sa•�"{: -c_. i"t• •s..,Yr•,• a<r;:y".: = �. •n". 'Ki:' ..�-.;:�•:5'v*tY , y;. y, , '.;�',Xr^r r+� ;,.c:;•.:x'Sa..,• ,'v�r;.^�::.t., fit: :'t..,:.Y;.'s'.y•;Y;.Y � ,.n:h, .:,�;` .:wrrf a.r. 'J•.�;vr '�':Y^i;:":6 �.e.:,Y..,r.�',Y.r�: :x,s`„�'tt!'. .;;'Jx<wr•,l• .a.a<�J:'�^e:,,. '��ri;,.a;��'fX;;i,..'w Re .4;,cv;:�r..4',..>.uKy'.o:^:n� ..q:bt"' rp ,;,�:.� >',. .. ./." r ,;.f.,r&:•,, ,.;$%,;. ,.\:.".o 4':�Y,,,t.- :i• aM", •, ':t': �:��,:'n)1'.r ..,.t %��".Ar•• �`cT��'' '%+1...; �^.Lt,!f�;•%!r.• fi35.:�;';.;:i`r.n��;c.�i�•' r•`:4i,x`!,' ;".�':�'I;i =;y�r.;;�n.�'{�u•d�'',�'; . • ''`1'�A.f l')Y,���' Lr}w:t:C::;. �r<?�r.. Yr�H�{..'i�)NG>+. J...�K :,1,,,.hr:�,:ner r^4 F,w7;U�,ii rc,�;g+'' ��yr:'`'''.� :5.:.,,;:.: ;,J,)•.�,�.rr.,,r;!Y•v••i+,.�„ r..,.,, 'y':)lg;. r;,k"� �u�� ^n•1:"�'Jt"<re r)i:;•:�y - • Timothy Cabral, President CSL-105454 :. 58 DICKIMSON SFREE7 .FALL RIVER,MA:02'721 .) (508)5G7_4740 I.''..ALTE,RWATTIVE-W. TFiERIZATIOt?I G PcE CODA:.`.:; ;' J TOWN'OF BARNSTABLE BUILDING PERMIT APPLICATION Map 01qV 19 IS Parcel Application # 1 Health Division Date Issued -2Z--t -7 Fri_ Conservation Division P� Application Planning Dept. , Permit Fe Date Definitive Plan Approved by Planning Board ' Na. \R1 Historic - OKH _ Preservation/ Hyannis Project Street Address %' 0-pile r Avg Village G _nLer d i e Owner ALA hoe yngker Address /? g9,, r ave crw 4erv��Ile Telephone & 03_ ®S-s--3 Permit Request gC ©yd p_y_rS4rr'1c1 deck- oy@r Sup r-_com , _T7hS4!f1/ new rubber UnC'm br n e o n S fa in P w �' ���PnF�d-_jS i/�� end r M, 4411 =.,2 _rreu Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay " Project Valuation Construction Type Lot Size Grandfathered:. ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# (# units) Age of Existing Structure t Historic House: ❑Yes la]4o On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 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 [AAIPYMgti GlN Telephone Number 5O1�- O`a`' Address 7 COPAIE MA-KA 'c)Ay License# IO Y0 26, lu. INS M O y T tl MA D a 6 7 2 Home Improvement Contractor# Email ft,()L L 1 A)9&)F 1nJ 6 jD 6 hMA I L ECa M Worker's Compensation # 06-714231919LO ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Y A P mo U T d 17UM P SIGNATURE �./` rw/� DATE /2- / T FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. MULLIN ROOFING & SIDING INC.- CONSTRUCTION CONTRACT This Construction Contract (the "Contract") is made and entered into as of 6-17-17 (Date), by and between Alan Shoemaker (Name, hereinafter called the "Customer") and Mark M. Mullin, DBA Mullin Roofing and Siding, Inc. having its principal office at 7 Connemara Way, W.Yarmouth MA 02673 (hereafter called the "Contractor"). Property Location: 12 Butler Ave. Centerville, MA In consideration of the mutual promises hereafter set forth and intending to be bound hereby, the parties hereto agree as follows: Contractor's Oblig-ations. Contractor shall complete the following Project herein described in and shall provide supervision necessary to commence and finish the Project expeditiously, in a workmanlike manner, in accordance with the "all applicable codes, laws ordinances, rules, regulations and orders. Description of"Work". Contractor shall do all the work in accordance with the terms of this Contract, as described: Remove the existing deck and rubber membrane over the sun room. Install new rubber membrane. Build new sleeper system for the new decking to be fastened to. Install new Trex, deckng over the sleeper system'. Install new Azek railing system. Contract Sum. In consideration of the performance by Contractor of its duties and obligations, hereunder, Customer shall pay to contractor the sum of$3,500 Payment schedule: Owner shall pay the contractor 0% upon signing the contract,50% upon start of work, and 50% upon completion of contract work. Timing of Work: Work will begin within three days of the arrival of the materials for the deck. Contractor's ResponsibilitX. Contractor is an independent contractor for all Work to be performed hereunder. The detailed manner and method of doing the Work shall be under the control of the Contractor.All employees of the Contractor performing Work under this Contract shall be and remain the Contractor's employees. a. The Contractor shall supervise and direct the Work, using its best skills. Job Safety. Contractor shall be responsible for initiating, maintaining and supervising all safety precautions in connection with the Work. 4 Insurance. Contractor acknowledges and agrees that Customer or Owner shall not be obligated to carry any insurance in connection with the Work for the benefit of the Contractor. Contractor's Insurance. Contractor shall at all times maintain and keep in full force and effect, at its expense, any and all insurance coverage which is prudent, necessary or desirable for the protection of the interests of Contractor. Contractor shall furnish to Customer certificates of insurance for the following types of insurance. a. Commercial General Liability Insurance; b. Workers' Compensation Insurance to cover full liability under the Workers' Compensation Laws. IN WITNESS WHEREOF, the parties hereto have executed this Contract as of the day and year first above written. Customer Contractor Company By: By: Jf Print: Alan Shoemaker Mark Mullin Mullin Roofing & Siding, Inc. 7 Connemara Way, W. Yarmouth MA- 02673 508 221 8591 «� Address: 12 Butler Ave. Centerville, MA Date: 6-17-17 Date: 6-17-17 Phone number: 603-475-0553 License No. CSL 104076 HIC 167281 Email address: Email address: mullinroofing@gmail.com alan.m.shoemaker@gmail.com / Ile Canzmvirweakh�t sreclr fOffWC Ofadff= Boston,nn,HA 02111 MVM7fJMMgVV1dtQ Wmimrss eniaffim Insu-zfce Affidavit AppUrant I>Qfmm=fb71 Please grin -Na= NARK MULL /� 0-0W Wr- M C- A k)AY Axe yay4u wipbyer?ChecktIm appropriate ban 'Type of project{raluire4: I_ am a ea loges 4 ❑I ant a F�wa1 exactor and I 6. ❑New c=rtm tian empiogew(full andbr part4iim)-* hmhIred1he 2-❑ I am a sole propriator orpmtaw- listed On the atuxhpd rrheet ❑R-odelirtg These sob-cflaofxactas.have and have�e�plc�ees 8. F]Demolition vQ:F g fixMM is any capaCity. andh%ve'wiOAM' o wod=& ms�ce' camp- 9. ❑Bui1d"mg addifiorf -j 5. ❑ We are a cmP=3ftflu.and ifs lb-❑Ekchiad repairs or adcsfi= 3-❑ I am.a homwzaer doing all w mk °E16ers ham deed thew 1L❑Pinmbiugrepairs or addifio= ' MYSeIf o Suers' of a empfi=per MM mod-]t - c-M j1(4�mid wee hawe no 12❑Rnr�repaus ext lltRgees ( Ta wox 13-❑6her cow rammme,require&I E$ny seat M xmst also ffi ccI*e mcd=69asv alb dmk wow` PMTMpi ML EFaMEMMMWINO gdwyaseaaimgzu eaddumboaisidec submit anEwaiii3avitindiratia sac'!L �Cafin2 ci�Y this box mass a3tadvesl ca addidc�al sheer sbaa�g tbenam�of the mh-tsad stye xlvc snot H�nse aha lam mr errsr tliatisgrauriirrg tcrcarlteas'carman inssurarzcs�or curF�aS $eFae4 is Xlxc pa�cy aria jaFi�s �arru�va U Paficg�orSelf-ms_IiM. v P� - ►� 31 IF- l 7 a - a Job Sife Address _I a y T L C _ /4 VG CO ee it �-e r d i' l/e- �q A Aft2ch a copy of t1m workers'com:pe=fi=poHcg declandan Page(shawmg the policy-number and e=piradon date). Faih=in secam-,coverage as requireduuderSection 25A of MGL M M can lead to the iMposifioa of t prmhim of a fine up to$UOD OU MWCW one-YCWfin Eiso as WCR as vigil peusliies.si ffie f=M of a STUD WDRK OMI Rand a ffne Of up to$250..OfI a&Y ag-RiEst fhe violafot Be adidsed Met a caff of fixis stakmeat Abe ftxwarded to the COM of Inge oftbe DIA,for ins=mw covemBe varEkafioa- I&her*cattyy nudew tlw pains and pewlges is fF 'thous imprmativugro pUm-d ahm a is tray m2d torrent siom�� �// �� Date- 6 Pbane irr 01ridd aw any. Do not mite in ffds axed&be t zm'pYd d 5y t4 arlown owl: CkyorTaww gerazLicerrse Amflw*y(drcff--ew): L Bma d of Deparmt 3.Cdyfrown f bwk 4.Mechical Em peetior S.Fiimbang mar fa.o&W Coact Fer = Ph*=9: 6 li 1 l 11 11%•,. .nn.�-U_ ■ - M/:I.I� �•geti+ _I :iftl, ••.iR t1 .1 •• • nr.1�R r.Ifn1�!.L:t.Dig III 1■ t Ilan. 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I ■ O • ■ •.+Y■ :n nt ••.t • .•- n n_n •■a t/ _. .n r. In •n r••.r .n an :211• ■.■■ ■ •.. ■- • .0 •a:..1 all . - •. •. •w`Ilr_n a 'J•- •w % .:1 1. �,a m�■ :.at .a.n .l■. 1:1, ■um r fail . MA all :.5I3t= _ ■ r a • ' 'll :ai ' 9• a ib ' • et.� �-■ • nr- F f DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE T TIFICATE 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 P D CE AND HE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER CONTACT NAME: MARGARET 7 GRASSI INS PHONE FAX 1188 MAIN ST (A/C,No,EXt): (A/C,No): E-MAIL W WAREHAM,MA 02576 ADDRESS: 797MR INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: AMERICAN ZURICH INSURANCE COMPANY MULLIN ROOFING AND SIDING INC INSURER B: INSURER C: i INSURER D: 7 CONNEMARA WAY INSURER E: WEST YARMOUTH,MA 02673 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY 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 ADD SUB POLICY EFF DATE POLICY EXP DATE LTR -TYPE OF INSURANCE L R POLICY NUMBER (MNIIDDIYYYY) (MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH-OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE M OCCUR. DAMAGE TO RENTED $ PREMISES(Ea occurrence) ED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE $ POLICY PROJECT LO.C PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB F70CCUR EACH OCCURRENCE ' $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND X WC STATUTORY OTHER EMPLOYER'S LIABILITY - YIN UB-71-1931848.17 02/25/2017 02/25/2018 LIMITS ANY PROPERITOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. CERTIFICATE HOLDER CANCELLATION LEDGEWOOD MANOR CORPORATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED PO BOX 617 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRFMTA E .. W BARNSTABLE,MA 02668 ACORD 25(2010I05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved. x. v s tC3ffice af Consumerffars & BTus�neRe Mahon a. -' egrs ! v t� �:E m - g M 10.IWE IMPR ► /EWMFIV�I C(C,NTRAC .{ z� � �Re �strat�Qn�.� � 9 1C �B�.. - .y. s � a9a�a—', MU�L�I�I E�QC3FIIV � �1�7���►"�� �� � '� � - - r , f �ders n s *Permit# T Town of Barnstable � r Regulatory Services fee 6monthsfrom Issue date tE '■, �/I BARNSUB y puss $ Richard V..Scab,Director ® _ �j - Q ' T r Building Division R Paul Roma,Building CommissioneRAY 200 Main street,Hyannis, 02601gg,'' ZOl�. www.town bamstable ��L� Office: 508-862-4038 8/VSSA j . 508-796-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ENTL ONLY 0 /1 Not Valid without Red X-Press Imprint Map/parcel Number V ' Property Address / P g,7 lei- I V e- ❑Residential Value of Work$ ,g Old Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address C� Q /�r ati1-- Brie ry i'l l� Contractor's Name M6Pr--- MQZ-L)hj Telephone Number Home Improvement Contractor License#(if applicable) Email: W2 L/,V R a o('/BUG OD-6 MA-1 L = O h, Construction Supervisor's License#(if applicable) 'j/o Z�o ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ Lam the Homeowner I have Worker's Compensation Insurance- Insurance Company Name Z l C- Workman's Comp.Policy# 6'Z y Q '14 9 7 Y4'1/-7- 67- Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to QR jw-y 1 Y Dom P ❑Re- of(hurricane nailed)(not stripping. Going over existing layers of roof). e-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: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: G Lam. Q:\wPFILESTORMSUilding permit formsTMRESS.doc 01/25/17 DqWu�n�Mt af S�ACC zts —J.1W 690 W=hh gt=&reef BastoY4 MA 021LI iPIP'm-.f1 mmgaP1dz'a Warke& CUMPensafirm Isrsmm Affidavit S-Mlde-lC�MtrZChU eC&kb„SlPhM3hers APPUcaiEdInfurination PleasePrink Iv •Nm= K M 0z t- /i ) Addrem 7 e or1AAEmM8R w� Are � u an emplaFer?Ckecktbe ppropriate b= Type of Iraject{req� d}:% 4 ❑Ia=ageuealcoafmctcdandIIKdIama 1 vib * bavehired1he subLcoaEactors 6. ❑New consftucEim employees(fall andforPad4im$2.❑ I am a sole pinp7ietcw orpartuer- Tasted Oathe attached sheet I- ❑Remodeling, ship and have no employees. These sub-confractats have $ ❑Demolition wing forme ifa any capacity_ a tapl rw and.have Warkere 9..Q B.uil&ng adxiifrag INN a3�e�s'comp..insurance comp_**=mme # re�ized_] 5.❑ Wearea=aporaftna.andits 10-❑Elecfdmdrepasseraddi ons 3.❑ I am.a homemme rdaing all ward officers have ctemiseA fir ' 1L0 Enmbsagrepaiss or$d&tic=MYMd , of oa erMGL €END warTces' _ F L.❑Roafrepais ' Unum,c.requ=cq 1 c:ISZ, �I{4k aadwe bane� Hoye 13-0 Ofber camp`k====qahed.1 •$Snayepg€c-T e�=sstc5easbaz�lmastaLsafino�tlxesectieabeLvcvs �ie¢wa�cess*mmpe�aapor�cyri�a� submit rids they umd dam ag arodr amAfeahim outsidec— snhmit anew affidavit'saHirwKn sock. rCantmds*stchedci]ds boa nmst aftch maddif;n21 sheet sbwriagft—of ft sub-c emd stslexheths ornotthme hnq� agft ees.Iftheml-c sbave=gagyw.%ffiqxffistpmvidethw•aarm'map.pGRU=mbeL Jam are HeNv is h iepuEcy and jab s5te Frz�orrnairou . ,. Bmmmm Company iMane- 1.�° !� 'P�&cy�or��.u�.•� �a2 u R- yG �/'"t Y�y�- l 5� ' �pi�z<Da� �--3 �/�-- Job SiteAddr Affach ropy of the workers'compensationpolicy decTns Cm 1,7age-(showing the ppRcy aamher and expiration date). Failure to secmti coverage as re4uiredu der Section 25A of M-G L.m 157—can lead to ifie imposition of criminal pwaiies of a fine up to$L50a OQ sadfor oriayearimpisoumeuk as-w&as t:iO penalfie:s in the f-arsa of a STOP WORK ORDERand a f m of up-to a day abgainst fhe vioL•dar. Be advised'fhaf a 4y of 6ds.sfatememt xpaybe ftxwarded to the Office of lmmsttafim ofthe DOTA for hL,,x=m coverage vedficabion- I do her-dy can*nxAw the pains andpenaNa vfpec}ruy diatthe rrq, brmatr=pmi&d abmmty h h=and csarrrcd si_smat=: Date: Phoneme S'oFsaa l �' Sg a.01cid rrsa anti Do jwt write in des area,to be cvnoleted by cRy artown affmiat City or Town: Pe rmit Ucense;9 Iv ing A &ortiy(ckcle one): L Berard of I BwTZzng Depa bnamt 3.gave clerk 4�Electrical BLSP r. 5.Phanhmg rnspecf r Other Contact Person: Phone 9- ' _•l/ �fR - ■�- J:■•i� �•//■i.. _1 •+t■I■ •':�R [/ •1 ■• •- •••!•1�•F r•I/■1/�1a .t••n I•I !■ t n■■1■ •• - w.ol •. • nn■ �.• •!r. n ••nu..■ • / y�u • •� 1. ■am n/ : _n a•f n■r •.■ a nF•Inn _v■wr:n m .n •nr_n m n ■i■�. 1 �+/m ■r _u• ^• u Is IsIs - �• u - •nt wUtP ■IiL _n• n U u1■_ t•- "_ - •I �..�.Or■■•>. • _ •� x �• gnu ■ n •1 i■ ♦ • ■ ■ ■�' ■ :1■ It■a• ■t■ •_I ■■�R•■1• -I.R•M./■•1■ •I aim— tia1a1 ' ■/1■ •• It_ n■■■• •'i.ti r•• la ••.•■� f• •- - 1■••_ •/1 •- n ■■ •/•1 ■a.■■ /II � .■■_I ■•l%•IL :[1• -'■• w`t•� to� rl•a ■1 ■■ •rr■l•rl•1 • 1■ /•__1 It ■•/ •- ■ :1•■ 1�. •'■• ri/■!I •• ■r+R•I■ I■ •/ !■.IIt11�■.■/• •1■ f t ■•1■ •1 •.f1 "■■. •It ■ ! ••' 1tl•� ■■■L • ■/1 n 'J •■1■■ ■) /11 ■■/' :■•//I 1•11.■■1 ■ :+1• t 1 ■• •nrr.■/ • ■ .• a1/1• ••■l•!•/ ■ ■��■•r• ■• ■ .n ■■1/ • .� _ •/ _ t �� ■ ■- ■In ■■ ■■- .n- / Ir,Yu ay. • u r•.w■ I r / I■ • u u a■ r■Lu■ ■ • _ i1 • . . . /■ .r ■ ■ / • - .1 / •■ Ir"a -• r • - -• •iil . ■ /■■ • rr- •'liil ■■. u n ■ _ • ■• n n■. 1 ►/ � a.0[� Y r� r_r w■■.� a nu■n•n-•�li• ■• .0• • IL •■ u r: ■••■• Y•n ■.1 �ntii nn• _u r•■ ■ r 1•I ■■ •:�Q■u•.n• • •/• ••■1•. n■1■ :rr.�■r• - ■w/• ■ •ouu/_n a i/- u vn _u r �•to �U ii■It4 • t■ 1:n IY ■.• •iii■ ■/�+ri/Pi/ O i■- rum _••1■ .1■/t•••I • :/ 71 ••1 t■ •••■.■�F u•/1/�a r:l••■ -tii•_ 1 r•t•11■ �'t' • r/i AI■ t - ••(r. •t.t .0■ • ■• ••u Yt•■.1■•■ _■t■ ■ •! .■ ■■•■ ■■ r•1/1■ _r■•1 f-■t/ _arms rCl :O■ •■•I■ •1■■•■■ •1' ••IO U�■ ril ■t■/ItY • r^ ■ eggs t n nn•�■ .• ! . u�R np ^li■ •• gnu . •�-- •i•:� t•.o i■ - ■ ■■ p ram• Y-. 1 •]ug.■.. //3.IO•A • ■.■ U Lr .■ •■ i•■O �/ l• r■■ • •••■.•�F r■On■i�/Y:■•la U O a/ 1Jn• ••� _ •• n■w ►• .• • i■.[ m i■•.•1 n.• • •naa ul�• u n- ��■. u■a•t • ■ut n_ • • •:;nL !• r• ■ �I■t■J■m ■ u n .n. r•• _ . ■ n u _ . _ ■■ / • J■ - - u■- �• : n•.•1 •• ■ • "ulo�• n ■ - I n n- ■ n./ u J•/■rf■al lu it- •�nu1 ■ rag - •L.lu_ n•/w91s1 ■■ i• ��•./ ■u.?■I • u ■■ • rn l p!•iL `II■■ • ■l ■: d■' • ■w■•II -�.1 ■n_ n • ! •■■ :/ �•■u�■ 1• ••■:/al •••■.••IR •m■�• _••■ •• I ■ .� r.1 i■ •�■.1 ■u.+et _ i■ ■uu■■� tL apt • • - n u _u .rt uuu.� •n u _u■[ Y•li_u n- • ., • n i■_I u" .ti■•.•1 .uno ■ a■• ■iun�■ :J/ 1a 1�•.1 m.+■t /. n • ■�• •. • u Jn■_ •t w ••■ n 71 •a a i• �■ a •nr • ■•�.r__u■u ■. a r■nr. ••• _ _ ` K • • 1• %� ll tt •:!■a/ t► w• "•■1 nt •r •'■/ t 1 / /1.�■ - 1� �■r /Itn■•n ■ _•■Itr•/ :■a •• r:u V.1 t■ ■L ■•■■ /i •1■1• ■�i■1/I• ri!/ - J•• r:■•n It -It• '2 •�''.• •rl ■rat u• ■ulnl u■ ■■• • 1 t■• r:■n ■■■ ^■ ■• 1■ ••n. ■•r 1 ■n .� .■ :n• n■•r •• titr ■ w, - i .0■ ru /• t •.■1■" .1 •r.r n w • [•••■ ••• • ■t .ti■/_•1 ■• /- •.ti■ • !■w 1• rrl//•�• •1 /■.1■.•�•• •• i■ - MI a t••'/I •■ ■ •1 • • ■ 1• i■ _■•■ �:•■. ■1 •• is. • ■t•_'I ■■ 7 I■! 1.1■tc ■w•n L ■ ram'/ ^ ■ W Is sail •. ..�■� • •.+•u I ■• :■n• a Jt ■■Yu.+ • .•n a■•• wr. �uul - ••• rug - r e.+nl 1 u ■■m �: �• • ■.:F w • r•■u r■ a .unu FI w .i■■- • ! ■- • %■ - • a •...■•J■na •••■ • 1.� n tt.n. •■■ Ie .••.n• Iu •■I r•■•r•:n m .0• •■t t ••/ ■. .0 ••.+■•n :1 i . most• N9 ■ • • � •Ila' ' i• 2 � _ 4► ' • • to Town of Barnstable _ Regulatory Services auss Richard V.Scab,Director - 16� ' Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable-mans Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, ,as Owner of the subject property hereby authorize to act on my beb4 in all matters relative to work authorized by.this building permit application for: (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature-of Owner Signature of S�gna � Applicant Print Name Print Name ` Date -, Q:F0R1AS:0WNMERMISSI0NP00LS Town of Barnstable r Regulatory Services i p4r rbr._ Richard V.Scab,Director Building Division swmvernsu. = Paul Roma,Building Commissioner .200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 - Fax: 508-790-6230 HOMEOWNER LICENSE EXEMD''IZON Please Print DATE: ,.JOB LOCATION- number street village -HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEF NMON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides 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 the building hermit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance 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 requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shalFact as supervisor." Many homeowners wfio.use this exemption 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 homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFIL.ES\FORMS\building permit forms\EXPRESS.doc 0620/16 Office of Consumer;Affairs 4L Business Regulation 4 Registration valid for individual use only before the 1 ' expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR l? I Re istratidrr'� Type:. Office of Consumer Affairs and Business Regulation I 9 1.67281. Y � ` "" ' .: 10 Park Plaza-Suite 5170 Expiratrort 'it20t$ D[ — r Boston,N1A 02116 VOLLIN ROOFING%P N=10-ING-t 7 CONNEMARA W.YARMOUTH,MA 02673dersecreta ry Not valid without signature r*r Massachusetts Department p ment of Public Safety Board;pt Building Regulations and Standards t ' L .Qse: CS,904076 C?pstruction S'upervis'or - MARK M MULLIN ' • -C.ONNEMARA-•WAX WEST YARMOU-TH M� ':2& Expiration: ' Commissi � 09/07/2017 Construction SuPe'" r Restricted to: s of any use group Which contain Unrestricted- Building 991.cubic meters)of enclosed bic feet l less than 35,000 cu. Space. Failure to possess a current edition of the Massachusetts Building Code is cause for revocation of this license..*e. A stateMASS. DPS Licensing mformation visit:YdWW r MULLIN ROOFING & SIDING INC. CONSTRUCTION CONTRACT This Construction Contract (the "Contract") is made and entered into as of 4-18-17 (Date), by and between Alan Shoemaker (Name, hereinafter called the "Customer") and Mark M. Mullin, DBA Mullin Roofing and Siding, Inc. having its principal office at 7 Connemara Way, W. Yarmouth MA 02673 (hereafter called the "Contractor"). Property Location: 12 Butler Ave. Centerville, MA In consideration of the mutual promises hereafter set forth and intending to be bound hereby, the parties hereto agree as follows: . Contractor's Obligations. Contractor shall complete the following Project herein described in and shall provide supervision necessary to commence and finish the Project expeditiously, in a workmanlike manner, in accordance with the "all applicable codes, laws ordinances, rules, regulations and orders.- Description of"Work". Contractor shall do all the work in accordance with the terms of this Contract, as described: Remove all of the white cedar shingles from the house and replace with new grade A white cedar shingles. Remove all of the trim from the house and replace it with Azek trim.All wall flashing to be replaced with lead flashing. Remove and replace two octagonal windows, insulate, and trim the interior and exterior of the windows. Over the garage door we will recreate the sunburst in the trim with composite trim. Contract sum. In consideration of the performance by Contractor of its duties and obligations, hereunder, Customer shall pay to contractor the sum of 123,275 Payment schedule: Owner shall pay the contractor 60% of the contract sum upon signing the contract, 0% upon start of contract work, 20% after the trim has been replaced, 20% after completion of contract work. Contractor's Responsibility. Contractor is an independent contractor for all Work to be performed hereunder. The detailed manner and method of doing the Work shall be under the control of the Contractor.All employees of the Contractor performing Work under this Contract shall be and remain the Contractor's employees. a. The Contractor shall supervise and direct the Work,using its best skills. Job Safely. Contractor shall be responsible for initiating,maintaining and supervising all safety precautions in connection with the Work. Permits. Fees and Notices. The Contractor shall secure and pay for all permits and governmental fees, licenses and inspections necessary for the proper execution and completion of the Work. Such permits and licenses shall be the property of the Customer and shall be delivered to the Customer upon request. The Contractor shall give all notices and comply with all applicable codes, laws, ordinances, rules, regulations and orders of any public authority in connection with the performance of the Work and the Contractor's obligations hereunder. Insurance. Contractor acknowledges and agrees that Customer or Owner shall not be obligated to carry any insurance in connection with the Work for the benefit of the Contractor. Contractor's Insurance. Contractor shall at all times maintain and keep in full force and effect, at its expense, any and all insurance coverage which is prudent, necessary or desirable for the protection of the interests of Contractor. Contractor shall furnish to Customer certificates of insurance for the following types of insurance. a. Commercial General Liability Insurance; b. Workers' Compensation Insurance to cover full liability under the Workers' Compensation Laws. All waste associated with this project will be removed from the property and disposed of properly. IN WITNESS WHEREOF, the parties hereto have executed this Contract as of the day and year first above written. Customer Contractor Company By: By: Print:Alan Shoemaker Mark Mullin, Mullin Roofing and Siding Inc. Address: 12 Butler Ave. Centerville MA 7 Connemara way, West Yarmouth MA 02673 Date: 4-18-17 Date: 4-18-17 Phone number: 603-475-0553 Phone number: 508-221-8591 Email Address: alan.shoemakeregmail.com Email Address: mullinroofinciegmail.com • License numbers: CSL#104076 HIC#167281 NOTICE OF ASSIGNMENT EMPLOYER: COMBO I.D. STATUS OF EMPLOYER MULLIN ROOFING AND SIDING INC 000422586 Corporation 7 CONNEMARA WAY WEST YARMOUTH, MA 02673 COVERAGE GROUP 0422607 t Coverage under this assignment The Waiver of Our Right to applies to Massachusetts Recover from Others Endorsement operations only. For coverage is available on Pool policies. outside of Massachusetts, contact Contact your agent for details. the appropriate Pool or Plan for that state. INSURANCE COMPANY: AGENT MARGARET J GRASSI INS AGENCY AMERICAN ZURICH INSURANCE COMPANY OR PRODUCER: DEBRA MARTIN Jonathan Scharnberg 1188 MAIN ST P 0 BOX 3556 W WAREHAM, MA 02576 ORLANDO, FL 32802-3556 (800) 453-9843 AGENCY FEIN: 461155686 CLASSIFICATION OF OPERATION CLASS ESTIMATED RATE ESTIMATED CODE TOTAL ANNUAL PREMIUM REMUNERATION CARPENTRY-DWELLINGS - THREE STORIES OR LESS 5651 $22,387 8.11 $1,816 ROOFING NOC & YARD EMP, DRIVERS 5545 $1,130 37.05 $419 CARPENTRY NOC 5403 $0 11.00, $0 CARPENTRY-DETACHED ONE OR TWO FAMILY DWELLINGS 5645 $0 8.11 $0 EMPLOYERS LIABILITY 100/100/500 9845 MOD FACTOR 9898 .89 $-246 STANDARD PREMIUM $1,989 ALL RISK ADJUSTMENT PROGRAM 0277 1.00 EXPENSE CONSTANT 0900 $338 TERRORISM CHARGE 9740 $7 TOTAL POLICY MINIMUM PREMIUM $500 TOTAL ESTIMATED PREMIUM $2,334 DIA ASSESS. 5.6% s $111 TOTAL EST. PREMIUM PLUS ASSESSMENT $2,445 INSTALLMENT BASIS: Annual DEPOSIT PREMIUM: $2,445 THIS IS NOT A BILL COMMENTS Coverage effective 12:01 AM on 02/25/17. " Subject to 11/18 Anniversary Rate Date. Add endorsement WC 00 03 08 to this policy. An approved Form 153 - Affidavit of Exemption for ,Certain Corporate Officers or .Directors - was submitted with this application. DATE OF NOTICE: 02/28/17 PREPARED BY: Joanne Shea The Workers'Compensation Rating and Inspection Bureau of Massachusetts 101 Arch Street• Boston, MA 02110 (617)439-9030 • FAX(617)439-6055 •www.wcribma.org -7 IKE Town of Barnstable *Permit# Y63 ti ores 6 months from issue date �.� Regulatory Services i ee A/J_ � + BARNSTABLE, • v MAsa Richard V.Scali,Director rent" 'Building Division Paul Roma',Building Commissioner . 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Irriprint ' Map/parcel Number ' 9 Property Address la % 71 1P it live- Ci r— TER 111 L L-. ❑Residential Value of Work$ a D O C] Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address_ j_(. �(` f/0 C h1A-k 1✓p—� Contractor's Name MK}_ M U L_L V ''Telephone Number Home Improvement Contractor License#(if applicable) Email: ` V1 OL L_I/U R�- /►'y , Construction Supervisor's License#(if applicable),' ❑Workman's Compensation Insurance a OH � Check one: ❑ I am a sole proprietor APR 1 0 2017 ❑ I am the Homeowner [1]iI'fiave Worker's Compensation Insurance •OWN,0� BARS I ABLE Insurance Company Name 'Z- L) Workman's Comp.Policy# Z Z U CE L/ 47 Copy of Insurance Compliance - Certificate must accompany each permit. Permit Request eck box) Yi'�Dr� �D v n�P e-roof(hurricane nailed)(stripping old.shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side- Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *where required: Issuance of this permit does not exempt compliance with other town department regulations,Le,Historic,Conservation,etc. Property Owner must sign Property Owner Letter of Permission.; A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: QAWPFILESTORMSUilding permit forms\EXPRESS.doc 01/25/17 Department cr,hiders vial Accidaztv 600 kFasTiurow,,s'treet . -- Bastin,MA 02.UI fPFVt'f�3f1 ���[�lII . Workers' CompensaiianInsurance ffid ;x-t-$.m'lder-./Cntrac Grs/Electrkians/Pluxabers Applicant Infkma{ Un. Please Print F Iy .Na= Aq—'C M L)L.L IL� Address: -z c u M �� R a- ikf 4 ctY{Strom w 0 R vv,",-t4 _G Phone 4--5�-0 s s Are you an employer?:(Meckthe appropriate box: Type of project,(required): 1_E Yam:a employes with: .3 4 ❑I am a general contractor and I employees(fud andfor part-ime)- * have hired the sub-conhacton 6. ❑New cansi ion 2.El I am.a sale propsietolr orpastaer- Tested usztiie attached sheet I ❑Remodeling ship and have no employees Mese sub-contractors have S. ❑Demolition to and have worms' wading $orrae is anp l $ 9..❑Su cling audition [No wodDa S'comp_insure uce Comp_Msurance required-] 5. 0 We are a-corporation and its . 1OL❑Electrical repairs of additions 3_❑ I am a homemmw doing all vwk officers leave exercised their 1L❑Plumbing repairs or additions a worlmrs' sight of won per MGL myself e - c.15Z§1(4k andwe,haveno 1�.❑Roo repairs i�carranrer2�ltied„�1 l3_❑Othier . employees_[lb wos=s' cone-insurance required_] 'ArtyzWicxmtd=tchetIsbox#l—stelmIMcatthesettioabdoa*shou lbe¢wa&eiecompmxmfu=peRcyin5==io3- #Mmauwners trho submit dais z irk imi;reing try am doing RH wc&Rnd&m him=Mde cant Rcftzxmast submit a new aTUIX&mdirstiaD sacTi ' IContzact=thzt cheth this b=mast wftrTw is additir sheer showing thename of the and state whether ar notthase entitiesbane employees Ifthes h- —shm emgioyws,tfiey=stpm-vd&hen wadma'-Comp.paIi-Y aamrbM I am an erlipIoPsr flint is prauitiirtg�varkers'compertsrdtart iizsrira>t ce fir use}a clrrpFa}�eex $¢toev is flte prrticy rcrui jots rr � iuf ormrdon _ Insurance Company Name: -Pcoficg arSehf-ins Lic_ ` �aU T It q ��'��— t Expi€tioaDate_ Job Sif-Address: 12 RUT t-E P A l ea, cityl5tafs'4p: Attache a-mpy of the workers°campeasationpolicy declaration page(showing the policy number and expiration date). Failure to secure coverage as required.under Seclion 25A of MGL Q 1572 can lead to the imposition of criminal penalties of s fine up to$l,SODOQ ssdt'or orie-ye-a-rimpaisvumexd,as weiU as rid penalties is the fhan of a STOP WORK ORDERand a 11=e ' of upto Q-oo a day against flee violafur_ Be a@sdsed that a copy of this statement sway,ba fkwarded to the Office of Isrvesdgations ofthe DIA for insurance coverage verificatio - ' I do Iwrzby cerhfjr under$rs pains anddppsrsauim a. Fet try'Matthe irsformaiveapm-ilwabM is true acid correct itmafure: �L���// Late: Phone A-7- OBWid um a gy, Do not whe in thh melt,to be txrtapieted by taut ar own official Cky cw Town: Permif kense _ s Issning Aahority(drde one): L Board of Health "/.Bmililing Department 3.CAyirowa CIe k 4.Electrical Inspector S.Plumbing inspector b.Other Contact Person: Phone 9: Taformation and 11astructions Mkssac asetfs Gebm-ld.LAWS Chapirr M rMIM=all employers to provide M:cpMSHft n fW fbeIr M3pl0yee.S. PmTaanttD this sty,an arrplayee'-is defined as_"_.every person in Ifie sm-vice of another Under any CM±C I of hoe, =pressor fine_ d,oral or " An mT&ym-is dofmad as"an indryidnal,pmtaeri*asSMiSti ;corporation or other legal enti or say tw or more of the foregoing is a joint use,and including the legal�v�ti of a deceased eurployrr or floe receiver,or t mstee of an individual,per,association or of eriegal entity,employing employees- However the owner of a.dweIling house having not more than tI'=apart neo I and who resides there,or the occupant of the - dwelling house of anoAer Who employs pmsans to do mamfeoance,c �nst rrlr fi on or repair W01h on such dwelling house or on.the grounds or bm7dmg apPm t=.,_&t iemto shah not becanse of sash employment be deemed to be an employer." MGL d3ZptCa 152,§25C(6)also stems that every state or local licensing agency shall withhold the ii=anee or renewal of a license or permit to operate a business or to construct buildb3v in the commonwealth for any applicant-who Izas not produced acceptable evidence of compliance with the imsurance.coverage required." Additionally,MCrL chapter 152,§25CM states¢Neither the Comm an rz h nor zqy of its political subdivisions shall enter mtD any coat and for the perfmnaace ofyubho wo3:k uoil acceptable evidence of compliance 7ibh.the regtm meats of tizis chapter have been p=cmtrd in the confractiag atzfhomiy." Applicants Please fill o-at the workers'compm sation affidavit completely,by checking the b=.es ihaf apply to your siftudon and,if necessary,amply sob�contractor{s)name(s), addresses)and phone mmmber(s) along w&their of insurance. Limited Liability Companies(I.LC)or Limited Liability PatbrPs(LLP)Fvi�no employees other than the members.or parineas,are not rbgai ed to cauy worker'compensafim msozance- If an LLC or LLP does have employees,apoHcy is required. Be advised that this affidavit maybe snbmiitedto the Department of Industrial Accideats for conE atkm of ft=an ce coverage. Also be sure:to sign and date thL-affidavit The affidavit should be rt:truned to$e city or town that the application for the peruut or license is being mgnested,not the Department of In nsfrial Accidents. Should you have any questions regarding the law or if you are regmredtn obtain.a wormers' compe„cat;onPolicy,please,call theDepmt entatthermmbezlistedbe.Iow. Self-mgraedcompanies should enterthmr self ice license nrmber on the appropriate line. - City or Town Officials r - Please be sore that the affidavit is complete and prime legibly. The De parimmthas provided a space at tfie bottom of the affidavit for you to fM otrt in the event the Office oflavestigati"has to contaztyoaregmding the applicant Please be m a to Ell in the pennftAiccnnse mnnber Which wM be used as a ref xtmce= nber_ In addition,an applicant that must submit n LUMPIe pennidlicense applications in any gives yea',need only submit one affidavit mdicatng current policy infozaation('ifnecessazy)andunder`Job Site Ad&ess"the applicant Shoulder"all locations in (may ar- town)'•A copy of the-affidavit that has been officially stamped or madm d by the city or town may b e provided to the _ must be f cd out each applicant as proofthat a valid affidavit is on fle for foffire pe�zis or heenses Anew affidavit year'Wh=a home owner or citizen is obfaiIImg a license or permitnot related tQ any busmms or commercial venture Cie.a dog license or permit to bum Ieaves etc.)said person is NOT regtmed to complete finis affidavit The Of of TnVestigations would like to thank you in advance for your cooperation and should you have any questions, please do not hestate to give us a call The Departure fs address,telephone and fax nrrmbea: �.,� ttE Of M.S�C�1t1.Sri D mt cif Yd 1 Aociients ` Off!=of jwe&tgktio= - B IVA CdIII Tel.#617' -4• mt4flf or I477 MA SSAFE Fax 9 617 727'74 Bavised 4-2"7 .�V NOTICE OF ASSIGNMENT EMPLOYER: COMBO I.D. iSTATUS OF EMPLOYER MULLIN ROOFING AND SIDING INC 000422586 Corporation 7 CONNEMARA WAY r WEST YARMOUTH, MA 02673 COVERAGE GROUP 0422607 Coverage under this: assignment The Waiver of Our Right to applies to Massachusetts Recover from Others Endorsement operations only. For coverage is available on Pool policies. outside of Massachusetts, contact" Contact your agent for details. the appropriate Pool or Plan for that state. .INSURANCE COMPANY: AGENT MARGARET J GRASSI INS AGENCY AMERICAN ZURICH INSURANCE COMPANY OR DEBRA MARTIN Jonathan Scharnberg PRODUCER: 1188 MAIN ST P 0 BOX 3556 W WAREHAM, MA 02576 ORLANDO, FL 32802-3556_ (800)` 453-9843 AGENCY FEIN: 461155686 CLASSIFICATION OF OPERATION CLASS ESTIMATED RATE ESTIMATED CODE TOTAL ANNUAL PREMIUM REMUNERATION CARPENTRY-DWELLINGS "- THREE STORIES OR LESS 5651 $22,387 8.11 $1,816 ROOFING NOC & YARD EMP, DRIVERS 5545 $1,130 37.05 $419 CARPENTRY NOC 5403 $0 11.00 $0 CARPENTRY-DETACHED ONE OR TWO FAMILY DWELLINGS 5645 $0 $.11 W EMPLOYERS -LIABILITY 100/100/500 9845 MOD FACTOR -9898 .89 $-246 STANDARD PREMIUM $1,989 ALL RISK ADJUSTMENT PROGRAM 0277 1.00 EXPENSE CONSTANT 0900 $338 TERRORISM CHARGE 9740 - $7 TOTAL POLICY MINIMUM PREMIUM $500 ' TOTAL ESTIMATED. PREMIUM $2,334 DIA ASSESS. 5.6% $111 TOTAL EST. PREMIUM PLUS ASSESSMENT $2,445 INSTALLMENT BASIS: Annual DEPOSIT PREMIUM: $2,445 THIS IS NOT A BILL COMMENTS Coverage effective 12:01 AM on 02/25/17.- Subject to 11/18 Anniversary Rate Date. Add, endorsement WC 00' 03 .08 to this policy. An approved Form 153 7 Affidavit of Exemption for Certain Corporate.-Officers, or Directors was_submitted with this application.. DATE OF NOTICE: 02/2 8/17 PREPARED BY: Joanne Shea The Workers'Compensation Rating and Inspection Bureau of Massachusetts 101 Arch Street• Boston, MA 02110 (617)439-9030 - FAX(617)439-6055 www.wcribma.org NOTICE OF ASSIGNMENT EXT 530 * * VOLUNTARY DIRECT ASSIGNMENT LETTERID: 4765075 n _ t The Workers'Compensation Rating and Inspection Bureau of Massachusetts 101 Arch Street• Boston, MA 02110 (617)439-9030 - FAX(617)439-6055 •www.wcribma.org w Tap ,. �Q'�`ird of B � :Idt' g 'Regulataons� and Stancla`rds� , IScl m w ` CQtTIltt�sS�Q fit_ r '.Q:10742 Meesta�`-.� A-W,, .---,`dam �z*,x�w�".u.w<^ _ _u�� - - h ',�;> �,..� ..;�..�, �: "*"... �`�",,;.- 'r:-..-. �-'r YCg 4°ar. s •.,.::'., `�..,, `^.'� '. _;. ���*s#.."�. -'.w:;. ;�.V.�-�s"�- =5�.*s.�' x.�-a "`-'"r g'�..- "ti ^�� '"'+t�.. _� �- �.::," �rre,�.. _ :-�5�5 ;� ��� g Via•. ^�' t, ._` � °. ::a►r� & Bus,ness Re -ulanon M.M m . . Regstrationand orndividual 4- .Oftice of Coasucn� � _t PR 1 MENT CO, T ,-A— � �� Pie ®NEE (M. :' � - s � - . , � . l £: �. ���FOffice�of Consumer Affairs and BusieslReulatio�"f� > -Re istration._ , s , � Pe .- e ,r ,. g . ;J, .. +.w. 6Z2831 �.. -�. T - '� �e+y_. _ ..;= •�'.. �. / -- m. �..: �-:: �_. ,-�,.�,J;" x .."�,�'-?s ", .r"�1 :,. - �4�, _ ! � ., �. S_ ��` � zs,aa�, .- ,�.. �. .. , ., , ��-0 lOPaPlaza "Sute_517U � :. s.,. - -, F.ti. �:' r.f.:•,: _.;°� tr' ,�;'',"a.�.. .,,mow - •t. ..�:.zL 'may An M� -, ., ,iri ,. .• ,' ,,.. � :� .�,� ,.,.,i S�O `OZ11C�® z ty. �� .- -aM -tL1N ROO�IN , n � K� .. ., � . �� ...,. ,�` sue � , ,. �i.- ° w � ..�� .. � .,_„. �:. - >..�� - �` �.� :€(.�:.. 11 Tri a.'. {� �§ MARK mil! .. WNP , :. s.k::> .,e.. -? ' ,- -•,5 ,S,: „§�, v ,: -!5�*�' �,. �'k^..�a.. _� td'r ..a r� - � �.,: .y-c 7 .,�`.c . e: ,r-. �. ;. ¢. x > �,. v 7CON1�tEMA, : W1 � -.. eA§ ..: .£'' ,.'� �°• �+ .L.� -_.. M '.r y,�r_, 3�': S ...��. �. �.'��• •'KS�� ah .a .y..{...;��. W .YARMOUTH�T �t '� w c � �rVs..r. it.U. .,'# fi- •co _ .,. i, k� ' - wr T.Ti. '�� 3y.e.a "F y ,j`.�a �e. - t �;ti+ q.. ,i:�- ��iN� ' }7� �;; .,- �J' .-Sq�rf?ty*;'. ,.- Af, "^ "''.s,;W �'r � *" ,:,. '�.• � '�:.. a��-' a ,r .M >. =�-� `:�.-t#.t a: MULLIN ROOFING & SIDING INC. CONSTRUCTION CONTRACT This Construction Contract(the"Contract")is made and entered into as of 3-26-17 (Date), by and between Alan Shoemaker(Name, hereinafter called the"Customer") and Mark M. Mullin, DBA Mullin Roofing and Siding, Inc. having its principal office at 7 Connemara Way, W. Yarmouth MA 02673 (hereafter called the"Contractor"). Property Location: 12 Butler Ave. Centerville, MA In consideration of the mutual promises hereafter set forth and intending to be bound hereby,the parties hereto agree as follows: `r Contractor's Obligations. Contractor shall complete the following Project herein described in and shall provide supervision necessary to commence and finish the Project expeditiously, in a workmanlike manner, in accordance with the"all applicable codes, laws ordinances,rules,regulations and orders. t Description of"Work". Contractor shall do all the work in accordance with the terms of this Contract, as described: Remove all of the rake boards and replace with new one by eight Azek trim fastened with screws and bungs. Remove corner boards that are in contact with the roof. Replace the corner boards with one piece composite trim fastened with screws and bungs. Remove existing roofing shingles while protecting the home and landscape.Nail down any loose roof decking to ensure a solid roof deck. Install ice and water shield on all eaves, intersecting walls, and around all roof penetrations. Install Diamond Deck roofing underlayment by Certainteed over the remaining roof area. Install new drip edge on all eave edges. Install Swift Start starter shingles by Certainteed on all eave and rake edges. Install new Landmark Pro roofing shingles by Certainteed to factory specifications using six nails per full shingle. The color to be used is Cobblestone Grey. Install new ridge vent. Hand nail Shadow Ridge ridge caps over the vent to complete the roof Remove and replace the white cedar siding on all cheek walls with grade A white cedar shingles. Contract sum. In consideration of the performance by Contractor of its duties and obligations, hereunder, Customer shall pay to contractor the sum of'$12,000 I f i Payment schedule: Owner shall pay the contractor 50%of the contract sum upon signing the contract, 0%upon start of contract work,50%after completion of contract work. Contractor's Responsibility. Contractor is an independent contractor for all Work to be performed hereunder. The detailed manner and method of doing the Work shall be under the control of the Contractor. All employees of the Contractor performing Work under this Contract shall be and remain the Contractor's employees. a. The Contractor shall supervise and direct the Work,using its best skills. Job Safe . Contractor shall be responsible for initiating,maintaining and supervising all safety precautions in connection with the Work. Permits,Fees and Notices. The Contractor shall secure and pay for all permits and governmental fees, licenses and inspections necessary for the proper execution and completion of the Work. Such permits and licenses shall be the property of the Customer and shall be delivered to the Customer upon request. The Contractor shall give all notices and comply with all applicable codes, laws, ordinances,rules,regulations and orders of any public authority in connection with the performance of the Work and the Contractor's obligations hereunder. Insurance. Contractor acknowledges and agrees that Customer or Owner shall not be obligated to carry any insurance in connection with the Work for the benefit of the Contractor. Contractor's Insurance. Contractor shall at all times maintain and keep in full force and effect, at its expense, any and all insurance coverage which is prudent,necessary or desirable for the protection of the interests of Contractor. Contractor shall furnish to Customer certificates of insurance for the following types of insurance. a. Commercial General Liability Insurance; b. Workers' Compensation Insurance to cover full liability under the Workers' Compensation Laws. All waste associated with this project will be removed from the property and disposed of properly. IN WITNESS WHEREOF,the parties hereto have executed this Contract as of the day and year first above written. Customer Contractor CompanyBy: &-IxZ14-11 _ By: Print: AUl Shoemaker Mark Mullin, Mullin Roofing& Siding, Inc. 7 Connemara Way, W. Yarmouth MA 02673 508 221 8591Address: 12 Butler Ave. Centerville,MA License No. CSL 104076 HIC 167281Date: 3-26-17 Date: 3-26-17Phone number: 508-778-4670 Email address: alan.m.shoemakerLicense No. CSL# 104076 HIC# 167281 Email address: mullinroofing@gmail.com f .i Assesspr's map and lot number ..... a 6-�?..� ........... , SEPTIC SYSTEM MSTNE UST 8 Sewage Permit number ........... 7- 4...80. ...... I&I-S ALLED IN COMPLbAN TITLE 5Z 898B9T4D�E, i House number ......................../.!I;k;.`a....................... ... .f '��'�� «f ;0 �r ��yy yy rasa `. a � d . e.`�d6i3'«q'�,e�039. . 'f•",r rr 'Ep.YPY a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO c K -�u c T I`I 1ac.?�i—..s i A 6 f-c c _ ................................. .......... TYPEOF CONSTRUCTION ................... . �?...... h At. j�.........................................................:................... .......................... . 19. TO THE INSPECTOR OF BUILDINGS: ; The undersigned hereby applies for a permit according to the following information:` Location ........ ............ � '.U;�;LryR ../. .V z T�i.��G,V.l....zI...r .......... ............... ProposedUse ............ {.. !.P.0 .................................................... }............... .. .......... ................... Zoning District ............ :. ................................ ...........:...Fire District :.....:.... .— ........ .. Name of Owner ..../.7 iAt(..... ......... Address Q`�bC I�a ... l 6A'F n.� SPtiirc4Fl rt a� q _ Name of Builder .... ?.l +. ? .... !�.(4 .............lAddress a.................... fiT(zvl l.cCi� ...... .... . ... .... .... Nameof Architect ..... ..................................................:......Address ...........�.................... .............. ............................. . t Number of Rooms ....................Foundation ............................. Exterior ....... f3D... ?-1 c. -........: Roofingj�Pb1a L Floors I!. .Z?.4 P... .. -a.`Ti .................Interior ......... ........4?............................................................ Heating ....`j4,.(J....... ......................Plumbing .............V..C..: ...................:.tom. !�................. Fireplace ........ 4 ?.1Gfrt........................................................Approximate. Cost .....�'Pl.c�......... � . ... ..... Definitive Plan Approved by Planning Board ______________________________19_______. Area - S.r . ... ...................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH tiv i i j OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS .1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. //. Name .......//,,�.. .� ......... .. .......... Construction Supervisor's License ... ............ 1 �` SHOEMAKER, ALAN 4 a 258542-. 1 z Story s No, ............ Permit for .................................... ° X Single Family Dwelling ' Locution .. 12...Butler Avenue .... ................. ce-..\4 U Alan Shoemaker ` Owner .............. ............................... ........ in Type of Construction ..Frame........................... 117 r ...........`... Plot ............... ..`.... ..... ....:.... Lot .. . ...... r % Permit Granted .......Dec. ... , 1 83 A r r Date of Inspection,...!,.,..'....................7. ......'19 -- f D"ate Completed �L .. .... ~ 19 F �� 31 V` y 4 st .•r . r e JOSEPH D. DALUZ _� y -7ELEPHO NE: 775.l 120 EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 .. � , August 18, 1982 Attorney Michael Ford 171 Main Street. Hyannis, IMA ;-2601 Re: Alan Shoemak: - Dear `Attorney Ford: Upon .reviewing the. Land Court Plan by Nelson Bearse, Richard Law dated December 4, 1969 .and March 22, 1967 and a site plan entitled Craigville (Barnstable) Massa.Adselt:s for Alan A. Shoemaker dated July 30, _ 1982.by Baxter & Nlye, Inc. and consulting with Town Cc..._nsel Robert Do Smith, it is my opinion that the lot shown on said plans is a buildable lot under the provisions of the Town of Barnstable Zoning By-law and Chapter 40A of the M.G.L. Peace, seph D. Da Z Building Commissioner JDD/gr cc: Town Counsel Board of Appeals tr OL +:14 t 1 MtIC r{ �`r GOtiIGZCT� 0 ..W va s h 25-t }+; WILLIAM C., r• '-' o NYE },► rir ca No. 19334 j r �41��3TE'EL�0q- .e �HO SURD t • /may THAT THE �rx�vAAT off/ CE,eTi�/�!� � 07 ; ;5�,�4K�i</yE,260N GOM.�.L.YS L✓iTh� THE t r::� s AMO S.ETBAC.I .eE, e4C-:— .LOCAT/Oit/ CRAIGY ILL t ) 1'�ASSi'f --�JEN,rS OF 7-NE ToK/,c/o�g�i2�tl.STAF.�vG / ANO`/S NG..7r,'L.G�ATE17 W/TH/i�/ THE -5cA.�.� SATE:IZA FIP3 , _.. 4e- 34 O BAx7:E 2E,VYE� /1/Cr i TN/S AU-A&/S NoTD---e� ac/'AI/ ��G/SrE-.2�0 � �/O SU,2✓Eyor�S /rv,Sre(/rNENT SU•2✓Ey r4.vo T.'/� os�'�,eV/�.c� o MASS. -:. .._ . O�,cSt'7S,�,y0�/�.SNolJL �c/aTBEUSE1� AP��/�,,4iclT AL Al M. Sl1o6-MAe-CP- .1 v 7rO OE�r'E.e�J/.v,E .GaT.UNE.S s; .:a •3� TOWN OF BARNSTABLE Permit No. -------------- Building Inspector Cash --------- ---- ------- - - .W V• 'n't OCCUPANCY PERMIT Bond -------_ Issued to Address a. Wiring Inspector Inspection date Plumbing Inspector /`t>,.� �`t \ ' ,� Inspection date Gras Inspector Inspection date Engineering Department Inspection date C Board of Health 'SL��..._ 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Building Inspector FROM - �—\ TOWN OF BARNSTABLE . . BUILDING DEPARTMENT 4 Mr. Francis ialz#e ne B7 MAIN STREET - HYA NIS, MA 02601 ribxari Clerk Phone75-1124 : ?' / SUBJECT: FOLD HERE - ~ DATE - MESSAGE Work has been cm letnd uracler, Permit #25852 (Alan Shoemaker) y w a•smv ay..ar u s:*w'7.4�+Y` ..w...+�,tr.. .A,.�r�.� In.w roa�s Piease release-BMId r I ..nrT+vs-as•rra#,yp's4r +�e:,v*. ��. ' • - ( SIGNED DATE - f T ' REPLY - .y ' SIGNED' - N87•RMt - J - RECIPIENT:RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. SENDER: SNAP OUT'YELLOW COPY ONLY.SEND WHITE AND. PINK COPIES WITH CARBON INTACT. Assessor's map and lot number ....... ........ TH E ......j�V................... %THE Sewage Permit number ........... ................ MARISTAX VAGL Housenumber ....................... ................................. 039. DNA TOWN OF BARN STABLE' BUILDING INSPECTOR .................................................................. APPLICATION FOR PERMIT TO .......... ..................... TYPEOF CONSTRUCTION ................ ter ......... ................................................................... ........................19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: -Bu-v v ...t".7 A..................... ............................................. Location .......................................... .......... ........ . ... .... ProposedUse ........... .................................................................................................................................... ,ll� ZoningDistrict .............IR................................I...........................Fire District ........!� ................................................................ Name of Owner .... .............Address �Z F;A r 4e,F.6 F-P�VA ............................................ ...................... L4 . fi"Tr?p�VI.LLP.."A Nameof Builder ............. ........... .............Address .................................................... ......I .............. Nameof Architect ..................................................................Address .................................................................................... . 0............................... Number of Rooms ..........6 .....................Foundation ..... ............................... ............. ... Exterior ...... ......................................Roofing ....... ...................................................... ............................ 'ice t Floors ........ .. ...... ... ... ...............................Interior ........ ...R9 or.(*�...........z................... ........... .Xt......................Plumbing ... f-.Pv��C2�............................... Heating .................. ...................... . .... .. ......... 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 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. Name ....... .. ...... ................. Construction Supervisor's License .........*. SHOEMAKER, ALAN A=226-018 I No .2.5.8.5.2... Permit for ....1 Z Story Single Family Dwelling Location ......12... ..A.venue................. ....................Craiguil.le................................ Owner .............Alan...Shaemaker................ Type of Construction Frame + .......................................... Plot ............................ Lot ................................ Permit Granted *ecember 7, 19 83 Date of Inspection ....................................19 Date Completed ......................................19 C6•S AKA s4 A0 c� 9.7 M ��y 3�d-1 �� �•w Est .� ����j�; f�E �:� ��, _ sro id ALAN t# r� w: 3$?3A T' w � Y . - i�• . i j tn� y / . jY ,/ jkLF�