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HomeMy WebLinkAbout0044 CAP'N JAC'S ROAD r. S , ., �x A l Y1 i m _: • �r r7 ..Sr.. G. ,c �' W�. ..0.',. ..', t-, `u .+n w`.` „ r.g",y�f 11 G: c I*.'.' �[ - - -i. 'A-.'4r. �6.N.r j, o ,. 6, !` @ 1 d * .r>,+'"k. 5i. ,¢ _ f' &. .,.�i• sH ]. i a Y .'9.Y 'J;-k1. _t, .,b�iF'-. u. t - . r z� �' _-" 4 ,,: .r ,..,.e; �t'. �, b, �rG. h a '1.#' `t;'l t." ee`s t t ^7p ;; n, ':�� a `n �: ,A o.pD., s"9::'z '.' ' i ;,. r:,7r y.,a.e �. ,i y! :e 1, i, :..'1 .5^, " i. .�_,,,,. 'a [i ..v ,f, 'iF`,yT' ''�v.��:` ,. .a x x. �.a atr :d- G'g:a,,,, "�F _ML r{J:... 7 :�? 1. � 117. YS .f.. F y, T.Y .f V• Y, ` y .t�' Jy lx' f!' �. 4 rf ',.+'` t,� l f C.:¢ -N SM... N, •ii •:ham i, , w v .,q., w:. } 'a. L ',^- 1... Y •... '.., [ -„ '..._S +.. ., y'.�y k i Q'.,:d. Y e!. 1[�: .1,7 i},,..:b. '.i, ,.,F-, {� - ..�`�.. 'Y'.Y':� .:1. .C.M-y..,..+Y F..,m.- '}. h rf. . Cl� x.. .A.'.. `7hfiSkN> - A^ ;, i�,..., ¢fa...r° t a... tp w .S,t' a ....,1,- i;., .4": R"c.H> si .i1 .,.a: V,,4',_.j ,,;',,, �'�..} _� .,wF• ... .st +. i.F _ ,:Ss."':. .S7 'Y7. v t `1 f 'V��'� -{a o#i S _ �. ' oYkr, '` ^P.., .s'rl,�Y r �{'S' t .� 1I'llYT,F Wf. :ViL iE"� 1, 1. '4k'w ., 1 i ae`- r" : ,, , a _,', ;, ,. -d J , "-, c; s k E ' , Y , .'1 :4..rav q e Y :.Y ✓ r.` J t �, d, t t 2 ". ~) r fi > .y ; 1 B y z , i F t III r i �" Y - �t' g c ,i .A _. _ _._ -___—.__.. .._ r__ _ ._ _.. �:'_ _.. _ - - Town of BarnstableBuilding rlv- =a`� a BA IMMA »r s, — ;.rs� ' Ei v`.. -' y a g^ y. roved.Plans Must:be.f3etamed onloband this Card Must bye Ke. t Post This Card So Thant is.U�sible Fromthe Street App 3 ; � p MA Posted Until Final Inspection Has:eeen IVlade ° it : Where a Certificate of Occu.anc� >as.Re uired,such:,Buildin �shallNot be Oc"cupied:unt>tl a Final Inspect�on•,has;;been made .: rerm ME Permit NO. B-20-1934 Applicant Name: Dita Fraser Approvals Date Issued: 07/29/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/29/2021 foundation: Location:- 44 CAP'N JAC'S ROAD,CENTERVILLE Map/Lot. 194 054 Zoning District: SPLIT Sheathing: Confractor�Name'.� DITA E ERASER Framing: 1 Owner on Record: MACDONALD, BRUCE R&DEBORA L g 4f ,mac 9 $ `�,� 1 Address: 44 CAP'N JAC'S RDContractor'license CS=113409 2 , .w CENTERVILLE, MA 02632 Est Project Cost: $5,000.00 Chimney: Description: Siding Permit Fee: $35.00 Insulation: Fee Paid", $35.00 Project Review Req: Final Date 7/29/2020 Plumbing/Gas y Rough Plumbing: Building Official. r Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorizedbythis permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structuresshall be in with the local zoning by laws=and codes. This permit shall be displayed in a location clearly visible from access street or road`and shall be maintained open for publ!c inspection for the entire duration of the Final Gas: work until the completion of the same. gll Electrical The Certificate of Occupancy will not be issued until all applicable signatures bythe uildm and r Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:3 Service: 1.Foundation or Footing •F r „ Rough: 2..Sheathing Inspection g 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 Final: 5.Prior to Covering Structural Members(Frame Inspection) ' Low Voltage Rough: r 6.Insulation , 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health 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). Building plans are to be available on site fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 05Ll u OF BARNSTABLE Application # NN Health Division r, Date Issued cci CEO. j Conservation Division Application Fee Planning Dept. Permit Fee &5• 0 6 Date Definitive Plan Approved by Planning Board'.� ' a !°4 Historic - OKH _ Preservation/ Hyannis Project Street Address ed- Village Ce,6.n,.11t Owner ._c�/�. �Qd..��.SL Address S%h c- Telephone S 3(..x- f Permit Request I,.t.,�[,�.,<<� ►2�� cc/� ��� �� � Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �`-1 �� 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 Historic House: ❑Yes ❑ No 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 Telephone Number Mike McCarthy Construction Address PO Box 52 License # Nest Dennis, MA 02670 Cell (508) 280-6964 Home Improvement Contractor# CSL-58633 HIC-169393 Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FR1OM THIS PROJECT WILL BE TAKEN TO 1 SIGNATURE DATE /c 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 t FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. c C r T Town of Barnstable Q Aegulatory Services Richard V.Seal],Director' HuDding Division Tom paary,Building Commissioner 200 Main Street,Hyannis,MA 02601 -A"A wa.barnstable ma us Office: 508-862-4038 pax: 508-790-623a t Property Ovuer Must , Complete and Sign This Scctio'n z-f Usia-ty,A Z Aer I, Brune R. Macdonald _ a;as Owner of the subject prnppny hereby authorize to act on m��behalf, in all matters relative to %,oykauthorized by this buDding permit application for 44 Capn Jacs Road Centerville MA 02632 `— Ad&VSs of job), _ "Tool fences and alarms are the responsibility of the applicant Pwls are nor to be fil&:d or ut:iliud before fend:is installed and all final inspections are performed md.accepted. ' inanm of Owner Si ature of t1�,�yfili wt: Punt Name Print Narm Date Q;Fo�Ms�n?.'�Pr-_ZA+nsstnrarcx�is � e Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massac usetts 02116 Home Improvement tfap, or Registration Registration: 169393 Type: Individual Expiration: 6/16/2017 Tr// 264961 MICHAEL MCCARTHY MICHAEL MCCARTHY ` P.O. BOX 52 WEST DENNIS, MA 02670 Update Address and return card.Mark reason for change. -SCA 7 0 20M-05/71 [I Address ❑ Renewal ❑ Employment ❑ Lost Card V hB�Qa97?!I)Za72ClfeaLGl2 o1b1/GCI,JOaa/'6e j .. . Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found.return to: Registration: ,:_T69393 Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 ExpirationW�6 �(2047 Individual � Boston MA 02116 , MICHAEL MCCAR`-HY ti MICHAEL MCCARTHY / 6 RANGLEY LN. SOUTH DENNIS,MA 02fi60'" Undersecretary Not lid with t signature Massachusetts Department of Public Safety ® Board of Building Regulations and Standards License: CS-058633 A i Construction.Supervisor MICHAEL J MCCARTHY., . P.O.BOX 62 a " • WEST DENNIS MA "N. UR 1I�/►`^'`'� CA-- Expiration: Commissioner 04/10/2018 I The Commonwealth of Massachusetts . Department'ofln(lustrialAccidents 'I 1 Congress Street,Suite 100 Boston,MA 0211 4-2 01 7 wwm mass gov/dia Workers!Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMUTING AUT110I2TTY:. A_ pplicantInformation Please Print Le ibly Name(Business/Organization/Individual): Mike`McCarthy Constructioll- Po 52 Address: West Dennis, MA 02670 City/State/Zip: Cell 08)#280-696 93 IC- Are you an employer?Check the appropriate box: Type of project(required): 1.9�am a employer with employees(full and/or part-lime). 7, ❑New Construction 2. am a sole proprietor or partnership d h p and no employees working for me in ❑I l 8. Remodeling any capacity.[No workers'comp,insurance required.] 3.O I am a homeowner doing all work myself.[No workers'comp.insurance required.)t 9. El Demolition ' 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10❑Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. . 12.❑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.t 6.0 We area corporation and its officers have exercised their right of exemption per MGL c. 14. Other ]r✓C.t 152,§I(4),and we have no employees.[No workers'comp.insurance required.] "Any applicant that checks box#1 must also fill out the section.belowshowing their work"s'.compensation policy information. t Homeowners who submit Ibis affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors 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-contraclors have employees,they must provide their workers'comp:policy number. I ant an employer that is providing workers'compensation urstrrnnce for my employees. Below is the policy and job site information. {�_ Insurance Company Name: A1'I-1 /1,A I -T,>. Co Policy#or Self-ins.Lic.#: yb✓L— 100 -�0 Expiration Date: 12 )Is- 11C Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c:152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year.imprisonment,asmell 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. 1 do hereby certify under t a' s enalties ofperjury that the information provided above is true and correct: Si ature: Date: Phone#: a,6 -Qx,-C f C r 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 S.Plumbing Inspector 1.Other Contact Person: Phone#: i DATE(MM/DD/YYYY) �A _F3 CERTIFICATE OF LIABILITY INSURANCE 12/07/2015 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-A INSURED,the..policy,(ies).must be endorsed. If SUBROGATION IS WAIVED,subject to the terns and conditions of the policy,:certain Policies may require an endorsement. A statement on this 61 cate does'riot'confer righf o the certificate holder in lieu of such endorsement(s). Tp PRODUCER 01962-001 N�ME Bryden&Sullivan ins Agcy of Dennis Inc No Et): (508)398-6060 ,No,: (508)394-2267 PO Box 1497 Mw So Dennis,MA 02660 INSURER AFFORDING COVERAGE NAIC N INSURER . A.I.M.Mutual Insurance Company 33758 INSURED INSURER B: Michael McCarthy Construction Inc INSURER C: P 0 Box 52 INSURER West Dennis, MA 02670 rINSURER 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. ICON TYPE OF INSURANCE I ypj� � POLICY NUMBER M Aw LIMITS GENERAL UABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ E o cu ce CLAIMS-MADE a OCCUR MED EXP(Any one person) $ PERSONAL BADVINJURY $ GENERAL AGGREGATE $ EN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $ OLICY RCT Doc. AUTOMOBILE LIABIL17Y COMBINED accident) SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON—OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS MADE AGGREGATE $ DED RETENTION $ $ d �I��Ci �14f X s Tet i O RTH- Y/N E.L.EACH ACCIDENT $ 1,000,000.00 A (Mandatory in NOW►A�jjy�Fj cECUTNE Y NIA VWC-100-6017656-2015A 12/15/2015 12/15/2016 E.L DISEASE-EA EMPLOYEE $ 1,000,000.00 (Mandatory in NH) Lv tu' �99'010 PTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION Cape Light Compact PO Box 427 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Barnstable,MA 02630 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD f Town of Barnstable *Permit# o�TME ores 6 months from issue date Regulatory Services ee =nxrtsTasc.E. : Mass. Richard ca ,Director i6gq. ,� hd V.Sli Dit Building Division Tad 0 �� Paul Roma,Building Commissioner �� 1 ?4 6 200 Main Street,Hyannis,MA 02601 ) 'v www.town.barnstable.ma.us �t m Office: 508-862-403 8 A 1 t Fa" 8t 790-6230 �f EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number _ V Li /� I r- �'n-t, Property Address ( 1 1 �(� V�'f V S .d�� -C, Am esidential Value of Work$ ;23 .6 Minimum fee of$35.00 for work under,$6000.00 Owner's Name&Address Aky Ce- -1� rf�tPhA,,; zf-Aus 2� t h4 Contractor's Name � —r uohAt A. Telephone Number S-08-,27- 73a 3 Home Improvement Contractor License#(if applicable) 16n 0 40-ZS- Email: S.SV O MACH 0 CD h A j N -r- ConZorkman's upervisor's License#(if applicable) 0�D. 7 ,2 Compensation Insurance { Check one: ❑ I am a sole proprietor ❑ Lpmr1he Homeowner have Worker's Compensation Insurance Insurance Company Name /4SSoC.t/ailv`, 114 LAev6 M A2cn)E Workman's Comp.Policy# (A)CC -500 - QUO 90a�v t d-O 16 A 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 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re- die eplacement Windows/doors/sliders.U-Value a 31 (maximum.32)#of windows _ #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. "Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner sign Property Owner Letter of Permission. A c y of the a Improvement Contractors.License&Construction Supervisors License is r u' d. SIGNATURE: Q:\WPFILES\FORMS\buil g permit forms\EXPRESS.doc 06/20/16 ?7�Co�ams►eaiiii r��'�rrssrtc.iti Depar&aeut gf,1nrustriatAcrd eOf 600 WashhWion Street Boston,MA 02111 - * - " kvrc�tra.rrtg��riia Warlmre Comge msatitm Im-=nce Af ffilavit SuderslCentractarsMecf ticianslPhm2bers AppUC2Ut Tnfarmain Please Print E,eliy Na= - X Q)(N 5;00 MA LA f� Address~ W O Lc City,/Sta&Z*- o �► �C Phme-tw,-- -5013—a-`74— `755 3 Are ya employer?Q�eckthte appropriate box: T of project r I. am a 1 with. O 4 ❑I am a general contractor and I Type P ] (required): 6. employees( anclfor part-time)-* have hired 1he sub-co�acfoss =deling. oosx 2.❑ I am a sole propdetor orpart=- fisted on the attached sheet. I- ship and have no employees These sub-contractors have S. ❑Demolitioa I wading for mein any capacity- employees and have wo&ers_• 9..❑Building addition [N¢typdoers'pomp-ixnsur=e Comp.Msuratcrt+l 5. ❑ We are a corporation and its 1a❑Electrical repairs of a dr ors r -1 officers have exercised� 1 L P r airs or additions 3.❑ I am.a homeowner doing all work ❑ � ep mysiel f[N8 w6='o=p- riot of esempfion per MGL 13.❑Iioofrepairs insurance,r d-1 i C.=§I(4)6 aadwe have no employees.[No woAne& 13-❑other conp-msmance fie-] •Any app&c=d=t cbedzb=ff1 mast also iaIlot tLe sectioahtTawshzndug�e¢v�ceis`compeasatiaupaficgi�ormsricaL ��rnmeoGcd4rs who Saber E�e$d2[7E ffiAy are dain�8TE w9QiC and�eII hFle outside caatmrt+*=amst submit a neW affidarst mdic�ng Q+r'� . ZCautact=thtit ehPdr t'h1 boot mast a2tacl, an additimsl rinsed shoxrag thename of the sib ca�c6��d state tehethes not those eatitigsha�e employees.I€theanb-caattiada k=eempIcFes,dwy=5tgmuidetheir WMkE s'tomp.paIk-y"Imsec I am arr erlipT sr flint is preuitiirrg�vorlfers'cotttpertsatiort ursziraxce f Dr icr}�euriv ynee� $etvav is fits palm asrd job site information, TaSxanM Company Nam: 5 soct �j1�� �IJ LAND m4,;&A.)t, -2.6 )&Almpira&aDxte: — Job Site Addre= 44 COT A t x) .TAC S D,.L CitplStatezzip: N41 c-►`briS k(L,(-S MA Attach a-copy of the workers'compensationpoHey declaration page(showing the poPcy number and expiration date). Failare to secum coverage as r+eguired under Sez ion25A of MCL c 1572 can lead to the imposition of criminal penalties of a fine up#a$1,S0O t)t?aad?or one-yearimpFisossmeat,as well as cif peaalties.in the fog of a STOP WORK ORDER and s fme of up-to$250-00 a day against the violator ff&ased that a copy of this statement maybe forwarded to the Office of hzves6gations-ofthe MA-far-in MancecPer gey oa. Ida fwrvby Car* ' s art ofPCOtty fJiatAa iafbrmatimrptmvidrd abmv is bw and correct rim Date: h l Phone O,OEdaI am gy. Do root wits in this sma,to be c ampfeted by city artotrn rxgiclat My or Town: Permitlr tense g Lssaing Auflwrity(curie one): L Board of Health g Department 3.C R)Yrimea Clerk 4.Electrical FLspector S.Ph mmbing Easpector b.Other Contact Person Phone 9: Taformation. and 1astructions h6aceacamsett3 C-==-+Laws❑hap1er 152 rues all=PIU=to XUVIdewoTs'conipensatlon forfhem enplC,5n=. Parsu�to this sue,an ea�layee'is&-Rued as`�_everp persdn in the service of another undo any confrar#afbu e, express or iinpliec%oral or An employer is d-fined as-an indi4idn parft=mbip,assoch an;corporation or ofiler Iega1 eotify,or any two or more a deceased I er or fhe - and the of deceas emp.oy , of the foregoing engaged�a Joint , lading legal rereim or trustee of an mdiyidzial,paw,association or otherlegal entity,employing employees. However the owner of a.dwelling house havmg not mole than three apmdments and who resides Ihm=n,or the occapant of the - dweMug house of anof m who employs pm =to do cc,r cfirrrr on or repair wmk on such dwelling Jaause or on the groTmds or bmIdmg appurEena�rtffiereto shaIlnDtbecaBse ofsnch emplayme�be deemedto be an employer" MCM chapter 152,§25C.(6)also states that"evexp stafa or local licensing agency shall withhold fhe issuance or reneveal of a ficmzse or permit to operate a business or to construct burZdmgs na the commonwealth for any appliranfwho firs not produced acceptable evidence of compliance with thit iasurencE coverage required-" Additionally.MCEL chapter 152,§25C(7)states Neither the nor any ofits political subdivisions shall enter min any coint and for the perfkmaace Ofpnblic wodc until,acceptable evidence of compliance wif9i the insace.. req�emenfs of this chapter'bave been prese�dnd to the=*acting Mfaoi i Ly." .d,pplicrcznts Please fill o�± the worlu'as' compensation affidavit completely,by chncIdug$e boxes that apply to your situation and,if necessary,supply sub darts)name(s), addresses)and phone=mber(s) along with their=tificate(s)of insurance. Limited Liability C.tmxpm es(LLC)or L=atedLiabi-L ty'PmtammhIps(7 LP)wif h.no employees other f-um the members or.partners,are not rbqmed to eany workers'compensation;nsuz n,ce. If an LLC or LLP does have employees,apolicyisrmpfitd. Be advised that this affidayk maybe submittedto the Deparimeatoflndnstzial Accidents for confirmation of msar=oe coverage. Also be sure to sign and date ithe affida4it The affidavit should be rcttnzn d to 1he city or town that the application for the permit or license is being mquesbA not the D ep mtneat of ; IndrTsirial 24 o dents Should you have any questions regardmg the law or if you are regufted to obtain a Work=' compensation policy,please call the Department at the m=ber listed below. Self-msmn-ed companies should entcr their self-insm-ance Hocrose m=bw ao.the line. City or Town Officials t _ Please be sore that the afffidavif is complete and priced legibly. The Departmeut has provided a space at the bottom of the affidavit for you to fM out in the event the Office ofInvm±igati s has to coact yaa regay img the applicant Pleas a be sure tD-fill in the penult/license number which vM be used as a reface number. In addition,an applicant fat must submit multiple penny?licz,ce applitatiems m any given year,need only submit one affidavit indicating east policy information(if necessary)and under"Job'Site.A_ddress"the applicant should vtitx:"all locate ns II (may or. town)_"A copy,of the-affidavit that has been officially stamped or mar}ced by the city or town may be provided fin the applicant as proof tbat a valid affidavit is on file for fotm pmmiis or licenses A new affidavitmust be filled Olt each year�lheae a home owner or citizen is obt doing a license or permit not related to any busin=or commercial veatza e (ie. a dog license or pemzrt to bum leaves etc.)said person is 1�TC7I'regimcd to'complete this affidavit youin advance for cooperation and should any quEstions, The Office ofln:ycsbgati=wouldlomto thank please do not hesiia±e to pipe us a call The Department's address,telephone and fax amber tie of Ma each met of hk Aocidenta ice of�tionS Basto-n=MA 02111 Ta 4l' 617- -45M c�ft4-06 or 1477-1&kSSAFF, Fax 9 617 727 7M Revised 4-24-07gQg Town of Barnstable Regulatory Services • ,nffi„srn�s, • _ , MAM, �, Richard V.Scab,Director 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 as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building pemait 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 Applicant Print Name Print Name - Date QYORMS:OWNERPERMISSIONPOOLS Town of Barnstable Regulatory Services { p1F Richard V.Scali,Director Building Division * amass.NAM ' Paul Roma,Building Commissioner 0.19. ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 - Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION 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. DEFINITION 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 permit. (Section 1.09.1.1) 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 shall-act as supervisor." Many homeowners who 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:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 05-06-'16`12:47 FROM-G, H.Dtnn Ins• B:B., 508-759-7177 '` T7544 P0002/0002 F-794. A CC CERTIFICATE OF LIABILITY INSURANCE °"TES ' 016 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 cortif(cat9 holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer fights to the certificate holder in lieu of such endorsement(s). PRODUCrA Toni E.Davies G.H.Dunn InsuranosAgency,Ina- 64 Fairhaven Road P o (508y322-3240 .' P (508j322.3241 PO Box 497 boo ton4ghdunn.corn Mettap lsett,MA02739 IN AFFMING COVERAGENAILS INSURERA, MAIN$TAM6RICANASSURANCE 29939 IMR60 Enginsefed HoMe Solutions Inc John Suomala sUR�E e: AR®FLEA INDEMNIT1t 10017 Easstt Sandwich,4 Hill sh,MA 02537 INSUR Rc: AIM. " U00000 S . � x INSURER INSURER * INSURER F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: -MILS M TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR Tlit POLICY PEFIOD 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 DESCRIB@D,HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TV IV"9F INSURAIM POLICY NUMBER L G LIMITS A COMMERCIALGENERALLIA01.111Y MPT2927H 02/26/2016 2126/2-017 EACHOCCURRENCE " # 1,000,001) OCCUR • ocamenrn # 500,000 MEDEXPIAn o,mpersan)) # 10000 , _ t o' PERSONAL&AOVINJURY # 1,000.000 GEWL AGOR90AYELLOTAPPOESPEA ' f3ENERALAGOREGATE S 2,000,000 I bl1CY LOG:❑fi PRODUCTS-COIAPIOAAM # 2,000,000 r- :� - , •• $ AVIOII BILt LIgISILriY 10200i 0437 R 10A=D1 ti 10/0212016 6a ; TLIN # AAL1E@ _ BOOILYINJURY(Petpeleo<I) i 250000 ALL ALIrOg 0 t, BODILY INJURY(Por oCitlerltl $ 5001000 HitiFO AU108 AUrCB: ' PIYOAMAGE # 260,000 I x UM1AREi LA I A$ a EACH OCCURRENCE ;, RxCe"LUl$ M oAri # s- C WCC-500-50090262016A 04/ WO16. DQ612017. R ANO OPLOYM LIRBII ITY YIN - FN_j NIA E.L.EACH ACCIDENT '. # 500.000 dbactbe velar , E.L DISEASE-EA EMPLOYEE L 500,000 OP OPERATIONS below R E.L.DISEASE-POLICY Wrr # 800,000 fON - .. CRiRY t LIFBRATtOM8t LOCATIONS IVEHICLES(ACORD 101,AdoWonai RoMoft 8000ule,maybe aaueled ttmore Spam Is required) . CERTIFICATE HOLDER CANCELLATION r, SHOULD ANY OF THE ABOVE DESCRIBED POLIC10 BE CANCELLED BEFORE' THE.: EXPIRATION DATE THEREOF, NOTICE' WILL RE"•`DELIVERED IN a ACCORDANCE WITH THE POLICY PROVISIONS: AUTHORIZED REPRESENTA1iVE T 01988-2014 ACORO CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo am registered marks of ACORD Massachusetts -"'Department of Public Safety Board of Building Regulations and Standards Construction Supen isor License: CS-082712 JOHN E SUOMAI, 4 WOLF HILL : E SANDWICH NFA 02 Expiration, Commissioner 09/21/2016 , 1 �e�pamnw,acaecclC�a�6�occclzc�etG ' �. Office of Consumer Affairs&Business Regulation License or registration valid for individul use only (DOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: i 111 egistration: �60825 . Type: i Office of Consumer Affairs and Business Regulation Expiration: :8i26/21I9i6; Private Corporatic•, 10 Park Plaza-Suite 5170 i Boston,MA 02116 ENGINEERED HOME SOLljT;It7NS JNC. i JOHN SUOMALA , 1 4 WOLF HILL E.SANDWICH,MA 02537 Undersecretary I y No ali without signature J/BID 'PROPOSAL NEG + 71 h ^r 4 Wolf Hill C.S.L.4082712 E. Sandwich,MA 02537 H.I.C.#160825 508-274-7553 jsuomala@comcast.net To: Bruce McDonald 44 Captain Jacks Rd r Job# 3534-1483 Marstons Mills, MA Date 5/7/2016 508-287-9236 Project Description: New windows as described below ITEM DESCRIPTION TOTAL 1 LIVING ROOM PICTURE WINDOW 3,100.00 * Tear-out of existing window to framing * Reframe RO to 53x95-1/2" long for new Andersen window unit * Installation of 3M flashing at sill and window splines * Purchase and install one(1)Andersen combination picture window cat #TW 18-DHP4242-18 white exterior, natural pine interior,2x4 wall construction,white screens. Unit to have no grills in side double-hung flankers or in picture window itself. * Window to be sealed using 3M flashing tape on all nail fins,and expandable foam insulation around perimeter. * Exterior of window to be trimmed using lx5 Azec PVC trim with historic_sill, all attached using Cortex hidden fasteners. No painting required. * Interior of window to be trimmed using clear pine 2-1/2" Colonial casing. Filling of nail holes and staining by others. 2 FIRST FLOOR SLIDER 2,850.00 * Tear-out of existing slider down to framing. NOTE: Quotation does not include sill repairs needed due to decay * Installation of new lead pan flashing at sill of door * Purchase and install one(1)Andersen "Narrowline" sliding glass door.cat#NLGD6068RH, white exterior,natural pine interior(prefinished white interior not available), sliding screen, white hardware. * Slider to be sealed using 3M flashing tape on all nail fins,and expandable foam insulation around perimeter. NOTES Quotation Total: 1) Contract does not include repairs due to unforseen decay or Acceptance: valid for so days poor workmanship Owner: 2) Contract does not include painting upon completion Date: 3) Debris to be removed upon completion of project 4)Payment schedule:1/2 at acceptance, balance upon completion. Contractor: 5) Project timeline: approx 6 days Date: 6) All window RO's to be confirmed by removing trim prior to ordering Pagel r ID PROPOSAL � � 4 Wolf Hill C.S.L.#082712 E.Sandwich,MA 02537 H.I.C.#160825 E.Sandwich, - jsuomala@comcast.net To: Bruce McDonald - Job# 3534-1483 44 Captain Jacks Rd Marston Mills, MA Date 5/7/2016 508-287-9236 Project Description: New windows as described below ITEM DESCRIPTION TOTAL * trim with 1x10 kick all attached x5 Azec PVC , Exterior of slider to be trimmed using 1 . using Cortex hidden.fasteners. No painting required., : * Interior of door to be trimmed using clear pine 2-1/2"Colonial casing. Filling.of nail.holes z and staining by others. 3 KITCHEN I,350.00 * Tear-out of existing window to framing * Purchase and installation of one Andersen double casement window cat#CN235,white exterior,natural pine interior, stone hardware and screens. * Window to be sealed using 3M flashing tape on all nail fins, and expandable foam insulation around perimeter. * Exterior of window to be trimmed using-lx5 Azec PVC trim with historic sill, all-attached using Cortex hidden fasteners..No painting required. *.Interior of window to be trimmed using clear pine 2-1/2" Colonial casing. Filling of nail holes and staining by others. 4 FIRST FLOOR BATH 950.00 * Tear-out of existing window to framing r * Purchase and installation of one Andersen double hung window cat#TW2432,white exterior,white prefinished interior, snap-in grills,white hardware and screens * Window to be sealed using 3M flashing tape on all nail fins, and expandable foam insulation around perimeter. Quotation Total: NOTES 1)Contract does not include repairs due to unforseen decay or Acceptance: . Valid for,,8o days poor workmanship. owner: 2)Contract does not include painting upon completion pate: 3)Debris to be removed upon completion of project 4)Payment schedule:1/2 at acceptance, balance upon completion. Contractor: 5)Project timeline: approx 6 days Date: 6)All window RO's to be confirmed by removing trim prior to orderina Page 2 8I PROPOSAL ` a; ,r C.S.L.#082712 4 Wolf Hill H.I.C.#160825 E. Sandwich,MA 02537 '•• �� jsuomala@comcast-net 508-274-7553 To: Bruce McDonald Job# 3534-1483 44 Captain Jacks Rd Marstons Mills, MA Date 5/7/2016 508-287-9236 Project Description: New windows as described below ITEM DESCRIPTION TOTAL * Exterior of window to be trimmed using 1 x5 Azec PVC trim with historic sill, all,attached using Cortex hidden fasteners. No painting required. * Interior of window to be trimmed using primed pine 2-1/2" Colonial casing. Filling of nail holes and staining by others. 5 FIRST FLOOR BEDROOM(2) 2>100.00 * Tear-out of existing windows to framing * Purchase and installation of two (2)Andersen double hung windowS cat#TW24210,white exterior, white prefinished interior, snap-in grills, white hardware and screens * Windows to be sealed using 3M flashing tape on all nail fins,and expandable foam insulation around perimeter. * Exterior of windows to be trimmed using Ix5 Azec PVC trim with historic sill, all attached using Cortex hidden fasteners. No painting required. * Interior of windows to be trimmed using primed pine 2-1/24' Colonial casing` Filling of nail holes and staining by others. 6 FIRST FLOOR DEN (3) 3>300.00 * Tear-out of existing windows to framing_ * Purchase and installation of two (2)Andersen double hung windows cat#TW2442,one (1) Andersen double hung window cat#TW24310 white exterior, white prefinished interior, snap-in grills,white hardware and screens * Windows to be sealed using 3M flashing tape on all nail fins, and expandable foam insulation around perimeter. NOTES Quotation Total: ' 1) Contract does not include repairs due to unforseen decay or , Acceptance: Valid.for 30 days A poor workmanship. owner: 2) Contract does not include painting upon completion pate. 3) Debris to be removed upon completion of project 4)Payment schedule:1/2 at acceptance, balance upon completion. contractor: 5)Project timeline: approx 6 days Date: 6)All window RO's to be confirmed by removing trim prior to orderinu Page 3 ID:PROPOSAL u s,. C.S.L.#082712 4 Wolf Hill H.I.C.#160825 E.Sandwich,MA 02537 0. _ isuomala@comcast.net 508-274-7553 To: Bruce McDonald Job# 3534-1483 44 Captain Jacks Rd Date 5/7/2016 Marstons Mills,MA 508-287-9236 Project Description: New windows as described below DESCRIPTION TOTAL ITEM * Exterior of windows to be trimmed using Ix5 Azec PVC trim with historic sill,all attached using Cortex hidden fasteners. No painting required. * Interior of windows to be trimmed using primed pine 2-1/2" Colonial casing. Filling of nail holes and staining by others. 7 SECOND FLOOR BEDROOM#1 (NOTE: special staging charges applied) 2,600.00 * Tear-out of existing windows to framing * Purchase and installation of two (2)Andersen double hung windows cat#TW24210,white exterior,white prefinished interior, no grills,white hardware and screens * Windows to be sealed using 3M flashing tape on all nail fins,and expandable foam insulation around perimeter. * Exterior of windows to be trimmed using Ix5 Az ec PVC trim with historic sill,alLattached using Cortex hidden fasteners. No painting required. * Interior of windows to be trimmed using primed pine 2-1/2" Colonial casing. Filling of nail holes and staining by others. 8 REMOVAL OF SECOND FLOOR OCTAGON WINDOW(NOTE: special staging charges 700.00 applied) * Tear-out,reframe RO, sheath and sidewall exterior * Installation of insulation and repair drywall,taped and sanded smooth to blend 9 SECOND FLOOR BATH(NOTE: special staging charges applied) 1,200.00 * Tear-out of existing window to framing Quotation Total: NOTES Acceptance: Vaiid for 30 days 1) Contract does not include repairs due to unforseen decay or . P _ poor workmanship. Owner: n com pletion letion e painting upon p ate: 2)Contract does not include p g p o 3) Debris to be removed upon completion of project 4)Payment schedule:1/2 at acceptance, balance upon completion. contractor: 5)Project timeline: approx 6 days Date: 6)All window RO's to be confirmed by removing trim prior to ordering Page 4 r BID PROPOSAL C.S.L.#082712 .4 Wolf Hill - H.I.C.#160825 E.Sandwich,MA 02537 � ! 508-274-7553 t jsuomala@comcast.net To: w •p Bruce McDonald Job# 3534-1483 44 Captain Jacks Rd Marstons Mills,MA Date 5/7/2016 508-287-9236 = Project Description: New windows as described below ITEM DESCRIPTION TOTAL * Purchase and installation of one(1)Andersen double hung windows cat#TW2432,white exterior,white prefmished interior,'no'grills,white hardware.and screens * Window to be sealed using 3M flashing tape on all nail fins, and expandable foam insulation around perimeter. * Exterior of windows to be trimmed using 1x5 Azec PVC trim with historic sill,all attached using Cortex hidden fasteners. No painting required. * Interior of window to be trimmed using primed pine 2-1/2" Colonial casing. Filling of nail holes and staining by others: 10 SECOND FLOOR BEDROOM#2 (NOTE: special staging charges applied) 2,600.00 * Tear-out of existing windows to framing * Purchase and installation of two (2),Andersen double hung windows cat#TW243105 white exterior,white prefinished interior,no grills,white hardware and screens * Windows to be sealed using 3M flashing tape on all nail fins, and expandable foam insulation around perimeter. * Exterior of windows to be trimmed using Ix5 Azec PVC trim with historic sill,all attached using Cortex hidden fasteners. No painting required. * Interior of windows to be trimmed using primed pine 2-1/2" Colonial casing. Filling of nail holes and staining by others. 12 BASEMENT SLIDING GLASS DOOR 3,200.00 * Tear-out of existing slider down to framing of structure * Installation of lead pan flashing at-sill for water protection NOTES Quotation Total: Acceptance: Valid for 30 days 1)Contract does not include repairs due to unforseen decay or P poor workmanship. Owner: 2) Contract does not include'painting upon completion pate:' 3) Debris to be removed upon completion of project 4)Payment schedule:1/2 at acceptance, balance upon completion. Contractor: 5)Project timeline: approx 6 days Date: 6)All window RO's to be confirmed by removing trim prior to ordering Page 5 ROPOSAL Wolf Hill C.S.L.#082712 E. Sandwich,MA 02537 H.I.C.#160825 508-274-7553 - jsuomala@comcast.net To: Bruce McDonald 44 Captain Jacks Rd Job# 3534=1483 Marstons Mills, MA Date 5/7/2016 " 508-287-9236 Project Description; New windows as described below ITEM DESCRIPTION TOTAL * Exterior of slider to be trimmed using Ix5 Azec PVC trim without kick(concrete), all attached using Cortex hidden fasteners. No painting required. * Interior of slider will not be trimmed as basement is unfinished 13 Angies list dicount: 400.00 14 Debris container to be left on-site 450.00 NOTES Quotation Total: $23,300.00 1)Contract does not include repairs due to unforseen decay or Acceptance• n Valid for30 days poor workmanship Owner: Y 2)Contract does not include painting upon completion Dater I1 I(e 3 Debris to be removed upon completion of project 4)Payment schedule:1/2 at acceptance, balance upon completior Contractor: 5)Project timeline: approx 6 days J � _�• Date: 6)RO's to be confirmed before ordering ���o, r �7Jxl+ Cu a �� Page 6 ���