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HomeMy WebLinkAbout0309 CAP'N LIJAH'S ROAD 3D q cap A 0 o o o 9 O Application number ......... .6........—...A Fee ..... .-SZ.1.......... .................. Building Inspectors Initials..... ...... ..... .................. Jul- 24 Date Issued......... Map/Parcel................................................................. TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING[WINDOWS/DOORS/TENTS/STOVES/'\VEATHIERIZATION PROPERTY INFORMATION Address of Project: So9 ki &AW L 14 0 NUMBER' STREET VIUAGE Owner's Name: Phone Number 00 Email Address: Cell Phone Number Project cost$ ev Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK 2rSiding Ualindows (no header change)#_3 ED Insulation/Weatherization ED Doors (no header change) # Commercial Doors require an inspector's review 0 Roof(not applying more than I layer of shingles) Construction Debris will be going to e 0 t CONTRACTOR'S INFORMATION Contractor's name:1-#6MAS III Home Improvement Contractors Registration(if applicable)# Z4gCpa (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor mb ie &4�Phone nu er ALL PROPERTIES THAT HAVE STRUCTUAS OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. f APPLICATION NUMBER ............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent 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. Purpose of Event k 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 APPLICANT'S SIGNATURE Signature Date y-Afe All permit applications are subject to a building official's approval prior to issuance. ,�.,,,._..,.,o-_<.,..�.P• `F Q.?ltlldCiJt[[LQfGllfl,p�( '`CfYJdficftlt6(.'�.. office of Consumer Affairs&Business Regulation Registration valid for Individual use only HOME IMPROVEMENT CONTRACTOR byre the expiration date. ff found return to: TYPE Corporation Office of Consumer Affairs and Business Regulation Re°IsTMatton r One Ashburton Place;Suite 1301 1S5g2 06/08/2020 Boston,MA 02108 TROY THOMAS HOMENPROMfEvIENTS,INC. TROY THOMAS '499 NOTTINGHAM DR ,,._.. Not al d without signature CENTERVILLE,MA 02632 Undersecretary Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construetic �`� rsor Specialty 04/13/202 0 CSSL-099913 TROY ATHOMAS '� 499 NOTTINGRfAM DRI � CENTERVILLEVA 02632 . Commissioner The Commonwealth of Massachusetts Department of Industrial Accidents Lw Office of Investigations 600 Washington Street Boston,MA 02111 www mass.g ov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): (AS IJW Address: pdb c� � �" City/State/Zip: (046gA Phone#: a Are you n employer?Check the appropriate box: Type of project(required): 1. am a employer with p 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. [remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp.insurance- comp.insurance.1 required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no 13.❑ Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 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-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: fa l �. Policy#or Self-ins.Lic.#: l PJ d 3 Expiration Date: Job Site Address: S^r ✓fieeo City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Thomas Home Improvements I.I.C.Proposes to perform the following work: Location of proposed work: Mr. &Mrs. Mulholland 309 Cap'n Lijah's Road Centerville, MA 02632 Date on which construction should begin: July/August 2018 The homeowner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that cannot be avoided by the contractor shall not be considered as a violation of this contract. The contractor agrees that when such delays become known to the contractor,the contractor will advise the homeowner as soon as possible. The homeowner hereby acknowledges that in certain remodeling work,the demolition process may reveal defects in the existing structure which must be repaired,creating additional work which may need to be carried out in order to complete the work described in this contract. in such case the homeowner agrees that the duration of the work and the schedule date of completion may differ,and that such variation is not to be considered a violation of this contract. Cost for labor.and materials under this contract: Proposal to install Maibec A white cedar siding shingles on right gable w/new PVC gable vent would be $4,350.00 Proposal to install AZEK PVC on false rake board members& both corner boards on gable end would be an additional $695.00 Proposal to install AZEK PVC around kitchen door&kick board would be an additional $189.00 Proposal to install 3 Harvey Tribute windows in upstairs bed rooms&bath with added brass upgrade as discussed would be an additional $2,910.00 In the event that while stripping the siding we find rot that needs to be replaced,the homeowner then has to agree and authorize any replacement or restoration. Then in addition to the above contract price,the homeowner agrees to compensate the contractor for any repairs or restoration at the hourly rate of$55.00 for a carpenter and$35.00 for a carpenter's laborer, plus the cost of materials. -Siding to be stripped and cleaned of all old siding&debris -Siding area to be papered with Tyvek house wrap -Maibec Grade A white cedar shingles -Azek PVC trim to be installed -Cortex screws to be installed with all AZEK PVC -10 Yard dump trailer will be needed on site; and will be removed at completion of the job -Contractor will be responsible for all building permits needed at the property NOTICE REQUIRED By LAW With the agreement of the contract$500.00 of estimate is due. Further payments under this contract are as follows: 1/2 of the estimate due at the start;and remainder due at completion of the job. Balance of all materials and labor shall be payable in full upon completion of work described in this contract. Payment as agreed upon shall be made when due. Any payments which are delayed shall be subject to a finance charge of 1.5%per month. The contractor warranties the work completed under this contract for a period of one year from the date of completion. During the stated warranty period the contractor shall be responsible for the service of the repair or adjustment, but the contractor shall not be responsible for the normal maintenance, repair due to abuse, misuse,and or normal wear and tear,which shall be the responsibility of the homeowner. All warranties for the materials supplied by the contractor shall be passed directly to the homeowner. The homeowner may be required to register or mail in such warranty card or evidence of ownership in order to activate such warranties. Homeowner failure shall not create any responsibility for the contractor under the warranty provisions;the choice of repair of replacement shall be at the discretion of the contractor. The homeowner acknowledges that the form, content,and notices contained in this contract are intended to comply with the applicable portions of the Mass.General Law Chapter 142A, and regulations promulgated there under. In the event of any instance of non-compliance,only such portion shall be invalid and the remainder of this contract shall be in full force effect. In addition,any such portion not in compliance shall be read and interpreted so as to have its intended meaning to the maximum extent allowed under such law and regulation. Signed as a sealed instrument on this date: Date: Homeowner �_,Af-ivy Contracto r , =0512312018 YYY) op AC CERTIFICATE QF_LIAB1LITY INSURANCE 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: it the Certificate holder is an ADDITIONAL INSURED,the policy(tes)must have ADDiT10NAL 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 N ;C Donna Ostrowski Mark Sylvia Insurance Aggency,LLC PHo . 508 957-2125 FAX No:508 957-2781 404 Main Street I:'MAn. .mark marks iviainsurance.com Centerville,MA 02632 i NAlc INSURE S AFFORDING COVERAGE INSURER A_Farm Family Casualty Insurance ; I"BURIED - - INSURERS i Thomas Home Improvements LLC INSURER C- PO Box 177 INSURER D: Centerville,MA 02632 _. lNSU ERE: - INSURER F a COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS fi0 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS I TEQ. P)OTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VI�i1CH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ggEXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, unuTs IN A L OR POLLCY OFF POLICY EXP TYPE OF POUCYNUMSER ht n1YYYY 1 Y 018 1/2019 EACH OCCURRENCE 1,0 A X COMMERCIAL GENERAL LIABILITY 2001X1416 5/O1/2 5i0 r5 1 000 T 5 100,000 CLAIMS-MADE LEI OCCUR 5 OOD j MED£XP(Any ene person t S fj PERSONAL&ADV INJURY $ 1.000.000 GENERAL AGGREGATE $ 2,000,000 j G£N'L AGGREGATE LIMIT APPLIES PER: ` PRODUCTS-COMPlOP AGG $ 2i)0O 40 I X POLICY M JEC L_ ;LOC l $ OTHER: CO IN D SIN Et. g a eecl AU1'OMOSILE LIABILITY BODILY INJURY(Per persorj $ F—IANY AUTO 011VNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS PRO-ERTY OApRAGE S t j HIRED NON-OWNED f AUTOS ONLY AUTOS ONLY $ l I UMBREtIALtAB OCCUR EACH OCCURRENCE $ { AGGREGATE EXCESS LIAR CLAIMS-MADE $ S DED RETENTIONS 5/01/2018 5/01/2019 PEA T OTH- A SSwORKERSCOMPENSATION ( 2001V+18053 S 1.000,000 I AND EMPLOYERS YIN'LIABILITY E.L.EACH ACCIDi ENT 5 ,AND N 1 A E.L.DISEASE-FA EMPLOYEE $ 1;0001000 OFFICER/MEMSEREXCLUDED? Q (Mandatoryln NH) -POLICY LlMrC S . 1,000.000 !I descr be under E.L,DISEASE 0 SGRIPTION OF OPERATIONS be)otire ; i DESCRIPTION OF OPERATIONS,)LOCATIONS)VEHICLES IA CQRO 101,Additional Remarks Schedule;may be attached it more 9134Co is req ulred) Carpentry Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing Contained in the certificate Of insurance shag be deemed to have altered,waived or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION ` SHOU=RATDA BOVE DESCRIBED POLICIES Be CANCELLED BEFORE THE TE THEREOF, NOTICE WILL BE DELIVERED IN Troy Thomas ACCOE POLICY PROV)StON5. 499 Nottingham DriveCenterville,MA 02632 AUTHORIZEDREPREE t ®19$8.2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD oF Town of Barnstable *Permit#,a/ ?- 3/1S— ires 6 months from is ue date Regulatory Servic fee �- C "* sAMsT MM + y NABS. Richard V.Scali,Director �n 039. ' Building Division $Ep 1 1 i1 Paul Roma,Building Commi o 200 Main Street,Hyannis,MA 0 ����BA www.town.bamstable.ma.us �+�- Office: 508-862-4038 �J�F�a�75N-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X--Press Imprint Map/parcel Number���1 ���]] -I/e�� Property Address 3� C�1Q Lt ., I h 5 `Kn v� �, � w az 00 [t eesidential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ` /�Af• 0 I u o Contractor's Name y►�!a Byrn / twrfi Telephone Number Home Improvement Contractor License#(if applicable) 4Md Email: Construction Supervisor's License#(if applicable) r kman s Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner M- ave Worker's Compensation Insurance Insurance Company Name --e Workman's Comp.Policy# ,e a r 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) ®—&e- I' ❑ 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: C:\Users\decollik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\L7U69LF2\EXPRESS(2).doc 01/25/17 , The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 UV_ . www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): 77)�OM45 Address: A J City/State/Zip: , 4&—,t IJ�, A a5l Phone#: ? v& / Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with_7 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7.,-`__Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity, employees and have workers' 9. Building addition [No workers' comp.insurance comp.insurance.: required.] S. We are a corporation and its 10. Electrical repairs or additions 3. 1 am a homeowner doing all work officers have exercised their It. Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12. Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13. Other comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must 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: ` ,►'two, Policy#or Self-ins.Lic.#: )Ml (ARCS-3 Expiration Date: f'" /'d0le Job Site Address: ?d 2 ( Ap 1. ,���;r City/State/Zips I/, Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u der ains and penandes ofperjury that the information provided above is'true and correct. Si afore: Date Phone M ��® 16b Official use only. Do not write in this area,to be completed by city or town ofciaL 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#: ' � H O IVI A S HOME IMPROVEMENTSFP PH. 508.328.1633 F- Exterior Remodeling Experts BBBa Web: www.thomashomeimprovements.net Fully Licensed & Insured P.O. Box 177 Construction Supervisor Lic #99913 Centerville, MA 02632 Thomas Home Improvements I.I.C. Proposes to perform the following work: Location of proposed work: Mr. & Mrs. Muholand 309 Capt. Lijiahs Centerville, MA 02632 Date on which construction should begin: July/August 2017 The homeowner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that cannot be avoided by the contractor shall not be considered as a violation of this contract. The contractor agrees that when such delays become known to the contractor,the contractor will advise the homeowner as soon as possible. The homeowner hereby acknowledges that in certain remodeling work,the demolition process may reveal defects in the existing structure which must be repaired,creating additional work which may need to be carried out in order to complete the work described in this contract. In such case the homeowner agrees that the duration of the work and the schedule date of completion may differ,and that such variation is not to be considered a violation of this contract. Cost for labor and materials under this contract: Proposal to install Maibec A white cedar siding shingles on driveway gable w/new PVC gable vent would be $4,125.00 Proposal to install 2 Harvey replacement windows to match existing previously installed with AZEK PVC would be an additional $1,798.00 Proposal to install AZEK PVC on false rake board members&both corner boards on gable end would be an additional $695.00 Thank You for Giving Us the Opportunity to Help You Improve Your Project In the event that while stripping the siding we find rot that needs to be replaced,the homeowner then has to agree and authorize any replacement or restoration. Then in addition to the above contract price,the homeowner agrees to compensate the contractor for any repairs or restoration at the hourly rate of$55.00 for a carpenter and$35.00 for a carpenter's laborer, plus the cost of materials. -Siding to be stripped and cleaned of all old siding&debris -Siding area to be papered with Tyvek house wrap -Maibec Grade A white cedar shingles -Azek PVC trim to be installed -Cortex screws to be installed with all AZEK PVC -10 Yard dump trailer will be needed on site; and will be removed at completion of the job -Contractor will be responsible for all building permits needed at the property NOTICE REQUIRED BY LAW With the agreement of the contract$500.00 of estimate is due. Further payments under this contract are as follows: 1/2 of the estimate due at the start; and remainder due at completion of the job. Balance of all materials and labor shall be payable in full upon completion of work described in this contract. Payment as agreed upon shall be made when due. Any payments which are delayed shall be subject to a finance charge of 1.5%per month. The contractor warranties the work completed under this contract for a period of one year from the date of completion. During the stated warranty period the contractor shall be responsible for the service of the repair or adjustment, but the contractor shall not be responsible for the normal maintenance, repair due to abuse, misuse, and or normal wear and tear,which shall be the responsibility of the homeowner. All warranties for the materials supplied by the contractor shall be passed directly to the homeowner. The homeowner may be required to register or mail in such warranty card or evidence of ownership in order to activate such warranties. Homeowner failure shall not create any responsibility for the contractor under the warranty provisions;the choice of repair of replacement shall be at the discretion of the contractor. The homeowner acknowledges that the form, content, and notices contained in this contract are intended to comply with the applicable portions of the Mass. General Law Chapter 142A, and regulations promulgated there under. In the event of any instance of non-compliance,only such portion shall be invalid and the remainder of this contract shall be in full force effect. In addition, any such portion not in compliance shall be read and interpreted so as to have its intended meaning to the maximum extent allowed under such law and regulation. Signed as a sealed instrument on this date: Date: Homeowner Contractor / �f J ACO® CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DDIYYYY) �.."� 04/25/2017 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 INSURERS)',-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 NAMACT E: Heather Pearce Mark Sylvia Insurance Agency,LLC PHONE FAX 404 Main Street A/c'Nd. :t 508 957-2125 as No: 508 957-2781 Centerville,MA 02632 ADDRESS:mark marks Iviainsurance.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Farm Family Casualty Insurance INSURED INSURER B Thomas Home Improvements LLC wsuRERc: PO Box 177 Centerville,MA 02632 INSURER D: INSURER Eb 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LTR POLICYNUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 2001XI416 5/01/2016 5/01/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR 5/01/2017 5/01/2018 IDWANITGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - GENERAL AGGREGATE $ 2,000,000 X POLICY JET LOG PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION 2001W8053 5/01/2016 5/01/2017 PER OTH- ANDEMPLOYER5LIABILJTY YIN 5/01/2017 5/01/201Is STATUTE DER ANYPROPRIETOR/PARTNER/EX( uTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBEREXCLUDED? Y NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Carpentry Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived or extended the coverage provided by the.policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION, DATE THEREOF, NOTICE WILL BE DELIVERED. IN Troy Thomas Troy Nottingham Drive ACCORDANCE WITH THE POLICY PROVISIONS. Centerville,MA 02632 AUTHORIZED REPRESENTATIVE , ©1988-2015 ACORD CORPORATION. All rights reserved , ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD C-��n�o�y+rna�rwea��� J��arlac�tr�c Of of Consumer Affairs&Busifiss Regulation License or registration,xalid for individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date,,<If found return tos'i _ Registration 1°8E�422 Type: Office of Consumer Affairs and Business Regulation 7 Expira�ion fi19f 2018 LLC 10 Park Plaza Suite 5170- - Boston,MA 02116 , TROY THOMAS HQMB tNiPROV1=MENTS,LLC. TROY THOMAS - r� 499 NOTTINGHAM DR CENTERVILLE,MA 02632 Undersecretary Not valid w' ut signature 4 - Massachusettq Department of .Public Safety Board of Building RegulaJjws and Standards License: CSSL-099913. , Construction Supervisor Specttalty TROY A THOMAS 499 NOTTINGHAM 311�11Ex ry CENTERVILLE MA 02G2 ;•' f M ( -ten CA, Expiration: Commissioner 0411312018 i f e McKean, Thomas From: Lynch, Tom Sent: Friday, April 15, 2016 8:17 AM . To: Scali, Richard;Tom McKean (Thomas.McKean@town.barnstable.ma.us); Santos, Daniel Cc: Tom Perry (Tom.Perry@town.barnstable.ma.us) Subject: FW: Mulholland erosian problem 309 Cap'n Lijahs Road Centerville, Ma. " Hello, Any info on this problem?Thanks for looking into this matter. Tom From: dmul [mailto:damulholland@earthlink.net] Sent: Thursday, April 14, 2016 9:55 PM To: Perry, Tom; Lynch, Tom Cc: cobra8@comcast.net Subject: Mulholland erosian problem 309 Cap'n Lijahs Road Centerville, Ma. Dear Mr. Perry and Mr. Lynch; My name is Doug Mulholland and my wife's name is Audra..We live at 309 Cap'n Lijah's Rd in Centerville. In a• conversation with my friend Hank Farnham, you were referred to us to voice our concerns of an erosion problem at a construction site next door to us at 321 Cap'n Lijah's Rd. in Centerville. A sand berm at he property line which fluctuates almost daily from 5 ft to approximately 10 feet is causing an erosion issue onto our property. On March 19th at approximately 4 in the afternoon I talked with the builder, Dean Stanley, and asked him if he could remove the sand that had washed onto our property so we could put a stockade fence along our property line. His response was"I don't have anybody to do it". On Monday March 28th we went to the building dept. at approximately 11:30 a.m. to see what the plans were to hold the sand berm. The woman looked in the computer and said are you sure of the address. We said we were. She said that no building permit had been pulled. She then summoned Jeffrey Lauzon (sp). We told him of the issue and said maybe a silt fence could be placed at the property line. They both shook their heads and said no, that that would only be at a conservation area or run-off into wetlands. He then said that it might be something he should look at. At approximately 10:45 a.m. on the 31st I watched the excavation company tamp down the berm a bit but did not remove any of the sand. The next day, Friday, April 1st, it rained all day and noticed an area of sand that had washed approximately 5 feet onto our property. The next day it rained as well. On Monday, April 4th we went to the building dept. again to voice our concern over the erosion issue. Again, she asked the address and we told her. And again, she said are you sure there's a house being built there. I said "does a foundation constitute a building and she said yes. She again said no permit has been pulled. She said a man by the name of Patrick Franey will look at it in the afternoon. After playing phone tag for a couple of days I talked with Patrick Franey on Wednesday the 6th at 8:15 a.m. He said that a silt fence would be installed. At the end of the day when I got home the fence was up but I was curious as to why no bales of hay. Thursday it rained most of the day. Friday a.m. at 5:45 1 looked out the window to see that the silt fence had been breached approximately 60ft onto our property and over our leeching field with mud. I Called Patrick Franey at approximately 7:30 a.m."to let him know of the issue. Called again at 3:54 p.m, and again left message. He called me back at 4:16 p.m. and said that the builder, Dean Stanley should put up a retaining wall to hold the wall of sand. He said the builders work is causing a nuisance on our property and that that's not right. He told me he called Dean Stanley (who just happens to live 3 doors down from us)to ask him what his intentions were to hold the sand. A call was not returned. On Monday a.m. at 9:34 my wife called to tell me the excavation company was dumping more sand on the berm and that . it was getting onto our property. My wife called Patrick Franey at 10:02 and Patrick Franey said he had put a call in to the builder, Dean Stanley but had not heard back from him. Also told my wife that it was the builders responsibility to fix the problem and to prevent any further damage. Patrick Franey also told my wife, Audra,that it was the builders(Dean Stan ley)responsibility to clean up the damage on our property. My wife called at 3:58 in the afternoon to see if the builder, Dean Stanley, had called him back and he said that he had not. At this point he had come out twice to see the situation. At the recommendation of Patrick Franey my wife called the director of the health dept. Thomas Mckean and left a message. Within 20 minutes my wife got a call from Vanessa who said she needed more info on the problem. My wife said the reason of the call was because of the mud and sand that was washing onto our leeching field. Obviously a concern for us and a concern that Patrick Franey agreed with. Today, the 14th, my wife called Patrick Franey and left a message on his voice mail asking him where are we with.this situation. Have you spoken to Dean Stanley have you heard from Dean Stanley. Is there a completion date on when our yard will be cleaned up? He has not returned her call. We look forward to your help in this matter. Sincerely, Doug and Audra Mulholland Doug Cell: 508 737-6585 Audra cell: 774 238-6109 T j Page 1 of 3 Anderson, Robin From: McKean, Thomas Sent: Friday, April 15, 2016 9:14 AM To: Lynch, Tom; Scali, Richard; Santos, Daniel Cc: Perry, Tom; Anderson, Robin Subject: RE: Mulholland erosion problem 309 Cap'n Lijahs Road Centerville, Ma. Good Morning, Health Inspector David Stanton went to the property and investigated this complaint on April 13, 2016. He could not find any health violations at that time. The septic system is not located in close proximity to the reported sand pile. His reports from the CRM database are shown below. This morning, I spoke to Robin Anderson and Building inspector Patrick Franey. Mr. Franey responded to the complaints very quickly; he went to the site, took photographs, and ordered Mr. Stanley to construct the silt fence. Mr.Stanley installed the silt fence. Yes, it has rained and it appears by the photographs that small amounts of sand. washed over the property line. However, Mr. Stanley did not have the property owner's permission to go onto the neighbor's property to rake the small amount of sand back to.the originating property. Sincerely, Thomas McKean ------------- CRM DATABASE Entered on 4/13/2016 2:59:16 PM by Stanton, David DS went to said location on 4/13/16. No one onsite. Septic has been backfilled, which was allowed as DS already inspected and it passed the inspection. There were several inspections done in the rain on this day. This lot was stripped of loam and is a giant sandbox. No health violation, no further action required. Entered on 4/13/2016 3:08:53 PM by Stanton, David Last modified on 4/15/2016 8:34:25 AM Update, DS called complainant as a follow up. The complaint location was supposed to be 309 Cap'n Lijahs, not 321 Cap'n Lijahs. According to the complainant, the sand from the excavation for the foundation, etc. at 321 Cap'n Lijah had gone over the property line and onto their own septic system at 309. The new septic system installed for 321 Cap'n Lijah is located as far opposite to the property of 309 Cap'n lijah as allowed (it is next to the property line of 39 Gorham) She stated that the building dept. told them to call us. This is not a Health Division violation, no further action required. 4/15/2016 Page 2 of 3 From: Lynch, Tom Sent: Friday, April 15, 2016 8:17 AM To: Scali, Richard; Tom McKean (Thomas.McKean @town.barnstable.ma.us); Santos, Daniel Cc: Tom Perry (Tom.Perry@town.barnstable.ma.us) Subject: FW: Mulholland erosian problem 309 Cap'n Lijahs Road Centerville, Ma., Hello, Any info on this problem?Thanks for looking into this matter. Tom t From: dmul [mailto:damulholland0earthlink.net] 1 Sent: Thursday, April 14, 2016 9:55 PM To: Perry,Tom; Lynch, Tom Cc: cobra8@comcast.net Subject: Mulholland erosian problem 309 Cap'n Lijahs Road Centerville, Ma. Dear Mr. Perry and Mr. Lynch; My name is Doug Mulholland and my wife's name is Audra. We live at 309 Cap'n Lijah's Rd in Centerville..In a ` conversation with my friend Hank Farnham, you were referred to us to voice our concerns of an erosion problem at a construction site next door to us at 321 Cap'n Lijah's Rd. in Centerville. A sand berm at he property line which fluctuates almost daily from 5 ft to approximately 10 feet is causing an erosion issue onto our property. On March 19th at approximately 4 in the afternoon I talked with the builder, Dean Stanley, and asked him if he could remove the sand that had washed onto our property so we,could put a stockade fence along our property line. His response was"I don't have anybody to do it". On Monday March 28th we went to the building dept. at approximately 11:30 a.m. to see what the plans were to hold the sand berm. The woman looked in the computer and said are you sure of the address. We said we were. She said that no building permit had been pulled. She then summoned Jeffrey Lauzon (sp). We told him of the issue and said maybe a silt fence could be placed at the property line. They both shook their heads and said no, that that would only be at a conservation area or run-off into wetlands. He then said that it might be something he should look at. At approximately 10:45 a.m. on the 31st I watched the excavation company tamp down the berm a bit but did not remove any of the sand. The next day, Friday, April 1st, it rained all day and noticed an area of sand that had washed approximately 5 feet onto our property. The next.day it rained as well. On Monday, April 4th we went to the building dept. again to voice our concern over the erosion issue. Again, she asked the address and we told her. And again, she said are you sure there's a house being built there. I said "does a foundation constitute a building and she said yes. She again said no permit has been pulled. She said a man by the name of Patrick Franey will look at it in the afternoon. After playing phone tag for a couple of days I talked with Patrick Franey on Wednesday the 6th at 8:15 a.m. He said that a silt fence would be installed. At the end of the day when I got home the fence was up but I was curious as to why no bales of hay. Thursday it rained most of the day. Friday a.m. at 5:45 1 looked out the window to see that the silt fence had been breached approximately 60ft onto our property and over our leeching field with mud. I Called Patrick Franey at approximately 7:30 a.m. to let him know of the issue. Called again at 3:54 p.m. and again left message. He called me back at 4:16 p.m. and said that the builder, Dean Stanley should put up a retaining wall to hold the wall of sand. He said the builders work is causing a nuisance on our property and that that's not right. He told me he called Dean Stanley (who just happens to live 3 doors down from us)to ask him what his intentions were to hold the sand. A call was not returned. On Monday a.m. at 0:34 my wife called to tell me the excavation company was dumping more sand on the berm and that it was getting onto our property. My wife called Patrick Franey at 10:02 and Patrick Franey said he had put a call in to the builder, Dean Stanley but had not heard back from him Also told my wife that it was the 4/15/2016 Page 3 of 3 builders responsibility to fix the problem and to prevent any further damage. Patrick Franey also told my wife, Audra,that it was the builders(Dean Stan ley)responsibility to clean up the damage on our property. My wife called at 3:58 in the afternoon to see if the builder, Dean Stanley,'had called him back and he said that he had not. At this point he had come out twice to see the situation. At the recommendation of Patrick Franey my wife called the director of the health dept. Thomas Mckean and left a message. Within 20 minutes my wife got a call from Vanessa who said she needed more info on the problem. My wife said the reason of the call was because of the mud and sand that was washing onto our leeching field. Obviously a concern for us and a concern that Patrick Franey agreed with. Today, the 14th, my wife called Patrick Franey and left a message on his voice mail asking him where are we with this situation. Have you spoken to Dean Stanley have you heard from Dean Stanley. Is there a completion date on when our yard will be cleaned up? He has not returned her call. We look forward to your help in this matter. Sincerely, Doug and Audra Mulholland Doug Cell: 508 737-6585 Audra cell: 774 238-6109 4/15/2016 `a E Town of Barnstable *Permit#r�v �l7v �.� Fxpires 6 months from issue date Regulatory Services Fee HaxrtA E M v�s Thomas F.Geiler,Director EDMAra r Building Division Tom Perry,CBO, Building Commissioner 200 Main Str et,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number "1 4. t( �s Property Address �d� ��JDl ►� ,�4�S .. + ❑-1 a idential Value of Work$_3.. r�'Cld Minimum fee of$25.00 for work under$6000.00 l Owner's Name&Address Ayr F lws Z1 eVMz1 yW 4,01 CZ djtt74 Contractor's Name 9 �5 .�S 2uc-rari Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance PRESS PERMIT. Check one: ❑ I am a sole proprietor APR 14 2009 ❑ I am the Homeowner L;4liave Worker's Compensation Insurance TPWN OF BARNSTABLE Ifnsurance Company Name hs 1"'vYl Workman's Comp.Policy# �e)o I L�63 a/o --- Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) / El/Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.44) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\MY7NB4IL\EXPRESS.doc Revised 100608 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name(Business/Organization/Individual): daG �' �,GttlS ►�5-��,.r �1 . ` Address: Pd, jo '�,o D City/State/Zip: A o,2433 Phone#: 020 /,V� A2.,Y an employer?Check the abpropriate box: Type of project(required): 1.Lf I am a employer with 6 4. ❑ I am a general contractor and I employees(full and/or part-tune).* have hired the sub-contractors 6. ❑New construction 2.El d am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workin for me in an capacity. employees and have workers' g Y P tY• # 9. ❑Building addition [No workers' comp.insurance . comp.insurance. ream 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions . q ] officers have exercised their 11.Woof bin re alrs or additions 3.❑ I am a homeowner doing all work g P myself. [No workers'comp. right of exemption per MGL 12. repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.[__1 Other 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 then 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: Mrti <. •�' �-c-c Policy#or Self-ins.Lic.#: )dd7 G✓639 Expiration Date: �< Job Site Address: S City/State/Zip:( �W�'li Attach a copy of the workers'compensation policy declaration page(showing the policy number and ex�iration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cent untie the p 'ms and penalties of perjury that the information provided above is true and correct Si ature: Date: /�7-.2d4 Phone#• �<d0d 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#: A_E-26-2003 12:22 From:NARK SYLUTA INS 5084209227 To:5087906230 P. 1/1 CORD. CERTIFICATE ®F LIABILITY IN SURANCe DATC(MM A o0/zef °fYJlrL"R Serial# 102700 THIS CERTIFICATE 13 ISSUED AS A WATTER of INFORMAT MARK.SYLVIA INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFIC 771 MAIN STREET HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTENC ALTER THE COVERAGE AFFORDED BY ?HE POLICIES BEL OSTERVILLE,MA 02666 TEL, BOB.426A440 FAX; 608.42"227 INSURERS AFFORDING COVERAGE NAICI INSUREQ INSURER A: FARM FAMILY CASUALTY INSURANCE CO OOYLE.&THOMAS CONSTRUCTION INC. INSURER R, PO I3OX 168 INFURFR c: .CGNTERVILLE, MA 02532 INSURETR D: INSURER E.- COVERAGES THE POLICIES OP INSURANCE LISTED BELOW HAVE BEEN 19SUE?0 TO THE INSURED NAMED ABOVE FOR TH@ P041CY PeRIOD INDICATED.NOTWITHSTAND ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY et ISSUED MAY PERTAIN.THE INSURANCE APPORDIaD BY THE POLICES OE60R113ED HEREIN I9 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SU, POLICIES,AGGREGATE LIMITS SHOWN MAY HAV@ 9EeN REDUCED BY PAID CLAIMS. TYPL°OPINeURANGf± POLICYNUMHf?R LIMITS mBNF3RAl LIABILITY CACH OCCURRENCE 5 1 0t A X COMMQRCIAI,ORNERAL LIABILITY 20DIX0485 07/21l2008 07/212006 D CLAIMS MADE ,_•-, OCCUR Mf`.D JXP An onn noon S PERSONAL IS AOV INJURY E 1,0( GONERAL AGORPOATE3 6 2 0C OCN'L AO00GATG LIMIT APPLIES PER PRODUCTS•COMPIOP AGO S 2 OC X POLICY P Loc AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO ICE aaaidonl) 6 ALL OWNED AIJTOS BODILYINJURY b BCHL*DUI,fi;D AIJT06 (Perpanon) HIRCD AUT09 130DILY INJURY , NON-OWNED AUTOS (Paraoaloam) W AOPERTY DAMAOQ S r acaldon GARAGE LIABILITY AUTO ONLY-pA ACCIDENT 8 ANY AUTO OTHER THAN CA ACC 6 Au'r0 ONLY A00 6 -Xca53/UM15RELLA LIABILITY EACH OCGURRRNCEt g OCGUR CLAIMS MADE gOt7pCDATP S :DEOucriGLe S 6. RETENTION 6 - 6 WORKER'S COMPBNEIATION AND AT X ANY T ALOYERO'LIABILITY ANY PROPkICftOAIPARTNHR/LcXGCUTIV9 2001 W8390 07/0112008 07/01/2009GL EACH ACCIDENT a 50C O9FICBR/Mr3M6CR EXC1I_UO9D7 _L plsRASIT.P PMPLo EE 5 501 1Cyn. d..anbe under HPIiG�IAL'PROVL'iIONE'bolaw -L OISrAF1P_•POLICY II T s 50C OTH4A 098CRIPTION Off OPCRATIONA/LOCAYIONSIVBHICLpB/C'XCLUSIONa ADDBp BY UNDORSEMENTISPCCIAL PROVI910N8 CARPENTRY, ROOFING CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF TK AOOVE OCSCRIBED POLICIES ea CANCEILLED EIEFO(<THE FaXPIR TOWN OF BARNSTA6LP DATE THEREOF,THE ISSUING INSURER WILL GNDCAVOR TO MAIL DAYS WRIT BUILDING DEPARTMENT NOTICE'TO THE3 CL"RTIFICATG HOLDER NAMCD TO THC LC-FT,OUT FAILURQ TO DO 9O 9H, HYANN IS, MA 02601 IMPOSE NO OBLIGATION OR HANLITY OF ANY KIND UPON THG INSURGR,'ITO GC•NT13 OR FAX 508-790-8230 NA8 REPRL!SVNTATiVIIS. I "1 AUTHORIWO REPRL15ENTATIVO 26(2401/48) ORD CbRPO.FiATION 191 I �\ I 1 °5 A 508-32801635 SPECIALIZING IN ALL FORMS OF ROOFING & SIDING doyle-thomas@comcast.net comcast.net (508)-328-1635 P.O. BOX 168 Fully Licensed. & Insured CENTERVILLE, MA 02632 LIC# 145954 Doyle and Thomas Inc. Proposes to perform the following work: ° Location of proposed work: Mr. &Mrs. Molholland 309 Capt. Elijah's Centerville, MA 02632 Date on which construction should begin: March/April 2009 The homeowner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that cannot be avoided by the contractor shall not be considered as a violation of this contract. The contractor agrees that when such delays become known to the contractor,the contractor will advise the homeowner as soon as possible. The homeowner hereby acknowledges that in certain remodeling work,the demolition process may reveal defects in the existing structure which must be repaired,creating additional work which may need to be carried out in order to complete the work described in this contract. In such case the homeowner agrees that the duration of the work and the schedule date of completion may differ,and that such variation is not to be considered a violation of this contract. The•total cost for labor and materials under this contract: $3,602.98 30 yr.GAF/Elk Timberline architectural shingles . Total cost for labor and materials to replace all six rake boards would be an additional$585.00 In the event that while stripping the roof we find rot that needs to be replaced,the homeowner then has to agree and authorize any replacement or restoration. Then in addition to the above contract price,the homeowner agrees to compensate the contractor for any repairs or restoration at the hourly rate of$45.00 for a carpenter and$30.00 for a carpenters laborer, plus the cost of materials. Thank you for Giving us the Opportunity to Help You Improve Your Home J• -Roof to be stripped and cleaned of all old shingles and debris -Roof to be papered with weather watch leak barrier and#30 felt paper,and installed with Timberline architectural shingles using galvanized nails: (Storm nailed) -All new 8 inch drip edge and pipe flanges to be installed -Cobra ridge vent to be installed on all ridges -Timberetex premium ridge cap to be installed -10 yard container will be needed on site; and will be removed at completion of the job -Contractor will be responsible for all building permits needed at the property NOTICE REQUIRED BY LAW With the agreement of the contract$500.00 of estimate is due. Further payments under this contract are as follows: 1/2 of the estimate due at the start;and remainder due at completion of the job. Balance of all materials and labor shall be payable in full upon completion of work described in this contract. Payment as agreed upon shall be made when due. Any payments which are delayed shall be subject to a finance charge of 1.5%per month. The contractor warranties the work completed under this contract for a period of one year from the date of completion. During the stated warranty period the contractor shall be responsible for the service of the repair or adjustment, but the contractor shall not be responsible for the normal maintenance, repair due to abuse,misuse, and or normal wear and tear,which shall be the responsibility of the homeowner. All warranties for the materials supplied by the contractor shall be passed directly to the homeowner. The homeowner may be required to register or mail in such warranty card or evidence of ownership in order to activate such warranties. Homeowner failure shall not create any responsibility for the contractor under the warranty provisions;the choice of repair of replacement shall be at the discretion of the contractor. The homeowner acknowledges that the form,content,and notices contained in this contract are intended to comply with the applicable portions of the Mass.General Law Chapter 142A, and regulations promulgated there under: In the event of any instance of non-compliance,only such portion shall be invalid and the remainder of this,contract shall be in full force effect. In addition,any such portion not in compliance shall beyead and interpreted so as to have its intended meaning to the maximum extent allowed under such law and regulation. Signed as a sealed instrument on this date: Date: Homeowner t ' Contractor ef, Massachusetts- Department fit'Public afch Beard of Buildin- Re-ulatitms and St:ntdards Construction Supervisor Specialty License J License- CS.SL 99913 Restricted to: RF,WS License or registration valid for individul use only before the expiration date. If found return to: TROY THOMAS Board of Building Regulations and Standards 499 NOTTINGHAM DRIVE One Ashburton Place Rm 1301 CENTER .I. E;MA 02632 Boston,Ma.02108 Expiration: 4/13/2012 Not Valfid without signature j , ` \rx.. <` L(' on/�torer✓r eltlCGt/�/t;c�.t'�J!K1IxCftl!'��•, Board of Budding Stegulatio s and Standards iTkr HOME IMPROVEMENT CONTRACTOR Registration: 145954 M1 /;'� Restricted to: RF,WS Expiration: 3/15/2011 Tr# 282668 Type: DBA IA- Masonry only RF- Roof Covering DOYLE+THOMAS CONST { WS-Win'dowg and Siding TROY THOMAS i SF- Solid Fuel Burning Device; 499 NOTTINGHAM DR ` I DM-Demolition only CENTERVILLE,MA 02632 Administrator Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Refer to: WWW.Mass.Gov/DPS j • I 12 Assessor's map and lot CF TH E t0 1 Sewage Permit number ... ................................. NAUSTAHLE i House number ... " .. ..................:............ ...:1:........ s� r639 �0 a 0 YPY a' TOWN OF BARNSTABLE D i BUILDING INSPECTOR -M APPLICATION FOR PERMIT TO (k V ( W C2,C(i0c, F ,4 TYPE OF CONSTRUCTION .........VJ'�00............................................................................ c..�...-........................................ .....!............ ............19. Z. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: location ..�O®—......5-2-........Gqf� l...Z-TTp �7r.......1f�.���....C��..7�f.. V/LLI ................................................. ProposedUse ......!.� r' �. � I ....................................................................................................I......................... Zoning District ...........K.D.—A..............................................Fire District .......4 ................................................... Name of Owner . �� �L � PA�; Z_ I ...C .�( �-rr7v(LL:.�� ..... . ..........�................. ........... Address ...........................:.........,.. Name of Builder' ..�'' <:f ....... ;CC' . .......Address .j.2.32... �{.... ....�:. -'1�- 9 U��1...... ... Nameof Architect ..................................................................Address ....... ......................................................................... Number of Rooms Foundation � ................... ...............I........... Exterior ... C �. ., ..... 1 1 �W Roofing ................................... Floors �.W `} ..........................................Interior ... ?�W.A.L. .................................................... Heating ......... .......'.I. ...... ....P .... ........................Plumbingr �............. .....:.....:...................................... Fireplace ....... � .. . 1 Approximate Cost .().QU.. . Definitive Plan Approved by Planning Board -----------_----__-----------19_______. Area 11 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEATH ` C- 1 3. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the To of Ba'"rnstable regarding the above construction. f ,s,a / 7 L/ Name ... ..... . .................................. .� .�..... :: .... _ VANDERBROCK, BRUCE ................................................................................................,..... ........ ...-...t.r...................... .. ...A.....=..... 1.. .9. 3 /9e- IS No ..24398.. Permit for .1 - Stork , . Single Family Dwelling.... ... Location ....Lot #5 2 309 ...L J4h.Is Rd,.................. Centerville Owner .,Bruce...V.an.der.bro.ck................... .. .... ..... .. .... ....... ....... .... Type of Construction .....Frame........................ ............................................................................... Plot ............................ Lot ................................ Permit Granted ....S.ept........2.3...............19 82 Date of Inspection ....................................19 Date Completed ......................................19 70 Assessor's map and lot number �2- /G . Sewage 'Permit number ... ......... ....................................... d� �+► N A6p - = 898HSTLUZ i House number ............ ®.../...............................:... ' rass _ SEPTIC S*'STEM MUST i630 f 1 ',STALLED IN MPLIAN��DMA a ' TOWN - OF : AARN.STA VIE �rjr ffjjJ,_NTAL CODE AND ATIOINIS BUILDING - INSPECTOR APPLICATION FOR PERMIT TO ... 4 .... 1. 2 ��....4` ..... ... ............. . .................................................................. TYPE OF CONSTRUCTION ......... l ff? ......... ............................................. . .................... ..........K ..!... .. .19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit�accyho�r��dyying :to the following information: Location ..LC�T.....J-..�........ 7•l�/�/�..L::��!71.j......f2j.,. .. W V/G1/=.............................................. ProposedUse ...... sd) 77 ... . ... .........:....... . . ...................................... . ................................................. ZoningDistrict .......... .~.L. . .........................................Fire District .... .C..0............................................................. . Name of Owner .... �-- : .Address ... 4• ..C. ..... . � h Name of Builder' .. 4!� ,✓T��? Address .1.� I>~ 2� ....... ......... t. ..... ... .... Nameof Architect ......................................... ....................Address ......... ..-........................................ .......................... Number{ of Rooms .... .................... ...........Foundation ..�l�Co.....�-.ujck,�!�................... ..... .... .. Exterior ... �.....Roo ing /.!.? C .� ..Z S .................................. Floors. :�.1'....C�C31�................ .....................Interior .. � `�ll�/ ...................... ................................. PHA p Heating Y g ......................... ...... ....0t�........ ........ :... .....:. .Plumbii5 � . YYrr Fireplace .........r .... .....................................................Approximate Cost O �,. .......U�... .... Definitive Plan Approved by Planning Board -----------_------_-----------19_______. Area q9 .%.... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS. I hereby agree to conform to all the Rules and Regulations of the Tova of Barnstable regarding the -above construction. �1 qq q, } �S 7 Name ................................. rVANbERBROCK, BRUCE No 2 4..3.9.8... Permit for ...1 1- .3-1... . S,tor .. .y......... ... . .. .. ....... .. ,�ingle Family Dwelling ..... ...................................................................... Lot #52 309 Ca n. Li ' s " Loccl. on . jah Rd. .........................................a............. ..... Centerville IZZ ...................;....................................... Br k Owner ...Bruce. ...V.and.er.b.ro.c..................... .. ....... .. .. ....... .... .. .... .. Type,of Construction ...Frame........................... 1` i ...............................................,.................:............... .......................Plot Lot ............................... 74 September '23," 82 Permit Granted ........................................zi 9 D te of Inspe/cMr ...........i 9P Date Completed 9>-- ................�ri 9 APP! P �71 W r IV, A 7> P- 2—15,e TOWN OF BARNSTAELE Permit No. ------------- - �� »n� Building Inspector cash OCCUPANCY PERMIT Bond - --- - Issued to 3ruee Vanderhrock Address r • Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SEALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATI:iFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. J j ....................................................... 19......_.._ _................. .. . __...._.... ... Building inspector ���- = FROM _ TOWN OF BARNSTA131E BUILDING• DEYPARTMENT Mr; Francis Lahteine ' 367 -MAIN STREET HYANNIS, MA O Town Clerk Phone;_775-1120 SUBJECT: FOLD HERE DATE - J& y-12, 1984 ,. _ _ .T MESSAGE Work has been completed under Building Permit #24398.•.(Bruce Vanderbrock) . Please release Bond,. : SIGNED' (• } - DATE REPLY 9 Ne7•RM1. - RECIPIENT:.RETAIN WHITE COPY,RETURN PINK COPY --_ PRINTED IN U.S.A. SENDER: SNAP OUT.YELLOW COPY ONLY.'SEND WHITE AND PINK`COPIESVITH CARBON.IN TACT. '"' • - ems: a , 0 �9 • 1 ' i 1 '•w,� FpUNDATto 1 ,ram 0 D�( ' . �PI 4 LOT 51 N WC*4AF10 A. BAXTER �+ ` 24,040 C>✓tzTiF't>~C� pLd`i' Pt_..lat� �1$,rt��oa t OC.AT I o n C E N T �.jjZ:q 1 Lt_e SCAL V vZ 0' ATt_ 9/1 li�l 8 L 1 CGRT1514 THAT THE FOVAPK'nOt4 SPo%"Q -A� 'R�Fc�E1.1GE 4-1EQEr��-� GQMP�.YS W ITN 'rPG 51VE.t WE-:- LoT •S Z AWt> JETJ2�ACK VcQutRENIeWTS OP T14C- ' OVJL) of �A,RIv6Tr�sL�. ALtD IS NOT pL�� '�I� ,L'17 Y�G, 98 Lc�G4T ® Wl T�-1 l W l.00 Fi-r4t►.l M A.)r.Tr- � 4 NYt;': luG. ATE �"15"82 c2cG16'rc-jZct> t.kwo 5uevaYov- ' —1415 V LAW IS LJOT USTEv-v1Ll.G a AX�4SS. '` '�'Jy fG�ti.C�Ll.1Z" �iUE:VC=.�{ � T'•;I:: t;�F►���T�i fig t�'•►11..D A47�L1 C:�.I..IT SRU CE VANDEt3ROC1•' r' �' S ►�.GIc FArn11_�{ ;3 Bo2ooM i •. LJC� GA¢BAGE4C¢�LtDEcz-'_ v cs` �� '��`� � - FLo�:V w• �. SEP,TIG' TAQK =: .33oxi50%' 9.5;6 P. p � USE IOoo GAt... Zg-„Z'1O - o15Po5AL PIT u5E 1[�04 GAS• \ DMWWALL AREA. ._ f,50 , 5.F x �•5. = 3�5 �.Po gpTTOM ARE.Ar �O 'TOTAL.. C>ES1(,N s 42C�, TOTAL,.DA 1I-Y ,Troy,/ = 33o G.PD, �1 . v pw PrL : TZ ` PE 6Z COC,ATIo1J RATE j. 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