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1324 CRAIGVILLE BEACH ROAD
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L.� '� y!�r ..�'p.r .r,:l. .' -.: !•r.. a.,.. �.., � ,-...� �,.{ ». s a. -,11+ ;E1.+` .) .�:.� C •kl. �y "�N 1 Y. 4 � t 61� ,-ILNI i X.pR-t-SsIT �o ` M Town of Barnstable *Permit# P�OFZF fp 'b 20`� Expires onthsfrom issue date NSTABLE Regulatory Services Fee - 139.MASS. `ems Thomas F. Geiler,Director •°rEd�y� Building Division Tom Perry, CBO,`, Building Commissioner 200 Main Street, Hyannis,.MA 02601 www.town.b-arnstable.ma.us Office: 508--862-4038 Fax: 508-790-6230 EXPRESS PERMIT.APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Numberzo� Property Address Residential Value of Work 3`D0 .da Minimum-foeof$25.00 for work under$6000.00 Owner's Name&Address _ t)"1lILl-P Telephone Number Contractor's Name. Home Improvement Contractor License# (if applicable) 16 1 [a4 Construction Supervisor's License#.(if applicable} l oaco o ❑Workman's Compensation Insurance Ch ck one: I am a sole proprietor. ❑ I am the Homeowner I.have Worker's.Compensation Insurance Insurance Company Name Workman's Comp:Policy,# ; Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) - �Re-roof(stripping old shingles) All construction,debris will be taken to Re-roof(not stripping. Going over existing layers of roof) Re-side #of doors , Rep lacement Windows/doors/sliders.U-Value (maximum .44)#of windows *Where required: Issuance'of this permit does not exempt compliance with other town departrrientMregulations,i.e.Historic,Conservation"etc.. ***Note: Property Owner must sign Property Owner Letter.of Permission. A copy of the Home Improvement Contractors License & Construction Supervisors License is required. SIGNATURE C � - The Commonwealth of Massachusetts — Department of Industrial Accidents d rP Office of Investigations 600 YYashington Street i T Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �T � lOuy! Address: �o2 W0,0D > � City/StaWzip: "Ni Phone #: �'027�1 CI Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction �,(employees(full and/or part-time).* have hued the sub-contractors 2.�J I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling These sub-contractors have g, Demolition ship and have no employees working for me in any capacity. employees and have workers' 9 ❑ Building addition comp.insurance.$ [No workers comp. insurance 10.0 Electrical repairs or additions required.] 5. We are a corporation and its 3.❑ I am a homeowner doing all work " officers have exercised their 11.❑Plumbing repairs or additions _ .. _.,_mysolf,..[No..workors'_comp, right of exemption per MGL 12.❑..Roof.,repairs:. .._.. insurance required.] t C. 15f, 61(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. (Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: .Policy#or Self=ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties ofperjury that the information provided above is trace and correct. Signature: Date: 1 �0 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 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for.their employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more and including the legal re of the foregoing engaged in a Joint enterprise, g resentatives of a deceased employer, or the g P receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair.work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,NIGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractors)name(s),address(es)and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships (LLP)with no employees other than the members or artners,are not require to carry workers coin ensatron insurance.' If an LLC or'LLP does have employees, a policy is required. Be advised that this affidavit may submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant � that must submit multiple permitAicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may'be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Depa-tment's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or. 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 wwtiv.mass.gov/dia • 1 ` BEL CAPE CONSTRUCTION CONSTRUCTION E . InPE, ' Proposal p 42 Woodbury ave ' w: Hyannis MA, 0260 ' 508-360-2749 (Dmitry) 508-685-9720 (Dennis) Fax 508-534-9730 , Website:��ww,btilca .e.colli e-mail:belcapeco`nstruction@yahoo.com HIC REG# 161124;LIC# 102600 _ Job Address: 1324 Craigville Beach Rd .` Name Joe Sauro Town: Centerville Address: . Job Phone: City: Other Phone: 774-238-2304 State: Estimator;Dennis Arlon Job Number: 03/11/10 We hereby submit specifications and estimates to furnish and install new roofing as follows: l. Strip existing roofing and remove.debris. Calculated 2 layer (back dormer roof 1 layer). Anymore layers of roofing needed to be stripped will be additional.. 2. All gutters will be cleaned out, grounds cleaned up and nails extracted with magnets. We utilize magnets so as to minimize your .exposure to. personal injure and/or property damage from nails left behind at the job site. 3: After removal of roof, wood deck h will be inspected for splitting;' rot or other deterioration. Owner will be advised of,need for wood, '.replacement prior to commencement of wood replacement work. 4. ,Along all.eaves,of.house. lee & Water Shield waterproofing underlayment (36 wide) will be directly adhered to the wood deck.Waterproofing underlayment is installed to eaves.to protect against interior leakage and subsequent damage from wind-driven,rain, ice'and snow dams;and freeze back conditions. �5.' Install waterproofing underlayment in full width,(36.wide).to all valleys and 9" to all rake ed Install waterproofing underlayment .at all vent pipe collars and any other, p ojecc io n skylights. Underlayment adds additio al rotecti n against leakage at Accepte1 , d date THIS PAG: P ' AND IN CONFORMANCE`W1TAjW6i WAV No - r .2 critical terminations. Over remainder of house. 15-lb. felt paper will be installed and nailed to the wood deck. ' 6. Install new white drip edge to all perimeter cave edges. Drip edge is`installed to protect from leakage and rot and to provide a neat and clean perimeter profile. 7. All existing vent pipes will receive new aluminum vent pipe flashing with neoprene gasket collars, or copper if doing red cedar roof. . NOTE: Cast iron, heat vents,or other non-standard roof vents are excluded and will be priced separately upon request. 8. At all eave edges or roof, shingle starter strip will be cut an installed with sealing strip at lower edge of roof in accordance with manufacturer's.specifications.. This provides. a watertight and wind-resistant termination-for your roof. 9. Storm nailing: Because we live in a severe storm .region, additional (storm) nailing. is strongly recommended by Belcape Construction, LLC the Imanufacturers and the -National Roofing Contractors Association. ,Secure new'roof.with 50%"more nailing, upgrade minimum standard (4) four nails per shingle to (6) six nails per shingle, l '/ long. Nails will be galvanized with a rust-inhibitive coating.If,red cedar roof, then using stainless steel fasteners: 10. Shingle installation: Supply and install roofing shingles according to the manufacturer's specifications, according_to .the below selected material and warranty: All work,to be - performed by insured professionals. 11. Install waterproofing underlayriment surrounding chimney. Underlayment will extend up vertical portion of chimney 'a minimum of (2) two inches:'Caulk all lead .flashings together around chimney with Dymonic caulk. This is not a guarantee but.a maintenance procedure. We cannot guarantee chimney from leakage with roof job only. See chimney proposal if applicable. We cannot guarantee existing skylights or venting units unless we replace them with new ones. The above s specifications are required to meet the National Roofing Contractors Association (NRCA) roof standards, 4.Edition, as well as to meet manufacturer's specifications for;warranty f . requiremehts "Anything less than these procedures would be a substandard installation. Touch-up painting may be required and,is not included in this proposal. CertainTeed'roof shingles with 5-year, 100 % labor and 'materWs-SureStart warranty and` duration of warranty is prorated labor and materials.for the life of the shingles (see warranty) Certaninteed Extra Touch;with 30 -year Warranty Labor and Materi $ 2350.00 If acceptable, initial here. Color: Slate blend Acceptedb by date THIS PAGE IS OF A DIN CONFORMANCE WITH PROPOSAL No R , OP 3 We hereby submit specifications and estimates to furnish and install new commercial grade, .060 thick membrane,"single-ply rubber roofing system, black, from RPI,with 30-year warranty as follows: Specifications as follows: ■ Strip existing roofing and dispose of all debris. ■ Check all boarding. ■ Apply new '/2"retro board roof substrate underlayment with screw and deck plate fastening system. ■ Install fully adhered E:P.D.M. roofing.system. ■_ Install aluminum drip edge on full perimeter or termination bar system on full perimeter as needed for application. Labor and Materials: $ ,.00 If acceptable, initial he Option : Strip & install ne ed cedar shingles on,the dormer &'on the left gable Labor6 5 If acceptable, i 'al here. R Option 2:.Replace lead flashing on the dormer,chimney y Labor &Materials: 4 I acceptable, initial her\ .f P e. NlAccepted by date r :' THIS PAGE I, P F AND IN CONFORMANCE WITH.PR OSAL No 4 Any work above and beyond the specifications outlined in this proposal will be priced on request. All additional work, including travel tine and lumberyard runs, will be subject to extra charge. In the event of rot repairs, roof repairs or any related work requiring immediate attention,we will proceed without customer approval. We look forward to working with you;please call if you have any.;questions. a. Sincerely, A, BELCAPE CONSTRUCTION, LLC BELCAPE CONSTRUCTION, LLC will,provide cleanup on a continuing basis and all debris will be removed from.site. All products installed by BELCAPE.CONSTRUCTION, LLC will be to manufacturer specifications. All work will be performed by.insured professionals. All-material is guaranteed to be as specified and the above work to be performed in accordance with the drawings and/or specifications submitted for above work and completed in a substantial workmanlike manner. There will be no refund for. special-order windows, doors or any other non-stocked materials after three days from approved proposal. All warranties will be null and void if account is not current and paid in full., Owner to move-all personal objects, furniture, etc:, from work areas. All items against walls should.be considered for removal during any exterior siding,jobs, additions;etc: to guard against_ damage. In the case of any roofing and ridge venting, dust and debris should be expected and any items in-the atticshould-be removed. BELCAPE CONSTRUCTION, LLC isnot responsible for any damages if said items remain in place. Curtains; drapes and-window and,door treatments may need proper reinstallation or replace►nent by customer due to sizing on any window or door replacements and is not included in jobs . contracted with BELCAPE CONSTRUCTION,LLC s • Any alteration or deviation from above specifications involving extra costs will be executed only upon .written orders and will become an extra charge over and'.above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon above.work. Workman's Compensation and Public Liability Insurance on above work to be taken out by BELCAPE CONSTRUCTION, LLC. No lien or security interest will be placed on the residence as a consequence of the contract. Owners who secure their own construction-related permits or deal with unregistered contractors'will be ...excluded from access to the guaranty fund. This.Contract not valid unless signed by Corporate Officer: JL Accepted by r date R THIS PAGE I PA T O AND IN CONFORMANCE.WIT P POSA No. tiachusttts Department of PuUlic Satiety : •._ Mas ildin' Rc`.�ulations and Standards Board of Bu Su ervisor" License St; Construction p License: CS 102600 . Restricted-t DZMITRY LJ�gKOVICH 13 ATHENS WAY �. MA 0673. WEST YARMOUTH 2 ; Expiration: 312712015 ��. Tr#: 102600 . � fie'Vommwozurea�i o���ULaQdac�zu6e�a i. Boh�rd of Building Regulations and Standards E License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: r , s Board of Building`Regulations and Standards 'Registration 161124 j P 9[25/2010 Tr# 275548 One Ashburton Place Rm 1301 Ex gyration i r" Boston,Ma.02108 � - BELCAPE CONSTRUCTION LLC ?. DZMITRY LABKOVICN'� � F 29 WOODBURY 'AVE� � HYANNIS.MA 026p1 Administrator �.` Not valid with t signature .k e , a �� Town of Barnstable Rzpires 6 months from issue date Regulatory Services Fee fThomas F.Geiler,Director Building Division o' 2 J?jib A-21- �Eg ®.1 2010 Tom Perry,CBO, Building Commissioner (/ 0 Main Street,Hyannis,MA 02601 F SRRNSTABLff ww,w.town.barnstable.ma.us Office: 50 62�4 38 Fax: 508-790-6230 EXPRESS PERNUT APPLICATION - RE,SIDENTI.AL ONLY Not Valid without Red X-Press Imprint Map/parcel Number - \ I /n Property Address t,1 2 6 3 4; _ [Residential Value of Work 9S Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address" q4A!- _ JO Ae!�c Contractor's Name /1A zc. l,2) Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable)' C cJ �o 0Workman's Compensation Insurance Checi one: Fj I am a sole proprietor ❑ I am the Homeowner 3,I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# _ lL 2 — Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) g-Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) . ❑ Re-side . Replacement Windows/doors/sliders: U-Value (maximum.44). . "Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e,Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required: SIGNATURE: QTorms:ezpmtrg Revise061306 —� i The Commonwealth of Massachusetts Department of Industrial Accidents .", Office of Investigations . ......... . 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): L C, Address: City/State/Zip: d6bjc E 0oQ 35 Phone#: 56 C� Are you an employer?Check the appropriate box: 'Type of project(required): 1 aI am a employer with � 4. ❑ I am a general contractor and 1 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ 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 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: -A-62 Q�tJ d`Z�J Policy#or Self-ins. Lic.04 d . Ex ration Date:- __ - Job Site Address: 0,v qrj,". �j 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 certi the nd pe Ides ofperjury that the information provided above is true and correct Signature: Date: 1 ' 2 S' 2 U b Phone#: �77=56 Yoe 0 o2 ol� 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#: ft r. ' �`• ��,��Si ��` ✓lae V/Q3?zT�+so��rJse J���' � P Board of Bmlding Regulation's and Staridacds I fM {Construction SCalL upervisor License i f� * Li � d ` cenn se CS 976,68 j �{ Birthdate 6/7G195:7 �� � ,Exptratron 6/7 2©�1:1 Tr# 97.568 Restrycton..00` ,f DEAN FRASER 104 TWINN'VIEW LANE -EAST FALMOUTH,MA 02536 Commissioner i 1 , VIze �� �I2Cl/P a��/��a�drtc�zttQGua Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Regist�'a�tl 112536 Board of Building Regulations and Standards Ek.piratre- 1723/2011 Tr# 281021 One Ashburton Place Rm 1301 Type: Dq# Boston,Ma.02108 FRASER CONSTRUCTION C.O. DEAN FRASER > 104 TWINN VIEW L'NE >1 E FALMOUTH,MA 02536 Administrator Not Ure BiOegla ons an arse ejV One Ashburton Place e Room 1301 Boston. Massachusetts 02108 Home Im-pr®vement-COtractor Registration Registration: 112636 Type: DBA Expiration: 3/23/2011 Tr# 281021 FRASER CONSTRUCTION CO. DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 Update Address and return card.Marls reason for change. Address Renewal Employment Lost Card Al is 40M-08/08-DBSLIFORMCA108212008 i..... r_„ RightFax C2-2 9/29/2009 5 : 35:22 AM PAGE 2/002 Fax Server /CORDo CEERTIFICAli E OF INSURANCE DATE(MMkDD\VY) 09-29-09 PRODUCER THIS CERTIFICATE IS ISSUED AS A:BATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE WISE&QUINN INS AGCY IN HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 449 PLEASANT ST ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE BROCKTON,MA 02301 COMPANY 24WCB A RAR'170111I CROYIP INSURED COMMPANY FRASER CONSTRUCTION LLC COMPANY P.O.BOX 1845 C COTUTT,MA 02635 COMPANY D COVERAGE THIS 19 TO CERTIFY THAT THE POLICIES OF 114SURAEICE LISTED BELOW HAVE BEEN ISSUEOTO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR 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 CONDNTIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM& CO POLICY EFP POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMXDMYY) DATE GENERAL LIABILITY GENERALS-CO PIOP $ COMMERCIAL GENERAL PRODUCTS COMP/OP AGO. $ CLAIMS MADE OCCUR. PERSONAL&&ADV.INJURY $ OWNER'S&&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE OMIT $ ALL OWNED AUTOS BODILY INJURY(Per Person) $ SCHEDULE AUTOS BODILY INJURY(Per Accident) $ HIRED AUTOS PROPERTY DAMAGE $ NON-OWNED AUTOS GARAGE LIABILITY ANY AUTOS AUTO ONLY•EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM OTHER THAN UMBRELLA FORM AGOREOATE $ WORKER'S COMPENSATION AND A SMPOLYEWS LIABILITY UB-034IM656-09 09-26-09 09-26-10 STATUTORY LIMITS X THE PROPRIETOR/ EACH ACCIDENT $ 500,000 PARTNERSIEXECUTIVE INCL DISEASE-POLICY LIMIT $ 500,000 OFFICERS ARE: X EXCL DISEASE-EACH EMPLOYEE $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONSISPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECCWG WORKERS COMP COVBRAG& CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE FRASER CONSTRUCTION LLC EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TOTHE LEFT,BUT PO BOX 1545 FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES COTUIT,MA 02635 AUTHORIZED REPRESENTATIVE ACORD 955-5(310) Ramani dyer . . . ... . ... . .. . .. .. . .. . . . _. Fraser Construction, LLC CONSTRUCTION P.O. Box 1845, Cotuit MA. 02635 we ' Email: fraser®construction a,verizon.net wwxv.fraserroofing.com FAX 1-508-428-0123 508-428-2292 HIC,#112536 CS#97668 PARTIAL RE-ROOFING PROPOSAL All Except Rubber & Corrugated Roofing In Back I)ATE: January 5, 2010 (revised 1-19-10) PHONE: 505-362-2255 NAME: Robert Plikaitis MAIL ADDRESS: P O Box 230 West Barnstable, MA 02665 JOB ADDRESS: 2423 Iyanough RD Rte 132 West Barnstable FRASER CONSTRUCTION hereby proposes to perform the following services in a neat and professional like manner and in accordance with the manufacturer's Specifications and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. Supply and Install - CERTAINTEED LANDMARK /WOODSCAPE AR 30: 30 -Year Warranty, 5 year Sure Start Protection, CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi- Layered, Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10 Year Warranty against ALCA.D+' Containment. 5 year 110 mph wind- resistance warranty with six nails in common bond area, Fraser construction includes six nails in common bond area at NO additional cost. See actual warranty for specific details and limitations. Color: PRICE- $5,750 Initial All Except Rubber & Corrugated Roofing in Back Supply and Install - CERTAINTEED LANDMARK /WOODSCAPE PREMIUM: Limited Lifetime Warranty, 10 year sure start protection, CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi-Layered, Laminated Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10-year Warranty against ALGAE Containment. 10 year 110 mph wind-resistance warranty Wind warranty upgrade to 130 mph when CertainTeed starter & CertainTeed hip & ridge are used. See actual warranty for specific details and limitations. Fraser construction includes six nails in common bond area at NO additional cost. Color: PRICE- $10,375 Initial -j a Supply and Install - CERTAINTEED LANDMARK ULTIMATE: Lifetime Warranty, 10 year sure start protection, CLASS A FIRE RATED, .A'LGA:q Resistant, Extra Heavy Weight, Self Sealing, Multi-Layered, triple-layer thickness, Laminated Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 15-year Warranty against ALGAE j Containment. 10 year 110 mph wind-resistance warranty, Wind warranty upgrade to 130 mph when CertainTeed starter & CertainTeed hip & ridge are used. See actual warranty for specific details and limitations. Fraser construction includes six nails in common bond area at NO additional cost. Color: PRICE- $10,875 Initial All Except Rubber & Corrugated Roofing in Back ADD $1,800 for Ridge Roll Copper Cap on the Ultimate Shingle Initial i i Supp1Y & Install - CertainTeed Winter - Guard: (ice & water shield) Waterproof Underlayment System (3ft. on eves and valleys, 18" on rakes, walls, and skylights) Supply & Install - Roofer's Select Underlayment Paper (as recommended by CertainTeed) Supply & Install - 'Soffit Venting) Hick's Ventilated Drip Edge or 8" Aluminum Drip Edge with existing soffit vents Supply & Install -Aluminum & Neoprene Soil Pipe Flashing Supply & Install-Ridge Vent - Shingle Vent II (as recommended by CertainTeed) Clean & Remove - Debris from work area daily. *4 Star Warranty Upgrade will be applied if proposal is signed and returned within 10 days. (see enclosed brochure) SKYLIGHT: 6) Supply and install 601 VS Velux Skylight PRICE-$995 EACH Initial � ***Please note interior finish work not included in price*** I w 2% Discount if paid by check immediately upon completion i NO MONEY DOWN- NO Payment at the start or part way thru Payments accepted are: CASH- CHECK- MASTERCARD -VISA-AMERICAN EXPRESS I *Any payments not made within 30 days of completion will be charged 1.5%for every 30 days the payment is late. Possible Extra -After the shingles are removed from the roof, we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$6.00 per panel including Materials & Labor. There are 6 Panels per sheet of plywood. Possible Extra -Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$60.00 per hour, plus 15% mark-up materials FRASER CONSTRUCTION Warranties the labor for 12 years FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. CERTAINTEED Warranties the shingles and labor 100% through the Sure Start Warranty duration. CERTAINTEED Warranties the shingles to be ALGAE resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Lia bility Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: of• Z - Zoi o Homeowner Fraser Construction, LLC a Zzi Oral 11 Q 1 i � � � � 997 _-_--- _._ J :� 2� C.�Q� v� 1 l e �e� # � �� �/� � �` � t �GY►ol-u�.� _ , i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 121';, Map Parcel © Permit# ;Health Division 1 Ll 9 8a3 Date sued ,��—,0 Conservation Division Fee o Tax Collector ef4 / 4, //,-,& �Treasurer �� 5 Planning Dept. 2 SEPTIC SYSTEM E,lU �rt: Date Definitive Plan Approved by Planning Board INSTALLED ON COMPL1APeC`WITH TITLE 5 Historic-OKH Preservation/Hyannis ENVIRONMENTAL C002 AN1 TOM REGU m nmmn Project Street Address 13 9A C CAI GVi LL E 9A C Fl Z b Village 0 eN fE 9 V 1 L L1_:�' Owner . SfPN Is -r _T,N6�- SA U Ko Address 1.:�Ju eTA16 v11_`r BEACH l;t�, Telephone a 8 �1 7 / r2 a 1 Permit Request 80 1 L a'f' x Q (RIFE=/N o c4sE o/v Ni w z -!�-,y 117-As- fFh Ty TiNr �Je)4) Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation 4,1-y)461a,Da Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. v Dwelling Type: Single Family M Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes @/No On Old King's Highway: cO Yes-; Ca No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ftF-7 z �; Number of Baths: Full: existing new Half: existing �� knew Number of Bedrooms: existing new c rn Total Room Count(not including baths): existing new First Floor R om Counts 1 Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:0 existing ❑new size Pool: 0 existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded 0 r Commercial ❑Yes ❑ No If yes, site plan review# Y Current Use Proposed Use o BUILDER INFORMATION Name . F6-�a ke--a-PeLl"r, Y- 1�FSr�jx� Telephone Number 589 6---,;f tea., Address 13Fro FA4 MooThr R-D License# tv :Mv C07V)T �� o� 6d Home Improvement Contractor# Worker's Compensation# - 5 —off ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO ' x S T"_ SIGNATURE DATE JP— -3 I FOR OFFICIAL USE ONLY e PERMIT NO. DATE ISSUED MAP/PARCEL NO, ADDRESS VILLAGE OWNER DATE OF INSPECTION: r FOUNDATION —14 FRAME \ t — 0 INSULATION 7 FIREPLACE } ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING + t < ! x t DATE CLOSED OUT ' + ASSOCIATION PLAN NO. P ... r y. . -- ✓/ze �o7r�nooa..uealt/i �`,�aa�a�uaelld BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 005928 Birthdate. 03%27/1950 Uon E:tpkes: 08/27/2004 Tr.no: 18775 Restricted: 00 ANDRE C LAFERRIERE PO BOX 872 ,E - L E FALMOUTH, MA 02536 Administrator _ 1 2we{zak o Standards . Board of Building Regulat ens and `One Ashburton Place = Room 1301 Boston, Massachusetts02108 H.onit.- lrilprovetnent Contractor Registratlol, r Registrati0n: 110301 Type: Private�Orporation Expiration: 10/13/2002 DECOSTC REMOD & DES CENTER LTD MARY GAUTHIEK - 4380 FALMOUTH RD COTUIT, MA 02635 -- Update Address and return card.Mark reason for change. Address 1 Rene«al - F,m..�lo meat lost Carl.. C i_I - CONSUMER INFORMATION FORM - "SUNROOMS" Massachusetts State Building Code (780 CMR, Appendix J, Section J1.1.2.3.1) The Massachusetts State Building Code (780 CXfR) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner, constructing/installing a house addition with very large percentage of glass to opaque wall, seeks to utilize a special energy conservation exemption op'tion for "sunroom" additions to an existing house (780 CMR, Appendix J,vSection..Jl.1.2.3.1). This FORM is not intended to prevent a homeowner from selecting a "sunroom"of any size, configuration, orientation, form of construction or percent glazing, but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year- round comfort considerations involved in selecting and utilizing a"sunroom" addition. The connection of -"sunroom" structures to residential buildings may create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In the selection and construction/i.nstallation of"sunrooms", included below is a non-required, open-ended list of product and design considerations , ihat a homeowner may wish to consider before actually cons tructing/instaIIin- a "sunroom". It is recommended that consumers carefully review these options with their designer, builder, or contractor, ,in order to minimize potential energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the corripan} or individuals to be hired are important considerations. PRODUCT AND DESIGN CONS EDERATIONS RELATED TO "SLNROOi`JS" Solar Orientation and Natural Shading • Type of Glazing 4 Insulating value • . Solar heat gain • Frame materials Glazing to frame sealing and gasketing materials/seal durability_ and/or weather tightness of the sunroom • Adequate ventilation - Operable windows and fans Applied Shading Systems Insulation level in floors,walls, and ceilings Possible Sunroom isolation from the main house via a wall and/or door or slider, Heating and Cooling Methods: Efficiency, Zoning and Controls Homeowner Acknowledgment The Massachusetts State Building Code, Section J1.1.2.3.1, requires that the actual property owner (not the owner's agent or representative) acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read the information in this document concerning sunroom comfort and energy conservation. �Avfo _ g- -ate Signature of Actual Building Owner Date, nA. 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Date g?'"/v L Signature Print name A At&6 v otndsl use only do not write in this area to be completed by city or town official H ❑Bnildia;Aepattmmt city or town: p�/lk cm C]Lkeusin6 Board Osdeconen's Office ❑check if lnmudiate—pone is required ❑Health Deparb-Ot contact person phone t!: Qpther flevueu 9/95 PIA) f Information and Instructions I to provide workers' compensation for their Massachusetts General Laws chapter 152 section 25 requires all employers P conisact employees. As quoted from the"law",an employee is defined as every Person in the service of another under anY of hire, express or implied, oral or written. An employer is defined as an individual.Partnership,association,corporation or other legal entity,or any two or more of to or the reserver or the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, trustee of an individual,partnership,association or ocher legal errttly, employing employees. However the owner of a of dwelling house having not more than three apartments and who resides therein,.°! occupant of dwelling house e or as the grounds another who em maintenance plovs persons to do ,construction or repair wa&oa such dwelling hous or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewa permit too operate a business or to construct buildings in the commonwealth for any applicant who has ofa license or,p P required. may,neither the not produced acceptable evidence of compliance with the insurance coverage commonwealth nor any of its political subdivisions shall eater into any conic=for the performance of public work until acceptable evidence of compliance with the insurance regnireauats of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by 8 the.box that applies to your situation and lying company names,address Phone numbers along with a certificate of insurance as all affidavits may be supP artmeat of h dm=W Accidents for ofiasmraacx coverage. Also be sere to sign and _ submitted to the Dep � pew or license is date the affidavit. The affidavit should be rer<inaed Should y9u,havemy qnesdons;regarding the"law"or if you Industrial requested,not the Department of Indusal �.the D Wile number listed below. are required to obtain a workers compensation policy,please City or Towns The Department has provided a space at the bottom of the Please be sure that the affidavit is complete and printed legrbl y. ����y���the applicant. Please affidavit for you to fill out in the event the Office of Iavesti be t� be sure to fill in the pent!cease number which w,TI be nsod as a refer nu ence mber. The affidavits may the Department by main or FAX unless other anangen�have been made. ons would like to thank you in advance for iron cooperation and should you have any questions. The Office of Investigati Please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of U lemosdons 600 Washington street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 exL 406,409 or 375 Traveler`sPropertyCasualty � net-.nnor Travelers Group WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (6KUB-657X897-0-02) RENEWAL OF (6KUB-657X897-0-01 ) INSURER: THE TRAVELERS INDEMNITY COMPANY NCCI.CO CODE: 1 1347 INSURED: PRODUCER: DECOSTE REMODELING & TETRAULT INS AGCY DESIGN CENTER, LTD _ 4317 ACUSHNET AVENUE 4380 FALMOUTH ROAD NEW BEDFORD MA 02745 COTUIT MA 02635 Insured is A CORPORATION Other work places and identification numbers are shown in the schedule(s) attached. 2. The policy period is from 10-16-02 to 10-1 6-03 12:01 A.M. at the insured's mailing addresss. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers . Compensation Law of the state(s) listed here: MA B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident: $ 100000 Each Accident Bodily Injury by Disease: _$ 500000 Policy Limit Bodily Injury by Disease: -$ 100000 Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: SEE ENDORSEMENT WC 20 ,03 06 D. This policy includes these endorsements and schedules: SEE .LISTING OF ENDORSEMENTS EXTENSION OF INFO PAGE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All required information is subject to verification and change by audit to be made ANNUALLY. DATE OF ISSUE: 10-09-02 DS ST ASSIGN: MA OFFICE: ORLANDO, INDUS AFF 161 PRODUCER: TETRAULT INS AGCY 232MW 004196 THE The Town of Barnstable 9`' HASS,Mg Regulatory Services 1639. �`� Thomas F. Geiler, Director, lED MP'� Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. i Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion. improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. ' vSG Estimated Cost j Type of Work: Address of Work: l 131W &h1 G//��L� Owner's Name: Date of Application: 8 _ Lo —0-3 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded bylaw ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED IMPROVEMENT WORK DO NOT E CONTRACTORS FOR ITRATION PROGRAM OR GUARANTY FUND UNDER MGL cICABLE HOME .142A. ACCESS TO THE AR SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: yl c a ✓� ��-� '� Registration No. Date Contractor Name OR Date Owner's Name q:forms:Affidav:rev-070601 l_ I ry REVISIONS I By fAL CR v L1.E ,k`'I i - - MODEL:-4CLT10GG I i V'aL:.4 i �ENrE� Code Quantity --- -. 46 7 3 11 1I i I CRV 5 n T2 , l�.p II (J) T3 - 1 2 Double Sliding 1� �y L� i i () PICK 0 i O 2 � 1561/4„ I N lDK — — ------ - - C m -le Axonometry Plan I Ja1)At E / D�2 / O co ^ zco C>.8 �s 0 ,. LU I � o Ali i LL Ll III I�i _ l i li s 1561/4" I. �.. .. 1.281f8" I FA--- Front Elevation Right Elevation k i DE COSTE REMODELING&DESIGN II ` scar. I 4380 FALMOUTH RD. I + COTUIT, MA 02635 508-428-5740 I l O SYSTEM 4E CURVED EAVE SUNROOMS ENGINEERING INFORMATION EFFECTIVE DATE: 1-01 BW GG XH! TS SYSTEM 4 GLAZING BAR GLAZING BAR ROOF LIVE WIND SPEED m h WIND SPEED(mph) WIND SPEED(mph) WIND SPEED(mph) REM' a URE MODELS O.C.SPACING TYPE LOAD EXPOS EXPOSURE EXPOSURE EXPOSURE (Pso B C D B C D B C D B C D CLT-3 2'-6 518" 4GB 240 200 180 160 200 180 160 150 135 120 150 135 120 CLT-5 2'-6 5/8" 4GB 92.. 200. 180 160. 180 160 145 110 106 90 140 125 115 CLT-8 2 2'-6 518" 4GB 55 170 150 140 145 130 115 90 80 70 130 115 105 2'-6 5/8" 4HB 77 190 170 165 145. . 130 115 90 80 70 130 115 105 CL T-6 618" 4GB 31 170 150 140 130 115 105-_ 85 75 70 N/A N/A N/A T-6 5/8" 4HB V42-1 170 150 140 f t 30 t 15_105� .85 75 70 N/A N/A N/A CLT-13] 2'-6 518" 4HB 30 145 130 115 120 105 95 90 80 70 N/A N/A N/A 2'•6 5/8" 4GB+4RS 60 145. 130 115 120 105 95 90 80 70 N/A N/A N/A CLT-151 T-6 5/8" 4GB+4RS 41 130 115 105 105 95 85 85 75 70 N/A N/A N/A 2'-6 5/8" 4HB+4RS 50 130.. 115 105 105 95 85 85 1 75 70 NIA N/A N/A CLT-3 3'-0 5/8" 4GB 200 200 180 160 200 180 160 140 125 115 150 135 120 CLT-5 T-0 5/8" 4GB 78 200 180 160 180.1 160 145 110 100 .90 140 125 115 T CLT-8 2 -0 5/8" 4GB 46 10 150 140 145 130 115 90 80 70 130 115 105 3'-0 5/8" 4HB 84 190 170 .155 145. 130 115 .. 90 8.0 . 70 136 115 105 CLT-10 T-0 5/8" 4HB 35 170 150 140 130 115 105 85 75 70 N/A N/A N/A T-0 518" 4GB+4RS 65 170 150 440 130 115 105 85 75 70 N/A N/A N/A CLT-13 F 3'-0 518" 4HB 22 145 130 115 120 105 95 90 80 70 N/A N/A N/A T-0 618" 4GB+4RS 50 14.5 130 115 120 105 95 90 80 70 N/A N/A N/A CLT-15 F 3'-0 5/8" 4GB+4RS 34 130 115 105 105 95 85 85 75 70 N/A N/A N/A 3'-0 5/8" 4HB+4RS 40 130 115 105 105 95 85 85 75 70 N/A N/A N/A NOTE 1:13XH AND 15XH MODELS REQUIRE 2 HORIZONTAL RAFTER STIFFENERS ACROSS EACH GABLE TO OBTAIN WIND LOAD NOTE 2:3TS,5TS AND 8TS MODELS REQUIRE VERTICAL RAFTER STIFFENERS ON ALL VERTICAL BARS TO OBTAIN WIND LOAD NOTE 3:EXPOSURE B-RESIDENTIAL AREAS,EXPOSURE C-OPEN TERRAIN AREAS,EXPOSURE D-AREAS WITHIN 1500'OF OCEAN Nw 1(,4 ,R:rf..�. 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'E�� cMISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA LNCC gSl^a _ 3p \S ry .eG 01 DN W ESd,D a♦DYRp�� aNGf r, f ^..,•b e, ro 0 wl s � Eyr /.ta„cEr.ar�°1r, NOTES: rau warla. ♦i'••• 'r r�snaxexcs\'" a se �4�• !� IiA:: ? "�' !•. IN:Ex 1 / ,,,� I INGGNIERO 1)ALUMINUM ALLOY FOR GLAZING BARS IS 6005-T5. � oxs nnn uvr^elrccr'"2'x"� u�Iw $yfti D►w°� O�°c{'�t`•�+° a' .III \.\ /�/ 1"11; )DEAD LOAD OF ROOF SYSTEM IS 7 PSF NORTH DAKOTA "" �� - FNro 3)CONNECTIONS TO,AND ABILITY OF EXISTING STRUCTURE TO SUPPORT OHIO OKLAHOMA OREGON PENNSYLVANIA PUERTO RICO SUNROOM MUST BE EVALUATED SEPARATELY! .,plN f.A40�%i'. pr.+•'PLYCE fiJ'k h.P!✓tfH�1 V `+ea 1.'.r',pr,''.t YWEI4yd ty3•.'.::<�;C�kyll v.^Iner' 4 � -•..� a �,.,y 'st� )ENGINEERS CERTIFICATION:1 LAWRENCE FISCHER CERTIFY THAT THESE na.Ions; b 1 c .%Vk-I ENGINEERING SPECIFICATIONS HAVE BEEN PREPARED UNDER MY DIRECT �` IDa,E""'x sF.n LAwxixce s SUPERVISION AND THAT I AM A REGISTERED PROFESSIONAL ENGINEER IN '" o+`'.' e°,....e' `♦'?ws�ealP•� T•.._.. 19. 4 FlSc THE STATES SHOWN. w,m -'y�fNCE E154,, .«. -;�j:„iLt r.. 19:1a`r�M`'O.f' AF♦erw� SOUTH&AOOLINA SOUTH DAKOTA TENNESSEE TEXAS iF'`�TMny UTAH VERMONT VI4ARoYnGdui I.�NIA� W.jZASuuHFa_IN;GaT+ZfOF'PN W�JEhb�gSTp VNht11nIkyE�R G I.•N I'A WISCONSIN WYOMING D.C. 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M Al s° ' t oo •b IHuLpTm ° 4 �S • S/eMS SETTING �ux,K ►Iltro HKua9 CCo�e T m m ,., ate�rdti'It,PP►�IyrK C� e P�Aa CAP compLl-(MC9.TAPS F,W— tJA � ll BeR t 8 LA=ipjc (oRP r _ loo cAuL.Ku-A ti IHsuLa•rco c.LAss— �auNtrrl ► 9 f4'•�/�'durjT� a WcrLe oan r C LL INTI:RI012 1 1 O •r 0 .Yi r.�j N'S CEAUTY GAP K•1F1 V PP QDeta11•G•Wa11Bar r � �C w c,LA2rr6 oi4R fcrCFSuntB • SAI4I7E -reAck C17Detail•L•Cro�Muntin , r HMCATZOI ��u((r,tl{oyyso cc (3J bMryC nipt IM'SLJL•Tm ales g ®raGLE anc,SILL 1 . 4H c,L.ez+HF FSA PAN7 ALL ew , Z GLO�iURE E6LDA%l PP M9 N4 riT-groez -jerAzE Of . r.►r',.ry KEWL .� I� ' ?o rr►c,E 4.01,4E►4MA L f1UTCS • - 'i.LAZv�G,t PS7R ---. +, ♦I a L. - r • ! ` FR srLL --- - I _ -5 ('� c00 - S -x 1►tsuLA-rt o G Leas k p f• ' pC &tscA-Efa i _T F L'�Se"1 � �M4 � GOO�t rug r�7� 1�1''� I ------- ••-- •------ SAP �►1sSIt. rro .f�►•4; F1'►+` °r/a• i c. �. srs�o►c 1 4- Y I LlalT'�JH=Tu �yrTM � • �r�n t r/' �� LC R rt Corner0 4-04 n netail•I•Glazina Bar �- I R < a I ch��C� r m 2 I, If I #1324- crz�sc3--f" � I I I i 19rfi I I I i � I � I C jz/�,ICI\ L L E' 2 � SAOno I , � MORTGAGE INSPEC11ON PLAN BUYER: LOCATED IN TO " ANn ITS TITLE 9131.111M MASSACHUSE l l I OFRM 'MAT I HAVE EXM4MED,THE MEMSES AND THE BUILDINGS 9401Ml DO ( ) 0ONF M 10�'�{E ZONING LAWS AND AMENDMENTS, I:i:FRONT, SLDF, it REAR YARD EETBAC ONLY OF TSAR l.ISL�!> � w14EN oONSrnuc1ED. HAZARD AREA M TMAT Td PROPERT IS 11.10T LOCAJBD M THE ES WJSHED FL.ODD DEED 37 5 COMMUNITY PANEL NO.:.IS co j QXl-36 DAIS: BOOK - EXAMINATION OF THE RECORDS IS MADE ONLY SUBSEQUENT TO THE RECORDED DATE OF THE LATEST DEED AND DOES NOT INCLUDE VERIFYING THE ACCURACY OF THE DEED DESCRIPTION PAGE PREVIOUS TO ITS DATE OF RECORD. CERT. NO. - THIS COMPANY IS NOT RESPONSIBLE FOR ANY INDENTURES MADE SUBSEQUENT Tb THE RECORDED DATE OF THE LATEST DEED OF RECORDED. WHENEVER BUILDINGS ARE SHOWN LESS THAN ONE FDOT FROM THE PROPERTY LINE IT IS ADVISED PLAN BK. PAGE THAT A MORE PRECISE SURVEY BE MADE TO VERIFY THESE MEASUREMENT& PLAN i DATED THIS IS BASED ON THE OF bURVE`f MARKERS OF OTHERS, AND DOES I //'' NOT REI'RFSENT A PROPERTY SURVEY. OF J U N C"-' 2•`i , t 0 91 THIS CERTIFICATION.TO Bc} TGAGE PURPOSES ONLY. SOA U: 1 OFFSE SH®WNnAR T TO BE USED FOR THE ABRAENT ROPERTY LINES D RA D O R D a CIiASESE,III ..� ca 15755 N tr��/STEnq` ENGINEERING CO. P.O. BOX 124-4 . — HAVMilLL MA. 01831 FRED W. CHASE °`' R.L.S. #15755 TEL (608) 373-nN THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A , m / LI DATA i 9 33,8 r F f l r !A , .F r � ; e +J E t ' t+fl� cy:ti�rvxfY t�i ►1�fY tvE�"�41�tic1iE Y7CwY r,iiv�fl►fKF4'YUrtP?3 6�irrsK �3eric.t+?.�YaY ro �av: r.L���r�ues . GATE Or 111E U\MST L?'"J) V!- riE,. tT.)n). Y.'.(c'dn" 9lSii17lPiQS xtc.StiOrt t.rss TH:1t C'•9dE FCY.iT FTtot.i Tt,L f'ttL)1-F.IZT':f IaPfE IT IS AeY1MD rLA.11 VV, --...... . ._...__._._._. lfl,m A t:ont ritEm-E nRtwf Er t&,,vr -O ',-m.tfi'Y -Tics-: }SF'„S+JP?•--j., lIs. FIl^Jd TttiS timitirict°,t mi t5 sm, ai n!E tr.n.'Z 9F SURVEY MAID OS I- UtItFR!T, AM bOrS Floc P"EF'tt::I r A P'R F Z,TY SURYi Y.�j"`' L�r •� _--.:-.�- __._—. _E. ---- !4 ?I 1111S CER1111UMION ID 4 ���f�t ld(J -GAGE PURPOSES ONLY. _ ------- l • , ---�, ti --- -- oITSE" S11�I�11t�a ; ic�r �o �� USED FOR THE ABLISf1b9ENY .`, ROPERTY UIdES [^') a CHASE,III B A D F O R D ZJ�I',ci) J _ G RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= '=;Vo x.0031= plus from below(if applicable) 1 ACCESSORY STRUCTURE>120 sq.ft� >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x.$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcosi v: Engineering Dept. (3rd floor) Map Parcel _ / J�:W Permit# ` s 4,91 House# "r y G • Date Issu ed Bo -4.30) t Fee r Cons Officel-(4th-floaro-( 30-9:30-/1.�0-2:00) Plate t-il'oorfSehool-Admin— 1HE„ D 13i1t1�e Plari A roved by Planning Board 19 i gARNSTABLE. { MASS. �rFO MA'S a` TOWN OF;BARNSTABLE. Building Permit Application Project Street Address 3-2 Village + Owner Addressd- Telephone0� Permit Request First Floor /'�dy square feet Second Floor ,60 0 .go, square feet Construction Type Estimated Project Cost $ 4O Zoning District Flood Plain Water Protection Lot Size 3� L �hes Grandfatheted ❑Yes XNo Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ANo On Old King's Highway ❑Yes Xio 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 4 No. of Bedrooms: Existing 3 New Total Room Count(not including baths): Existing '7 New First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes . *-0 Fireplaces: Existing ,/ New Existing woo coal stove' AYes ❑No Garage: Y�Qetached(size) -3- / Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name 4�6—�8 Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO S9IGNATURE DATE BUILDING PE IT NIE OI�; HE FO WING REASON(S) ^ - :FOR OFFICIAL USE ONLY 4 PERMIT NO. DATE ISSUED: MAP/PARCEL NO. ! ADDRESS t VILLAGE OWNER DATE OF,INSPECTION: FOUNDATION FRAME INSULATION , rr lam'> • -a - FIREPLACE 9 '•� x`, ! ELECTRICAL: ROUGH 'FINAL + PLUMBING: ROUGH }FINAL • s, GAS:- ROUGH FINAL , FINAL BUILDING DATE CLOSED OUT ASSOCIATION-PLAN NO. The Town of Barnstable NAM �0$ Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissions For office use only ` Permit no. r Date AFFIDAVIT -HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: 11.4,44A2 Est. Cost Za DSO-D G Address of Work: • , , P 7Z Owner's Name Date of Permit Application: �� 1 hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITIIi UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a ermit as the agent f o er: Date Registration No. OR •�� der� The Commonwealth of Akssachuse11% �"► ---. 1: Dc parnizent of 111ditstrial Accidents :i Office o/laveS11921lons 600 !f'a-vhin,�tun Street Btivint. A1ass. 02111 Workers' Compensation Insurance Affidavit Appitc:tnt information: Pic:tse PRINT Iebjv - _�_..._..-.... IS40 k 1/-0 r/ i c 1 ti n n Cin. 0QJ?)dkA & CA 3, I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity [I I am an employer providing workers' compensation for my employees working on this job. emmmnnv nainv* ntltlrest• citt: nhnne k• . insurance co. poiicv 0 [J I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: comminv name: ndriresc� phone 0- insurance rn. nolicv i •e - v-•^_-"' _ �..1... - -- rr--�::—^tom tT••r-..w•y.. —�.._ ...•..�,...�-..._..._ __..__._ .. .._ ...�_-....._ r_r..aa�..�.- .�-:ter' -_ �• _ _ � a• _ � _ .��_:�a��- .a.--_ cnnirmn\' na►ne. ndd ress' rite phone 1#• insurance co, nolicv a Attach additional sheet if nece ec ssary : � ^- - ��' _`�S Z Ju."_-- �_�'�-^���'�'�•"� � r^"�- '.= ---"' - `--___ F::iiurc to sure coverat c:ts required under Vie+ c_ t0 3A of 111G � L 152 can lead to the imposition of criminal penalties ol'a line up to SISOU.UU andrur une wears' imprisonment as swell as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a cop} of this statement mac be forwarded to the orrice of Investigations of the DIA for coverage verification. I rlo herch, • •under thAiaiin d penalties of perjure•that the information provided above is true and correct. Signature Date/ Print name Phone# official use unty do not write in this area to be completed by city or town oRcial -� city or town: permit/license i# riguilding Department CLicensing Board [� check if immediate response is required aSeicetmen's office t 011calth Department contact person: phone#; rJ0thcr information and Instructions Massachusetts General Laws chapter 152 section 25 requites all employers to provide workers' cnnipensation for J employees. As quoted from the an e>»rptnree is defined as every person in the service ol`anciiT cr under any contract of hire, express or implied. orni or written. An emp larer is defined as an individual_ partnership, association. corporation or other legal entity. or any two or me the fore�_oin�s enzagcd in n joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership. association or other legal entity, employing employees. However owncr of a dwelling house having not more than three apartments and who resides therein. or the occupant of the dN%!cllin,, house of another who employs persons to do maintenance , construction or repair work on such dwe1lin7 f� or on the :rounds or building appurtenant thereto shall not because of such employment be deemed to be an empiov MGL chapter 152 section 25 also states that ever• state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence.of compliance with the insurance coverage required. Additionally. neither the commonwealth nor anyof its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chaste..- been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation anc supplying company names. address and phone numbers as all affidavits may be submitted to the Department of � be sur e to sign and date the affidavit. The coverage. Also co _ Industrial Accidents for confirmation of insurance b affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are reouir: to obtain a workers' compensation policy. please call the Department at the number listed below. City or Please be sure that the affidavit is compiete and printed legibly. The Department has provided a space at the bottom. ,the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. P be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returner the Department by mail or.FAX unless other arran`ements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any quest, please do not hesitate to give us a c:.11. .�--•,sue•—.�-� ..._..--•..— .--..—. The Department's address. telephone and fax number. The Commonwealth Of Massachusetts ' Department of Industrial Accidents Office sf Investigations 600 Washington Street t` Boston,Ma. 02111 fax T: (617) 727 749 i • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please Print. DATE - JOB. LOCATION/ 1, iiau zid, a. [- NumbezU Street address Section of town "HOMEOWNER" 6� 7 ® Name Home hone Work phone - - f f PRESENT MAILING ADDRESS . City town ', State Zip code The current exemption for "homeowners" was extended to include owner-occupies dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to re side, 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 Offic'_ .on a form acceptable to the Building Official, that he/she shall be responsih- for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes .responsibility for compliance with the St Building Code :and other applicable codes, by-laws, 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 wi. said procedures and requirements. HOMEOWNER'S SIGNATU APPROVAL OF BUILDING ICI Note: Three family dwellings 35, 000 cubic feet, or larger, will ' be required to comply with State Building Code Section 127. 01 Construction Control. ~ - --��- U � � [ - , � THE ����� ��� � � � �� � � � � � TOWN�� |"� �-��� BARN STABLE ]� ������ ����u | t 33AWSTABLE, .' ^� � NAM BUILDING � �� 0 N/ �� 0 �� INSPECTOR ���� �� �� 1639. . � ��� 0 �� 0 �0� 0 ����0� 0 �N �� � p �� n� � �==~ = °� =m � °� �r� ��~~ � �� �� ./ � ^ ` APPLICATION FOR PERMIT TO ---��n/^/_. _. ______________.________. TYPE �� ----.. —.. '^" --__________. . . CONSTRUCTION�� --.�---' ----..`,. . ------------ . J�7- TO THE INSPECTOR OF BUILDINGS: ~ The undersigned hereby applies for o permit oc�nnJing to the following information: Location ... -4%.k......... / �.. -. ................................... ----------- � ProposedUse --------------------~,___-----------~___________,_________. Zoning District ...... ........ ---------.Rne District ......... -� .. Name of Owner ....L1"pxlr....I.Vilz4e.;�............................Address -6—k.1-vwoyna .zz41....... .................... - ^��� � Nome of Builder -,�°��«�m����-..����`k.--._---.A6J,ex ..�7-.,���m+�^��..x�m--. Nome of Architect ----------------------A6dres -----------------.------..---. � Numberof Rooms ----..`« ................................................Foundation ........ ................................................... Exlerio, ----�v���A ---------.RooGng - -�����n��.. ........... Floors ....... ..----------------|n^orior --�W�������*�^���---____________� � Heating ---.° .----------------.P|om6ing ---, __________________ �� � Fireplace ---.����...............................................................App,ovimoop Cost'- .����_______.. � / Difi hive F1on Approved�,�o 6v Planning Board 19 . Diagram of Lot and Building with Dimensions � sin Liu � � LU Uj Uj -- UJ � 0 < Z \ v ~ :1 � Ce LJ « | � � ` ' � | hereby conform to oU the Rules u|otono ofth ; ing fhe obovo conohbcUon. 7 . � Name - ~.-.�-~----'----~ . � ~�^� � , ' . � Killer, John ' I4810 add to - ' uivaw \ No ................. Permit for .................................... family dnmnlL1rg ' —.—.--,.—.--.--.--.-----..--.—.-- ` 7324 �rai Beach RoadLocation --.���..-___.�.���°_..................... ' Centerville —...-.---.�.....................—..---..----_ ^ John Hiller Owner -----------'--^--------' ' ' frame Type of Construction -------------- ' --.---^—~.....---.----.--.—..._-- Plot ............................ Lot ----------' . � y / ° Permit Granted —. ..l—.-----..lq 72 � Date of Inspection --- lg - v ^ / ~~'~ Completed ~ | .7 ' / PERMIT REFUSED [ " � ~ -----_---.----------.- lA ' ' ...................................".—.------..-..—...— / ' � ^f ^-----^^^^—^'`^^---~----------'' ^^~^^^~'—'--''----'----'-^`—^---'—^ . ' � r����'`^[� `l � ,_----_------.--' l� � � ---------------.—....,—,.~..—.— , . . . - ----------.--------.—..-.....— �