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HomeMy WebLinkAbout0032 FULLER ROAD f �/�--- � � z _ _. x � � � _ _ _ 4. - � .. A _ .. �T .� .. ..ti � ,. �% �� 9 .. f Town of Barnstable `�� "Permit# � o� Regulatory �:m G�nnrrrlcs om dare . b >ry Services Fee , (o t3AMI�STABU- � MASS.�E1 59. 16 Thomas F.Geller,Director Building Division Tom Perry-,CBO, Building Commissioner 200 Main Street Hyannis,MA 02601 . www.iownbamstable.tm.us Office_ 508-862-4038 TQ sFp 095 - ®� 6230 EXPRESS PERMIT APPLICATION — RESIDEN aoA p (� Not VaL&wuhoiit Red X-Press Invrinz Map/parcelNumber b Property Address �,—Q e r RCA. (P-A jIe ,V:((c— / AA O Z G 3 6 Residential Value of Work ork S 6 C�U:C� Minimum fee of for Y work underS6000.00 Owner's Name&Address S c,S avtsl e. q6 Contractor's Name I—V-0� Telephone Numb (��5 f��ut� t l.l�l/ - E � er Home Improvement Connector Liceme r(i applicable) I Id 5 3 EnZ � rConS �ce�v,�CuOPc� CAM Construction Supervisor's License#(ifapplicable) qTQ Workmaes CompensationInstrance Check one ❑ I am a sole proprietor Ramthe Homeowner haveWorker's pensatilnsirance Insurance Company Nam St+e Insuira' Vi6e, co f Worksnan's Comp.Policy W 0 Copy of Insurance Compliance Certificate must accompany each permit. Perna Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shins s) All construction debris w-Mbe taken to ❑Re=roo£(hurricane nailed)(pot stripping. Going over existing Iayers ofmof) MRe-side Replacemenz Windows/doors/sliders.U-Value 30 (maxir2n3n,35)0 ofwindows ofdoots r ❑ Smoke/Carbon Monoxide detectors 4 floorplans marked with red S and inspections required, Separate Electrical&Fne Permits required. °Wk=e required:Issuance ofthis permit does not exert coup]iattee with other town dgWtMeatregnlatvns,ie.Hiaocic,Conservation,etc, *"Note PropertyOwmrtrtustsignProperty OvmerLetterofPernnhsion A copy of t e Home Improvement Contractors License&Construction Supervisors License is required. ; SIGNATURE: t C.\Users\decoUk'AppData'LocallMieroso$\Wiadows\Temporary I=MnnFr7eslComemAudook\M76BDVAtDMv ESS_doc Revised 061313 r FRASCON-01 PAAS �...- CERTIFICATE OF LIABILITY INSURANCE DATE(MMlooNYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HO(LDER.ITHIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 13Y THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), PRODUCER CONTACT - - Viveiros Insurance Agency,Inc. (508)676-0309 NAME: Ashley Paiva 375 Airport Road PnHrc No Exr: 508-676-0309 127 iAtC,No): 508-324-9147 Fall River,MA 02720 ADDRESS:APaiVa@ViveirosinsUrance.com INSURER(S)AFFORDING COVERAGE - NAIC N INSURERA;Granite State Insurance CO INSURED Fraser Construction LLC INSURERS;' PO BOX 184.5 INSURERC: Cotuit,MA02635 INsuRERD: INSURERE: INSURERF: 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 REQUfREMENT,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, TWR LTR TYPE OF INSURANCE INISR WVD POLICYNUMSER MIDD MMIDD P LIMrrS GENERAL LIABILITY $ COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE - TOWERTED PREMISES(Ea occurrence) $ CLAIMS-MADE a OCCUR - ... - MED EXP(Aryans person) $ PERSONAL&ADV iNJJRY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COfdP10P.4GG $ POLICY I PROECT• f7 LOC - - AUTOMOBILE LIABILITY $ - INEU Ee accident) L'MI $ OWNED ANY LLOW O BODILY INJURY(Per Person) $ AUTOS AUTOS�ED - BODILY INJURY(Per accident) $N09OWNED - HIRED AUTOS AUTOS Peraccider)A A _ $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAMSMADE ' AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY WC STATU• OTH- YIN TORYLIMIT ER A. ANY CERIM MB RlPA EXCLUDED? tXECUTIVE WC009930601 9126/2013" 9/26/201d(Mandatory nNH) EXCLUDED � NIA E.L.EACH ACCIDENT $� 500,000 (MandatorylnNH) - - _ It yes•describe under _ E.L.DISEASE-EA EMPLOYEE $ 500,000 DESCRIPTION O-OPERATONS below - - E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCA71ONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable Building Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601- AUTHORIZED REPRESENTATIVE 01988-2010 ACORD CORPORATION- A!1 rights reserved. ACORD 25(2010/65) The ACORD name and logo are registered marks of ACORD The Comm'0.7wealth 0f Massachusetts Department of Industrial Accidents Of b ce ofInvestigations J J S00 'Washington Street .`�\ Boston, 211A0211.7 - WIVW.r^r2Ctss.gov/Clla . . . Worker•s c;ompeusatian Insurance Affidavit:Builders/Contractor slElectrieia s/Pl>ixnlyers Applicant Information Please Print Legibly Name(Business/OrganizationdndividuaI): Address: Uty/state/Zip: vii >� Da C�35 phone#: .Are you ant employer?Check the appropriate box: Type of project(required): I- LJ I am a employer with New ccrsactiot I a a general contractor and I have t5. employees(fall and/or part-time).* hired flee sub-�oa:tractors listed on the r�ed siieet# 7. &Remodeling 2, E] i am a sole proprietor or paxtnetship These sub-cotztractots have 8• El Demolition and have no employees working for employers and have workers'comp. 9. Building additiotZ mein any capacity.[No>xlorkers' insurance.]= comp insurance re uired. 10 Blecatieal repairs or additions 4 l E'We are a corporation and its ��-••-� officers have exercised Their n&.of i l plumbing repass or additions 3•LI 1 am a homeowner doing all work exemption per MGL c.152§(4),and 12,Q Roof repairs myself.Mo workers'comp, we have no employees,[i!o workers' insurance required.]1 cc p•insttmnce requLzed-J 13.a Other 'Any applicant that checks pox#1 trist also Bit out The section belo:v snowing their wa-kers'.compensation-policy i onrAon. t Homeo-nms oho submit this affidavit indicating they are dohs all work and then him ot,MW_-contractors must$ago t e new aCGdavit indicating sash #Cantracmrs that check this box must attsch as additional sheet showing the name of the sub�contracto.s and state whether or not.those entices have employees.;f the sub-coaax;.tors have employees,they mast provide their vjorkcn'comp,policy number. I ant an employer that is providing vOrlcers'compensation insurance for my employees.Below is the policy and job site inforrtutTion f�. Insurance Compa_ty Natne: ��n•j 1 e S�CL �� �al !Ce 6 Do Policy;`or Self-ins.Lic../� qq 3D(�D l Expi-ation Date: Job Site Address: City taterap: C�� t W tle. / U�? Attach a copy of the workers'compensation police declaration page shownxn the olicy.number and e P g ( S P expiration date). one-Fai!ure to secure coverage as required under Section 25A.ref MGL a 152 can lead to the imnosition of criminal penalties of a fmc up to$1,500.00 and/or one-y Ar impcisosmeat,as%yell m civil penalties in the form of a STOP WORK ORDER sod a fine of no to$25o.00 a day agaiost'Caeviolator.Be advised that a copy Of tlis statement may be forwarded to the Office o?Investigations of tho DIA for insurance coverage verification- X do hereby eerie the. enalties of perjury•that the information ided one is tru correct. Signature: Date: q q /zf Phone#: 02 Official use only.Do not write in this area,to be completed by city or town official I City or Town Pe.rmit:Ucensen Issuing Authority(circle one): E 1.Board of Ilealtli 2.Building))epartment 3.City/Town Clerk 4.Electrical inspector 5.Plumbing Inspector . I J 6.Other Contact person: Phone 4: Mass7ciiusett5 -IDeimitaient of Public Safety f' Board of Building Raqulltions and Standards ' '. '. I CnnstructiunSuiTcr�isnt• . i License: CS-097668 Eli) DEAN C FRASER`� 104 TWMN VIEW I AJ " �.: EAST FALMOTJIAF� S ' Commissioner 06107/2015 ,� j ]; Office of COnSumer Affairs and Business Regulation IO.Park Plaza.- Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 112536 TYAe: DBA FRASER CONSTRUCTION CO. Expirason: 3/23/2015 Tr-- 237o5s DEAN FRASER P.O. BOX 1845 COTU IT, MA 02635 Update Address and return card-Mark reason for change, sr,;n, a onrrri•, _ G Address Renewal 0 Employments Lost Card - Office of CoasnmerA(rirs&Susiacss gcguLltion License or regisaatioa valid for iadividul use only 2��r OME JMPROVEMENT CONTRACTOR before the expiration data Iffonnd return to: ri eglstrdtion: 112536 Type: Office of Consumer Affairs and Business Regulation 1. `,.. =" i7,?Jtxpiraffon: MT>_=015 _ DBA 10 park 1'lazs_Suite 5170 FRASER CONSTRUC rioN CO. Boston,MA 0-,116 DEAN FRASER 104 TWINN VIEW LANE E FALMOUTH,MA 02535 v Uadersc rotary Not valid withqut signature {"rarer Construction, P.O. Box 1845, Cotuit, MA. 02635 Email: info(,,fraserconstructi©ncapecod.com www.fraserconstructioncapecod.com Phone 1-508-428-2292 &FAX 1-508-428-0123 DATE: 4J 15014 PRONE: 011491721359070 � NAME: Susanne Dettinger-Klemm - 0114915164962717 EMAIL: susd gnax.de 508-771-0089 r � MAIL ADDRESS: N/A FOB ADDRESS: 32 Duller Rd..Centerville, MA 02636 WORK ' // 1. Remove and replace all windows excepting kitchen on r residence with Andersen 400 series tilt wash double-hung w,,ndows. Windows to have option for 4 over 0 interior ? g S removable rails. Windows will have "Estate" series.hardware•-�� finish. All exterior trine to be PVC applied with hidden fasteners. All interior trim to match existing, painting is not included but can be quoted. Price includes removing and replacing bay window in front with new beamed out triple unit to create day bed area. . Roof over bay window will be standing seam copper. Window units- $13,325 Labor- $10,820 Trim materials- $3,200 Copper roof- $1,850 Total for all windows- $29,195 initial 2. Remove and replace front door with Therma-tru smooth star iaiberglass 4 fate door. Door will be flush glazed, price includes supplying and installing an Andersen storm door with retractable screen. Thermatru door- $1,600 Storm door $500 Labor- $1,040 L _ 1* Total for front door- $3,140 Initial 3. Remove and replace all trim on residence'with PVC applied with hidden fasteners. Irian price includes supplying and installing recessed lights in foyer entry ceiling as f well as 2 1 ood lights on re ar ear of residence. Labor and materials- $11,975 Initial 4. Remove and replace clap board on entire front of residence with "Nardi Board" prefinished cement clapboard. Labor and, materials $4,600 Initial �. Remove and replace remainder of siding on residence with S3C 2 coat "Cape Cod Grey!! stained white cedar shingles. Labor and materials- $17,435 Initial 6. Remove and replace all gutters and downspo* uts on residence with 59! K style aluminum gutters and downspouts. Labor and materials- $1,700 Initial (v aL contract r ice for aiFi W`IfittC�;iQ ws, thrim, os`iQtL�p'?g tte °S. g r r Qa 1 Deposit due is $22,68 PAY-° ANTS ARE D UE'IMMEDIATELY. AFTER JOB COMPLETION. Paynaent Schedule is 1%3 deposit, 1/3 job commencement, 1/3 upon completion. Payments accepted are: CASH- CHECK-MASTERCARD- VISA AMERICAN EXPRESS ' Azy payments not immediately paid upon job completion will be charged 0.005% for every day after the given 5 day grace period upon day of job completion. 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 a pon the above work. We, if not-accepted d within thirty YdaYs may withdraw this proposal. . FRASER CONSTRUC1NON, LLC: Carries Workman's Compensation a�d. Public Liability Insurance on the above work, certificate available upon request. DATE OFACCEPTANCE: ^� 3�L!/ C' Ham owner raser Cons trU.e ; LLC �;• X-PRE S PERMIT • DEC 7 - 2005 Town of Barnstable *Permit# 9 u Expires 6 months from/issue date TOWN OF BARNSTABLE Regulatory Services Fee `ob Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5 -790-62 0 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint ap/parcel Number •operty Address c _�� (Le r 1 Residential Value of Work d p p Minimum fee of$25.00 for work under$6000.00 wner's Name&Address Dntractor's Name r f' Telephone Number�(k�� ( ,2-'(o qV Z ome Improvement Contractor License#(if applicable)_ Dnstruction Supervisor's License#(if applicable) KJorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [ 'I have Worker's Compensation Insurance surance Company Name 0 t . 6� • h f p6iA 2(U U 60A 101 'orkman's Comp.Policy# 5 eq q e; opy of Insurance Compliance Certificate must be on file. :rmit 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 [ Y1 a S+ru4OnLt Replacement Windows. 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. Home Improvement Contractors License is required. :GNATURE: Forms:expmtrg vise071405 ti OFT FIE rqy, Town of Barnstable Regulatory BARNg y Services. y sSBM M , Thomas F.Geiler,Director Fn 39. 16� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 0 04 4 as Owner of the subject property hereby authorize & r i L to act on my behalf, in all matters relative to work authorized by this building permit application for: r:--L)(lel- 0C( (Address of Job) Signature��r Date d "cj'� /4lle Print Name Q TORM&O WNERPERMISSION T Board of Banding Regulations and StaWarda HOME IMPROVEMENT CONTRACTOR Reptetra 100: 12W93 EKpirsaw. &3r,=e Type: Supplement care THE home Depot At-Home 3"c MARK AUDETTE 3200 GOBB GALLERiA PKWY#20 ILTANTA,GA 30339 AdmialNrater Lketaae or*e6�tt'tian valid for Mdsvldet ase oatY tlti date- if faued return as before e et: R *W as I*d Stan 1sca d of satoo s Re R laol �� one Af17 Boats,ML$2108 t f- FIHE ram, Town .of Barnstable *Permit# 5 5 S Expires 6 months from issue date . i BARNSTABLE, Regulatory Services _ Fee 2 / 9MASS. Thomas F.Geiler,Director �A�ED MAC A, Building Division X-P Tom Perry, Building Commissioner � d 200 Main Street, Hyannis,MA 02601 J U L 1 8 2005 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTASLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 1 � y 031 Property Address 3 9 le—r ^,&. 0 V 111 [Residential Value of Work 44, q-6 0-Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address I M Contractor's Name t�-1►��C �l�A Telephone Number 0- Home Improvement Contractor License#(if applicable) 154310 , i Construction Supervisor's License#(if applicable) ❑Workman' Compensation Insurance C ck one: WI 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 be on file. Permit R;Re-roof es (check box) (stripping old shingles) All construction debris will be taken to i ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44)': ,per _T *Where required: Issuance of this permit does not exempt compliance with other towl! �\ Board of Building Regulations and Standards HOME IOVEMENT CONTRACTOR ***Note: Pro erty Owner must sign Property Owner Lettel' 24310 Re istratlom. om Improve men ontractors License is requireI �}f2007 Signature — t�i idual James Curley " Q:Forms:expmtrg James Curley Revise063004 287 Fuller Rd. n p eytl. � Centerville,MA 02632 Administrator P ti. 'P' -- The Commonwealth of Massachusetts .- _ Department of Industrial Accidents Office of investigations 600 Washington Street, 7`h Floor Boston,Mass. 02111 Workers'Compensation Insurance Affidavit:Buildin lumbin /Electrical Contractors #�a_.sh, ,., �-•.fps name: J address: ci f�Q & a t state: 11 1 zi vDiu O hone# �� O work site location(fuli address):,0s "`-'t C.� 1��� "' • Q - ❑ I am a homeowner performing all work myself. Project Type: ❑New Construction❑ emode ❑ I am agsole proprietor and have no one working inl�any capacity. Building Add tion Q 'JF.ae-:�iA.u' pq�.SY"gr Siirll � �. # ,1r'�SiS��IZ...M�fm lr n.:•�a+ ❑ ' i .�s,i••:pw. t..hA�n ❑ 1 am an employer providing workers' compensation for my employees working on this job. comps v name: address: city phone M. Insurance co. oil # ❑ 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: company. name address: city phone M insurance co. oHc # comp ny name: address: city phone#• oil insurance co. # Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties:of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage verification. I do�ere'y c ntf+under th p ins and penalties of per'ury that the information provided above is true and c rrect. Signature Date �� Print name 1 Phone Echeck nly do not write in this area to be completed by city.or town official : permit/license# ❑Building Department ❑Licensing Board mmediate response is required ❑selectmen's Office ❑Health Department on: phone#; ❑Other 03) 'HQ, n af.Barnstab e Regulatory Services 'Thomas F:Geiler,Director n d ���$ Binding-Divis ion . .. _.. .. '0lant+�y -TomPerrp;-'$Wilding Commissioner- - 200 Main Street, IiYmais, MA 02601 *w.town.barnstable;ma.us Fax: 508-790-6230 Office: 508-862-4038 -Property Owner Must Complete and Sign This Section If Using ABuilder as owner of the subject property hereby authorize to act on niybehalf, in all nistters relative to work authorized bythis building permit application for; (Addtes s of Job) -7 I� Date Signe f er Print r�