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HomeMy WebLinkAbout0086 GREEN DUNES DRIVE �'Cv �-�-eeh�c�nes��r� _ . -- �,; n t � � �a .. o - 1! r{ .. .� ] e _ o.. e o ,j o 4 Town of Barnstable *Permit Gceoz— Expires 6 months from issue date Regulatory Services Fee , 0 1 -PRESS PERMIT Thomas F.Geiler,Director JUL 13 2007 Building Division Tom Perry,CBO, Building Commissioner 'I oWN OF BARNSTABLE 200 Main Street,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 Oz%9 l/L'7I Property Address �6 ('�l'CC&2 4M 2e S esidential Value of Wor?_ Z � Minimum fee of$25.00for work under$6000.00 Owner's Name&Address� � Ci.f /�/. �azr Contractor's Name _C.r.�Q�--L. �fa f,r/� Telephone Number` K— 7t-740 Home Improvement Contractor License#(if applicable) //99 S.3 Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance. Che 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 be on file. Permit Request(check box) / Ze-roof(stripping old shingles) All construction debris will be taken toi�'�dt/l'� / .•d /� ❑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 Le er of Permission. A c of the Home Improve t on for ense is required. SIGNATURE: ,, 6421 Q:Forms:expmtrg Revise061306 _. --�-- �•_..----✓lze -Pam�rnnYze�uea� °����u�,2r��ivae� I �\ Board of Building Regulations and Standards } HOME IMPROVEMENT CONTRACTOR Registration �119983 a EkOlfl ti n :9/28/20,07 Trl� 128203 i F 4TyPe DBAi SHON A SCHOFIELDZ'HOME MAtN:&REPI SHON SCHOFIELD' i 15 PARTRIDGE VALLEY;RD Administrator W.YARMOUTH,MA 02673 ,_ _------ Carbonless g`�';aaams —— ———— —_ NC 3818-50 3 PART _------------ —---- PROPOSAL .,_ ;� 0PROPOSAL NO C d fi *-/f951 S� rpv+ l�lr r , ii'f� SHEET NO t.. ya v -.1 /7f 1 Q 0 U r7 7S- �G.�5/ DATE PROPOSAL SUBMITTED TO: NAME .. WORK TO BE PERFORMED AT ` ADDRESS ADDRESS DATE OF PLANS PHONE NO. k � 79 ARCHITECT We_hereby.propose to.fLirrnsh=the materiels`and"perform Ih 'labor.Necessary fob ttie com�lefion o 3 Cy . r e� 4� I P All material is guaranteed to be as specified, and the above work to be performed in accord with the drawing /s cations submitted for above work and completed in a sub taiitial workmanlike manner for the sum g fd`secs I '.. o f Dollars ($ ©c with payments to be' made as follows. � I Respectfully submitted Any alteration or deviation from above specifications involving extra costs i will be executed only upon written order, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, ac, Per cidents,or delays beyond our control. Note-This proposal may be withdrawn by us'if.not accepted within�days, 7 -ACCEPTANCE-OF PROPOSAL =' fiht= above prices, speclflcatlons and conditions are satisfactory and'are.•hereb cce ted Y. are authorized to do' the work as specified. Payments will be made as outlined above. f Signature )ate I e� Signature i ,per 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 Le 'bl Name(Business/Organization/Individual): loel Address: •� . 77s"-.�ooy • • City/State/Zip: Oat 4 73 Phone. sow- #. 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 I 6. ❑New construction . loyees(full and/or part-time).* have hired the su-b-con ractors El2. I 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 an capacity.' employees and have workers' Y ca P tY #• 9. E]Building addition [No workers'comp.insurance comp.insurance. required.] S. We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 11. Plumbin repairs or additions 3.❑ I am a homeowner doing all work , g eP , , , myselL [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. ZContractors that check this box must attached an additional sheet showing the name of the sub-contractors end state whether or not those entities have employees. ff 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.M ExpirationDate: 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 certifyzZa 7 and t pains-and penalti of "jury t at the information provided above is true and correct: Signature: Date: Phone#: - 7 r- 70del Official use only. Do not write in this area,to be completed by city or fawn offlciaL City or Town: PermitUcense# 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#: I Informnation 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 of the foregoing engaged in a joint enterprise and including the legal representatives of a deceased employer,or the receiver or trustee-of an individual,partners*;,adsociation or other legal entity,employing employees. However the owner of a dwelling house having not more than i6 '4kr�dnMkud wh'e,6sides,therein,or the occupant of the' dwelling house ofaanother-who employs persons•to do�ainter4ance,construction or repair work on such dwelling house w. .. . or on the grounds}`ot`6tilding g3pUrtbnt thefetti'shall not t5ec'�iase ofuC1 `em�oymthe•tl�ame'dsto he an e'mployer." MGL chapter 152,-§25C(6)also states that'"every state or local licensing agency�shall-,W@S d 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,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract foz the performance of public work until acceptable evidence of compliance with the inrance 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,it necessary,supply sub-contractor(s)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 partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that ibis affidavit may be 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 workeis' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-instirange 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 permit/license 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 fo 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 fo give us,a call. arhnent's addrea's,`telu�hoiie`and fax number:. `�'='• ; w :- �`- '"�'' ' - The D P eP .: T i� Commonwealth of ""s 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 11-22-06 www.mass.gov/dia Town of Barnstable *Permit# ao y/d Expires 6 months from Issue date Regulatory Services Fee co PERMIT Thomas F.Geiler,Director t►�41 Building Division Q O C T 2 4 2006 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 TOWN OF BARNSTABLE 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.0T76 l c,4, Prope Address -�I ne,& dve-S �� Residential Value of Work /}(� Minimum fee of$25.00 for work under$6000.00 —47 Owner's Name&Address A;A i ,Z?.�Z Z Z 1; SO IF CI&�� C' zer ' Contractor's Name 40 7/�/ Telephone Number C"Q k Home Improvement Contractor License#(if applicable) //9,9,F Construction Supervisor's License#(if applicable) ❑Workman's C94ripensation Insurance Che 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 be on file. Permit Request heck 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 ❑ 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 O er must sign Property Owner Letter of Permission. Horn vement Contra ors 'cen is re ire t SIGNATURE: Q:Fomts:expmtrg Revise071405 rROPOSAL f e c a � SHEET NO I a x� P OP05,4 Sul3MInED Tfl r µ i NAI�IE �' b WflRKTO`8i_�EI �QRMEpAT ^� 5 „" 71 ov1 g. ADDRESs- } :a �d q DATE QF''. NS PHONE.N0. i ARCHITECT '' bcv „� t`,fgsy 7 cb r ,tea�z e 'WeFterebY propose fournt r the mairlalsanFf=` 's v �� iss� Rz � t 4 d perform thelafor necs�sa for the cde,+ tb �„" , y�• s. '� ,.n� ``' a� ... M sT r c ,y�r , � "'S a m r g" : F� as 77 �' s�'� <f5r %�. •fib - `�'`' �, '�. R ��t r L Z f E 'eLC 1,Sg i3 �' r -1 k ..+ 77, 777 7-7 �• Cfi n 4 II m�Ce�ia -is guaranteed to be as specified;:and they above work to be performed In 'accordance with the drawings and specifi- ations submitted for above work and completed in a substantial workmanlike manner for the sum of I Flows Dollarsith payments to be made as fo . f ' ) I ll Respectfully submitted : j i alteration or deviation from above specifications involving extra costs be executed only upon written,order, and will become,an extra charge r and,above the estimate. All agreements contingent.upon strikes ac Per . nts oi'delays beyond our control { Note .Thls proposal may be nnthdawn i by us if riot accepted wig rn days 4, ACCEPTANCE OF P a r {px�, pprAy Ata ' a#�ove prices, spQclfications and contllfions are sat'isfacto."rjr and stare he"reb k 4 'e specified Payments well be`made as outlined above Y accepted,;You are au#honzed #o do the work Signature Signature � NC 3818-50 PRO,PQSAL - BDard of Buildin _-------- ' g Regulations and S HOME IMPRpVR-bards ,, ME NT COtgTRACT�AR r, Reg�$tcatron - ' � Qfatjgt+valid for individul use onl 119983 �Iie sA.il ation.data. Y 8( pti7 AO d 41f.Bjjij#jn If found return to: g Regulations and Standards jr€ T �0 A �A!Alihi/4 11 'late Rm 1301 $HON A SCHOFI6' tr��, ! ,&REPI Bo$tRn'Afa'Q2108 SH.ON SCHOFIELL�QM M14 Nl ` 15 PgF�Tki(7 t VALLLX� _ ,,. W:YARMOUT'H.MA 02fi73 -- _._ _.. Adnnst� .__ . _`----- - ato5 - Not valid without sign re --- The Commonwealth of Massachusetts Department of Industrial Accidents i mot• '� Office of Investigations 600 Washington Street S11E� ; `a w f e. Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): jl� Address: �J�.l"4r_ q � �it� 9�r�Q�>-?• Oaz<7 City/State/Zip:/Z/ 0a623 Phone #: SD5--7'2$" 7aa 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 I 6. ❑New construction ployees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet. t 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity., workers' comp,insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.] t 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 hue 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 their workers'comp,policy information. 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under th s and pen. It' of rju that a information provided above is true and correct Si ature: Date: Phone#: 4 �� 77�� 7" Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: R r Town of Barnstable *Permit# D ®!Y Expires 6 months from issue date nAmsrABIE. ; Regulatory Services Fee Y/e A`0$ Thomas F.Geiler,Director O zk4 Building Division 00K_ I X*PRESS PERMIT Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 O C T.2 0 2006 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BAR PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint.. Map/parcel Number 0 5 /-7 Property Address /A- A� � d ��: Residential Value of Work ,Q Q(3 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address O a M Q 5 'i e S Contractor's Name_PCKIj1 C iCS Z.;Q AJ \T Telephone Number SO 2 F_ Home Improvement Contractor License#(if applicable)__,A�3 ` Construction Supervisor's License#(if applicable)_ ('Z(0 3 2 S \Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name n7[ \/Q,1,1 i � Workman's Comp.Policy#_ 1) �Q j' C(S ll U 1 A O to Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to o V 44\ La vk� I ❑Re-roof.(not stripping. Going over existing layers of roof) ❑ Re-side A ❑ Replacement Windows. U-Value (maximum.44) •Whcre 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. Ho Impro ent Contractors License is required. SIGNATURE: Q:Forms:cxpmtrg Revisc071405 The Commonwealth of Massachusetts I I - Department of Industrial Accidents Office of Investigations r 600 Washington Street Boston, MA 02111 e www mass.gov/dia. :Workers' Compensation Insurance Affidavit: Builders/Contractors/El ectricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual):_ 11 ( t-�— � —��C Address: L b Ci /State/Zip:�r� t V � �h � O Phone S#: So& — 42�1 Are ou an employer?Check the appropriate box: Type of project(required): 11 am a employer with�Z— 4. ❑ 1 am a general contractor and 1 EJ 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. 1 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp. insurance. 9 Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10•0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12,Woof repairs insurance required.] t employees. [No workers' v"t comp. insurance required.] 13•0 Other *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc 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 their workers'comp,policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is tine policy and job site information. Insurance Company Name: �M Vk e(^5 � 5 Policy#or Self-ins.Lic. 61A S 1 0 Expiration Date: Job Site Address: 56 � `city/State/Zip: p"Z(o `js Attach a copy of the workers' compensation olicy declaration page(showing the policy number and expiration date). a as Failure to secure coverage 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 cer, ' under the pains and penalties of perjury that the information provided above is true and correct; Si natur Date: Phone#: SO — Z�_ 1 ' _ _ � Official use only. Do not write in this area,to be completed by city or town offnciaL 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#: Property Owner Must Complete & Sign This Form .If Using a Roofer / Builder. (Please return this form with your signed contract, thank you) (prinr)� ec',ye0 , as Owner of the subject property hereby authorizes Paul J. Cazeault & Sons Roofing Inc. To act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) S diqT14AWA Q S erV Signature of Owner Dater 7,/e; Tel# ,4 ,i 41 S 4 f g I ll�C .G 71 ..,..... >......,. ....r..... ....... .r......a ;� _ DAT E(MM\OD\YY) I" • PRooucER THIS GERTIf.WCATE IS iSSIIED AS A inATTER:CJE 1[wtrtwcY�uu. DOWLING & O NEIL INS AGC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 222:WEST:RAIN STREET, HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND`-'OR PO::BOX 1990 ' ALTER THE COVERAGE AFFORDED BY THE POUCIESk aELQW-. HYANNIs MA 02601 COMPANIES AFFORDING COVERAGE 22[, [R caJr.A�Y, INSURED A TII.A'VFL,EIts PROPERTYPROPERTYCASUALTYCASUALTYCOMPANY OF' AMERICA COMPANY j :'PAUL J CAZEAULT G SONS INC. B 1031'hIA.IN STREET O5TERVILLE t-M;02655 COMPANY C COMPANY D I z 'rHs Tv C �- ERTI T H AT THE POUCIE,'OF INSURANCE LISTED"BELOVY HAVE BEEN~ISSUEO TO'THE INSURED" ' INDICATED,•'NOTWITHSTANDING ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER-DOCUMENT WITH RESPECT TO WHICH TIHII- _ CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES.LIMITSSHCWNV MAY-HAVE BEEN REDUCED'BY PAID CL'AIMS.� ' CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION' VTR POLICY NUMDER LIMITS 'DATE-(IAAOD\YY) OATE(MU%DU\YY). GENERAL LIABILITY GENEIIAL AGGaN f CUMMI:RCIAL GENEHAL ilAU1L11Y - I MHUUUI:Iy-('ICLAIMS MADE=OCCUR. PERSONAL&FJ1RS OCCunAGE MED..EXPENSE.( nyone per Ron) S. --: AUTOMOBILE UADIUTY _ - ANY AM COMBINED SINGLE _ ALL OWNED AUTOS LIMI7 SCHEDULED AUTOS BOPILY INJURY (Per Person) S HIRED AUTOS NON•OWNEO AUTOS BODILY INJURY (Per Accident) 3 PROPERTY DAMAGE S GARAGE UABIUTY W.170"ONLY-EA ACCIOENt• f ANY AUTO•" CSTiirR THAN AUTO c t Y. EACH ACCIDENT, S . - EXCESS LIABILITY AGGREGAIL 3 UMBRELLA FORM F!\CH OCCURRENCE . 3 AGGREGA7E ; 9THER THAN UMOREII.A F9HM WORKER'S COMPENSATION AND A EMPLOY EasLIABILITY (UB-0095B64-A-06) 08-10-06 08-10-07 STATUTORYImITS s,.NI THE PROPRIETOR! EACH ACCIDENT g PARTNERVEXECUTIVE Fq INCL OFFICERS ARE: EXCL DISEASL-POLICY LIMIT 3 DISEASEMPLOYEEE-RATIO 3 L 11, IBIS REPLACGG ANY PRIOR CERTI1FICATG ISGUED TO THE CERTIFICATE HOLDER AFFECTING WORI:LR:, ,. COMP COVERAGE. 777 AAFI —'------- 5)10UL0 ANY•OF�THE YVABOVE DESCRIBED•PO"UCIES.•BE"CANCELLED BEFORE THE r Paul J.Cazeault 8�Sons EXPIRATIONDATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Roofing,mc. 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 1031 Mall Street LEFT, BUT FAILURE TO MAIL SUCH NOTICE ALL IMPOSE NO OBLIGATION OR : WALL OF ANY-KIND UPuNTHILCOMP"If fTSAC.Fi1SSGKRGt�fiE.EIiSbT1YE5.. Ostervillc, MA 02655 AUTHORIZED REPRESENTATIVE m o lY:cniapnlli Client#:19989 2CAZEAULTPA ACORD,., CERTIFICATE OF LIABILITY INSURANCE �ATE9/06�Y) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling$O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Western World Paul J.Cazeault&Sons Roofing,Inc. INSURERB: 1031 Main Street INSURER C: ' Osterville,MA 02655 INSURERD: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR NSR DATE MMIDD DATE MM/DD LIMITS A GENERAL LIABILITY NPPI012091 04130/06 04/30/07 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $50 000 CLAIMS MADE �OCCUR MED EXPS(Any one u nce person) $2 500 X BI/PD Ded:1,000 PERSONAL&ADV INJURY $1 OOOOOO GENERAL AGGREGATE $2 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $1 00O 000 POLICYF_j PECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS ' BODILY INJURY $ SCHEDULED AUTOS (Per person) . HIRED AUTOS BODILY INJURY ) NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE _ $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE - E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ It yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate of insurance will be issued directly by the insurance carrier. r ' CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Informational purposes only DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED!;PRESENTATIVE ACORD 25(2001/108)1 Of 2 #42866 LS1 ©ACORD CORPORATION 1988 -P Board of Building Regulati ns and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 103714 Type: Private Corporation Expiration: 7/9/2008 PAUL J. CAZEAULT & SONS, INC Paul Cazeault 1031 MAIN ST - OSTERVILLE, MA 02658 Update Address and return card. Mark reason for chang'c. [j Address .❑ Renewal. I Employment Lost Card DPS-CA1 G 5OM-05/06-PC8490 ✓/ae "C�omrnaozcue o� aaiubPll6 ZN_ 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: Registration:, 103714 Board of Building Regulations and Standards y n:r;719/2008 One Ashburton Place Rm 1301 Expirati�' Type:-Private Corporation Boston,Ma.02108 PAUL J.CAZEAULT•'&SONS,INC . Paul Cazeault << ti .I I 1031 MAIN ST if{ / C' .R � OSTERVILLE, MA 02658 Deputy Administrator Not valid without signature Board of Building egulations One Ashburton Place, Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 10/20/1959 Number: CS 026325 Expires: 10/20/200.7. Restricted To: 00 PAUL J CAZEAULT 1031_MAIN ST OSTERVILLE, MA 02655 Tr.no: 7696.0 Keep top for receipt and change of address notification., i DPS-CAI 0 5OM-04/05-PC8698 . � ✓/tC Z/IOO7L!)t0'IL(!/pp,(,//y O�✓!/GQOOCL�L![6P,�4 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR . I Number;jQS, 026325 is B(rtpdate:°10/20/:1959 i � ; Expires 10/20/2007 Tr.no: 7696.0 Restricted ,00 _ PAULJ CAZEAULT ' 1031 MAIN.ST i. ssessor's map and lot number .....a4:�. ( ... itNEtO♦ irhewage Permit number ' ' Z HASB9TSDLE, i l ^ 8�0 Mb a ,_ Hose number ... .. ............................................... '°0 39• • '; YO NPY a` TOWN OF BARNSTABLE V. BUILDING-- INSPECTOR d c.�c �} r=EGG° ,5 l NG /,F L y APPLICATION FOR PERMIT TO o.... .N...- ......:...1............... .r:............................................................. TYPE OF CONSTRUCTION -d- ...... �r( F..C1. ...... � / �!t!1.0 :.............J� ��O .S`�p K,Y .. . .. .......... ................ _ : ' . TO THE INSPECTOR OF' BUILDINGS The undersigned hereby applies for, a permit according to the following information: Location .. ..... .. ................ ."'..A............... ................. ........Del' ..........:.................................... Proposed Use ........................................ J ` ....1.... ....................... ......................... ............ ............... ..... �. Zoning District ... . .... ..+.�.........................................Fire District � �V�. `�... Name of Owner .1.1.1 ! .f v.......f�`. .&9y.X/V.(-.NAddress .W.4 <\ :4:.�.. C'... � 11 1 Name of Builder �j3: v.!.S. f" j..!.. .� Address � r� ,SpU ��r9, ...... IV .... !.:tress ��... .��Name of Architect. Af.11/atF .. r..e. .. ��. d� .., ... -1. N 7'AN �/ lo Number of Rooms .. ... -.�..�� ...............+...........Foundation ..�1.� •--•- v. � .............. Exterior WN.9.q..E)..... .'7r:.F!/'.. ......7' ./.. .��!,.�.!L9SRoofing ...... ��&�5..41.'�!...... l� Floors ��.......'.�...�......:.... Interior ...2�qkl,-N....Jn �`."?..�./..� � . .............. Heating. ... .Plumbing ...k ................... Fireplace . ..r.� ...... . ?/t�i . .. . .........Approximate Cost r . ........ ; . Definitive Plan Approved by Planning Board1�{_____ 19 Area'y . r -- Diagram of Lot and Building with De_lsion� Ivs Fee SUBJECT TO APPROVAL OF B?OARD OF HEALTH c i b tl ` t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above— construction. FA"q1 s / l / ;a Name�. ,. Construction Supervisor's License 3A...8.17............. �', BIRYNES, HELEN M. A=246-161 ......4... Permit for ..2,,,Story No .. LZ Single Family Dwelling I ............................................................................... Location .Lot,. 2§.r.. .... 6, Green Dunes Drive ....................... i is rt Owner ...Helen M.. Brynes i ........ ............... Type of Construction Frame ..................................................1 .. j..:/......... Plot ............................ Lot ..... ........... Permit Granted .... ugust 2 9, 19 83 Date of Inspection 19 Date Completed ......................................19 C+ a /a � jissess(Ws map and lot number .'"/..�.�.. �...... TIC �n A ICI THE Z Q Q,I Q ( Sewage .Permit number ..!... . � TITLE 9HISTULE, House number ..................................................... ....<.........:`..... �Y a rasa" i 039. TOWN OF:.� :BARN,STABLE -BUILDING INSPECTOR APPLICATION 'FOR PERMIT TO`' dC. : .l�C. 0 S /lU�,G/ �.. .� .... �.. .. . ' I.. . TYPE OF 'CONSTRUCTION :..-+�'............ ................. . .... .19. TO THE INSPECTOR'•OF BUILDINGS: a The undersigned hereby applies for a permit according to the follo.wing� information: Location .. .................... ............. Proposed Use .............. ... .. .........•..:................ .... ...........:............................................ ........ .. ........... S llU� t-r 1= .1�.y. Zoning District ... . �... .. .�........ .... . . .......... .Fire District .. ./. / / ..v... ........ ... Name of Owner re::-Al M.... .f/f./." SAddress......�t5�lZ f ... .`..� .5..,. :& ' Name of .Builder vl• 1� G� 5 ...../ ' 1..�....L/X.���1./.Address �.... SOU 1../... z / Name of Architect ............... Ad ress s //��'✓ ..'.....Fouridation ., .....--- G.�.�.Y.. :?3�7. . Number of Rooms ... ....... ... -Exierior d.o.. ...... .!� /1-�.:....5/`y`/NG� 'Roofing l 1 .% �?.L ...... 7�1v .L'�� ...... - Floors 3/ / :. .-.0 1 � :.Interior GA.�/. �.. .. ..... ..... .................... 9 Heating G4!?. W! nn............................ .r ..Plumbing ....7. ....Y.......... ..G.......................::............... IV Fireplace �% .. 0�.+!.1 ..................................Approximate Cos . .... .........:....... Definitive Plan Approved by Planning Board"N� C/1--_____ 19 5_;__�_ , Area .... .... .. : .. fl R � y 13 R.c,� A. Diagram of Lot and Building with Dim�sF s �� Fee s �` -' .SUBJECT TO APPROVAL OF BOARD.OF HEALTH 0010 OCCUPANCY PERMITS REQUIRED FOR NEW' DWELLINGS I hereby agree to conform to all the Rules acid Regulations'of the Town of Barnstable.regarding the above construction. �}1UG/s, Name, •1 � :..� %�..... .. ..: " Construction Supervisor's License C1 ` BRYNES, HELEN M. f . T `r �N� 25475..... Permit for ...2....... . ....Story............... Single Family Dwelling _ t" .............`................................................ ..... `, T Location Lot 26 , 86 Green Dunes Drive •- ........ .,fir---.................................. .: Owner •:Helen.................................. ..........M. Brynes.... - . t Frame ,+�. - _� � j w � - � • � - Type of.Construction - .....................r •• , ,ter' t t - ..[ - S .. ._ '� ?+ icyPlot _ ........................ Lot .............:................... t fi August. . 29� 83 Permit�Granted `G ... �.........19 Date:of Inspectionl ......... J'9 Dat C mplefed :.� ��Y............1.9 �Y �• .. ' ` t-4w �� • � r ' 1 �,� - � ` r u N �i a � ' 1 _ �.�'� - •. � r-+l - r. h s TOWN OF BARNSTABLE Permit No. -----------_-- ` Building Inspector • ura � Cash -------------------------�-- Y f639' `0 OCCUPANCY PERMIT Bond -----------------_.__-.`I builder Francis M. Vazza Issued to Address 508 South Street Trl- sC Needham, MA Wiring Inspector i Inspection date Plumbing Inspector I,F' 1�1�J Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .................................................... . 19......_... ..........................................................................................._..........._...... Building Inspector �i`' a - -- - � c- +.. M � � �. i 7 yr)1r»�'n�.r�l [ 'SsbYY Lso _ ha ys : �Sda lan S1 . t-�v-i4 s1ri1 52toJ•�n�C15 arrt'y-1 a'5217J:Si9Sb 'ter+► .��.r, � Z,�lX've ty, "-LIrn 1 1�rt s► ar � 9�d� � is. x5ruA-tiiM:t':,Sh�dWv�. NrroT1SN°1]�dQN�O� -�rll ... . l o d SM NVAk� riol.LV-�o"1 � q •o d • c� y ,._ 3 .l N o . • _ - .1� WbIIIIM o bfsbP� jp Hh.�'. b e S .. - fq 5. _ 01. tL z b Cev^•^^vi 11 e 93 Wildwood Drive Needham,MA 02192 October 12,1983 Vo-*' Town of Barnstable ^Sr Town Hall 367 Mai n Street Hyannis,MA 02601 ATTN:Board of Selectmen I am the owner of a home located at 100 Green Dunes Drive, W.Hyannlsport and shown as lot #25 on plan 15694-D,sheet 2. The value of my home and property has been damaged by a home being constructed on lot #26 by Mr.Francis M.Vazza.He has^' taken a gently sloping,wooded lot and converted it into a elevated level,treeless eyesore. The change has has made in the contour of the land is of greater concern than the appearance."Run-off"water in future rain storms will inundate our property.Land that previously was level or below the grade of my land,is now approximately five (5)feet above our grade.The new higher land slopes steeply to the property line.Any soil erosion will deposit on our property.Refer to attached sketches. I need immediate remedial action to correct this situation. It is bad enough that Mr,Vazza has rearranged the land contour, but he has also brought in additional fill to further raise the grade level . I am available to come to any type of meeting or hearing that you may convene on this matter.I trust that sufficient regulations and codes exist to prevent this type of action. Very truly yours. Mar^ret F, Meier 1 Lamp CowTOuR AS Vi&Meo Fpotvn.TAE""^oAt) i 11 ^f f—7 V i >KOfVP J i />—r->—' Lot 2 lor*25- ''/^£W LanV (lofOTQOT^, 7 ftTTJl.5 TT-n—rr-—r,>''^ofitD "7^*7 7~f ^"7 7~i 7 '7~~l T 7~«7"T r /o/c>/&3