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0067 HIGHLAND DRIVE
5 .. � _ , n .0 : � � .. . .. � . _v .� . , �, e � � � � 4 o � _ . _ Town of Barnstable Building enyt*as�rwg s°.`�. • WPP'koo3 hss,ett�rTr-e:.`h ;ej, aMAE9 ed ibrdF C ,..'r,.i�`n S yaao�l TI nh»;s-a p�t r e.rt�c�t�si,,oT,lnY.i,s�HY,.i�b'a ls e"B,Fs�e„r�eo�nm Mt'ha;$�e d iSe�.tfI-err•,j re Me'.r:�ut-A�p;p. ro,.:�v.e.di" Plans"IV;,,.l,u; �sa�tty".bN$-��e�c<?E u R;a�e�lt�a 7.m:ur,e�.*d' ,on,Joinb 639. : e1l •y Permit No. B-18-3451 Applicant Name: Ranney+ Rimington Custom Building LLC Approvals Date Issued: 11/02/2018 Current Use: Structure Permit T e:. Building Addition Alteration.-Residential Expiration Date: 05/02/2019 Foundation: Yp g- / - .f��sC6ks Location: 67 HIGHLAND DRIVE,CENTERVILLE Map/Lot: 190 050 Zoning District: RC Sheathing: Owner on Record: MANN, ROGER A&NANCY C Contractor Name:'..ALEXANDER M RANNEY Framing: 1 k Address: 216 RANGEWAY RD, UNIT 1114 Contractor License: CS-088595 2 NORTH BILLERICA, MA 01862 Est. Project Cost: $24,900.00 Chimney: Description: NEW DECK ON BACK OF HOUSE, REBUILD EXISTING RINSE:STATION, Permit Fee: $176.99 INSTALL NEW FRONT DOOR LIKE FOR LIKE Insulation: Fee Paid:; $ 176.99 Project Review Req: Date. 11/2/2018 Final: 0) Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authored by this permit is commenced within six months after°issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and theapproved construction documents'for'whichthis permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall.be in compliance with the local zoning:-y laws and codes. This permit shall be displayed in a location clearly visible from access street or'road'and shall be maintained open fAor public inspection for the entire duration of the work until the completion of the same. Electrical 9 r Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Bwlding and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:?,,' Roug h: r: . :;... 1.Foundation or Footing - 2.Sheathing Inspection Final: ` 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not.proceed until the Inspector has approved the various stages of construction. '_Persons contracting with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 1 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map `"t� Parcel 150 Application # Health Division BUILDING DEPT', Date Issued' Conservation Division Application Fee Planning Dept. OCT 17 2098 Permit Fee Date Definitive Plan Approved by Planning Board TOWN OF BARNSTASL Historic- OKH Preservation / Hyannis Project Street Address U 7 [4414uAwb 1P I-• Village Ychi Owner W: t C54,fl>y MOP Address Telephone 7 4(00 " (S 11 Permit Request mew DEC UN a4a& of- oovga 9COy9.40 .C24"Tr_0(, P41S;V S7Ya'f_94 JOXAK�- Nihon/ IPkJ4 f 2 L' 'd2 L34% S- Square feet: existing proposed 33® 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size� � coo sF Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 53 yT� Historic House: ❑Yes 4No On Old King's Highway: ❑Yes 2Q�o Basement Type: 1 Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) (5 Basement Unfinished Area (sq.ft) l4 7. Z Number of Baths: Full: existing_ new Half: existing ( new Number of Bedrooms: 13 existing�ew Total Room Count (not including baths): existing ( new First Floor Room Count Heat Type and Fuel: td Gas ❑ Oil ❑ Electric ❑ Other Central Air: I Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes kNo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage:k(existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes XNo If yes, site plan review# Current Use Proposed Use s �) APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name At.,rex4Pr- 12petfiyo Telephone Number �JC0&) 733 -4G93 Address S'CU+�� IZ �AN+� License # o �R IM1 61, G ` Home Improvement Contractor# I y 75 Z Email'1® i7 IkNN��Ise N�?��, ��P� Worker's Compensation # 6-5('DU i c(l 951�v� l h ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO -bOMPSIXIL SIGNATURE _ DATE I I S Il FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. PO Box 816 ; Marstons MiNk MA 02648 Tel 508.428.7147 . ini6Qthecapecod6eipenters:com Fax 508.428.7167 RENOVATIONS•ADDITIONS•:CUSTOM HOMES ��!@Cp�j(,alp@l►tev9.00>� September 20,:2U 18 ESTIMATE fNO ,. Site`67 highland Dr;Centerville;Roger and Cindy Mann,978-460- 1549;RMANN59@comcwt.net Construct new deck - L Provide current survey and plot plans as required :.:::................. $ 1;000.00 . ...:(Allowance).. ..: 2. Provide footprint,-foundation,and detailed pteriptiv :frame plan foi Town"o Bstable as needed....,.. :: ....::. . . ...... ..... . $ ,200 00 3: File building permit.with Town of Barnstable in accordance with MA State Building code 780 Q. including inspections arid;plan review meetin s g :. .............. .... ..: $ 200.00, 4. Remove existing concrete ramp on the back right side of the house Dispose of..concrete off site and fill hole to landscaperead.. .... ..y... ... 5 Remove construction waste to off-site dwmpster owance . . Excavate for:Spew= ncrete biers with�ooting,a _per plans:litstall concrete piers and pour concrete, uzstatl" base plate assembly(concrete costs included). Concrete step on sun porch to be buried onsite Back fill new concrete piers to rough grade,to landscaper=ready $ 3'500.00 7. Deconstruct&demo existing h�ovse:as needed`per plans,:includmg removing up to:two courses of lower shingle-siding:and steps at:back entry to:house;:dispose of construction_waste°::: $ 460:00 Rose Additional shingle work is not included in this:estimate and should not be needed 8. Construct new rough pressure treated deck fr, as per footprint and flame plans in`accordance with IVIA State Building Code 780 GLAIR,including m1.aterials .. .. 4;780.U0 9 Install 514 standard Azek decking(based on installuig slate grey decking)using,hidden fasters(material` allowance included$5,500:00) $ 7;400 00 10.Install a prox. b0 linearfeet o,new PVC extenor trim with:sWffl s fasteners:and cortex plugs;for deck:: skirtboazd :: .::.. .. $ 54000 to Labor&Ma tia for Deck 1$A,$30.00 Remove and replace eacistmg raise station 11. Remove existing rinse station,dispose of waste offsite and fill in grade up to IT, from top of surrounding t ... e 12 Install gravel in approximately area $ 450 00;. $ 250 00 13 Install po-assembled'panels and door of outdoor nnse;statwn kit including excavating forposts-and backfilling to rough grade(material allowance included for prefabricate,:cedaroutdoor raise station approJ ma y.":48"x 52" $1;500 00) $ 2 750 00 14 `Construct approximately 3'x 4. platform using pressure treated materials: $ :450 00' Labor&Ma`terials for.Rinse Station =3.900 OW- TIP >: Bl�REY+A �To�'CvsToasBUILDERS :Pmd INem of IV nal ABBpCl90e/►of Home Bwadds-hbine 8udders lssoaa7ron ash .►j Cod Better BWdent fderriodelers A--;afion of Cepe Business Bureau RANNEY PO Bo.816 Marst ns Mills,tulA 02648 Tel 508.428 71.47 info@thecapecodcarpenters com Fax-508.428.71:67 RENOVATIONS ADOMONS CUSTOM HOMES. : Th9Cc*CodCarp9vft *=. Removeand replaceexistng front entry. • Work to irrelzllde: 15. Remove existing door,interior and exterior trim and dispose of waste 100.00 16:'Install new exterior egress door........::.........::....... _......... $ 250.00 1 1. - f,4 .. : 1=ntry Door Entry Door.System t 2-8 X G-B,Right Hand:inswing,Smooth-&tar:EmbossedlMolded Open. Grilles:for Clear I ites 4 glass S262-FXGLE-SirZgle Door; Double Bore,.2-3/8"t3admet: 2 18"BoreDia;2-1/8'. q Deadbolt Die,5.1 J2'Center to Center Oirw Fame Rot Proof Bitm Jamb,.49/16", Na. Casrng, inswmg Composite Adjustable Sill firust►.Mif! 3 Basrc t2es�dentiat Hmges _Antique Brass iJSS 8rt Comp lNeatherstnP.. .. 17,Material cost for door and hardware,as-described .. 48197 18,install;new,extenor Azek;trim with stainless fasteners and.cortex plugs. : .: $ 175 00 19 IustaIf new mtenor pine trim .:,.:. ..:: $ 125 OU Labor 8c Materials f"i.60_-Entry Doar.;.$ 113197 . : .... ._ . . ... a TOTAL LABOR A11TD.MATRIALS. $23.86t=.97 - ost fl o bons chosen ` fly p Qption: Savings;to tr 11zessuire tce ted decking i tith tea A �l� �nitral lf'Q ton chos n > > ;♦»aro>n cvso>�8> > 2 . Proud Member of A&AW JAasorieSon of Hang&d&.s•Home Bu#dm AmodAm ofAftudmwft+Hare.9,Afi s d Reinode%is Assoaabon.of Ceps Cod i.Be#er B'mawas Bureau. PO Box816 Marstons.Mills,-".02648 Tel .508.4287147 Afto tnfo@thecapecodcarpenters com Fax 508.428 7167.. RENOVATIONS!ADDITIONS•CUSTOM HOMES Option::SuppIv.portable waste facility for.w&kmen use(based on"1 month)(note—homeowner egwes to allow access m in house during renovatborl#thitopUbm.k.p4choaen), $125 i tial f option chosen 1t7A1V11T _ - _ . Payment:Schedule• • aloe: ..� . ddv-•:. '� .� � i .-#.�c..��R y�.mn ��.. @_;i .. - Due u n recei f po pt`o permit&'ordering materials. $7;000 00:. Due upon compl000 of foundation $5;000 00 Due upon completion of rough`fratne $4;00000 Due upon completion., $2,86197:. Plus/ tmuscost„ f1v io � cio�en.un its completion _ h ;, Please note-ooretmrhd casntact".. • aids eatimate`is'YaLdfa30day� • ':, Noa�ttmal"amdcisiWoAedintlds timaUovatossdoaafbediewaWg ' ,• Depaeltaa�psymentaarnmtcmde�othe>w�senoacd.i.� ': - • Coaonaor ist �e fa airy damage to Hwn of plaotiags aiand d�wL([on • ceuaaa�isnotimpoa�elafocmy�magetofmacmaynttawlxinmvoameDmpteBew«B. ;' _ _ • Nt_�6tmpm walk aadseplaceA��a(medn�eg esbsaeU,wmdo�dome&'ap )will be eoileod daeaMe uolass atdermdi by piopeny ow�r• Pmpe>ty owaarle totpm®hlo forail.caste"asvorio6ed wi9t ha" ,ostenals:lead me�aoyoaa�m Pultoum d eel�Be orwsft anoeiatad wnh Ameilean iJu.l�,ttee Aet�eq�uemoa�dm�ny Any n airrn"oio8orinaplLrioaaffal5azmayemmEorsaeontyorfue/samkeiattiere�h6ry�®c�apptyow�:. _ • • (useomeriseoeopp(yallpamtifmryLe�ngasad(ont�sotlreecc,ic • Pmpatyow*m4Imea that gsnwydtRmmgtoat Baldae»y splayasmall ontiwptoperty .61m of die wad 8Wop nmath;H compidtioa PropulyU> eanyaodallwetsmAc[teptsneaoesearymidaothmwlmnotedConsavmt Zaatingood/aIgaoneaicaftsnaaa�y;inassodetioawvthoMaini� pamia�add owiae mkd • Ail home implovelmM �' ." m4 4 eomnetoca and aabeontsaetaa ehaR beoegistmed by the Director andanp lmryinea abootA wn/iacta or soi�atrada t daEiog to a won ahonidbe diraeoed to Dmxtor,Home 7mpaovematGamhaUorRegiohatlan One_ABbbWhmPtazE{Jtm1307 � 021D8 • o°o°r+has7, d°y woallad4a+sgbts of doe eomrea t_oodiaM G L a 93,a�M tkl c la0i)v io a<M(3 L.c 255D;is as applicable a8er3 aays an aepoalc and apeaal:mderpaymems are you • Ali wartan6w artd paopatyowaera4ghBmooader®iepaowwooa;af780C1�t110.6aodM(9S a142A' • A�aitaahmt,q'devimenufiom above spap5 ®s.im�v �tia oosU wtlibecome an ettla ehmgo ave'md abaw:ilm wdmato at S75 00perhavrpfim matoriale ffemtof mataiaie and aheaily Jeswbodiabor oeatem 83aaaumataimymetesemmmvthmlS%wrtccnt�nmaroe • U �gmoftlrolmmem�paovmet� _mob�nagymtdallm aarycmrefiud pema�mtheet�t8tst@re ownwsamm o�vno®atcudi ordealewilh PmPwb' lamr�m two yeau finim the isauaoco of t ma a 42A-"Wmk'alt begin m'1a0athm�ata mcallm Lvitlilro iro o'Cauy p � �. .__. -. mxmsm9pemnU, • PmpatyOw afm7metomagepaymmttsfa[wodcdn(yP omtodmaYrgsuitiaaLanagaioet8whomoo>mer'epmpetty Ownsisreap e:for legatEeasandewltcasbRo-gARmmtgnamay.iacorm cdlxt tbo mmies doe en tide es6atate aLe emTtadwa�Wa p<opeDy ownwhaehywMW in the event dw: orhss a dlapWe e�coning t6ia eepmffig the eonmm may wtimit.�ch .�pttta to a hhas bom'apptoaed by tla eaitmy:of tlro office a�eomometalm and a ragolauom affiihe'conaummiavtl bo>egmi to submit.to wch onm providedin MQ.L c.142A, _...:.- e DO NOT SIGN 'HAVE:NOT KPAETHSCONTRACYOU E S Ranney&Rlmington Custom Bmidmg t.LC Date Property Owner :'per Home Improvement Contractor Reglstmtlon*lAA7 2 - +A> �T08=;COS'i"OM HnILDERS 3 Aroud Member ofNetinnal Aasoaratran ofHame Bt>rSdvs•tlane'Buddays Aasaeion d •Home 8w7ders 6 RerimodelersAa�ocrabon of(306 Cod•Beltai Btrairase Sweati �. Massachusetts Commonwealth of I Division of professional Ucensum •� Board of Building Regulations and Standards Conztrao*ri tw rvisor CS-088595 = J Empires 04/1612020 \ IR � AL�i/V��1DER#il RIBY� _ks 238 SCWDEENRVEfiI HYANNIS MA It2@0 i Commissioner . I Construction Supervisor Unrestricted-Buildings of arty use group which contain less than 35,000.cubic feet(awcubic meters)of enclosed p JOPO Failure to possess a current edition of the Massachusetts State Building code is cause for revocadun of1h�license. . For infomation about this ocense ' Call(017)727-3200 or visa wm ww . ss.g pl I C1ffice of Consumer Affairs & Business Regulation -Mass.Gov Page 1 of 2 za ass. off/ Offm M K^ iuf,%e of Consu q=; [ Affairs and' Busines5 Reyd-vulation (OCABR) Home Improvement Contractor Registration Lookup To search by registration number, enter the registration number in the textbox below and click the'Search' button. Search by Registration Number 144752 LSearch You must click the"Search Registrant" button to search by name or location. Search by Registrant Company Search Registrant name Search by Registrant Last name E City/Town f State Zip code https://services,oca.state.ma.us/hic/licenseelist.aspx 11/2/2018 f Office of Consumer Affairs & Business Regulation- Mass.Gov Page 2 of 2 Click on the registration number to view complaint history. You can also view arbitration and Guaranty Fund history. The list is current as of Thursday, November 1, 2018. Search Results Reg istrantNam' ESPONSi BLEREGIST'RAT RESS EXPIRAT'I; ATU INDIVIDUAL NUMBER DATE !RANNEY AND RANNEY, 1144752 969 Main Street 11/01/2020 'Current 'IRIMINGTON ALEXANDER Osterville, MA CUSTOM E 02655 BUILDING, LLC Site Policies Contact Us ©2018 Commonwealth of Massachusetts. Mass.Gov® is a registered service mark of the Commonwealth of Massachusetts. https:Hservices.oca.state.ma.us/hic/licenseelist.aspx 11/2/2018 _______....�...,........>.......c:ltle�oNt�xa�u�ul��,+�'���aarac�er�ae� Office of Consumer Affairs&Business Regulation COMM- HOME IMPROVEMENT CONTRACTOR Registration valid for individual use ordy :7YPP' LLC ' before the expiration date. It found retum to: Calration Office of Consumer Affairs and Business Regulation 11/01/2018 10 Park Plaza-Sutte 5170 = Boston,MA 02116 Raney+Rimiltp1t=`; Building, LLC:; ;t:-:_i Alexander Ranriv � �--- 157 Thankful Colult,MA 42835' Undersecretary Not valid without signature G 1 I The Commonwealth of Massachusetts Department of IndustrialAccidents d I Congress Street,Suite 100 Boston,MA 02114-2017 e` www mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Avolicant Information f ' Please Print Lelzibly Name (Business/Organization/Individual): �41)jcq + F "(3T64 U SIDA kjJ bzAs-, LL(- Address: 1 AftJ ST- City/State/Zip: 65-W U-E c ft 01-655 Phone#: �5 00) -La - 7 l y Are you an employer?Check the appropriate box: . Type of project(required): 1.Fv-*l I am a employer with to employees(full and/or part-time).* 7. New construction 2.7 I am a sole proprietor or partnership and have no employees working for me in $. Remodeling any capacity.[No workers'comp.insurance required.] 3.[]l am a homeowner doing all work myself(No workers'comp.insurance required.]1 9. Demolition 10 Building addition 4.71 am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.F1 Plumbing repairs or additions 5.711 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance? 6. We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $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: Co Policy#or Self-ins.Lic.#: U i q E 8 S-7 7 d Expiration Date: Job Site Address: tri g A-X City/State/Zip: Z Ikr/Uir MA Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration ate). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Sip-nature: _ Date: Cb a Phone#: �'' 2�✓"7 q 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#: AC o® CERTIFICATE OF LIABILITY INSURANCE FDATE(MMMOYYYY) `••� 08/07/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(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 endorsements. PRODUCER o CT • NA Tamm Home ROGERS&GRAY INSURANCE AGENCY INC PHONE , 508 760-5745 F Ne: mall thorn ro ers ra .com 434 ROUTE 134 INSURE S AFFORDING COVERAGE NAICs SOUTH DENNIS MA 02660 INSURER A: HARTFORD UNDERWRITERS INS CO 30104 INSURED INSURERS: RANNEY&RIMINGTON CUSTOM BUILDING LLC tNSURERC: INSURER D: PO BOX 816 INSURER E: MARSTONS MILLS MA 02M INSURER F: COVERAGES CERTIFICATE NUMBER: 300993 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY E F POLICY EXP PO YNUMBER LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE DOCCUR E Ea o D re $ MED EXP oneperson) $ N/A PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER- GENERAL AGGREGATE s POLICYL-J jE LOC PRODUCTS-COMP/OP AGG S OTHER: S AUTOMOBILELIABILITY BIN MSW LIM $ ANY AUTO BODILY INJURY(Per person) $ ALL ISAMEO AUTOS ULED AUTO NIA BODILY INJURY(Per accident) S HIRED AUTOS NaO�NpgWNED PeOPEI DAMAGE $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE NIA AGGREGATE $ DED RETENTION S WORKERS COMPENSATION X OTH- AND EMPLOYERS'LIABILITY UTIVE Y/N A oOFFFFIiei°�/Pr��EnBEREKCLUOE�DZEC wA N/A NIA 6S60UB9F85776918 08/06/2018 06/06/2019 E.L.Eaci+ACCIDENT $ 100,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If DyesRIPTION u OPERATIONS below describe under E.L.DISEASE-POLICY LIMIT 500,000 DESC N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 8,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this Certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.maes.gov/Iwd/workeracomponeationlinve"gektions/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOFSMD REPRESENTATIVE Daniel M.C y,CPCU,Vice President—Residual Market—WCRIBMA 01988.2014 ACORD,CORPORATION. All rights reserved. ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD �•� PATRRIM-01 THO CERTIFICATE OF LIABILITY INSURANCE °A�`06/2 �01 0816/2 8 `..�� 8 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCERkgw.-Cr 9 R gers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 AIC,No,EXIT: AIC,No: 877 816.2156 South Dennis,MA 02660 ' s:mail@rogersgray.com INSURER 3 AFFORDING COVERAGE NAIC ti _ wsuRER A:Main Street America Assurance Company 29939 INSURED INSURER B: Ranney&Rimington Custom Building,LLC INSURER C: P.O.BOX 816 INSURERD: Marstons Mills,MA 02648 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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 CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I ADDL 9UBR POLICY EFF POLICY EXP TYPE OF INSURANCE POLICY NUMBER LIMITS A X!COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE CLAIMS-MADE F-K OCCUR MP076069 08121/2018 08121,2019 DAMAGE TO RENTED ML 500,000 a ocurle MED EXP(Any one arson $ 10,000 PERSONAL&ADV INJURY 1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 210001000 POLICY 1XI%cof LOC ( PRODUCTS-COMP/OP AGG $ _ 2,000,000 OTHER: ( $ AUTOMOBILE W181UW COMBINED SINGLE LIMIT Ee ac�j�e�r U ANY AUTO BODILY INJURY(Per person OWNED SCHEDULED AUTOS ONLY AU��TOppSWyy EEpp BODILY INJURY Per accident $ A�RTOS ONLY AUTOS ONLY Pfgar a den DAMAGE UMBRELLA UAa HOCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N I S-TA E ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT p�FICER/MEMB��EXCLUDED? �,N/A (mandatory In NH) ( E.L.DISEASE-EA EMPLOYE If yea,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Certificate Holder is an Additional Insured on General Liability on a primary&non-contributory basis when required by a written contract or agrement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. I AUTHORIZED REPRESENTATIVE �0i; ACORD 25(2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 00 ,. hti ? IIII 8 X. EX. SHED .. DWELLING. ROP° o ?p �• DECK 0TTAW Al• LF .J O ho .0p. SEPTIC FROM ASSUILT ON FILE AT THE TOWN HEALTH DEPARTMENT BUILDER TO CONFlRM CERTIFIED PLO T PLAN MBLU 190-50 1 CER77FY THAT THE IMPROVEMENTS SHOWN of w 67 HIGHLAND DR. HAVE BEEN LOCATED BY A FIELD SURVEY. � A CENTERVILLE, MA �' yG OATS 10-11-18 DRAWN: RBS ROBB JOB #: S505 SCALE: 1"=30' c SYKES I � DWG. CPP ' No. 35418 . �' EASTBOUND ' ��a *LAND SURVEYING, INC. _ _ is TE P.O. BOX 442 ROBE SYKES, P.LS DA 1E °N FORESTDALE, MA 02644 508-477-4511 8 253 7692 10:06:18 a.m. 09-14-2011 1 /6 OF 7 gqp�l`SSTARLF t , rrg it 9 f� v 1 Doll v J C-C 1O Retail Launch of The Hub-Final Week Preparations N The following team will be on call through the first week of the pilot: Contact: See,contact list for on call#'s DBA(*Luke Harmer) Scott Deitemeyer Middleware C Unix a Linux i MAP application dev team ` m 0 iD m l0 8/31/2011 Ln 00 Ln 508 253 7692 10:06:27 a.m, 09-14-2011 3/6 AJA Trlpls 1-3/4" x 7-114"VERSA-LAMS 2.0 3100 SP Root am1RBl BC CAL.CO&0 Design Report-us span j Nb c4 t11wtss GN2 aiopt Tuelks Jun 21.2( Guild 517 Flb Nenw Hindday MWWL13= Job Name: Nann � Addresec 67 Highland Or - Dpedl R901 `> CRY rU&M. Mix Bern ble, MA Ossipner Coda repoft ESR 1040 Company:c 12 12 q'.7:i•:1:-..?/" ..yy{: �ai\::yt/I' .:X�n•....,` :%t.i A; y�.�...:..t' .: �•� :?• .�'-l: /� '0:1 00. -r..rt`,iV+, •.f/: 1• :R.-•St.. .(.. •G. ..I lt..,,t •p' '.i.. �' ..„:'� -:�:�.:' ;4'': 3.1/Z" _ CL I,"$" t7C 1.TMIff 9l 2A03 3L ZW01 Told hle�enal PnAwk Larah•1100 00 tyre oeed ffl W sllrrt PANN TM Load gummy TM LW ra M11 1 1 Standard Load U (pet) L 011 15 30 2 Unf.Ana(pat) L 00"00.0011.00-00 10 0 12-OA-T Cotltrold>au 1 VON ,��o a ism M cbaune as Moment 9,09'Uft - 07.1 11 3 1 -Internal c4mvillwom W d dYp1u1 must End Shear 3,2113 The 38.796 118'16 3 1 -Left be o Mdbr elgrure nhai Total Load Deft. L,1217(0.8$Y') 62.8% 3 1 out"es.$%UWM of iv pxw L1ve Load GeL LJ405(0.312") 52.3%, 1 3 1 epplkatlam output nus an t wom Max Del. 0.5w 58.2% 3. ` 1 oodt exrplea deed rns Span/Depth 17.4 We 1 �WM%QMIHoft 101'8on ararMwwl rood prod nma be in . Oulda %Afrow 1i Now and�ppliosae n fll To 11 >Baarl 8 otti : lrp�llrtton aaldo or e.k BO Pat 3.112"x 3.1n' 3.840 I nh 41.8% Urmpedftd GO.( 7 B1 Poet 3.112"x 3-WI 3,640 to Na 41.8% Unspecified CALM,me' ALLIOLM,13C Wis. CBIt11011% a BOISE GLULW'w FRAWHO Member is not fully supported at post 80. A.donnmor Is required of thre bearing. StrB'fm s, Yl:R&*4UA Member do not fully supported at pad 131, A connector Is required at this bearing. Pwn'VER9A%IUWW For roof mernbers with elope(1l4X12 or lees final design no emus that pondlnp �d M W ws Inata **VAR not occur, Products l.LG For roof members with t�(112)M2 or less final deeiyn must account forRaln_o"now surchgege load esa Design meets Cods mintmum(LASS o d!o d deAiollon crti Design meet Code rrlinknum(11240)LM load deflection txiterie. Design meets arbitrary(1")Msodorum lead defleaflfotl criteria. • Pape 1 of 2 a aged XUd 13C213SU-1 dH Wd99 eE T T02 bz unC 508 253 7692 10:06:43 a.m. 09-14-2011 4/6 n:ta:.... Triple 1-314" x 7a14"VERSA-LAMM 2.0 3100 SP Root 2 oam%RI301 BC CALCe&0 Deson Report•US 1 span No calfllelrers 10112 abpe Tuesday June 21,2011 Build 517 Fife Name: Hbraidey Mann.9CC Job Name: Mann Deaafpbon:RB01 Address: w H1gNr"fir Speciser. City, 3t-ft Zip:Bumehtbf0. MA Designer. Customer Company. Cods reports; EBR-1040 Mlee: Cane Dla»�tnl .. DIaCtOSM t. ° ofbs v*lw by .wHs rely an Ck*A4& for pa»loum lien an bui'dnp e e�soorpbd dMipn rb eat mdtied< Gloom e c e o a aaied wood num b•in eoaor. vdtlr tyrant Quwb and appox"INA" TOOMMIn InaMr4dofl gtidearaaR PwM a minimum a 7' o s 2-INI ad t bow* b minimum w T d=2,r � HG CALM,BC i ,A►ie". e minimum 3' ALW019'i7M,dC RIM %.Wis. NaNne sr.hsduis apoles L0 both Ides of the membw. BQIK Q3W AMW, 'RAM W Member has no sift Icads. Ari VERa M Condom ore: 1 ed elnker Nods PLUSs@VE WAUM4 VGRe 4nVANb&,VM R TUD®ere h-,'-u , I of so" Wood PMdlldn LLC. Page 2 of 2 E a9ed XUd 131783SU-1 dH Wd99 :6 T T Od bZ unC 508 253 7692 10:06:52 a.m. 09-14-2011 516 "'' i Ttlple 1.3J4" x 7.11411 VERSA•LAMM 2.0 3100 SP ROd 8m1R891 BC CAI:CO 10 Dbsign Report-US 1$pan w cantilevers 10112 sbpe Tuesday JUN 21,2011 Sulld 517 File Name:;Hinckley Mwn.®CC Job Name: Mann D=Wpdon:REM Address: 67 Hvhi"or Speciffer: City, 9tats.Zip 13emsWe. MA ner.Deem C�tetDmar; Company. Cods repoft, ESR-1040 Milo: Connec d on DIM= Disclosure t.•l b -•d Cortiplau6enaauasnd d arras! L� bs vwW by anyone TAW on ° . • • oulpuA a WAON e d Ilan P wAw ° GWgt hereas bu W ft Nd ISE ° o o a wt04wwad wood in aooadrnoe with oalrn! Guide and appllaauble btidglp To oiA�► IausrW wauk%orak pke a minimum a 2" o z 2-1/#' u>;(Ao6m"98EtsIfoM'.;aldNaa6on: b minimum.3" d=24' e minimum•3" BC ca►i.M BC F ,Arsm, ALUOIBTis,GC MM "'.WO. Nalling schadute applles to both sides our the member. . Boise ioWL M-, 'R Member ham no We loads. "TCMN. VERa"IM c4nnec k"are: I ad NOW Neils PLUSS,VENA-RIMS, . VER8d14MRMDA,VER TUCOeue f b udwrAw s o ecioo We d PMdWM L.LC. " ry Page 2 of 2 6 02ed XUJ 13rd3SUI dH Wd9S :E 1102 bZ unC 508 253 7692 10:07:02 a.m. 09-14-2011 6/6 j �►•• Double f-3W x 5-112"VERSA-LAIW 2.0 3100 SP Floor Beam1F1301 BC CALCMO 30 edgn Report-US T span No csntiievels 10/12 slope Thursday,June 30,2011 SWId 517 File Name: SC CALC Project Job Name: elnn Description:aelling girder Address: a' Specifier. City,Stabs,Zip: a. MA �. Designer. customer. Company Code reports R4040 MIM 00,341r 51.34/7 Li.580 i6A i t.00 Ibe DR'l1lt� DL 585 Iba TMHalmnidProductLanOth 004440 Live OW BMW Mad RAotur. TMb. Load Su m T End 100 116 139% 125% 1 Unf. Un.(pit) L 0 120 120nla Controls Sum v ima 'AAl mmisls Ounaaa cam s Dwelosuro Po&Moment 2, 48.6% 1 1 1-internal �s aoo„raoy input malt End Shear 981 ibs 26.3% 100% 1 1-Left be vedW by mvpre vft would r*,on Total Load Deft U302(0.3Wj 79.5% 1 1 gas Widefteof Iwo"far peftuM Uve Load Defl, tJ817(0.1771 58.3% 1 1 �� bull" Maur Deft. 0.35T' 35.396 1. 1 bd deed+ and Span I Depth 19.4 n/A 1 Watyeb Woft•kvftkUon or BOISE wlpirr•w wood ix duft muM be in mcm Id rwswith awrent IretUdlon colds %Akw 1ii Allow and apjilb a e builrs v 00"To Olrlw f3Learire Stl ftf Oba a Vah1e 59RRW 1Nanlbar mall" tnatsliadon colds or ask quew4 m,PWM so Post 3.1/2"x 3-112" 1,145 Is nis 1 .5% Unspecified all(W=47W bafote Indoftlan. 91 Pam 3.1/Z'x 3-1ff 1.145 ibe n!e 12.5% Unspecified BC CALc®,BC FRAMER®,A.ISw*, ALWO151a1,BC RIM BOARD-,SCIG, N!9" BOISE OLUtAM-,SIMPLE FRAMING Daslgn mnefs a minimum(LJ2r40)Total load deflection criteria. SYSTEi IM,VERSA-LAW vEPA"IM Design nee% a minimum(i MD)Live load defleWon criteria. v R t�RIM19, Design meets itrary(1 )Maximum Iced deflection c►iteria tradwfwks of Babe Cascade Wood Connection ram Product L.L.C. b d i a minimum=2' c=1-112" b minimum;3" d=24" Calw1sted Side Load=240.0 pit Connectors arc 16d Common Nails r r ' P%*IofI Z a2ed XUJ 13rd3SUI dH Wd T o :0 T i i oa 98 inc TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map pp 0 Parcel V� Application # 3 (o3 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board (J 7'zo//I I� Historic - OKH _ Preservation / Hyannis Project Street Address �? / �LN� � ,��i'✓ �2�1/,1�� ,,N4. Village Owner /u'y� L JV� Address;16 VA11 T Telephone = Zk !&Q 15- � tVarrti �3tt4r2ic4 /hA• Permit Request 6,0 C ff/"25 , uJ 00700KLAY✓ G/ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0 ddJ Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) =; C> ..s E Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's:Highway: g Yes U No Basement Type: [I Full ❑ Crawl ❑Walkout ❑ Other c} N Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new �— Number of Bedrooms: existing —new o ° Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name I K LII /h5 Telephone Number ��� :2 7� Address �,��• �• License # -7l) `7 t_ Home Improvement Contractor# ac, l Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 3� CL-Ak(4 ffi!e ° 406 ZD/ 179 3 J SIGNATURE DATE 41(e 190 t FOR OFFICIAL USE ONLY K APPLICATION# DATE ISSUED " MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION e� /� FRAME V O)W INSULATION Ef FIREPLACE ELECTRICAL: ROUGH FINAL F. . PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING y r DATE CLOSED OUT LL 1' t; ASSOCIATION PLAN NO. fif4 x f L The Contmornvealth of Massachusetts Department of Industrial Accidents Office of Lrvestigatim s 600 Washington Street Boston,MA 02111 rrhvw ittass_gov/din. Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/organizatimvbu ividoal)=_ e,"-0 LC l// 7/` Address: )' a-Vr/� City/State/Zip: 20 Phone Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am i employer with 4. ❑ I am a general contractor and I 6_ ❑Nevi*construction .%wloyees(full and/or part-time.)s have hired the sub-contmctors 2 I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have S_ ❑Demolition woticing for me in any capacity. employees and have workers' ❑ [No workers'comp.insurance, comp-insurance� 9. Building addition, wed-] 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.)i c..152,§1(4),and we have no employees.[No workers' 13_❑Other comp.insurance required] - 'Any applicant that checks boa#1 also fill out the section below showing their workers'compensation policy information- 1 Homeowners who submit this affidavit indicating they are doing all wa*and then hire outside contractors must submit a new affidavit indicating such iContractors that check this boa must attached an additional sheet showing the name of the sub-contractors and state whetter or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I out an e►npinyer that is prosiding itrorkers'compensation insurance for my employee, Below is the policy and job site inferntariou. Insurance Company Name: Policy 4 or Self-ins.Le.r: 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 S 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 under tl e.pains p es ofperjury thatthe iujormation protdde above.is trite and correct a e Si tlge: ''' Date: Phone 9: O icial use only: Do not write in this area,to be completed by city or town official. City or Town: PermidUcense# Issuing Authority(circle one): 1.Board of Health ?.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone 0: oFTME * Bnxtvszns�. `""3 i6� Town.of of Barnstable f �a p1� - Regulatory Services Thomas F.Geiler,Director, Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 wwwAown.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 tY ProP er Owner Must Complete and Sign This Section If Using A Builder I 6mot ix !1 . as Owner of the p Pe subject property rty _ � ; • hereby authorize G nn,o i6 calti rk 6r `�'AV� to act on my behalf, in all matters relative to work authorized by this building permit application for: "D"k, Cew-O-V,I�AV (Address of Job) . Sign re of Owner a e Print Na e If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. _ C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 • Office o onsumeryYy AW.I Kc t3dsiness egu ahon Licen or registrarion valid for indivtdul use Lv befor the expiration date. If found return toW HOME IMPROVEMENT.CONTRACTOR Office of Consumer Affair§.and Bustness.Iteg�+ tton Registration f IM143 . YP r T e: 10 Pa kPlaza-Suite 5170. N Expiration: 1f/27(2012 Partnership Bost o ;.:MA 02116 C •+NS BROTHERS.CONST jr MARK COLLINS _ 54 JUDGE RD LYNN,MA 01904 ': Undersecretary il, Not aid withopt,signature ; r � X v k `l Imrtmen.t of Puhlic Safety NI as,ac hu wt413,oard of Buildin- Re-ulations and St tndaeds Construction Supervisor License License' CS 70714 MAR K E COLLINS , 54 JUDGE ROAD '` J LYNN, MA 01904:, Expiration:,.11/30[20T2 C•umnissi\iner Tr#: 5254 r t --333'_ 68 .... — 6".. ..._ 14;` 3 r,, 2 'i ,=-18'r 43an—_..... t/o W930 L' W24306 SOSB95 r< ;'> ': a ;29DISHW;SOSB18-R � . 04 lh i�i A N� N N 86 1/4"-86 1/2"ceiling 3 m , . O new floor tiles w N �o� -��r`_•.r_�ma's., i toe kick will be trimed down I a <i�height to apply crown — N w = l 841189 BOSB24B SOSB24B 4DB24 N N a: I W I f 13. 74S r 1; —24 r"—AV 2z �. _._� ( � _ �,_�____ • 2 to . ,. l i t i All dimensions size designations �® This is an original design and must _ Designed:5/28/2011 given are subject to verification on rrcnrlowcies�� not be released or copied unless Printed:6/11/2011 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. mann All Drawing N: 1 -- , I L� s p : Note This drawing is an artistic ) r Designed:5128/20I 1 20'''07� �Printed:G/I I(ltl l I interp etatiolt of the�ellera{ TECHNOIOGIESl appearance of the dcsigu.It is not meant to be an exact rendition. nlaun r\Il Uraning It: —.— .- - HINCKLEY HOME CENTER 138 RTE. 137 SPECIAL ORDER HARWICH, MA 02645 TICKET {508} 432-8014 FAX 15081432-5011 ' i Page: 1 ShippingTicket: 50289140 Special Time: 13:02:54 Instructions Ship Date: 06/13/11 C O D Invoice Date: 06/13/11 Sale rep#: PATTIK Patti Kalil Acct rep code: PATTIK Due Date: 06/13/11 REPRINT Sold To: SPECIAL ORDER-R-HARWICH Ship To: Nancy and Roger Mann 00000 ( ) -0000. 67 highland dr Centerville ma (978)362-3306 cell 978-460-1550 Customer#: 636901 00010 Customer PO: Order By:nancy mann COD popsigol T 95 ORDER SHIP L; U/M ITEM# DESCRIPTION Alt Price/Uom PRICE EXTENSION medallion cabinetry Designer line Maple wood/Pottersmill door style wheat stain color FREE PROMOTIONAL OFFERS -- i *Free full extention ,soft motion guides for all draws ^ *Free soft stop door hardware i*Free deluxe door ends on selected exposed cabinet sides. . i CABINET LIST {1)w0930 hinge left {2)w3012b {3)w1230 hinge right (4)dw2430 hinge left {5)w0930 hinge left {6)w2430b two doors 1{7)w1230 box only/finifhed interior ***CONTINUED ON NEXT PAGE*** 2 Customer Copy i FHINCKLEY HOME CENTER 138 RTE. 137 SPECIAL ORDER HARWICH, MA 02645 TICKET {508} 432-8014 FAX 15081432-5011 Page: 2 ShippingTicket: 50289140 Special Time: 13:02:54 Instructions Ship Date: 06/13/11 C O D Invoice Date: 06/13/11 Sale rep#: PATTIK Patti Kalil Acct rep code: PATTIK Due Date: 06/13/11 REPRINT Sold To: SPECIAL ORDER-R-HARWICH Ship To: Nancy and Roger Mann 00000 ( ) -0000 67 highland dr Centerville ma (978)362-3306 cell 978-460-1550 Customer#: 636901 00010 customer PO: order By:nancy mann COD popsigol T 95 ORDER SHIP L U/M ITEM# DESCRIPTION Alt Price/Uom PRICE EXTENSION i {8}w2430b two doors 1 i{9}wrl530 wine rack 1 3{10)24w3612b 24"deep {11}b09 hinge left i . ill 2}asscb33136r 33"on left side 3 36"on right side - 3 {13}sosbl5 hinge left j{14}sb30 30"sink base Ill 5}sosbl8 hinge right 1{16}bta24121 base 12"transition i I {17}sosb24b {18) rsp3084 3/4"._side panel 1 . {19)wf330 filler I {20}4db24 4 draws 1{21}sosb24b z '** CONTINUED ON NEXT PAGE*** 1 - 2 - Customer Copy HINCKLEY HOME CENTER 138 RTE. 137 SPECIAL ORDER HARWICH, MA 02645 TICKET (508) 432-8014 FAX {508) 432-5011 Page: 3 ShippingTicket: 50289140 Special Time: 13:02:54 Instructions Ship Date: 06/13/11 C O D Invoice Date: 06/13/11 Sale rep#: PATTIK Patti Kalil Acct rep code: PATTIK Due Date: 06/13/11 REPRINT Sold To: SPECIAL ORDER-R-HARWICH Ship To: Nancy and Roger Mann 00000 ( ) -0000 67 highland dr Centerville ma (978)362-3306 cell 978-460-1550 Customer#: 636901 00010 customer PO: Order BY:nancy mann ;. COD popsigol T 95 ORDER SHIP L. U/M ITEM# DESCRIPTION Alt Price/Uom PRICE. 'EXTENSION {22)sosb24b j {23)24ur1884 tall roll outs 1 {241 uf384 tall filler (25)4x ccm8 2"high crown mid I {26)4x tk 96 toe kick 3 E, {27)rk repair kit .{28)bf330 filler j '{29)uf396 x4: for crown soffit 1.00 1.00 P EA aanrr10000000302 Mann cabinetry; 9455.3300 EA 9455.3300 9455.33 Medallion potters mill maple SPECIAL ADDITIONAL PROMOTION june-lath FREE SINK BASEHH {price will be deducted from total Customer must be a job sit for cabinet delivery to perform an inspection and sign off on damage claims form. Cabinets must be inspected at deliverym. for damage claims to be accepted. *** CONTINUED ON NEXT PAGE *** 2 - Customer Copy HINCKLEY HOME CENTER 138 RTE. 137 SPECIAL ORDER • HARWICH, MA 02645 TICKET {508) 432-8014 FAX (508) 432-5011 Page: 4 ShippingTicket: 50289140 Special Time: 13:02:54 Instructions Ship Date: 06/13/11 C O D Invoice Date: 06/13/11 Sale rep#: PATTIK Patti Kalil _Acct rep code: PATTIK Due Date: 06/13/11 REPRINT Sold To: SPECIAL ORDER-R-HARWICH Ship To: Nancy and Roger Mann 00000 ( ) -0000 67 highland dr Centerville ma (978)362-3306 cell 978-460-1550 Customer#: 636901 00010 Customer PO: order By:nancy man n COD popsigol T 95 ORDER SHIP ILI U/M ITEM# DESCRIPTION Alt Price/Uom PRICE EXTENSION Please review your order carefull as this is a final order This is an interpertation of the customers kitchen plans as your designer has reviewed on this order and final plan. Signing these invoices verifys to your designer you have acepted the plan and i order as accurate and ready for placeme. Nancy& Roger Mann f • f f 1 I I i i E i FILLED BY CHECKED BY DATE SHIPPED DRIVER Sales total $9455.33 Check# 128 4946.00 SPECIAL SHIP VIA CUST=9019CONDITION RECEIVED Taxable 9455.33 TICKET Non-taxable 0.00 Sales tax 590.96 Total applied: 4946.00 X Tax# TOTAL $10046.29 2 - Customer COPY Balance: 5100.29 CiA C:f%� ooloopao�ea DOubIO UMV X 5-1/2"VERSMAW 2.0 MOO $P FWW 9amW8O1 00 CALC®3.0 DozOn Report-US 1 GIM I No cavern 10112 elope Tu ,June 21,2011 BWW 517 Jots Namo. Merm File Nanta: Hkx4dey MwvLBCC Address: 67 I•fthftd Dr loon:FB01 CRY.ftto,Z4z&trn*Eabb,MA DGCW Cud mar. Cade Mooria: ESR-1040 M I O1.8231� LL 1.000 Ro DL A231bo Tdd F Pr*A o"w Lb* Occd OMM V2=d Mod I Tom► Load SMttmy Ten q2mgsan La=d TWO god t.AMO( 20 1 1 COI1 WO B vM sma assD tCt End Shcor 1,331 on 36.4% 100% 1 1-Left b $� Taal Load Daft. L1272(0.347") a8.2% 1 1 aaqu+tcsan:dvrwoae :IbrpmdwAcr Live Load Doff. U442(0.21,C') $1.5% 1 1 ° orrW mm an tzdt"0 Max Defl.. 0.34T' 34.7% 1 1 cod*400 tad 4w/Depth 17.2 -_ _ Na _ 1 s 1, n�tm I& of Ome . �eood nwstrxt ti • ' a0oo�to3aCbaurrto�t G s 1l A !i Age* TedM so Pod Mir x 34M, 1,023 fln No. 17.7% Unopeaitied Bi Past 3-1W x 3-11T 1,623 lb* Ms 17.7% Umpedfled eC CAL CA Bc ,A,Jsm, ALL.1 NSTO.BC RUA TM.am, BOISEGWLAMII. fRALtlt+iO caw mem Cocb mwmm Tali bad dolkebon orfl ft 3YST'8M.VE WERS"IM 09*n rneete Code Mkgnmm(U360)Uvo load defl®e don CdtorhL PLUSO. Ocatn t»eob arbitr"(r)Modmum kmd deflc ction atteft a<Bo!:* tfve OO cm Corm Dkwm aam�xs aL c. b d o - o �o s a mkdmum a 2" 0 a 1-Iff bmkdmum=r d=W Mombar ho no aldo loedr. Oonneadarn are:18d l3Ww hits I t► a2ed Xd3 13rN3SHI dH Wd9S :C TTOZ ba UDC TrtpIG I-WI x 7.114"VgRSA4AM2 LO 3100 SP Root amutwe9 SC CA-C®30 oaWp Report-US 1 ept of I No MMOMM I QN2 ebpa Tuacdap June 21,2011 SUM S1T Job N AAann Ra Name. HkwWo�y Mann.BCC 00=ip cw R80'i P�Y Company: om . CdY, ZIP. w a,MA Dewunw. C4X f MCr; pa y � Code rwft ESP-1040 MNo: COMO-m fian Rkmw p a a Cam cm o/km wad a eo�roflt�dbywAa ^d!►m Cs oukf`moo of for pID wiw o OLdpd e o of sow mot" : WON loin =mdzvoowkhaaft�tt QUW3 am r,�b +0 To*bu�yn �. t+v* oer�t3davrc3 pfY a minimum=7 o=2 IW odt�800 ism. MCI b odnkn m�+T d=24" a miRifottRR o 3" BC GILCm BC i ,AIm JS' ALL10 6M,6C RM ti',am. Nixing aCiledt�i8 8�li6ts M both tidCO C/the mernbar. 9019E iiuJtAM�, PR AW MOmber has no� SYl9TP. WERB{Iri M Conno�oro am led Sink6t Dd; b PWCO,VgRa#-MR SIT WMER TU03cm aoa im of eat waed ProdWb LL.C. i I Pago 2 of 2 g a2ed Xb3 13r83SUI dH Wd9S '-E 110Z i,2 unC TrIP1014/4"n 7-114"VERSA44C94.0 3100 SP R*W m%R90 SC CALCO&0 00don Report.US 1 spri I No c"bwem 10112 Ttl .Jum 21,20' ftld 517 Fib N �.8C Hinddey Manr Job leme: Mann Dawrip ptK R1301 Addre= 67 Hlgfwland Or g am. CRY.91010,Z4K 8antof ble,MA p . cuetomm Coda reRft E8R 10R) 12 El I f I z 7 .1J?'.;,=:4:1�-i: y:•�i. i., -4;7-:n., .rt• rt':r•. +: x. .A ..1- �Ki. !!,.,,V.•j+:•y(•••ry,.l�4.»'!�. • + .,•�; •�•,+•,.. ',!�� '•+.�• �::»' •.•f i".•;'.L.1 fir •��".• 'Ji�.� f�,... .��... ;.;;y..: 1: . r.�:. ..G:� .,{;:-.:. •:�,.« i.� .t.!�, ..f' .Ail' 94 3.1Z tL 11778 63 81,3•/r. SL 2dleVi on OL 1.7m(b T�Mio P►adVot o 11-0a•00 Lout!Summ taro C=d ter ==d To 1 load U 10 (P01) L 1 18 30 1 2 Unt.Aron(Fat) L 00-00 0011.00-00 10 O 12.084X CaftobRacecf= Own D tcla�trfv m A401, 9.60 R4tW 87.1 11 3 1-Intomsl iced dfrdMW3 End Shear 3,218*3 36.7% 116% 3 1-Lett m vat Nv OF/= Fran Total Load 091L U217(0.882") 82.8% 3 1 UPPA ox of far Uve Lard Deft U406(0.312-) $8.3% Max 0*0. 0.5w 68.2% 3 SOW/Depth 17.4 nm 1 of flolu MW prod met W do At7ow �oord=tlo��h omRyd teddy 8 fm s M .alon�c�tdda Te F s•. Pod 3.1/7 x 3.v7* 3,840 No 41.8% �(BOO�a.or6a 81 Pad 3112"x 3 W 3,640 lbo rda 41.6% L AWOWM,be Rttef 101 OW. .. BOISE OLfli.At,1w. > NO Memom xi not nary wppoftd at oddH0. A COn�nccw_r IG lbqui�is booing. SYST , yG"A40M Mcmberb tmt fully supporffad at post B1. A acne sOW b required at thfa boating. PLU80,VEIR6p.Rn m FGr r0d mwnbsM with doP(1/4N12 or few Mal deep rat erm=@fit pa ng V8R8 4=ANM cm irmy will not occur, acdwQft area VVaoA F nW M*rnbm wkh SbM(112Y12 or teas fhlw demon Rua curt for i7e"n enow v+�m aoo u.a NOW ---- Mao rr►ccb Coda rtdnlmusn(l!1 Olaf load ntt�s arbitrary► ��daftcdm aftrkL Nuo1ct2 Z abed Xdd l3r83SUI dH Wdss :E ljoa bZ unr f It, 16U a jL A21 ONE ,1 r � v ME MEN r r i ,. tr j l Sl Y i s 1 • s ,. .r i tia i 4 i -0 ro .T.1 13JI I of t Town of Barnstable t�f bc)-(-0-7 5 0, Expires 6 monde r 'ssue da Regulatory Services Fee • sAatsr,,axa, • Thomas F.Geiler,Director 1 e Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 �y . www.town.barnstable.ma.us Office: 508-862-4038 Fax:.508-790-6230 EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY t Not Valid without Red X-Press Imprint Map/parcel Number 140 CO Property Address 67 l/er-l(Zit-A ) C %, o0 [�Rdsidential Value of Work T 0Lj— Minimum fee of$35.00 for work under S6000.00 Owner's Name&Address j?a f^ln rinry w y Contractor's Name C3 j�/�rJ � �jf�7�,8 f`�/fs j Telephone Number 7,'j Q Home Improvement Contractor License#(if applicable) z.. Construction Supervisor's License#(if applicable) � / ❑Workman's Compensation Insurance u � W� ` Check one: ❑ I am•a sole proprietor1s ` ❑ I am the Homeowner TOWN OF BARNS TABLE ��L� have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. ?ermit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over r existing layers of roof) ❑. Re-side #of doors Replacement Windows/doors/sliders. U-Value .J (maximum.44)#of windows // 4/ T *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Ownef must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractor's License&Construction Supervisors License is required. GNATURE: WPFILESIFORMSIbuilding permit formslEXPRESS.doc wised 070110 i rt i. The Commonwealth of Massach usetts ( Department of Industrial Accidents Office of Investigation_ s fir* *,� ` f1 zi v f 600 Washington Street Boston,IP1A 02111 www.mass govIdid Workers' Compensation Insurance Affidavit: Build ers/Contractors/Electricians/PIumbers Applicant Information Please Print Leeibly Name (Business/Organiza6on/Individual): f-L^r,) &ora7j/��Q,f Address: City/State/Zip: L Y.►-n /'s,4 el 3`0 Phone #: 7,B1',S9. - 8ff 2— Are �- y�ou an employer?Check the appropriate box: Type of project(required): 1. [-; 1 am a employer with / 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-eontraciors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. t ?•. ❑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 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ 1 am a homeowner doing all work right of exemption per MGL I LFI Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no ]2.❑ Roof repairs . insurance required] t employees. [No workers' 13.�Other �2 a=7�ClKE�2vwT comp. insurance required.] e *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 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my erirployees. Below is the policy and job site t information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date., . Job Site Address: k-7 I 1-1C,11 L4yr) G-W- . City/State/Zip: CePv7&7ZV1lJe- A 1&14. , 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,S00.00 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 forwarded to the Office of Investigations of the DL4 for.insurance coverage verification. I do hereby certify under the pains and pen 1 ' s of perjury that the information provided above is true and correct Signafore:- Date: .�zo-// Phone#: 954 -!Z�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 Inspectgr 5.Plumbing Inspector 6.Other Information and Instructions Massachusetts General Laws chapter.]52 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 einployer 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,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 onto 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 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 partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is-required. Be advised that this 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 Iaw or if you are required to'obtain a workers' oompensation 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 iii 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 to any business or commercial venture (i.e. a dog license or permit to burn 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 Department'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 17877-MASSAFE Fax# 617-727-7749 From:Suzette Moniz FaxID:Viveires Insurance A Page 2 of 3 Date:5/20/2011 11:30 AM Page:2 of 3 ¢7� COLLBRO-01 MOSU A�O1�Ory DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 5/20/2011 PRODUCER (508)676-0309 _ - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Viveiros Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 375 Airport Road HOLDER. THIS CERTIFICATE DOES NOT AMEND; EXTEND OR p ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fall River, MA 02720 INSURERS AFFORDING COVERAGE NAIC# INSURED Collins Brothers INSURER A: Patrons Mutual Insurance Company 54 Judge Road INSURER B: Guard Group k East Lynn, MA 01904- INSURER C: INSURER D: - 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. INSR D'L POLICY EFFECTIVE POLICY EXPIRATION LIMITS L S D O INSURANCEPOLICY NUMBER D MM/DD DATE MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 RENTED A X COMMERCIAL GENERAL LIABILITY CTR0011500 9/29/201.0 9/29/201.1. PREM sEsOEa occurrence) $ 50,000 CLAIMS MADE P(I OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - - - ° PRO[ 'CTS-COMPlOPAGG $ 2,000,000 X POLICY PRO- LOC AUTOMOBILE LIABILITY CC INED SINGLE LIMIT ANY AUTO - (/F 'k dent) $. ALL OWNED AUTOS - 1ILY INJURY. $ SCHEDULED AUTOS - .�a`r 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 $ EXCESS/UMBRELLA LIABILITY - _ EACH OCCURRENCE $ - OCCUR ❑CLAIMS MADE AGGREGATE - $ . DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION - WCSTATU- OTH- - AND EMPLOYERS'LIABILITY TORY LIMITS ER B ANY PROPRIEfOR/PARTNER/ExECUTIVE Y� OWC015669 - 1016/2010 10/6/2011 E.L.EACH ACCIDENT $ 100,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) - E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under 500,000 SPECIAL PROVISIONS below E.L.DISEASE'-POLICY LIMIT $ OTHER- DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION _ .. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION ' City of Barnstable - - DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL.30 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 REPRESENTATIVE. ACORD 25(2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD i 2537050 12:55:07 p.m. 05-20-2011 1 /1 Ma 0, 2011 12:46PM No. 0494 P. 1 pp'ftlE t • NAM O , r �bTAWL Town of Barn' stable Regulatory Servjces Tiomas 1' Geiler,Director Building DivWon Thomas Perry,CBD Building CoMmissioner 200 Main 5trmc Hyannte,MA 02601 wTvv.town.barnstable.me:us Office: 509-852-4038 Fox! 509-790-6230, Property Owner Must Complete and Sign This Section If Using A Builder as Owner f the o subject property hereby authorize r tiS s (C"&P-v C./e G`'-r to act on My behalf, in all tnaturs relative to work authorized by this bWdin&pcctnirappGcation For: �( d dcess ofrob) 1 St rc of Owner Date o q er Mq n h . Print NeSte If Property Owner Is'applyingfor permit,pleace cotnplete the Homeowners LACOnst Exemption Form on the rererse sldc. CrlUcort%deeolliklAppU.tlelLo aWicrosotAWindvws%Tempor"y InLino FileriCunteniOutloaMDV87A1-Z1EXPRESS.duc Revised 072110 x F n1ati.,achutiett � I) purtmcnx of'Public Safety. Qoard of Buildim, Red- lotions and Standards Construction Supervisor License_. ' License:-CS 70714 . d MARK E COLLINS Y.. 54 JUDGE ROAD LYNN, MA 01904 ;Expiration, 11%30/2012 m (.'ummissiunei. ` Tr#:'5254 it zi` aan;eu;I[S;nogjim pt a ;ou c; fae;a�aascapun_. 40610 VVY 'NNAI as 3oanr vs 3' SNI110 J1N`dW 1SN00 S 3HlOHS SN D r 9IIZ0 vI1I` o;sog f , �( OLiS a;ins-ezeld?I Ed OT dlys�au}�ed ZLOZ%LZ/ir :uoi;ejidx3 60r;fjn20g ssauisng puua slle;;v aawnsooD 3o aag;p :adAl £419Z1 wogeilwBaN ` o;aln;aa puno33I 'a;ep,uoiteaidxa ail; iojaq 2JOlOb211N0O,1N3W3A021dW1 3WOH nr asn inp[ntpm uaatZ uoge n�a (s/sga�a�s s,ne aawngaag30 .. __ _— _ f ---------- _ 3 .m.t�jYaty%,'�?�,Y •,.:- u '•.. .... y ' a - ._.—.. _ Town of Barnstable *Permit#YL� 0 P��FSHE Tp��o Expires 6 months from issue date • Regulatory Services Fee MAS& $ Thomas F. Geiler,Director 9 1639 �pTED ru�� Building Division Tom Perry, Building Commissioner , 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 �- RE MAR; �. -- Z�,04 Fax: 508790-6230EXPRESS PERA aT APPLICATION IDEff2A��i% `, Not valid without Red I Press Imprint r'z;,:L c Map/p arcel Number�� �4 J��u►� 305 y S-� S 1�� � ' CIO,Netv Property Address Value of Works residential Owner's Name&Address UYl � / 7& Telephone Number Contractor's Name Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) []Workman's Compensation Insurance Check one: I am a sole proprietor yl I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) ❑'Re-roof(stripping old shingles) All construction debris will be taken to &Re-roof(not stripping. Going over__l___existing layers of roof) Re-side• [� Re,placement Windows. U-Value (maximum.44) *where req*e� Issuancee°f 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 Im rov eat Contractors License is required. Signature :Forms: mtr8 F� 10, - r - - - - - - Barnstable Bldg.Dept. I I Approved by: -- Permit#: ySD ih I I T I I I I I I I �I I N I I 10, I DECKI , o - T I I ' I I I I I � I I I � 20' 'X00 PROPOSED DECK 1 GENERAL NOTES: NOTE: SCALE. F DRAWING NUMBER: ALL PROPOSED NEW DECK FOR: CONTRACTORIIS O VERIFY EXISTING CONS 5HOWN ARE FOR ONDITIONS RENCE ONLY THE DEST If NGNERS 5 EA D CANNOT BWN ARE THE EE COPIELE D, OF CarerDe, CAD AND DIMENSIONS IN THE FIELD PRIOR TO START OF REPRODUCED AND/OR ALTERED,U5E0 POP PERMIT [wj M A N N RESIDENCEif 1 ANDSE PILING WITHOUT THE EXPRESS WMINGT 1/4 - 1 2.THE GENERAL CONTRACTOR SHALL BEAR SOLE CONSENT OF THE DESIGNER,PATRICK RIMINGTON. RESPONSIBILITY FOR MEANS AND METHODS OF 6 7 h I G N LA N D DRIVE, CON5ACHU5EN AND TE BUI ON THE JOB SITE. I EDITION)ALL WORK SHALL CONFORM TO THE /� MPSSACHUSETTS STATE BUILDING CODE MTEST J� 4.IFPAND ALL OTHER APPLICABLE CODES. Approved for filing 4.IF APPLICABLE,CONTRACTOR SHALL IDENTIFY ALL PP 9 DATE: C E N T S RV I L L E, M A EXISTING LOAD BEARING ELEMENTS PRIOR TO N COMMENCING WORK AND SHALL DESIGN AND PROVIDE P.O. BOX 8OG C5HORJNG AS ON5T UCTIORNQUIREDTOSUPPORTLOADSDURNG 09/26/2018 MARSTONS MILLS, MA IN HE OTES,5HDISCREPANGES.EROUGHTTRORS THE ATTENTION 9 OMISSIONS Patrick Rimington T OF THE DESIGNER PRIOR TO COMMENCEMENT OF 1 �• C O A_2 ytGV0_'7O7 it C JONSTRUCTION. PROCEEDING WITH CONSTRUCTION V `T CON5TITUTES ACCEPTANCE OF THESE DOCUMENTS AND ANY DISCREPANCIES,ERRORS AND/OR OM155ION5 BECOME THE RESPONSIBILITY OF THE - BUILOING CONTRACTOR. t 2"x10" PT LEDGER 2if " PT JOIST @ 12" o.c. o 0 III I o 0 0 5/8" LAG BOLT x — I N - (2)2"x10" PT RIM JOIST � rn C� O I 1 LEDGER & JOIST DETAILS III A2 SCALE 1 /2" = 1 ' I LA 1 - - - - \ / j� 4 F.. IIIIIIIIIIIIIIIIIIIIIIII T- GRADE A2 2x 10" DECK-1 IS S L -E — 12" dia. SONOTUBE ------ IIIIIIIIIIIIIIIIIIIIIIII @ 1 2" o.c ----- d I -- I W/ 24" dia. BIG FOOT 12"a 1 II�I1 IIEII IIII III _ III—I I—I I—i l r r 3000 s.i CONCRETE M1IElI11—III—II h• I I—I I I—I I I—I I I C@ 4' BELOW GRADE a ilMlE illillilli I=1 1=1 1=1 I ON UNDISTURBED SOIL p2 ''` liSHEE11 — W/ 5/8" ANCHOR BOLT AND - - _ = ABU POST BRACKET Z - - 10, - - - - 10, - - A2 DECK FOUNDATION AND FRAME 2 NEW CONCRETE PIER WITH FOOTING DETAIL A2 SCALE 1 /2" = 1 GENERAL PROPOSED NEW DECK FOR• 1.ALL CONTRACTOR O VERIFY EX5 FOR REFERENCE TINNG ONDITON5NLY THOED51GEROANDCANNTHE 5OU!OTBEECOPIEDERTYOF SCALE. DRAWING NUMBER: Cape, CAD AND DIMENSIONS IN THE FIELD PRIOR TO START OF REPRODUCED AND/OR ALTERED USED FOR PERMIT M A N N RE 51 D E N C E AND/OR T Off WITHOUT THE EXPRESS WR T GT 1/4" = 1 ' 2.THE GENERAL CONTRACTOR SHALL BEAR SOLE CONSENT OF THE DESIGNER,PATRI5 RIMI TEN R5PON51BIUTY FOR MEAN5 AND MErhOD5 OF 6 7 h I G h LA N D DRIVE, CON5TRUCTION AND SAFETY ON THE JOB SITE. De,51cjn EE ALLWORKSHALLCONFORMTOTHE MA55ACHUSETiS STATE BUILDING CODE(LATEST EDITION)ANDALLOTHERAPPUCABLECODES. Approved forfilin 4.IF APPLICABLE,CONTRACTOR 5HALL IDENTIFY ALL �� g DATE: C E N T S RV I L L E, M A EXISTING LOAD BEARING E EMENTS PRIOR TO COMMENCING WORK AND 5HALL DESIGN AND PROVIDE P.O. BOX 80G CON5TRUCTIONOUIREDT05UPPORTLOADSDURNG 09/26/2018 MARSTONS MILLS, MA IN . A2 HEANYNOTD15CREPANC15,EROUGHTT THE EATOR 1ENTION5SIONS Patrick Rimington i Y q -7 7�1 OF THE D5 GNER PRIOR TOO COMMENCEMENT OF TION 5O"-280-/O/'1 CONSTRUCTION. PROCEEDING WITH CONSTRUCTION CONSTITUTES ACCEPTANCE OF THE5E DOCUMENTS AND ANY DISCREPANCIES,ERRORS AND/OR OMISSIONS BECOME THE RESPONSIBILITY Of THE BUILDING CONTRACTOR.