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Thomas F.Geiler,Director ♦� Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION -- RESIDENTIAL ONLY Not Valid without Red X-Press Imprin(,, Map/parcel Numbero426 (J'©l7 Zo& At Dev C o—rTA 64C. Property Address C�76,,2 L-15116'z- EL1_2.9-_g Cy,�6 VResidential Value of Work 4000 Minimum fee of.$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name tom, �('/� L��'/k/S�/'�'�ZC,c.- `��/ft� Telephone Number ?;;Y- Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) - .:P 6 • ��❑Worlman's Compensation Insurance S� Check one: v pe ❑ I am a sole proprietor 4 7 114 ❑ I am the Homeowner 04Y 3 have Worker's Compensation Insurance 1 2013 rOwN Insurance Company Name O R Workman's Comp.Policy# Nsrige`c Copy of Insurance Compliance Certificate must accompany each permit. C Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors j,Z"Replacement Windows/doors/sliders.U-Value O r al 0 (maximum.35)#of windows.-` ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: QAWPFILESTORMS\building permit formsU(PRESS.doc Revised 053012 The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations ' 600 Washington Street Boston,MA 02111 ' www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip: �'� %G� � Phone#: e you an employer?Check the appropri to g: Type of project(required): I am a employ er with 4. 1 am a general contractor and I 4WP Y 6. ❑New construction employees(full and/or part-time).* ve hired the sub-contractors. 2.❑ I am a sole proprietor or partner- sted on the attached sheet. 7.l0 Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingforme in an capacity. employees and have workers' i Y P tY• 9. ❑Building addition [No workers'comp.insurance comp. insurance 1 i required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 11. re 3.❑ I am a homeowner doing all work h idh Plumb'❑ � airs or additions P myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no . employees.[No workers' 13.❑ Other comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: f �y Expiration Date: Job Site Address: O20 � `�1� « �"l� �J ` �` City/State/Zip: �"�-rE'2(,o���C � 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby rtify under the pains ' of perjury that the information provided above is true and correct h Si afore: Date: l-3 Phone# Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ` t a 50 o c02:?�. x. . - ._CERTIFICATE OP;LIABILITY DATE DATE(MMrObrYYYY1. - THIS CERTIFICATE IS ISSUED AS A MATTElit- INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE.HOLDER THIS` 091/0/2012 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE.COVERAGE:AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE'OF INSURANCE DOES NOT.CONSTITUTE.A CONTRACT BETWEEN THE ISSUING INSURER($),,HE POLICIES REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the oortlReato holder is in ADDITIONAL INSURED,the Policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject fo': the terms and conditions of the policy;certain polleles may require en endorsomont A et.0 ...ton this certlfioete does not confer rights to the the terms holder in itio of ouch endorsement s PRODUCER - - . .. .. C NTACT Le COVren Cowan Insurance Agency,jnc. 359 Main Street PHONE 9i8 372.1451 Pax: Haverhill MA 0183U„ MAIL !a cowantnaurance.com 918 5T1-4669 DIN C V - E - Ica .INSURED :Aaeoclated Ent ID ers Insurance Com in Cape Cod Construction Seivlcea Inc. - E 163 Tom Lane Centerville MA 02632 COVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT.THE I?111 ANY RE )11:UI INSURANCE LISTED BELOW HAVE BEEN ISSUED TQ THE INSUR D�NAMED ABOVE OR THE POLICY PERIOD' INDICATED: NUMBER- NOTWITHSTANDING ANY.REOUIREMENT,TERM OR CONDITION OF'ANY CONTRACT CERTIFICATE MAY 8E ISSUED OR MAY PERTAIN;THE INSURANCE AFFORDED BY THE POLICIE3 bESCRIBED HEREIN IS SUBJECT,TO ALL THE TERMS', EXCLUSIONS AMD CONDITIONS OF SUCH POLICIES.UM!TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.OCUM N I WITH RESPECT TO WHICH THIS tesR AODL Us TYPE OF INSURANCE - - POLICY F POLICY EXP. GENERAL LIABILITY YN- . LIMITS _ COMMERCUIL GENE LLIABILITY - - CHOCCUR N _ DAMAGE TO RE�� CWMSfADEOCCUR An N L AGGREGATE LIMITAPPLIES PER GENE G AT S PRti i. POLICY : RODUCT - MP P.AGG - - AUTOMOBILE LIABILITY ANY AUTO - ` COMBfNEDSINGLE LIMIT -., ALL OWNED SCHEDULED ' BODILY Per: AUTOS AUTOS .;. ..( Person(,. $ ' - ' HIRED AUTOS NON-OWNED _ - BODILY INJURY(PeraecWero) S - AUTOS s PROPERTY DAMAGE - $ .. UMBRELLA LIAR OCCUR S - EXCESSUAB ..: ,: PAC C RR NC .'. GGREGAT WORKERS COMPENSATION. AND EMPLOYERS'LIABILITY _ ANY PROPRIETORIPARTNER/EXECUT ! - XL WCSTATU• OTI+ A OFFICERIMEMBEREXCLUDED9 Y NIA WCC$911191012012 Ir EL (Monoatory .in NH) . 08I25l1012' 08j251200 Accl T 100 000.`u e.deembe under E'L of E-EA Er wLo EE 100 000 EL:D)SEASE-P LICYLIMIT 3500000. " w1 _ DESCRIpTKIN OF.OPERATIONS l LOCATIONS!VEHICLES{AttachACOR0lot.AtldlUonal Aeninrka 9eheduls,Hmon epece U nqulrotll' { Residential construction mono ement CERTIFICATE HOLDER: CANCELLATION' Town of Barnstable I. ; SHOULD ANY DF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOD McID SU@et THE ExPIRAIONLW DATE WITH THE O THEREOF, NOTICE WILL BE„DELIVERED IN j ACCORDANCE. VISIONS• Hyannis,MA02601 P ucY jl AUTHOR REP NT ..,. I' - Fax. 508 36T9001 f ACORD 25(2010I05) ©1988�2010 ACORD CORPORATION, AlfHghts reserved a The ACORD name and logo a gistered marks of ACORD 4 a I f f �;. Massachusetts _ Board of Buildin `Department of P bIic Safety g Regulations ar*Standards ` Construction Sup-misor z«^s; License: CS-072866.-. DAVIDASAURO 163 TERN LANE; CENTERVILLE y4q pJb ` A � Commi �t : Expiration ssioner: 6/2015 License or registration valid for mdivtztidul use.only �1 before the'expiration date. If found.'return to: III Office of Consumer Affairs and Business Regulation' i 10 Park Plaza=Suite 51Z0:__ ' Bostgn,MA 02116" s �I A' Not valid without signature t: ` \ Office of Coame I Affairs&,Business Re` HORSE IMPROVEMENT CON TRACTOR Registration 1,7041 ". Expiration 10/27/2(11 TYPe ;N Private Co ( : CA COD CONSTRUCTION rporatior SEICES, INC. f _ DAVID SA URO j F. a } _ 163 TERN LANE rr CENTERYILLE MA 02632 —� % x. _ Undersecretary Jauoissiwwoo Z£�ZO VIA MIAR LNaj $N1P T Kau£91 ;OHaVS V Q[AdQ 998ZL0-S3 ':asuaot� { a losl.uadnS uolf:)nitsg03 spaepue;S Pue suol a n6a _ ..•,,. I I . b 6u1 P11n810 PieoB � A;ale$oilgnd 10 luaLupedap- s4asn4oesseW s Christian Camp VE Town of Barnstal Meeting Association ' Regulatory Servico --r sswaTa. Director Craigville (Cape Cod), MA 02632 Thomas F.Geiler, FJZJ NGFORTHE 6 �``g Building Division Tel Tom Perry,Building Commissid 508-77 200 Main Street,Hyannis,MA 02 JIM LANE Home 508-778.0507 507 www.town.barnstable.ma u President jartluirlane@hotmail.com • r Office: 508-862-4038 Fax: 508=790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 14 6 , as owner of the subject property i hereby authorize V,/� v to act on my,behalf in all=atters relative to work authorized by this building permit On (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. t Signature of Owner Signature of Applicant ����� �• �i��° ,�f-��'i� Ste ° Print Name Print Name A) AL Date y QTORMS:OVINERPERMISSIONPOOLS 6a012 Town of Barnstable *Permit# 00080_Zg 7 TABLE Expires 6 months from issue date �.� Regulatory Services Fee B O, 38 Thomas F.Geiler,Director '� .0 Building Division -~----..� Tom Perry,CBO, Building Commissioner O 5 (J 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address [llResidential Value of Work `0 Minimum fee of$25.00 for work under$6060.00 Owner's Name&Address �✓e Telephone Number Contractor's Name ��� �d'�� � p Home Improvement Contractor License#(if applicable) 2 1 _ay ❑Workman's Compensation Insurance Check one: proprietor n G 1T I am a sole ro etor ❑ I am the Homeowner [have Worker's Compensation Insurance -MAY 2 7 2008 Insurance Company Name ° RNSTABLE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) _/ e-roof(stripping old shingles) All construction debris will be taken to 90v�_h � f ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side 01 ❑ Replacement Windows/doors/sliders.U-Value _ (maximum J *Where requited: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property.Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit fo ms\EXPRESS.doe Revise020108 If 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): r • Address:_ 3/ �/l.c h� / �re� - City/State/Zip: (9,0,4w 1� Phone*; Tff 776 1141 A;Zam an employer? Check the appropriate box: Type of project(required): A. a employer with 4. I am a general contractor and I 6. ❑New construction employe (full and/or part time).* have hired the stab-contractors es 2.El I am a' esole proprietor or partner- listed on the attached sheet. 7. El Remodeling ship and have no employees These sub-contractors have g, E]Demolition working for mein any capacity. employees and have workers' 9 Building addition [No workers' comp.instuance comp.insurance.f reququired] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.El I a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself-[No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t jr. I52, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] •Any applicant that cheap box#1 must also fin out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they am 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-contractms and state whether or not those entities have employees. If the sub-contractors have employees,they must providt their workers'comp.policy number. I ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: d- 4 — Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: L /���+�C �`' 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 , 'mirial penalties of a fine tip 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 WA for insurance coverage verification. --_ I do hereby certify u e pain pen ' s of perjury that the information provided above is true and correct. Signature: tfa . Date• r''�-7 -�� — Phone#- S" 77ro Official use only. Do not write in this area,to be completed by city or town offuidl City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: e�. Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hiie, 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 representative's 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 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 fok the performance of public work until acceptable evidence of compliance with the.insurance it 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 certificates)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 law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number,which will be used as a reference number. In addition,an applicant that must submit multiple 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 roust 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 lice 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 C6mmonwealt i of Massachusetts 1 qwt rent of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 TO. # 617-727-49.0 ext4-06 or 1-977-MASSAFE Fax# 617-727-7749 Revised 11-22-o6 www.mass.gov/dia , ° uildi HOME iMP ng Regu►atio ; Registr �VEi�{ENT and Standard gioii FONT s EXpi,-- n 134286 RACTpR j( 10/ p9 RLT CANS i"n Type DB?2/2p BONNIE TA�,I NC��B`gfi 5� T 133426 it . C 1 MAMVI CI RC 8 f Np SjDING &Rp I ` ENTERVI<<E.MA p23 2 t OFIN _y Ad►oi � nistr l' License or re ' before the ex gistration valid for individul use Board of13 expiration date. If found return to.only.- building R One Ashburtong Regulations and Standards Place Rm 1301 Boston,Ma.02108 cD"Z f , of valid.withOUt.si gnature. - � .i b I Rig'htFax Cl-2 4/23/2008 8t58 . 36 AM PAGE 3/003 Fax Server ACORD. CERTIFICATE OF INSURANCE DATE(MM\DD\YY). 04-23-08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE EDWARD A GRAZUL INS AGCY HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO BOX 337 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE MARSTONS MILLS,MA 02648 COMPANY 28Y2K A HARTFORD GROUP INSURED COMPANY B' R L T CONSTRUCTION INC COMPANY 31 MANNI CIRCLE C CENTERVILLE,MA 02632 COMPANY D COVERAGE 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.• - CO POLICY EFF POLICY.EXP LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM\DDWY) DATE(MM\DD\YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE OCCUR. PERSONAL&&ADV.INJURY $ OWNER'S&&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY(Per Person) $ SCHEDULE AUTOS BODILY INJURY(Per Accident) $ HIRED AUTOS PROPERTY DAMAGE $ NON-OWNED AUTOS GARAGE LIABILITY ANY AUTOS AUTO ONLY-EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH`ACCIDENT,$ AGREGATE-$ EXCESS LIABILITY UMBRELLA FORM EACH OCCURRENCE OTHER THAN UMBRELLA FORM AGGREGATE WORKER'S COMPENSATION AND A EMPOLYER'S LIABILITY UB-1051C045-07 12-24-07 12-24-08 STATUTORY,LIMITS X THE PROPRIETOR/ EACH ACCIDENT - 1 $ :.100,000 PARTNERS/EXECUTIVE X INCL DISEASE POLICYLIR�1T. $ 500,000 OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE .100,000 OTHER '. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THLS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. CERTIFICATE HOLDER> CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TOWN OF BARNSTABLE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,"BUT ATTN:BUILDING DEPARTMENT - FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY 200 MAIN STREET KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. HYANNIS,MA 02601 AUTHORIZED REPRESENTATIVE ACORD 25-5(3/93) Ramani Ayer f Island S1d' andoQ � f� a dwision of-VTConstruction,Inc. April 24,2008 Christian Camp Meeting Association Re: CCMA cottages. . 39 Prospect Ave. Craigville Village Centerville, Ma. 02632 We are pleased to submit the following specifications and estimates for re-roofing: Remove existing asphalt shingles and flashings. Install aluminum drip edge on all exposed edges and new pipe flashings. Install 3 ft. ice shield to eaves, valleys, chimneys. . Install 15 lb. paper to remaining roof. / Install 30 yr. Certainteed Woodscape architectural grade shingles.(Birchwood) -ret)1 ey Clean up and haul away debris to landfill. We hereby propose to furnish materials and labor- complete in accordance with the above specification, for the sum of. Yale 198 Lake Elizabeth Dr. $6,100:00. Andover 202 Lake Elizabeth Dr. $5,800.00. Yale is in need of replacement 1S`. These prices are for removal of 1 layer of shingles only. It appears Andover might have 2 layers on some areas. PAYMENT TO BE MADE AS FOLLOWS: Payment in full due upon completion All material is guaranteed to be as specified. All work to be completed in a workmanlike.manner according to standard practices. Any alterations or deviations from the.above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents,or delays beyond our control. Owners to carry fire,wind damage and other necessary insurance. RLT Construction.,Inc.carries General Liability and Workman's Compensation Insurance. Certificates of Insurance provided upon request. ACCEPTANCE OF PROPOSAL: The above prices, specifications and conditions are satisfactory and hereby accepted. You are authorized to do the work as specified. Payment will be.made as outlined above. Date of Acceptance: 5112,JOS Signature i Start Date: Signs6urn a-&1 V W J 4 U- 1409 y W oMP Sri 7 2_ - 1'.?L 31 Manni Circle - Centerville, Massachusetts 02632 Telephone 508.420.5243 and 508.833.5249 • Fax 508.420.1776 Email caperoofer@caperoofercom y,sr. CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVICES 1875 Route 28•Centerville, MA 02632-3117 1926 508-790-2375 x1 • FAX: 508-790-2385 John M.Farrington,Chief Martin O'l..MacNeely, Fire Prevention Officer Craig E.Whiteley,Deputy Chief Francis M. Pulsifer, Fire Prevention Officer May 24, 2007 Mr. Thomas Perry- Building Commissioner Town of Barnstable 200 Main Street Hyannis, MA 02601 Dear Commissioner Perry: Pursuant to MGL Chapter 148 Section 28A, I am making you aware and request your interpretation of a basement apartment and basement bedroom without secondary means of egress and second floor bedroom without secondary means of egress at: 202 Lake Elizabeth Drive Centerville, MA ViWhile"on an annual inspection at this.address, I observed a basement apartment and basement bedroom without secondary means of egress. Additionally, there is a second floor bedroom (#5) without adequate secondary means of egress. This property is a rental cottage on the first and second floor and is a staff apartment on the basement level. I have serious concern with the ability of the occupants to escape under- emergency conditions with the limited egress options available. Please contact me with any questions you have relative to this situation at 508- 790-2375 Ext.1. Thank you for your attention to this issue. 0 11F Sincerely, N) Fire Prevention Officer > w r- Cc: Robin Giagregorro - - "Commitment to Our Community"