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Home My WebLink About0121 LONG BEACH ROAD 7 ?p ,�' ,.� it ai � ��z '•': P. �v✓, �c a� �.. ... 4f.,,,..� ,;��,. � n, _ F" 4f s tr i�. !§,. _ ;Lr��;�: � x9,a., _ _ ,�sy,.rr� '�. � R l�'�.yp.,."Y � :n',�� 1•.ti �Q' �_,lyi a� �s ' w �'nn �, f 7 g 4p Viz;. r a n a 5 a F 1 Ir 'l i� r Cam' 3/5_I j Z, oFt rq Town of Barnstable *Permit# 0 ' Expires 6 months nm issue date OER � egulatory Services= Fee, BARNS MIX, , Thomas F. Geiler,Director >�a +' EB 2 7 2012 Building Division Tom Perry, CBO, Building Commissioner . TOWN-of B N 00 Main Street;Hyannis;MA`02601, www,town.b amstab l e.ma us Office: 508-862-4038 Fax 5:08-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address' fesidential Value of Work� � , �� `AMnimum fee of$35.00 for work under$6000'00 wner's Name&Address Ce 4� Contractor's Name Telephone Number s�� j �f` ' y f Home Improvement Contractor License#(if.applicable) � Construction Supervisor's License#,(if applicable) oricman's Compensation Insurance' Check one: ES-I am a sole proprietor , ❑ I am the Homeowner 4 have Worker's Compensation Insurance,Insurance Company Name Workman's Comp. Policy# L- " . . , -opy of Insurance Compliance Certificate must accompany each permit 'ermit Request(check box) . I�P.roof(stripping old shingles) All construction debris will be taken to �❑Re-roof(not stripping. Going over existinglayers of roof) Re-side ` • . #Replacement Windows/doors/sliders. of doors U-Value (maximum #of windows *Where required;'Issuance of this permit does not exempt compliance with other town departm nt regulations,i.e.Historic,Conservation,etc, ***Note: Pr . rty Owner must sign Property;Owner Letter of Permission. ` 9, k� y of th Home Improvement Contractors License Construction Supervisors License is red. GNATUR,- vZ WPFILESIFORMS1buil rmsug S.doc vised 070110 David Sawyer Construction , k 318 Meiggs Backus Rd Sandwich,:Ma.'02563 508.539.1992.: Proposal Submitted-To . ": :Work Address r Harlan Ceacra 121 Long Beach Rd s 508-775-4843; 617-943-0165ce11' Centerville MA 02632 harlanWiOgmail.com - Work to,be Performed. '. *Strip old roof shingles and replace with new 30 year"AR":"Architect. CertainTeed Shingles r ' Color: customer to choose"color *Nail.Plywood as needed and Clean Gutters as needed. " Install '"White Aluminum Drip'Edge as needed : " Ice & Water Barrier on all edges of'roof,.valley's, chimney,cheeks ;100%'on Slant Pitch Roof Areas :u Underlayment Paper System Pipe Flange, Ridge Vent, ' "Hurricane,Nail Roof *Stripsdewall cheeks as needed -Replace'with Red Cedar Sidewall Shingles New copper flashing and Felt paper for:walls " w . *Replace rake boards on back-of house 2*U4 .*Install Trim on box returns with Ice and Water Barrier and Lead *Clean & Remove all debris from workplace and take o landfill: ,. *Please note when installing ridge vent sawdust fromi roof mAy fall.into-attic.... ." please cover anything you do not�want sawdust to fall on _Total Investment &Labor:. $ 18,150.00"eighteen thousand one hundred fiftytdollars Payment terms 1/2 to begin.and balance due in full at tune"of job completion. All materials guaranteed to be as specific, and•work to be performed as_stated` above:Work to be completed in a workmanlike manner. Please remove and or secure any fragile household items. Y Not responsible for broken,or damage to household'items: : Five Year Labor Warranty/Plus Manufactures Shingle Warranty: We'may withdraw this proposal if not accepted,within 30 days. Respectfully Submitted. Date Acceptance of"Proposal The above prices, specifications and conditions are satisfactory and are hereby accepted. °You are authorized 40114o,the work as:specified: Payment is due in full at job completion.im �r `Owner Signature Date ature - - � � f j6;/W &Mmowwleaa Aa ;ice j Office of Consumer Affairs and Business Regulation =- 10 Park Plaza - Suite 5170 t Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 134313 Type: DBA Expiration: 10/24/2013 Tr# 216645 DAVID SAWYER CONSTRUCTION DAVID SAWYER 318 MEIGGS BACKUS RD. -------- --------- --------__._ SANDWICH, MA 02563 --------------------- -- Update Address and return card.Mark reason for change. �j Address f I Renewal ;I Employment Lost Card IS-CA1 Cj 50M-04/04-G101216 f/ze �o�,e„�zanu�ealll o�'✓l ,�aclzuaeCla Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ( =r+ Office of Consumer Affairs and Business Regulation rid ^;; Registration: 134313 Type: Expiration: 10/24/2013 DBA 10 Park Plaza-Suite 5170 =' Boston,M 02116 DAVID SAWYER CONSTRUCTION J C DAVID SAWYER / 318 MEIGGS BACKUS RD: SANDWICH,MA 02563 Undersecretary Not vali ithout si nature .. ,f .. .„� ,. £' - d{ w i*(�. R•... 3 k, SAY xk,1'. 'i x,,,r;. ,°. .. �lassaihu«tte - Department 4ef Pt€hiic Board of Building Re,!t latiolls aril Stantlar(l 1 License:,CS SL 98859 Restricted to: RF,WS r a DAVID SAWYER 318 MEIGGS BACKUS ROAD SANDWICH, MA 02563 Expiration: 1/27/2013 t .uumi, i„uci T 9053 WORKERS COMPEPdSATT Aj`o _:,Nfl ENIFIA VERS 1,2ASH.ITY INSURANC,-F. AGENT NO 3020 OFFICE NO 3020 MARK W SYLVIA 771 MAIN ST OSTERVILLE MA 026ES-19021 FARM FAMILY CASUALTY INSURANCE COMPANY 508-428-0440 NCCI COMPANY NO. 16721, POLICY NO 200IW6406 INSURED AND,MAILING ADDRESS: RENEWAL OF NO. 200IW6406 DAVID SAWYER EFFECTIVE 3/05/11 DBA SAWYER CONSTRUCTION S18 MEIGGS BACKUS RD SAIIJDWIC.H, MA 02563-313-7 THE 1NSURED IS INDIVIDUAt Work-places cov:ered:by this policy. ST WP No. ADDRESS OF WORIKP—EACE RTG.0UR 1\10. INTRASTATE NO. MA 01 318 MEIGGS BACKUS RD 210677 GANDWICP MA ................ . ... . ..... MOW The policy period is from 3/05/11to 3/05/12 12:01 A.M. Standard Time at the insured's mailing addrE .............. ........ .......... .................. .... .................. ........................... A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law the state listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.. The limits of our liability under Part Two are: Bodily Injury By Accident Bodily Injury By Disease Bodily Injury By Disease 100,000 each accident 5001,969 policy limit 100,000 each amplcyea C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: All states except the states designated in item 3.A. of the information page and ND, OH, WA, and WY D. This policy includes these endorsements and schedules: WC 00 00 GOA WC 00 00 01 We go 03 15 WC 00 04 14 WC 00 04 22A WC 20 a^- 04 WC 20 03 122A WC 20 03 03D WC; 26 alck GE 11VC 20 06 GIA Convripht IQ97 Wntinnni rmincil INSURED COPY The Commonwealth of Massachusetts Department oflndustrial Accidents Office of Investigations 600 Washington Street . Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit•. Builders/Contractors/Eleetricians/Plumbers Applicant Information Please Print Le 'bl Name (Business/organization/Individual): Address: City/State/Zip: one#: � a Are you an employer? Check the a ro note box:pp p ' \y 1• I am a employer with 4. [� I am a general contractor and I Type of project(required): employees(full and/or part-time),* r have hired the sub-contractors 6• ❑New construction 2.ti am a sole proprietor or partner- listed on the attached sheet. 7. []Remodeling ship and have no employees These sub-contractors have working for me in any capacity employees and have workers' S' EJ Demolition [No workers'comp.insurance comp.insurance.# 9• []Building addition ' 3.❑ required.] 5, EJ We area corporation and its 10.ED Electrical repairs or additions I am a homeowner doing all work. officers have exercised their myself. 11.❑Plumbing repairs,or additions y [No workers' comp, right of exemption per MGL insurance required.]t c. 152, §1(4), and we have no 12.ELRoof repairs employees. [No workers' 13 ther COMP.insurance required:] *Any applicant that checks box#]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#Contractors that check this box must attached an additional sheet such, 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 employ information. ees Below is the policy and job site // „� Insurance Company Name: 1 Policy#or Self-ins..Lie. Expiration.Date:- Job Site Address: City/State/Zip: �A , Attach a copy of the workers' cum sacion policy declaration page (showing the policy number and expiration U V 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 against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of e IA for msur Coverage verification. I do hereby ce fy under the ai andPena s of erjury th t the information provided love u true and correct Si ature: ��V(/!/ Dater °Z Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing An (circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbin71nspector 6. Other Contact Person: Phone#: Town of Barnstable Regulatory Services N 0� Thomas F.Geiler,Director BARNSTABM 9MASS. . vi Building Di 'Sion 1639. °ren MAC°' Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 y Office: 508-862-4038 Fax: 508-790-6230 PERMIT# FEE: $ SHED REGISTRATION 120 square feet or less p J Q-Z/ / Locatio of s ddress) Village. Property owner's name Telephone number Size of Shed Map/Parcel# gnature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? r - Conservation Commission(signature required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 L®CAT1ON COF PROPERTY LINES MAY NOT BE ACCURATE STANDARDLEGEND NOTE:not all symbols will appear on a map GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES EDGE OF BRUSH ORCHARD OR NURSERY v EDGE OF CONIFEROUS TREES MARSH AREA - — EDGE OF WATER DIRT ROAD DRIVEWAY �—PARKING LOT PAVED ROAD 2 ( — — — DRAINAGE DITCH ii ___...._..__.._._.. .• ——--— PATH/TRAIL r PARCEL LINE nurtto E MAP# r 21 , PARCEL NUMBER HOUSE NUMBER ap -2- 05 - M 2 FOOT CONTOUR LINE _ - A io 10 FOOT CONTOUR LINE Elevation based on NGVD29 ;•�4.9 SPOT ELEVATION STONE WALL 205P P X----X- FENCE Y RETAINING WALL 2r i-1 RAIL ROAD TRACK STONE JETTY Pom SWIMMING POOL ~~ PORCH/DECK 128 �] ❑ BUILDING/STRUCTURE ✓ H L DOCK/PIER Q HYDRANT e VALVE O MANHOLE o POST pFP FLAG POLE T O W N O F B A- R N S T A B L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T .o SIGN ® STORM DRAIN N PRINTED SCALE:IN FEET p• 0FtZ.t.op. y graphic p p photographs y *NOTE:This ma is an enlar ement of a parcel lines are only re representations DATA SOURCES: Planimetria man-made features were interpreted from 1995 aerial 6 The James 0 UTILITY POLE II TOWER w e 1"=1—scale map and may NOT meet daries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 Q\ 20 National Map Accurary Sandards at this actual relationships ro physical objects Corporation. Planimetria,topography,and vegetation were mapped to meet National Map Accuracy Standards ¢ LIGHT POLE O ELECTRIC BOX s 1 INCH=20 FEET P* enlarged scale. at o scale of 1"=100'. Parcel lines were digitized from FY2003 Town of Barnstable Assessors tax maps.