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Per i Wtere�a"Certificate ofOccu"'ancyz<is Regu�red,such BuildmgshallNotbe Oc"cupied�until a,Finallnspedt�on;hasbeen made Permit NO. B-19-710 Applicant Name: RANNEY AND RIMINGTON CUSTOM BUILDING LLC Approvals Date Issued: 03/11/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only;, Expiration Date: 09/11/2019 Foundation: Residential Map/Lot: 192-066 Zoning District: RC Sheathing: Name 'Location: 128 ROLLING HITCH ROAD,CENTERVILLE y x; Cont"ractor -,ALEXANDER M RANNEY Framing: 1 ytY Owner on Record: WILSON,HEATHER P&BARRY,JOYCE �Contractor Li ense CS 088595 2 Address: 128 ROLLING HITCH ROAD W Esc: Project Cost: $25,000.00 Chimney: CENTERVILLE, MA 02632 . Permit Fee: $ 177.50 f �IZY �q Description: remodel bathroom renovation Insulation: i 5 Fee Paid " $177.50 Project Review Req: F " p D 3/11/2019 :Final �3n Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work autho�r�zedE,by this permit is commenced within six onths after issuan Final Plumbing: All work authorized by this permit shall conform to the approved application and the-approved construction documents foriwhichthis permit has been granted. All construction,alterations and changes of use of any building and st uctures shall be in compliance with the local zonmgby laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for pubic inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures4by,the Building and Fire Officials iremj this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work 1.Foundation or Footing �� 3�� Service: 2.Sheathing Inspection a . � Rough: 3.All Fireplaces must be inspected at the throat level before firest flue,1ining"is installeds' 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT A A Final: oFTME� R Application Number... ........ .^. -` 4 BARMABLE MASS. Permit Fee.......................................Other Fee........................ 16;q. a a Total Fee Paid........:...... .................................... ...... Yt Y� TOWN OF BARNSTABLE Permit Approval by...... .... . . .. ...........On... .11.1.. .i.. . BUILDING,PERMIT GG Mv............II....4 a...............Parcel................ .................. APPLICATION . Section 1 —Owner's Information and Project Location - Project Address Village ��''�� ' Owners Name �� Owners Legal Address SP-w►o!C City State Zip Owners Cell# �$) Z-9 Z- ' t� 1 3 E-mail Section 2 -Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet 'Single/Two Family Dwelling Section 3 -Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ©' Sprinkler System ❑ Addition ❑ Retaining wall ❑ . Solar Renovation 0 Pooh* _ El Insulation ` Other-Specify Section 4 - Work Description w Last undated: 1 1/1 520 1 8 Application Number.................... Section 5—Detail Cost of Proposed Construction �000 Square Footage of Project 1.5 �r Age of Structure Dig Safe Number # Of Bedrooms Existing ,�� Total#Of Bedrooms (proposed) 110 MPH Wind Zone.Compliance Method ❑ MA Checklist ❑ WFCM Checklisto.,'Design Section 6—Project Specifics Wiring ❑ Oil Tank Storage ❑ Smoke Detectors Cg Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom i Water Supply 4Public Private Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: DLWPW,?- I am using a crane ❑ Yes No Section 7—Flood Zone Flood Zone Designation —V h�- ,9 Within or adjacent to a wetland, coastal bank?_ Yes ❑ No . Section 8—Zoning Information S Lot Area S Ft. A* Zoning District Proposed Use q. Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Fro t Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes No Last updated: 11/15/2018 " - Application Number........................................... Section 9- Construction Supervisor Name A4a,6cVbV)1Qz 1 �Ury Telephone Number Address 7301 S l VbX(- i Wf1; City (,4q l�NN6S State Mn Zip 026 v 1 License Number 0 99 5 9 5— License Type U Expiration Date q l b ('Zo Contractors Email tW i ( VA fNCMN �� �(� `/ well# f2 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and ' documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date 3/Z Y Section 10—Home Improvement Contractor Name t O-Y +-AM GlZtz C V Kvk. elephone Number °�3 Zu V� y Address q6q M&0 Y: City ljS'fYze'L/2:XA State 011W Zip 6 2<S-S- Registration Number l Expiration Date l I z l I I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction,inspection procedures,specific inspections and # documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date Print Name Telephone Number E-mail permit to: A ,x lefNVk,,T-NC�1N_ (Z Last updated. 11/152018 Section 12 —Department Sign-Offs " D Health Department © Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ j Fire Department ❑ Conservation ❑ - For commercial work,please take your plans directly to the fire department forcapprovaL Section 13— Owner's Authorization I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name i r y W • , ` ry Last updated. 11/15/2018 969 Main St 1SL3L3�1V 25 + Osterville,MA 02655 1RIIRQIIRU@U@ 508.428.7,47 info@ran neyrimi ngton.com RENOVATIONS•ADDITIONS-TRANSFORMATIONS RanneyRffi ington.com ESTIMATE=.RE SEIV SEIV D, Home Improvement Contractor Registration#144752 Date: March 5,2019 Customer Name: Heather Wilson&Joy Barry Site Address: 128 Rolling Hitch Rd,Centerville Phone: 508-292-0143, 508-292-7743 Email: heather@hpwilson.com,joy@joybarry.com Based on CAD Plans: dated 2/28/19 Project Description: Master Bathroom Remodel A PLANS,DESIGN&PERMITTING 1. Provide design,floor,and detailed prescriptive frame plan for Town of Barnstable as needed $400.00 2. File (building/electrical/plumbing)permit with Town of Barnstable $450.00 o Includes inspections SITE PREPARATION 3. Supply 15-yard dumpster for construction waste removal(based on 1 dumpster) $450.00 4. Supply portable waste facility for workmen use(based on 1 month) $125.00 5. Workspace preparation $200.00 o Tape and plastic off,as possible,areas of home not under construction to minimize dust 6. Prepare plumbing systems $300.00 o Tie off and disconnect existing plumbing as needed to begin renovation inspected by licensed professional RA1 +RDUNCITON CUSTOM SDD.DMS Proud Member of National Association of Home Builders•Home Builders Association of Massachusetts•Home Budders$Remodelers Association of Cape Cod•Better Business Bureau f - 969 Main St Osterville,MA 02655 508.428.7147 HININGTON info@ranneyrimington.com RENOVATIONS•ADDITIONS•TRANSFORMATIONS RanneyRimington com 7. Prepare electrical systems $300.00 o Tie off existing electrical as needed to begin renovation inspected by licensed professional 8. Demolition and waste removal $1,800.00 o Deconstruct&demo existing house as needed per plans,including segment of wall as needed for new door installation,subfloor under new shower footprint(please note additional floor framing is not included),vanity,sink, toilet,shower,bathtub,octagon window and floor tile o Dispose of construction waste INTERIOR ROUGH WORK 9. Framing $2,100.00 o Construct new rough frame as per plans and floor plans including constructing wall for pocket door installation, closet,shower half walls and framing for shower bench supports,partial subfloor,grab bar blocking,padding exterior wall and frame where octagon window was removed. o Includes materials 10. Rough plumbing $3,358.00 o Install new rough plumbing,as per plumbing schedule 11. Rough electric $2,728.00 o Install new rough electric utilizing existing breaker box,as per electrical schedule 12. Insulation $400.00 o Spray closed cell foam insulation into exterior padded wall 13. Shingles $450.00 o• Install clear cedar shingles on the exterior wall where the octagon window was removed,weaving into existing as possible 14. Interior wallboard installation $850.00 o Install new gypsum wallboard on new construction exterior shower half walls,interior/exterior of closet walls and interior/exterior of new pocket door wall only in preparation for plaster o Other walls and ceiling to remain 15. Interior wall preparation $950.00 o Tape,corner bead,and plaster new gypsum wallboard and any repair spots;blend into existing plastered walls and ceiling to make ready for painter preparation REVISED ESTIMATE, Wilson/Barry,315119,Page 2 969 Main St Osterville,MA 02655 I � � 508.428.7147 info@mnneyrimington.com RENOVATIONS•ADDITIONS•TRANSFORMATIONS RanneyRimington.aom ,INTERIOR FINISH WORK 16. Preparation for curbless shower installation $1,750.00 o Construct gully drain blocking,perimeter blocking and joist bay blocking,install new Truedek liner,adapt rough plumbing,sand edging of tile backer,apply additional cement board joint tape with water proofing compound,apply full coats of waterproofing on the new Truedek and 24"beyond 17. Tile preparation $500.00 o Install cement board in preparation for tiled surfaces,including bathroom floor,shower walls and half walls 18. Tile installation o Install customer supplied tile and grout(homeowner to choose tile and grout to be supplied by their distributor)in bathroom on floor and on shower floor and walls(up to 7') o Based on standard pattern using 12"x 12"tiles minimum for floor;6"x 9"tiles minimum for shower walls and netted 12"x 12"tiles minimum for shower floor,including:26 sf shower floor tile,110 sf shower wall tile,211f bullnose,171f accent tile,1 corner soap dish and 160 sf bathroom floor tile Template and supply of solid surface half wall caps,jambs and bench supports to be provided by White Wood Kitchens • Labor to install tile&grout shower walls,floor..........................................................................:.........................................$3,300.00 • Labor to install tile&grout bathroom floor..............................................................................................................$1,400.00 19. Interior trim package $1,800.00 o Install door trim on both sides of pocket door and exterior of closet door to match existing as closely as possible o Install 5"standard speedbase baseboard in the bathroom o All trim to be pine o Install six-panel solid Masonite interior doors including: I double(closet)and 1 pocket(bedroom entrance)including standard brushed nickel hardware. o Install window trim to match o Install 1 shelf and hanging bar in new closet o $900.00 door material and hardware allowance included($500.00 closet door and$400.00 pocket door) 20. Vanity installation $400.00 o Install new customer supplied,pre-assembled,floor mounted double vanity unit as per plans with supplied hardware. a Homeowner to choose vanity,to be delivered and uncrated by White Wood Kitchens,while homeowner is available for inspection 21. Vanity countertop/sink/backsplash installation o Template,supply and installation of vanity countertop with sink and backsplash to be done by White Wood Kitchens. 22. Finish plumbing $300.00 o Install finish plumbing,including customer supplied sink faucet&drain sets,shower faucet/drain set,and toilet 23. Finish electric $300.00 o Install finish electric,including recessed lighting trim,outlet&switch covers and customer supplied lighting fixtures REVISED ESTIMATE, Wilson/Barry,315119,Page 3 '¢' 969 Main St Osterville,MA 02655 IRRHER UM 50a428.7147 info@ran neyrimi ngton.com RENOVATIONS•ADDITIONS•TRANSFORMATIONS Rcuuteyffimingion.com 24. Post-construction cleanup $450.00 o Professional cleaning of entire house o Broom swept and basic cleanup is already included An estimate for prep&painting finishes will be provided once the exact scope of work is determined Glass work(if needed)is not included in this estimate;we recommend: Clearview Glass, Brandon Gomes, owner, (401)533-0844,,clearviewplass20120_)gmail.com Estimated Cost Plans&Design $850.00 Site Preparation $3,175.00 Interior Rough Work $10,836.00 Interior Finish Work $10,200.00 Estimated Total Cost of Labor& Materials $25,061.00 Contract Terms:; 1. This estimate is valid for 30 days. 2. No additional work is included in this estimate unless described in writing. 3. Deposits and payments are not refundable unless otherwise noted. 4. Contractor is not responsible for any damage to lawn or plantings around demolition area. 5. Contractor is not responsible for any damage to interior furnishings that may need to be moved to complete work. 6. All construction waste and replaced items(including cabinets,windows,doors&appliances)will be considered disposable unless other indicated by property owner. 7. Property owner is responsible for ensuring access to the job site;including parking,snow removal and any costs associated with electricity or gas for lighting and heat to complete the renovation.Snow removal can be provided by Ranney and Rimington for an additional charge. 8. Property owner is responsible for all costs associated with hazardous materials,lead,mercury storm water pollution discharge or costs associated with American Disabilities Act requirements if necessary. 9. Any repair,moving or installation of alarm system for security or fire/smoke is the responsibility of the property owner. 10. Property Owner agrees that Ranney&Rimington Custom Builders may display a small sign on the property during the duration of the work and one month after completion. 11. Property Owner is responsible for any and all engineering costs and site plan if necessary unless otherwise noted. Conservation,Zoning,and/or Historical costs necessary in association with obtaining any necessary permits unless otherwise noted. REVISED ESTIMATE, Wilson/Barry,315119,Page 4 969 Main 8t Osterville,MA 02655 508.428.7147 jIIII �O info@ranneyrimington.com RENOVATIONS•ADDITIONS•TRANSFORMATIONS RcnikneyRimington.com 12. All home improvement contractors and subcontractors shall be registered by the Director and any inquiries about a contractor or subcontractor relating to a registration should be directed to:Director,Home Improvement Contractor Registration,One Ashburton Place,Rm 1301,Boston,MA 02108 13. The property owner has three-day cancellation rights of this contract under M.G.L.c.93,48;M.G.L c.140D,10 or M.G.L. c.255D,14 as applicable.After 3 days all deposit and special order payments are non-refundable.. 14. All warranties and property owner's rights are under the provisions of 780 CMR 110.6 and M.G.L.c.142A 15. Any alteration or deviation from above specifications involving extra costs will become an extra charge over and above the estimate at$75.00 per hour plus materials. If cost of materials and already described labor costs changes,this estimate may increase no more than 15%without written notice. 16. It is the obligation of the home improvement contractor to obtain any and all necessary construction-related permits;in the event that the property owner secures their own construction-related permits or deals with unregistered contractors they will be excluded from the guaranty fund provisions of M.G.L.c.142A. 17. Property Owner's failure to make payments for work duly performed may result in a lien against the homeowner's property and void warranties..Owner is responsible for any legal fees and court costs Ranney&Rimington may incur to collect the monies due on this estimate.The contractor and the property owner hereby mutually agree in advance that in the event the contractor has a dispute concerning this estimate,the contractor may submit such dispute to a private arbitration service which has been approved by the secretary of the office of consumer affairs and business regulations and the consumer shall be required to submit to such arbitration as provided in M.G.L.c.142A. 18. Right to Photograph the Work.Owner shall permit Contractor or person(s)employed or engaged by Contractor,without compensation or consideration to Owner,to take photographs at the project site of both completed work and work in progress,for purposes including,but not limited to,publication in newspapers,magazines,and other print media,use in broadcast media,publication via the Internet,and use in marketing materials used by Contractor.Such photographs and any accompanying descriptions shall not identify Owner or the property address of the project without the express written consent of Owner. TOTAL LABOR&MATERIALS$25,061.00 +cost of any options chosen Payment Schedule: 777 Initial deposit requested to schedule work_ $4,000.06, Due upon receipt of permit&ordering materials $4,000.00 Due upon completion of rough frame $4,000.00 Due upon completion of rough plumbing&electric $4,000.00 Due upon hanging of wallboard $4,000.00 Due upon installation of trim package $3,250.00 Due upon completion $1,811.00 REVISED ESTIMATE, Wilson/Barry,315119,Page 5 NEY + 969 Main 5 Osterville,MA 02655 Ryw IN TO 508.428.7147 j info@ranneyrimington.com RENOVATIONS•ADDITIONS•TRANSFORMATIONS RanneyR1;C ington.com DO NOT SIGN THIS CONTRACT IF YOU HAVE NOT READ IT OR IF THERE ARE ANY BLANK SPACES 3119 Ranney&Rimington Custom Building LLC Date 1 -0, VPnp rtLyvOw n Date REVISED ESTIMATE, Wilson/Barry,315119, Page 6 '�' 969'Main 5t Ostenrille,MA 02655 RIINTO 508.428.7149 info@ranneyrimington.cam RENOVATIONS•ADDITIONS•TRANSFORMATIONS RunneyRYmiingtOtn.cOm ITEM Description Total Plumbing Installation of the following plumbing fixtures Bathroom Remodel --MASTER BATHROOM-- Plumbing for the remodel of the existing master bathroom(changing the plumbing layout)consisting of: - Water closet(tank type,floor mounted)SAME LOCATION - Double lavatory sink(vanity type)MOVING 1 FEET -Existing shower TO BE REMOVED,CUT AND CAPPED -Existing bathtub becomes a shower(Single shower valve and head) Total Estimated Cost TOTAL ESTIMATED COST OF EQUIPMENT, $2,874.00 INSTALLATION PARTS AND LABOR Shower Extra Plumbing installations for a secondary linear drain to $484.00 protect bathroom floor Plumbing Note WALL HUNG VANITIES OR FURNITURE STYLE VANITIES WILL BE CHARGED EXTRA ESTIMATE DOES NOT INCLUDE SHOWER PAN OR LINEAR SHOWER DRAIN Estimate includes all plumbing pipes,fittings and connections Estimate DOES NOT include any fixtures unless specified above. Water piping shall be done in pex and copper tubing and waste pipe in PVC sch40. Total $3,358.00 REVISED ESTIMATE, Wilson/Barry,315119,Page 7 969 Main St Ostenrille,MA 02655 50a428.7147 info@ranneyrimington.com RENOVATIONS•ADDITIONS•TRANSFORMATIONS RcumeyRm►StgtOA.COm Plumbing Schedule ITEM Description Total Plumbing Installation of the following plumbing fixtures Bathroom Remodel --MASTER BATHROOM-- Plumbing for the remodel of the existing master bathroom(changing the plumbing layout)consisting of- - Water closet(tank type,floor mounted)SAME LOCATION - Double lavatory sink(vanity type)MOVING 1 FEET -Existingshower TO BE REMOVED,CUT AND CAPPED -Existing bathtub becomes a shower(Single shower valve and head) Total Estimated Cost TOTAL ESTIMATED COST OF EQUIPMENT, $2,874.00 INSTALLATION PARTS AND LABOR Shower Extra Plumbing installations for a secondary linear drain to $484.00 protect bathroom floor Plumbing Note WALL HUNG VANITIES OR FURNITURE STYLE VANITIES WILL BE CHARGED EXTRA I ESTIMATE DOES NOT INCLUDE SHOWER PAN OR LINEAR SHOWER DRAIN Estimate includes all plumbing pipes,fittings and connections Estimate DOES NOT include any fixtures unless specified above. Water piping shall be done in pex and copper tubing and waste pipe in PVC sch40. Total $3,358.00 . I REVISED ESTIMATE, Wilson/Barry,315119,Page 7 M . Ry� MEW 969 Main St �] � Osterville,MA 02655 508.42a7147 IMENER MUOM info@ranneyrimington.com RENOVATIONS-ADDITIONS-TRANSFORMATIONS RcumeyRmulgton.com Electrical Schedule QTY Description Rate Total 1 TROUBLESHOOTING EXISTING SYSTEM,SUBMIT ELECTRICAL PLAN,MEETING $454.00 $454.00 WITH ELECTRICAL INSPECTOR AND PLAN REVIEW AS NEEDED. Bathroom remodel 2 Single pole toggle switch installed(main recessed,shower recessed) $91.00 $182.00 2 Replace single pole toggle switch(vanity lights,recessed in toilet room) $55.00 $110.00 1 Replace plug next to sink $55.00 $55.00 1 Replace GFI next to sink $79.00 $79.00 6 Replace existing recessed with new 4"led wafer recessed $224.00 $1,344.00 1 Fan In-Wall Timer(existing fan) $152.00 $152.00 2 Wire customer provided vanity light fixture"This is an allowance $176.00 $352.00 Total $2,728.00 REVISED ESTIMATE, Wilson/Barry,315119,Page 8 PATRRIM-01 THO ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 08/06/2018 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 poilcy(les)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. PRODUCER 'ACT Rogers&Gray Insurance Agency,Inc. alc0,wo,Ext: (FAX,No; 877)816.2156 434 Rte Dennis, mail ro ers ra com South enn MA 02660 ���ss: � 9 g Y• INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Main Street America Assurance Company ,29939 INSURED INSURER S: Ranney 8,Rimington Custom Building,LLC INSURER C P.O.BOX 816 INSURER D, 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 TYPE OF INSURANCE SUER POLICY NUMBER ' POLICY EFFDUIVYM POLICY EXP LIMITS A X I COMMERCIAL GENERAL LIABILITY 1 EACH OCCURRENCE S 1,000,000 CLAIMS-MADE ❑X OCCUR ( MP076069 08/2112018 08I21I2O19 DAMAGE ETO RENTED TED 500,000 i S TO R nce $ MED EXP Any one person) $ 10,000 PERSONAL&ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE I$ 2,000, - POLICY❑X jpa 0 LOC PRODUCTS-COMP/OP AGG 2,000,000 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANYAUTO BODILY INJURY Perperson) OWNED . SCHEDULED _ AUTOS ONLY AUTOS BODILY INJURY Per accident $ AUTODS ONLY AUTO ON1JY Prier a cid AMAGE ereoadent UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LWB CLAIMS-MADE AGGREGATE S DED I I RETENTION$ S WORKERS COMPENSATION SPTERTUTE OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRtETORIPARTNER/EXECUTIVE a N/A E.L.EACH ACCIDENT $ andatory In NH)EXCLUDED? y E.L.DISEASE-EA EMPLOYEE DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may lie attached ff 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. AUTHORIZED REPRESENTATIVE ACORD 25(2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD f Commonwealth of Massachusetts Division of Professional Licensure f Board of Building.Regulations and Standards Constwaftn }grvisor q ,• ires.oa-si2020 CS-088595 ; w �P . - ALEXANDER-M RAIT _k 239 SCUWEK-AV HYANNIS MA 62$01 ' Commissioner Construction Supervisor Unrestricted'guildings of any use group which contain less than 36,000 cubic feet(99 ecubic hem)of enclosed spar op Failure to possess a current edition of the Massachusetts ate wilding Code.is cause for revocation of this license. For information about this gcenseovid pi Call(617►727-3200 of visit www.ma 4 ' 1 I - _ . .�e �.mmoeu�eo,�f'a�✓��ioasaa��JerGi Office of Consumer Affairs&Business Regulation Registration valid for individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date. ff found return to: MeE:LLC ra Office of Consumer Affairs and Business Regulation = 1110V2020 1000 Washington Street-Suite 710 - —_ r--.TOM BUILDING,LLC Boston,MA 02118 .§ RAN NEY ANIa��� •§-� . el ALEXANDER 969 MAIN STREET y Not valid without signature OSTERVILLE,MA 02655 Undersecretary c r _ 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/Orgmization/Individual): Address: 104 M Rvi S City/State/Zip: a S i 2✓�,v Phone#: �J `),u , 4 2 F 7 ( �� 7 Are on an employer?Check appropriate box: Type of project(required): 1. am a employer with- 4. 0 I am a general contractor and I F� employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. emodeling v p These sub-contractors have ship and have no employees 8. ❑Demolition working for me in any capacity.c aci employees and have workers' $ 9. ❑Building addition [No workers'comp.insurance comp.msurance. 10.❑Electrical required.] 5. We are a corporation and its 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.]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 him:outside contractors must submit a new affidavit indicating such. tContnu tors 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 most 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. �,n Insurance Company Name: - Il l`--fC—p(Z-9 0 01611 Tt\JS• CdAM c Policy#or Self-ins.Lie.#: V o y l l 9 s-7 7 S ( �� Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration.page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the informadonprovidedibove tt rue and correct Signature: Date: t 1 Phone#: ' � "7 ( 91 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#: Information and Ins uctions n Massachusetts GeneralLaaws chapter 152 requires all employers to prove workers' compensation for their employees. Pursuant to this statute, employee is defined as"...every person in service of another under any contract of hire, express or implied,oral or\vretten." An employer is defined as"an' dividual,partnership,associate corporation or other legal entity,or any two or more of the foregoing engaged in a j ' enterprise,and including the gal representatives of a deceased employer,or the receiver or trustee of an indivi partnership,association or er legal entity,employing employees. However the owner of a dwelling house ha ' not more than three apartm is and who resides therein,or the occupant of the dwelling house of another who loys persons to do maint ce,construction or repair work on such dwelling house or on the grounds or building a thereto shall not b use of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also that"every state or ocal licensing agency shall withhold the issuance or renewal of a license or permit to o irate a business or o construct buildings in the commonwealth for any applicant who has not produced a eptable evidence compliance with the insurance coverage required." Additionally,MGL chapter 152, §25 7)states"Keith the commonwealth nor any of its political subdivisions shall enter into any contract for the perform ce of public k until acceptable evidence of compliance with the,insurance requirements of this chapter have been p ented to th contracting authority." Applicants Please fill out the workers'compensation affi it mpletely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), s(es)and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or iuited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry Wo 'compensation insurance. If an LLC or LLP does have employees,a policy is required Be advised that davit may be submitted to the Department of Industrial Accidents for confirmation of insurance cov e. o be sure to sign and date the affidavit The affidavit should be returned to the city or town that the apple . n for a permit or license is being requested,not the Department of Industrial Accidents. Should you have any qu ions . g the law or if you are required to obtain a workers' compensation policy,please call the Departm at the ber listed below. Self-insured companies should enter their self-insurance license number on the ap line. City or Town Officials Please be sure that the affidavit is complete d printed le grb The Department has provided a space at the bottom of the affidavit for you to fill out in the ev the Office of In stigations has to contact you regarding the applicant. Please be sure to fill in the permh/license n ber which will b used as a reference number; In addition,an applicant that must submit multiple permet/license lications in any giv year,need only submit one affidavit indicating current policy information(if necessary)and and "Job Site Address" a applicant should write"all locations in (city or town)."A copy of the affidavit that has b officially stamped o kid by the city or town may be provided to the applicant as proof that a valid affidavit is n file for firture permits r licenses. A new affidavit must be filled out each year.Where a home owner or citizen is o taining a license or permi of related to any business or commercial venture (i.e.a dog license or permit to burn leave etc.)said person is NOT to complete this affidavit. The Office of Investigations would hike t thank you in advance for yo cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,'telephone and fax number. a Gommoawealth of Massach 1600'Washington t of Industrial Aeciden ; Office of Investigations Street ston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia y ® DATE(MM/DD/Y1YYY) CERTIFICATE OF LIABILITY INSURANCE 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 policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorseme s. PRODUCER CO CT N Tamm Home ROGERS&GRAY INSURANCE AGENCY INC PHONE 508 760-5745 FAX WC,No: ADDRFss. thome@rogersgray.com 434 ROUTE 134 INSURE S AFFORDING COVERAGE NAIC$ SOUTH DENNIS MA 02660 INSURER A: HARTFORD UNDERWRITERS INS CO 30104 INSURED INSURER B. RANNEY&RIMINGTON CUSTOM BUILDING LLC INSURERC: INSURER D: PO BOX 816 INSURER E: MARSTONS MILLS MA 02648 1 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 INSURANCEOL SUER POLICYNUMBER E POLICY EXP POLICYNUMBER p LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ TO CLAIMS-MADE OCCUR PREM DAMAGE ISESoccurrence)RENTED $ MED EXP(A one person) $ N/A PERSONAL&ADV INJURY $ GEWL AGGREGATE LIMIT APPLIES PER' GENERAL AGGREGATE $ POLICY JECT LOC PRODUCTS-COMP/OPAGG S OTHER: $ AUTOMOBILE LIABILITY COeBIINN DSINGLELIMIT $ aml ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS WA BODILY INJURY(Per exklent) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per acddent $ $ UMBRELLAUA13 _ OCCUR EACH OCCURRENCE S EXCESS LIM CLAIMS-MADE NIA AGGREGATE $ DIED RETENTION S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY XX STATUTE ER ANYPRO/M ER YIN E.L.EACH ACCIDENT S 100,000 A OFFiCER/MEMMBERE CCWD C E EED? WA WA NIA 6S60UB9F85778918 08/06/2018 08/06/2019 (Mandatory in Nib E.L.DISEASE-EA EMPLOYE $ 100,000 esodbe M yes d under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD tOt,Additional Remarks Schedule,maybe attached If more space Is required) Workers'Compensation.benefits Will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,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 toot at www.mass.gov/hadlworkers-compensationPnvesagations/. 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. AUTHORIZED REPRESENTATIVE Daniel M.Cro y,CPCU,Vice President—Residual Market—WCRIBMA 01988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Town of Barnstable Ulldinl Post4This Card;So That rt is V,,isible;From the Str.,eet�A roved.Plans Must be REW PrAetained on�Job and,th�s,Gard Mustbe.Ke t 1AB2Itr ABM ,ar £y;3 �.. t>'� �^.z,� i: .� .. x .^''` s�s'X ' �I,: f ., Posted Until Finallnspection Has BeenMatle � ., Permit s Whe a aCertificat"e of Occu anc °is Requ�red;'such Building shallNot be Occupieduntil aFinal%Inspection has been made ,..., , per., y . :.� Permit NO. B-19-1183 Applicant Name: RANNEY AND RIMINGTON CUSTOM BUILDING LLC Approvals Date Issued: 04 11 2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: •10/11/2019 Foundation: Location: 128 ROLLING HITCH ROAD,CENTERVILLE Map/Lot. 192-066 Zoning District: RC Sheathing: Owner on Record: WILSON,HEATHER P&BARRY,JOYCE Contractor Name. RRANNEY AND RIMINGTON Framing: 1 CUSTOM BUILDING LLC . Address: 128 ROLLING HITCH ROAD g 2. -Contractor License C4052 CENTERVILLE, MA 02632 k' Chimney: Description: Door replacement Est Protect Cost: $8,485.00 Permit Fee: $43.27 Insulation: Project Review Req: d Final: d x Fee Pai $43.27 f` I: _' Date 4/11/2019 � s _ Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized.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 thelapproved construction documents for whf6hk kis permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning,by laws and codes. Final Gas: This permit shall be displayed in a location Clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. - Electrical ity - Service: The Certificate of occupancy will not be issued until all applicable signatures by the Building and°Fire Officials,are provided on this permit. Minimum of five Call Inspections Required for All Construction Work: " 1.Foundation or Footing _ Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level.before firest flue lining is installed Final: 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. Work shall not proceed until the Inspector has approved the various stages of construction. Final; "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department o Building plans are to be available on site Final: ��� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT t � t� Application number..... a Kra' ' APR 1 0 20i0 Building Inspectors Initials. -�1439` ....�.................. , A, TOWN O� 8AASTA � e Issued....................y.`�P..:................................. 2 Map/Parcel.........1...:!. ll/�!...... ........... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SID1NG/WINDO W S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: r2� �,.�N F1 � Ct NTf2i�3t�� NUMBER STREET VILLAGE Owner's Name: fTVt(r141• t 160tA t V-( QAf Phone Number O43 V9-- tC'`(3 Email Address: �2'� g4N Cell Phone Number Project cost$ ��µ � ,, Check one Residential�,� Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize 1�1rcLA�' to make application for a building permit in accordance wi 780 CMR Owner Signature: Date: TYPE OF WORK © S' ❑ Windows (no header change) n change)# ❑ Insulation/Weatherizatio LJ Doors (no header change)#_L_ Commercial Doors require an inspector's review 13 Roof(not applying more than 1 layer of shingles) Construction Debris will be going to LYl!'hf` ,(YAZ aN S�ilil CONTRACTOR'S INFORMATION T Contractor's name Home Improvement Contractors Registration(if applicable)# 1-(LI-7 5 -- (attach copy) Construction Supervisor's License# ©Cu' Q s� �~ '(attach copy) . • 1 Email of Contractor �IWt4 F,YAZR U 11044�hone number (sue)23"3-4(aE 3 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY.IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER '......................................................:..... . *For Tents Only* -WN Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes ease attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attache n a separate piece of paper. Purpose of Event Check one/edLP is a: for pro non-profit event Check oned Yes No Flame Spr ch tent must be attached. Provide a site plan with'the location(s) of each tent Fuel sourd LP tank 20 lbs. or>Yes No , if yes, a gas permit is required. Natural GNo , if yes, a gas permitisrequired. If food is at your event please obtain a Health'De'artinent approval between the hours of 8:00am-9.30 am or 3:30 pm-4:30pm. Commercial is may require Fire Department approval *WOOD/CO /PELLET STOVES Manufacturer# Model/I.D. Fuel Type Izz i Testing Lab k Offsets from comb t 4 bles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities per the rules and regulations for Licensed Construction Supervisor in accordance 780 CMRCthe Massachusetts State Building Code. I understand the construction insp on procedures, specific inspections and documentation required by 780 CMR and the T of Barnstable. Signature .. Y Date APPLICANT'S SIGNATURE ell Signature A= Date -! Lo tc( Alt permit applications are subject to a building official's approval prior to issuance. Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constra (Ors- O rvisor CS-088585 ; E*pires 04/16/2020 ALEXANDEIt M RANNEY ter, a 239 SCUDDEfi AVENUI» 4 " HYANNIS MA 02401 Commissioner c ., r •` Construction Supervisor Unrestricted-Buildings of any use group which contain less than 39,000 cubic feet(991 cubic meters)of enclosed Ed Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license.For information about this license , Call(617)727.,32oo or visit www-nlass.gov/dpl , ' i /t8 W'H!7f7?O/Lfl1B(Llf�C���U IIGJEffii office of Consumer Affairs&Business HOME IMPROVEMENT CONTRACTOR before Registration valid for individual use only before the expiration date. if found return to: TYPE:LLc office of Consumer Affairs and Business Regulation Registill,on E r I i000 Washington Street-Suite 710 }, 11/01/2020 RANNEY AN DiiC91t1513f5sTOM BUILDING,t1C Boston,MA 02118 ALEXANDER M RF11�IS7EY 969 MAIN sTREET:. _;= Not valid without signature OSTERVILLE,MA 02655 Undersecretary C 969 Main St RAKNEY + Osterville,MA 02655 -IrBXIMINGT®N 508.428.7147 info@ranneyrimington.com RENOVATIONS•ADDITIONS•TRANSFORMATIONS - _ RaimeyRimington.com Addendum to Estimate dated 03.105.12019 Home Improvement Contractor Registration#144752 Date: April 8,2019 Customer Name: Heather Wilson and Joy Barry ` Site Address: 128 Rolling Hitch Rd; Centerville,MA Phone: 508-292-0143 Email: heather@hpwilson.com;joy@joybarry.com Project Description: Replacement of sliding door and dog door t. 1. File(building/electrical)permit with Town of Barnstable $200.00 o In accordance with MA State Building Code 780 CMR,including inspections and plan review meetings 2. Waste removal o Utilize existing on-site dumpster,as possible SLIDING AND DOG DOOR REPLACEMENT OFFICE t "` � j "� 3. Sliding Door Removal $200.00 o Remove existing sliding door in office,including interior and exterior trim 4. Material Costs of New Sliding Door $4,685.84 o Final sizing of sliding door to be verified before ordering 0001 1 FWGD6066(SR) Ili RO Size-6'0'•W x 6'8`H Unit Size=5'11 14"W x 6'7 1f2"H A Series Frame,4 9116"Frame.Depth,Gray Sill,SR Handing,White/Pine.White-Factory Painted,With DP Upgrade• Right Stationary Panel,White/Pine,White-Factory Painted,High Performance Low-E4 Tempered Impact Resistant,With DP Upgrade Right Operating Panel,White/Pine,White-Factory Painted,High,Performance Low-E4 Tempered Impact Resistant,With DP Upgrade Viewed from Exterior Top Hung Gliding Insect Screen Track,SR,White Top Hung Gliding Insect Screen,SR,White Hardware Trim Set,FWGD,Newbury-Satin Nickel U-Factor:0.32, SHGC:0.26 1 @$4,685.84 ESTIMATE, Wilson Barry,04108119,Page 1 t, 969 Main St RANNEY "f" Osterville,MA 02655 508.428.7147 r .,M,NGTON .' info@ranneyrimington.com RENOVATIONS•ADDITIONS•TRANSFORMATIONS - - RanneyRimington-co ri 5. Sliding Door Installation $900.00 o Install I new Anderson sliding door,as described,in existing rough opening o 1 @$900.00 per sliding door 6. Interior trim $150.00 o Install interior pre-primed pine trim on 1 slider to.match existing as closely as possible o 1 @$150.00 per sliding door o Materials included 7. Exterior trim _ $225.00 o Install new PVC exterior trim on 1 slider using stainless fasteners o 1 @$225.00 per sliding door o Materials included 8. Demolition and waste removal $300.00 o Demo existing office as needed to create a rough opening for a new dog door on the master office wall;including gypsum wallboard,insulation,framing,sheathing and siding I 9. Framing $350.00 o Frame exterior office wall,as needed;to create rough opening for new dog door under the existing A/C ductless system 10. Electrical Allowance $300.00 o Electrical allowance included to relocate wall outlet,run wire and connect new dog door 11. Dog Door Installation $400.00 o Install 1 new customer provided dog door in new rough opening o High Tech Pets(Model PX-2)dog door to be provided by homeowners 12. Insulation $150.00 o Install new batt insulation around new dog door 13. Siding $200.00 o Install clear white cedar squared&rebutted shingles siding on exterior wall,around where new dog door was installed 14. Interior wallboard installation $200.00 o Install new gypsum wallboard,as needed,on exterior office wall only in preparation for plaster 15. Interior:wall preparation $225.00 o Tape,corner bead,and plaster new gypsum wallboard and any repair spots;blend into existing plastered walls and ceiling to make ready for painter preparation ESTIMATE, Wilson Barry, 04108119,Page 2 St RANNEY M Main '�". Osterville,MA 02655 IrRIMINGTON 508.428.7147 • info@ranneyrimington.com RENOVATIONS•ADDITIONS•TRANSFORMATIONS. .. - - RanneyRimington.com 16. Please note:Painting,if needed,is not included in this estimate but is available at$50.00/hour+materials if desired . Estimated Cost W ,� 3 k w, yr - .��: ..,_:. .�, ....._ .�" .�.. ,� x�.at ,x,-,i ,-:,,.. � '� ..o-,•_=..,.� ,.._„'y� _a.,.�x:.. � ._. ,_,A ..,." ..r.�:.N. _ �':.s sr.. t. c.... .+ r..�-•_. � Site Preparation $200.00 Sliding and Dog.Door Replacement $8,285.84 Estimated Total Cost'of Labor& Materials , d. $8,485.84 :. . Contract Terms 1. This estimate is valid for 30 days. 2: No additional work is included in this estimate unless described in writing: 3. Deposits and payments are not refundable unless otherwise noted. 4. Contractor is not responsible for any damage to lawn or plantings around demolition area. 5. Contractor is not responsible for any damage to interior furnishings that may need to be moved to complete work. 6. 'All construction waste and replaced items(including cabinets,windows,doors&appliances)will be considered disposable unless other indicated by property owner. 7. Property owner is responsible for ensuring access to the job site;including parking,snow removal and any costs associated with electricity or gas for lighting and heat to complete the renovation.Snow removal can be provided by Ranney and Rimington for an additional charge. 8. Property owner is responsible for all costs associated with hazardous materials,lead,mercury storm water pollution. discharge or costs associated with American Disabilities Act requirements if necessary. 9. Any repair,moving or installation of alarm system for security or fire/smoke is the responsibility of the property owner. 10. Property Owner agrees that Ranney&Rimington Custom Builders may display a small sign on the property during the duration of the work and one month after completion: 11. Property Owner is responsible for any and'all engineering costs and site plan,if necessary,unless otherwise noted. Conservation,Zoning,and/or Historical costs necessary in association with obtaining any necessary permits unless otherwise noted. 12. All home improvement contractors and subcontractors shall be registered by the Director and any inquiries about a` contractor or subcontractor relating to a registration should be directed to:Director,Home Improvement Contractor . Registration,One Ashburton Place;Rm.1301;Boston,MA 02108 13. The property owner has three-day cancellation rights of this contract under M.G.L.c.93,48;M.G.L c.140D,10 or M.G.L. c.255D,14 as applicable.After 3 days all deposit and special order payments are non-refundable. 14. All warranties and property owner's rights are under the provisions of 780 CMR 110.6 and M.G.L.c:142A 15. Any alteration or deviation from above specifications involving extra costs will become an extra charge over and above the estimate at$75.00 per hour plus materials. If cost of materials and already described labor costs changes,this estimate may increase no more than 15%without written notice. 16. It is the obligation of the home improvement contractor to obtain any and all necessary construction-related permits;in the event that the property owner secures their own construction-related permits or deals with unregistered contractors they will be excluded from the guaranty fund provisions of M.G.L.c.142A. Work will begin no later than six months from the issuance of any necessary permits and will be completed no later than two years from the issuance of necessary permits. 17. Property Owner's failure to make payments for work duly performed may result in a lien against the homeowner's property and void warranties..Owner is responsible for any legal fees and court costs Ranney&Rimington may incur to ESTIMATE,.Wilson Barry,04108119,Page 3 969 Main St HANNEY + Osterville,MA 02655 508.428.7147 HIMINGT® info@ranneyriMington.com RENOVATIONS•ADDITIONS•TRANSFORMATIONS - RahneYRimington.com collect the monies due on this estimate.The contractor and the property owner hereby mutually agree in advance that in. the event the contractor has a dispute concerning this estimate,the contractor may submit such dispute to a private arbitration service which has been approved by the secretary of the office of consumer affairs and business regulations and the consumer shall be required to submit to such arbitration as provided in M.G.L.c.142A. 18. Right to Photograph the Work.Owner shall permit Contractor or person(s)employed or.engaged by Contractor,without compensation or consideration to Owner,to take photographs at the project site of.both completed work and work in progress,for purposes including,but not limited to,publication in newspapers,magazines,and,other print media,use in broadcast media,publication via the Internet,and use in marketing materials used by Contractor.Such photographs and any accompanying descriptions shall not identify Owner or the property address of the project without the express written consent of Owner. TOTAL LABOR&MATERIALS$8,485.84 Payment Schedule >• _ . Initial deposit requested to schedule work and $2,000.00 Due upon receipt of permit and ordering materials . $5,000.00 Due upon completion $1,485.84 DO NOT SIGN THIS CONTRACT IF YOU HAVE NOT READ IT OR IF THERE ARE ANY BLANK SPACES _04/08/19_ Ranney&Rimington Custom Building LLC Date 4/8/19 Property Owner Date . ESTIMATE, Wilson Barry,04108119,Page 4 , _ e ' G PATRRIM-01 THO A4COR1X CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) `� I 08JO612018 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(les)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. PRODUCER IQfjjACT ROgers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 �(AIt,No,_Fxt►y ___ _Lac No�_(877)816-215_6_--- South Dennis,MA 02660 VALemail dClogersgray.com INSURERS AFFORDING COVERAGE I NAIC is UNSURERA_Main Street America Assurance Company _ 129939 _ INSURED INSURER B: Raney&Rimington Custom Building,LLC P.O.Box 816 INSURER D Marstons Mills,MA 02646 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 LTRTYPE OF INSURANCE ;ADDL!SUBR POLICY NUMBER POLICY EFF I POLICY EXP LIMITS A X !COMMERCIAL GENERAL LIABILITY i 1+0�0+��0 ( DAMAGE O RENTED i CLAIMS-MADE OCCUR MP0T6068 08121/2018;08/2V2018 i S 500,000 I I (Any one person) i$ 1 O,000 MED EXPA �..._,—i... PERSONAL&ADVINJURYw $ 1,000,000 �G000,000 EML AGGREGATE LIMIT APPLIES PER: j i GENERAL AGGREGATE I S POLICY! X I MT !LOC i I j LPj2PRUM-COMP/OP AG_G!4—__„`_2,000,000 0 HER: t)AUTOMOBILE LIABILITY ; COMBINED SINGLE LIMIT ANY AUTO i ;B�ODILY INJURY(Per Person) '$ a AUTOS ONLY :'!SCHEDULED i j.BODiLYINJURYjPeracclden1_$ _ I fRE� pN py� p PROPERTY DAMAGE AUTOS ONLY ..AUTO�u ON I Per ecc+dentL,�—y,Sy, UMBRELLA LIAR ' :OCCUR ! j_EACH OCCURRENCE EXCESS LIAR ;CLAIMS-MADE: j i AGGREGATE ?$ ---I_—"— --- -- DED i RETENTION$ WORKERS COMPENSATION ! PER OTH AND EMPLOYERS'LIASILITY Y/N t I T F _Elm_ ANY PROPRIETOR/PARTNERfEXECUTIVE 1 E.L.EACH ACCIDENT _.i$ ____.__.____�_ %F.1 ERlMF�M EXCLUDED? I;N1A antlato n Mpg ( ry ►'n1) I E.L.DISEASE-EA EMPLOYEE S,_ if yes,describe under j i DESCRIPTION OF OPERATIONS be ow E.L.DISEASE-POLICY LIMIT 4 I ; I I ! I DESCRIPTION OF OPERATIONS 1 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 CANGELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016103) 01988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AC O CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 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 policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - CONTACT Tammy NAME: Y Home ROGERS&GRAY INSURANCE AGENCY ING PHONNo,E 508 760-5745 aC No: E-MAIL ADS: thome@rogersgray.com 434 ROUTE 134 INSURERS AFFORDING COVERAGE NAIC# SOUTH DENNIS MA 02660 INSURERA: HARTFORD UNDERWRITERS INS CO 30104 INSURED INSURER B: RANNEY&RIMINGTON CUSTOM BUILDING LLC INSURERC: INSURER D: PO BOX 816 INSURER E: MARSTONS MILLS MA 02648 INSURERF: 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 A SU R POLICY EFF POLICY EXP LIMITS LTR POLICYNUMBER MM/DDIYYYY MMIDD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGSTO RENTED CLAIMS-MADED OCCUR PREMISES(Ea occurrer'.1 S MED EXP Any one person) S N/A PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PRO JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTYDAMAGE $ HIRED AUTOS AUTOS Per accident) $ UMBRELLA LM HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE S DED I I RETENTION$ $ WORKERS COMPENSATION STATUTE ER AND EMPLOYERS'LIABILITY ANYPROPRIETORIPARTNER/EXECUTIVE YIN N E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBEREXCLUDED9 I NIAI NIA N/A 6S60UB9F85778918 08/06/2018 08/06/2019 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,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.mass.gov/lwd/workers-compensation/investigations/. 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. AUTHORIZED REPRESENTATIVE - Daniel M.Croy,CPCU,Vice President—Residual Market—WCRIBMA 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD i The Commonwealth of Massachusetts a Department of Industrial Accidents r% Office of Investigations 6..00 Washington Street Boston,AM 02111 ' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers . Applicant Information p, Please Print Legibl•,y,, Name(Business/Organization/Individual): jZ1a'Ni �� fi e4AIX$odfd f 5rw 51U&t )Q4C( W—C Address: 40 (.09 S'i City/State/Zip: 1 QS 1 Phone #: / � 7 3*3 - 4 6 S 3 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. <Remodeling ew construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ship and have no employees These sub-contractors have 8. e olition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance.t required.] 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 o work ' right of exemption per MGL y � workers' comp. 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 andjob site information. Insurance Company Name: (f N�i4�1l `1Z�eft� d�S Co, Policy#or Self-ins.Lic.#: UV � ?.� ` Expiration Date: .7 4 I Job Site Address: �. .City/State/Zip: "CV1 Attach a copy of the workers'compensation.policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: 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): I.Board of Health 2.Building Department 3.City/Town Clerk 4.,E_1ectrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions 'a Massachusetts General��ei's chapter 152 requires all employers to provide workers' compens ion for their employees. Pursuant to this statute,an loyee is defined as"...every person in the service of another der any contract of hire, express or implied,oral or wTi en." , An employer is defined as"an in 'vidual,partnership,association,corporation or other egal entity,or any two or more of the foregoing engaged in a joint terprise,and including the legal representatives a deceased employer,or the receiver or trustee of an individual,p ership,association or other legal entity,em oying employees. However the ' owner of a dwelling house havingnot ore than three apartments and,who resides erein,or the occupant of the dwelling house of another who employs ersons to do maintenance,construction r repair work on such dwelling house or on the grounds or building appurtenan ereto shall not because of such emp yment be'deemed to,l elan employer." MGL chapter 152,§25C(6)also states that' very state or local licensing a ncy shall withhold the issuance or renewal of a license or permit to operate a usiness or to construct buil ings in the commonwealth for any applicant who has not produced acceptable idence of compliance w' the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states either the commonwe th nor any of its political subdivisions shall enter into any contract for the performance of pub 'c work until accept le evidence of compliance with the insurance requirements of this chapter have been presented to a contracting au ority." Applicants Please fill out the workers' compensation affidavit corn etely,b checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es) d ph ne number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited i ility Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers' com nsation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affida t ay be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also sur to sign and date the affidavit. The affidavit should be returned to the city or town that the application forth ermit license is being requested,not the Department of Industrial Accidents. Should you have any questions re ding the aw or if you are required to obtain a workers' compensation policy,please call the Department at the umber list 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 p ' ted legibly. The Dep ent has provided a space at the bottom of the affidavit for you to fill out in the event the ffice of Investigations h to contact you regarding the applicant. Please be sure to fill in the permit/license number hick will be used as a re ence number.'In addition,an applicant that must submit multiple permit/license applica ons in any given year,need o\cor mit one affidavit indicating current policy information(if necessary)and under"Jo Site Address"the applicant shrite"all locations in (city or town)."A copy of the affidavit that has been o icially stamped or marked by th town may be provided to the applicant as proof that a valid affidavit is on fi e for future permits or licenses. ffidavit must be filled out each year.Where a home owner or citizen is obta' g a license or permit not related to any b ess or commercial venture (i.e.a dog license or permit to burn leaves et .)said person is NOT required to complete this ffidavit. The Office of Investigations would like to th nk 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 fa number: The mmonwealth af-Massachifsetts Deptment of Industrial Accidents f ice of Investigations 60Q Washington.Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 w .mass.gov/dia �l IMME Town of Barnstable *Permit ti Expires 6 mont om issue date �T Regulatory Services Fee EAMSTABM MASS. Richard V.Scali,Interim Director 1659. Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY to / of Valid without Red X-Press Imprint Map/parcel Number Property Address [91(esidential Value of Work$ 7 U Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address / Contractor's Name Telephone Number 5 lJr�— t D/ -_Y 5",9/ Home Improvement Contractor License#(if applicable) / 7 l Email: Construction Supervisor's License#(if applicable) «n ; orkman's Compensation Insurance Check one: MAR 18 2014 ❑ I am a.sole proprietor ❑ I the Homeowner have Worker's Compensation Insurance TOWN OF BA RNSTABLE Insurance Company Name U l Workman's Comp.Policy# Copy of Insurance Compliance.Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Ija-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side ❑ ,Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ 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: Q:\WPFILES\FORMS\building permit forms\E)PRESS.doC Revised 061313 completion of the Work: Such permits and licenses shall be the property of the Customer and shall be delivered to the Customer upon request. The Contractor shall give all notices and comply with all applicable codes, laws, ordinances, rules, regulations and orders of any public authority in connection with the performance of the Work and the Contractor's obligations hereunder. Insurance. Contractor acknowledges.and agrees that Customer or Owner shall not be obligated to cant'any insurance in connection with the Work for the benefit of the Contractor. Contractor's Insurance. Contractorstiall,at all times maintain and keep in full force and effect, at its expense, any and all insurance coverage which is prudent, necessary or desirable for the protection of the interests of Contractor. Contractor shall furnish to Customer certificates of insurance for the following types of insurance. a. Commercial General Liability Insurance;. b. Workers' Compensation Insurance to cover full iability under the Workers' Compensation h IN WITNESS WHEREOF,the parties hereto have executed this Contract as of the day and year first above written. M ' Customer Contractor Company By: �G�'�L By Print: Heather Wilson ;Mark Mullin Mullin Roofing &Siding, Inc. 7 Connemara Way, W. Yarmouth MA 02673 508 221 8591 Address: 128 Rolling Hitch rd. Barnstable;' MA Date: 3-15-14 Date: 3-15=.14 Phone number: 508 292 0143 License No.�CSL#104076 HIC# 167281 Email address: mullinroofing@gmail.com Email address: hpw@aol.com i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Mapes �92 Parcel D(o(o Application #�(D-0 q6 -5 Health Division Date Issued 3)1'CJ1 H Aw- Conservation Division Application Fee Planning Dept. Permit Fee ' Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address (r2 Village 061(t r(V ;7 Owner :11 Address Telephone11 v✓d�� Z��� Permit Request f /(za i 11 � - aw W I Square feet:.1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay .Project Valuation d ►n -Construction Type K 1W A W Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic Houser ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new 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/wall stove: E:67''es No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ exis ang ❑ r��ary size_ Attached garage: ❑ existing ❑ new size Shed: ❑ existing ❑ new size g g g _ g e s e _ Other: � N � a e Zoning Board of Appeals thorization ❑ Appeal # Recorded ❑ rn Commercial ❑Yes 7o If i yes, site plan review# . Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name a, !k iy ;U�v r� //1/.� Telephone Number Address License# 6� ®a Home Improvement Contractor# +j Z Worker's Compensation # A1. L2?L,:�?Z ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO om 110, SIGNATURE DATE 2 FOR OFFICIAL USE ONLY i� APPLICATION# --ATE ISSUED IMAP/PARCEL NO. i ADDRESS VILLAGE I^ OWNER DATE OF INSPECTION: `r a�;FOIJNDA�TI.ONJ �44 ��,g _-- -- — FRAME — .— — — INSULATION_i Zt.1•4+k40—„tA, ;JLIAJM, FIREPLACE ELECTRICAL: .,.,,ROUGH FINAL PLUMBING: ROUGH FINAL GAS: m ROUGH FINAL FINAL BUILDING ' DATE CLOSED OUT . ASSOCIATION PLAN NO. OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at (Property Address) (Property Address) CJ Ti hereby authorize (/IS Li ( ' `�` 00 (Subcon r for an authorized subcontractor for.RISE Engineering,_to act on my behalf to obtain a building permit and to perform work on my property. Owner' Signature Date _. CAPE INSULATION w Ai f1YfY OlA{{ -A.- .Y.T{OAM fARf YYR{Yf INfUlAI1PN C{I{INY{ 1-800-696.-6611 -. . Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: i Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherication-work at the property listed below.Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute- (BP-I) inspector. All work preformed meets or exceeds Federal && State,Requirements. Property Owner Property Address Village a ToIcR Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings (alo ) ( ) ) I slopes (}� ) . (X ) (a �) (�. •, (., ) Floors Walls (K ) ( ) (I� ) ( e-) X ) Sincerely He zy E Cas y Jr, President C• e Cod 1 '. ulation; Inc. �oFTME �. Town of Barnstable *permit# _� 9 A.-L Expires 6 months from issue date i . : Regulatory.Services Fee r 00 9� sa�. Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner y�� 200 Main Street, Hyannis,MA 02601 /►� Office: 508-862-4038 Fax! 508-790-6230 - OCT 6 2005 EXPRESS PERMIT APPLICATION RESIDENTIAL �c, Not Valid without Red X-Press Imprint OF Q ��� ap/parcel Number Z 01-0(o ABLE "operty Address JResidential Value of Work D Minimum fee of•$25.00 for work under$6000.00 wner's Name&Address MA EW3a ontractor's Name Q Telephone Number ( -1 .ome Improvement Contractor License#(if applicable) onstruction Supervisor's License#(if applicable)_ �1 �Norktmaa's Compensation Insurance Check one: 0 I am a sole proprietor I' -&❑ am the Homeowner I have Worker's Compensation Insurance • f mmance Company Name Vorktnan's C64.Policy# :opy of Insurance Compliance Certificate must be on file. 'ermit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to La kM) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. ome Improvement Contractors License is required. ;ignatur ?:Forms:expm - tevise063004 P��YTMr rok o Town of-B ariastable Regulatory Services ' T}romas IT. Gcilcr,Director �'�Fo►A�a1� Building Division Toml'crry, Building Couunissiouer 200 Main Strcct, $yannis,MA 02601 �Yww.town,b arnstablc.ma.us Office; 508-862-4038 Fax: 508 790-6230 Property Owner Must Complete'.aTid Sign This Section If Using A Builder I, k—A 44\e4t.. T • i I SD fJ , as Owner of the subject property hereby authorize.'. P91AI S G3tkULf t- ohs to act on mybehalf, ' in all matters relative to work authorized bythis building permit application for, Ce 14,e ,uI Address of job) A. Signature of Owner . Date . Son1 Print Name O:FORMS:Ol'YN2R�ER�vILSSION . Town of Barnstable Approved ) Regulatory Services Fee - `-vt Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 Home Occupation Registration Date: I Ito 3 Name: P N1 L_�0 AJ Phone#: .V J/q'3_�' 00(1 Address: (Z � (l n� M/m 4a d Village: �&W//e- Name of Business: WI&I Gtt'r-bue- &C-g- I caS A'�� Type of Business: Hy5/'x u__ CansuM q Map/Lot: /gZ '06C Zoning District =R _Zoning Districts RF and RC-1 require Special Permit from Zoning Board of Appeals. INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration, smoke, dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation, and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation, other than one van or one pick-up truck not to exceed one ton capacity, and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned, ave read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: Y Y o 3 Homeoc.doc Engineering Dppt. (3rd floor) Map G Parcel .6 a hermit# 5 � L House# - /,2.� 44e�, DateJssued a:o Board of Health(3rd floor)(8:15 -9:30/t1:00-4-36j -� _� _�� Fly ��Ic -&0 Conservation Office(4th floor)(8:30-9:30/1:00-.2:00) m.�.c 1 �- -e0/N Planning Dept. (1st floor/School Admin.Bldg.) ; �Ai 141VCZ 4 " Definitive Plan Ap ed by Planning Board 19 BARNSTARI.E,.M �® ASS TOWN OYBARNSTABLE Building Permit Application Project Street Address i et 9 • A 0 L i ,✓ 6 d t-r C-N Rdl Village Owner 7 Address Telephone , 7,S -Permit Request o C-R S r 0 :�- o"L " A-i i�%—O is ©� 4Lz4EE4 04/A�7 First Floor square feet Second Floor square feet f• F Construction Type Estimated Project Cost $ 10 y Zoning District Flood Plain Water Protection Lot Size Grandfathered p Yes ❑No Dwelling Type: Single Family 62�- Two Family ❑ Multi-Family(#units) Age of Existing Structure 'S Historic House ❑Yes Rio On Old King's Highway ❑Yes f@'No Basement Type: 4& Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New 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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use _ Proposed Use Builder Information Name_ jqXT�4,/A &L 4,-4a c-o Telephone Number '�1 l o 9 8 Address License#(f) )1 8 o It s�3, Home Improvement Contractor# C 0E4 8 6� - Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I Q SIGNATURE s DATE 3/ 1 BU G PERMIT.DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. � DATE ISSUED - c" MAP/PARCEL NO. »w- ADDRESS VILLAGE OWNER r f � • DATE OF_•INSPECTION: FOUNDATION- FRAME INSULATION i 6 FIREPLACE ELECTRICAL: . ROUGH FINAL PLUMBING: 'ROUGH FINAL �-► f GAS: ROUGH FINAL � • r • t _ , w # e FINAL BUIL�D'ANE t ' DATE CLOSED OUT c • � y f f ASSOCIATION PLAN NO: 1 • The Town of Barnstable BABNgj•ABL MASSL �0�' Department of Health Safety and Environmental Services 1059. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissior. For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: e- Est.Cost C O, o 0 0 Address of Work: Ao 67 H 7-GN 1...LE Owner's Name C,el�-i G C , c— /='�F L Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied O� Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR 3 tlF 9 Dat Ow lixa yne/ I� I ur g 4+ o —� ` B �Tt} fig+k4 Y � Dle00 04c, + • r y. 5 , G 5 Te v c-T L//- Q o Z o--40,5 dock r Lr- S c-c O i:R OODPw�' c L-05(;T G l.o S ET S -ZtL.ET S u/C � P-o poS R �m �p�L { i S 1 NEW TILED FLOOR NEW POCKET DOOR / NEW TOILET - - - - - - 15'-5" - - - - - - - - - - - - 15'1 - - - - - - 3'-8" 6' 1'-7" 3'-8" 6'-11'� 1'- 3'-9"1_3'-9" - - € CEILING CEILING 90 2 L G 90 2 SOLID SURFACE { - - O I CAPS, JAMBS, & BENCH • M ' SUPPORT TO MATCH ® 0 !11 VANITY TOP { Nw0vl UNEW CLOSET NEW VANITY/SINKS _ _ ` oz oo o Lu Q OCTAGON - - WINDOW ; ' „ _ NEW HALF WALL _ -� --i 1p r1 Lo BENCH SEAT APPROXIMATELY ,*'t - - LINEN 25" HIGH AND 18" DEEP / i I LINEN r CLOSET T PAD WALL. CLOSE CELL FOAM %T 1 4_ 1' T-1" 4' 1 2_11' " 2'-11" I FRAME FOR BENCH SUPPORT �( LEGEND —( BENCH TOP TO B� DETERMINED LEGEND NEW CURBLESS \ CUSTOM BUILT-IN 1, TILED SHOWER TO BE DETERMINED LINEAR CURBLESS DRAIN ® TO BE REMOVED NEW WALLS DOORS ROFPI.�)';SED 'BATHb'o__\_t00M E X I"D3 T N G Ba A T H RDA100M 1�1 MR, THESE PLANS HAVE BEEN DRAWN ACCORDING TO HIGH QUALITY STANDARDS AND SCALE: DRAWING NUMBER: P RO P05 E D BATHROOM REMODEL BEEN Ca pe, CAD B ICES AND ARE ACCURATE GUIDE BUILDING CONSTRUCTION AND HAVE BEEN DRAFTED TO BE UTILIZED TO HELP CALCULATE ULATE THE G05T OF THE PROJECT AND FO R. BE USED IN CONJUNCTION WITH ANY OTHER REQUIRED DOCUMENTATION NEEDED FOR 1/4if - 1 ' THE PERMIT FILING PROCESS. SOME LOCAL REGULATIONS AND LOCAL BUILDING CODES REQUIREMENTS VARY,AND AS SUCH MAY REQUIRE CHANGES. THE BUILDING W I L50 N/BA RRY RE51 D E N C E CONTRACTOR MUST REVISE AND ENSURE WITH HIS CLIENT THAT THE PLANS CONFORM D e s � � TO ALL CURRENT GOVERNMENTAL AND/OR BUILDING CODE REQUIREMENTS. CAPE CAD DESIGN WILL NOT ASSUME LIABILITY FOR MISHAPS BEFORE,DURING,OR DATE: 2 8 ROLLING HITCH ROAD AFTER THE USE OF THESE PLANS FOR CONSTRUCTION. P.O. BOX 806 THISNOTE: 02/28/2019 C E NTE RV I LLE M A THIS HOME PLAN HAS BEEN OR15 SARI DRAWN BY CAPE CAD DESIGN AND IS ITS EXCLUSIVE MARSTONS MILLS, MA � PROPERTY ANY REPRODUCTION IS STRICTLY FORBIDDEN UNDER COPYRIGHT LAWS AND 9 SUBJECTS THE OFFENDER TO LEGAL ACTION. 50,5-280- D74 50ME'TOWN5 MAY REQUIRE ADDITIONAL ENGINEERING SPECIFICATIONS AND PLANS. Ygw l � l