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HomeMy WebLinkAbout0630 SOUTH MAIN STREET r B' 3 � r i d1 a c A .L; :bV" ti�,q .. d'm,.a A F .u..d°.>t. „ u x Y' v A 2 a a a , A a e a s • n. p . y , n , r . e e s , , r v F.. 'f • ° u � Y r [ r , s a w � r` e o. • , j " , e s a r . . rc • _ e n • e_ v a , 0 n� q � , y a � q > a: c .o. ° a , e: r r r r, n a of Barnstable *Permit qExpires dnthsfromissue date Wn ulatory Services Fee 16 9. Jkl 14'2014Richard V.Scali,Interim Director Building Division TOWN OF BARNS'CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number I Property Address 1-00/ RiN '`j J�/�&,74 r<ZL"/4 A?Z esidential Value of Work$ / /yVI• / Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address /,a Ls AA4- Contractor's Name 4' q. Telephone Number :5pu Home Improvement Contractor License#(if applicable) /5i Email: Construction Supervisor's License#(if applicable) Orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner �ave Worker's Compensation Insurance / Insurance Company Name ��tr•� z�yS Workman's Comp.Policy# ,7 / Lv d l 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 XAMI ❑Re-roof(hurricane nailed)(not stripping. Going over • 'existing layers of rood ❑ Re-side t ❑ 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. r r . SIGNATURE: T:\KEVIN DBuilding Chan s\EXPRESS_PERMIT\EXP SS.doc ' Revised 061313 i Afthl- 0 - ,0 506-326-1635 SPECIALIZING IN ALL FORMS OF ROOFING & SIDING doyleandthomasconstruction.com P.O. BOX 168 BBB_ CENTERVILLE, MA 02632 Fully Licensed & Insured Construction Supervisor Lic# 99913 Doyle and Thomas Inc. Proposes to perform the following work: Location of proposed work: Mrs. .Sheldrick 630 South Main Street Centerville, MA 02632 Date on which construction should begin: November/December 2013 The homeowner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that cannot be avoided by the contractor shall not be considered as a violation of this contract. The contractor agrees thatwhen such delays become known to the contractor,the contractor will advise the homeowner as soon as possible. The homeowner hereby acknowledges that in certain remodeling work,the demolition process may reveal defects in the existing structure which must be repaired, creating additional work which may need to be carried out in order to complete the work described in this contract. In such case the homeowner agrees that the duration of the work and the schedule date of completion may differ,and that such variation is not to be considered a violation of this contract. The total cost for labor and materials under this contract: $10,144.93 30 yr. GAF/Elk Timberline High Definition architectural shingles(Lifetime Ltd.Warranty) Proposal to install four Velux Operating skylights with interior trim would be an additional $3,985.98 v Thank You For Giving Us The Opportunity To Help You Improve Your Home In the event that while stripping the roof we find rot that needs to be replaced,the homeowner then has to agree and authorize any replacement or restoration. Then in addition to the above contract price,the homeowner agrees to compensate the contractor for any repairs or restoration at the hourly rate of$45.00 for a carpenter and$30.00 for a carpenters laborer, plus the cost of materials. -Roof to be stripped and cleaned of all old shingles and debris -Roof to be papered with weather watch leak barrier and synthetic roof underlayment, installed with Timberline architectural shingles using galvanized nails. (Storm nailed) -All new 8 inch drip edge and pipe flanges to be installed -Cobra ridge vent to be installed on all ridges -Timberetex premium ridge cap to be installed -5 yard dump trailer will be needed on site;and will be removed at completion of the job -All gutters will be cleaned at completion of the job -Contractor will be responsible for all building permits needed at the property NOTICE REQUIRED BY LAW With the agreement of the contract$500.00 of estimate is due. Further payments under this contract are as follows: 1/2 of the estimate due at the start;and remainder due at completion of the job. Balance of all materials and labor shall be payable in full upon completion of work described in this contract. Payment as agreed upon shall be made when due. Any payments which are delayed shall be subject to a finance charge of 1.5%per month. The contractor warranties the workmanship completed under this contract for a period of ten years from the date of completion. During the stated warranty period the contractor shall be responsible for the service of the repair or adjustment, but the contractor shall not be responsible for the normal maintenance, repair due to abuse,misuse,and or normal wear and tear,which shall be the responsibility of the homeowner. All warranties for the materials supplied by the contractor shall be passed directly to the homeowner. The homeowner may be required to register or mail in such warranty card or evidence of ownership in order to activate such warranties. Homeowner failure shall not create any responsibility for the contractor under the warranty provisions;the choice of repair of replacement shall be at the discretion of the contractor. The homeowner acknowledges that the form,content,and notices contained in this contract are.intended to comply with the applicable portions of the Mass.General Law Chapter 142A, and regulations promulgated there under. In the event of any instance of non-compliance,only such portion shall be invalid and the remainder of this contract shall be in full force effect. In addition,any such portion not in compliance shall be read and interpreted so as to have its intended meaning to the maximum extent allowed under such law and regulation. Signed as a sealed instrument on this date: Date: I Homeowner ( (�� L Contractor �Czkr� C Massachusetts Department of Public Safety Board of ldin.g Regulations andStandards Construction-•SuperN isur Specialt% ' License: CSSL-099913 TROY A TH0h6S 499 NOTTINHAM DRIVE �• CENTERVIT LE MA"�"42 bt `i 9/ Expiration Commissioner' 04/13/2014 �J�r• C(�in»zt.�tcce�r/ r f%j�a crc�cr e/(' License or registration valid for.individul use only . Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: ME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation t3 Oegistration: 145954 Type: 10 Park Plaza-Suite 5170 �; xpira Uon 3/15/2015 Private Corporation Boston,MA 02116 DOYLE+THOMAS CONST INC TROY THOMAS f� 499 NOTTINGHAM DR -yam CENTERVILLE,MA 02632 Undersecretary Not valid without signature ti ® DATE(MM/DD/YYYY) , A�o CERTIFICATE OF LIABILITY INSURANCE 10l07l2013 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 endorsement(s). PRODUCER CONTACT NAME: Debbie Mark Sylvia Insurance Agency,LLC PHONE FAX 404 Main Street A/c No Ext: 508 957-2125 ruc No: 508 957-2781 E-MAIL ADDRESS:mark@marksylviainsurance.com Centerville,MA 02632 INSURERS AFFORDING COVERAGE NAIC# INSURER A: Farm Family Casualty Insurance INSURED INSURER B: I D&T Construction,Inc. PO Box 168 INsuRER c Centerville,MA 02632-0168 INSURER D: • - - 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 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. INBR TYPE OF INSURANCE ADOL SUBR POLICY NUMBER MM�CY EFF MMID EXP LIMITS LTR A GENERALLIABILITY 2001X0485 7/21/2013 7121/2014 EACH OCCURRENCE $ 1,000,000 DAM X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 50,000 CLAIMS-MADE ❑X OCCUR Y MED EXP(Any one person) $ 5,000 PERSONAL&ACV INJURY $" Included GENERAL AGGREGATE s 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY ' - COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per accident i UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ _ DIED RETENTION$ $ A WORKERS COMPENSATION 2001 W7501 7/25/2013 7/25/2014 WC STATU- X OTH- - AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N NIA E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑Y (Mandatory in NH) E.L.DISEASE-9:10-ROYEE $ " 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ '1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Carpentry , The workers compensation does not provide coverage for Troy A Thomas and Shawn M Doyle. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE'._ 68 D&T Con THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Construction Inc . PO Box 1st ACCORDANCE WITH THE POLICY PROVISIONS. Centerville,MA 02632• AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD the Coinnionwealth of Massachusetts Department of Indrtstrial Accideyas Offwe of1m,estigadons t 600 Washington Street Boston,MA 02111 it mamt.mass gov/dia Workers' Compensation Insurance Affidavit: BudderslCentractors/Electrician&tPlumbers Applicant Information Please Print Le 'bl Name(Bosmess/Organizationllndividuai): �A" t tr n vG /r1c Address: City/State/Zap: O Pllome#_ o O &3� Are ye employer?Check the appropriate box: Type of project(rewired): 1. I am a employer with 3 4• ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time)_* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7- ❑Remodeling ship and have no employees These sob-contractors have S. ❑Demolition working - w for me in an capacity. employees and have workers' orking Y tY . 9. ❑Building addition [No workers'comp.insurance comp.insurance.Z required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all-amrk officers have exercised their 11.❑Plumbing repairs or additions mym.If [No workers'comp_ right of exemption per MGL 12: oof repairs insurance required.]-s c. 152,§1(4),and we have no employees.[No workers' 13_0 Other comp.insurance required-] ;Any applicant that checks box#1 ntttst also fill our the section below showing their umlters`compensation policy information. Homeowners who submit this af5dat=it indicating they are doing all wal and thea hire outside contractors must submit a new affidavit indicating suds Contractors that check this box must attar an additional sheet shoving;the name of the sub-conttacors and state whether or not those entities have employees. If the sub-contractors bade employees,they toast prov,-ide their warke n'comp.policy number. lain an employer that is prodding tPorkers'compensation insrermace for my eanployem Below is tree policy mid job site information. r Insurance Company Name: t�A....- r►u•. (� va/+ %yam. �, Policy#or Self--ins.Lic. JGO Expiration Date: _ s�-c-,V/ Job SiteAddt �3� /����' ��N�1" Citylstate/Zip: /� Q jpC. Attach a copy of the workers'compensation policy declaration page(showing the policy number and expi ation date). Failure to secure coverage as required under Section 2.5A 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify' rinderthepaihs and penalties of petjuty Beat flee h!fornia on prov ded above is Cate and correct Sigmattg � Ti( Date: -ice v/tip/ Phone#: Qfflcial use only. Do not write in this area,to be evrnpleted by city or town official. City or Town: Permit/License# Inning Authority(circle one): 1.Board of Health 2.Building Department 3.CityfTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#:. / SG -oy A Assessor's map and lot number ...... S P,� MUST S E C rYS T f,� Sewage Permit number .a.,.:........ .....:. a.. 9 t I(�STA�i.ED IDS } 5 �'' ' • House:. number .............:..t:.• .. a e ± ° ,.! >� * , I,Z1TT CO Ar A P P R 0 V.E D '(," i• 4 lGs TCEGI�LATI ; :` .cirAr a� T N OF BARNST _ .,: Ba stable Conservation t' ¢•--`•, �; Date B 'INS ABL' C*e�i,stt, t&k `; S ,gned 1 - BUILDING ' INSPECTOR .4� COMIMISSION .� APPLICAT16 OR PERMIT To .... . ............ .. .... t.,.�(4?....... ...................... TYPEOF '.0 I4$TRUCTION ...� ...........................................................`............................................. j�.ti.. .. .. ............19.. .7 3 ;TO TH1 aNAECTOR ORgBQILDINGS: she undersigned hereby applies fora permit according to the follow'ng information: Location1,1�0...................... f...... ...�.......................... .......... .................a................................. f Proposed 'User ./�..... ...... , ±.cl;�f�1?'r........................................................................ ! .................................. Zoning District ...... ... ..................... ......4r ........ ....................................Fire District .............�.4/.:±(-� ' � !� .. Name of Owner .. ...... . . . ......�/.L......................................Address .............. Name of Bt Icler .......... ... .....A.......6 .................Address �l.......................... f/.:2 ......... .............'..... Name of Architect ................f...........;.....................................Address ............................................... .. ................................ 6 .,.. 1 �D Numb6r of Room$ .01.` . Foundation ...........fN..,A ..................... .................. . ... Exieri,r�:`..!?'Y/l.(Y ... `9. ,~ ........................ .Roofin . ......,,;' ... g ..... ..... ...... .. ... F1'oois: ..... .......... ... ............: Interior .......0 ................................................................... ......y.................. ..... ........Plumbin ............Heating ..... ..... 9 �..... ............................................................ 11� Fireplace Approximate. Cost ��.. 0De'...................... 1,.. . ... .................... ................... a �... Definitive Plan Approved by Planning rBoa`rd ________________________________19________. Area ....� .... ................... Diagfiam, of Lot and Building with 'Dimensions ................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH ti � i ''l wti R• i 1Fe . e ' ILl OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS j I here a ree to conform to all the Rules and Re ulations of the Town of Barns#ab • q?q rdin the above t3Y 9 9 g, construction. Name ..... .. I 1 _ Construction Supervisor's License' .A., ................................... 'PRATT, RUTH ct ADDITION No ..... ..... Perryfil for ............................... Single -Fam Dw elling qelling .......................... .........f..:x............................... 630 iMain Street Locationtz.... f.................................... Cen,t-,ervikle ......................... ............................................. Ruth � V1 Ru Pratt Owner .............Al1 .............................................. f Type of Constructi...fon" Fir?ame .........I................................. ............................... .... ................................. Plot ..................1;.......... Lot ................................. February 11, 86 Permit ,Granted ........................................19 Date of Inspection .....................................19 Date Completed ......................................19 Et M Pro 0 17 7T Assessor's map and lot number .................. ...... .. .. ..... .. 0*TNE Sewage Permit number ................................ ... ............ ]DA"STABLE, House number .................r..................... .................... 9MABIL C "t 1639-MAAr ,( T WN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .................... .................. W........16...... t TYPE OF CONSTRUCTION ...?0�.............. ..................................................................................................... ....................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: undersigned ................... .................................... .... ................. Proposed Use ............................................................................................................................ Zoning District .... ... ....t.......... .....................Fire District ..... ...0...................................................... ... ..... Name of Owner . .. ... ... . .......... .........................................Address k ... ...... ov,le,)1164i� Name of Builder ....... Address I .. .............. ...................... ............................ ..... Nameof Architect ..................................................................Address ..................................................................................... Numberof Rooms ......................... .........................Foundation ....................................................... It-Aq Exterior 40 k," .4 4., a� .................................... ..........................Roofing ...... .. ..................... ......... Floors ..../.........�/�.......I/111�..................................Interior .......C ....................................................................... Heating �.d. ..... .. . ........Plumbing ........... ..................... ......................... Fireplace . . ......................................Approximate Cost () ................�...................a� &4)1 ......................................................... V Definitive Plan Approved by Planning Board --------------------------------19--------- Area ........................... Diagramiof Lot and Building with Dimensions Fee .....F!4:*t�............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH f. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of.the Town of Barnstable regarding the above construction. Name ........a..... ................................ Construction Supervisor's License ....... PRATT, RUTH A=186-042 r r A/ION No 28929 Permit for .... .............. .. Single Family Dw ...... ......... Location .......630 South Met... . . .. . ................ Centerville Owner Ruth Pratt Type of Construction ...Frame............................ Plot ............................ Lot ................................ Permit Granted ......February 11, 19 86 ................ . . Date of Inspection ....................................19 Date Completed 19 ` I I .✓ 1' �iall } � Lam, ` AF n -4` -- ��� L M, S'",i 'n � -._+ i •0,4 art y 7• .y ; �'csMUl/�L s 13 LAw i 9 S. i )0 EL-1;� - - INV 14/ fu _ E 4 - �012,. LEA►,,t 5 u�8LQ "A k1t A�L ,. �! R��pn.Q��-�. �,=�=p�t`-:S•�pt.�t...? gal��'N �e CCC�L1+�"�1flt.,1� Rom' Dr '`2 N1�►,a. ..pt;,c;, '���u��t-:..7 ,'Ti'� 'S�X�. :�-•� GF1�t..'.�'Pt►:�F"i"t?.E�:, f :.dot-�S �: - ,� -�• �EQv��� .�� of �E��-�1 �i��G/�i._ . _ _ _ K _ __ - �. ,. �lAa6r� � L�t� 'S 33bX Ub= 3--AK 5SOILs •t 2O*z o = 7 Z$ Is pr zx,T6-r = r'ACrN r 3Zo K oa - _ AY TETER } SUL IVAN ;1 l