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0073 TERN LANE
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P :d k - T„r,4 yam- �. `;'_R°"��tri�. ���■a .ape a■ 'tea.sn �4h�Vr i y;�-,$� S y,tlAr b d % A ,I f,. r s r,: N r t re €.tsy 4 e � 3 5 .� arm i '�i s.�"� � y•�� �,�j�yM.�+� ,�y��.►�_,*J ;w'�.•). a 4 ,3 � r j, r �i � - .►.8 a w.� a r �t aid r T -f ss. at t ill li< 2.1 n j I 1 �� �1 4 i' r� . 73 x Y aex J"= Pr ' 7 ; 5 " d 4 ' 0'1 A i s b eau' Z f 4 • .y rql,, r w a �r Q. h; r - I, N. tt n i j� I* C �e tp 4 i 0 Itr r z, y r � y c t ! 4 " _ 5 ' 79 T�Aj 119ArE Town of Barnstable *Permit# Z3'� Expires 6 months front issue date Regulatory Services Fee Thomas F.Geiler,Director Building Division P5�71 Tom Perry,CBO, Building Commissioner 4ESS PERMIT 200 Main Street,Hyannis,MA 02601 44� www.town.bamstable.ma.us Off,4488-86 400 Fax: 508-790-6230 TOWN OF B I TXPRESS PERNHT APPLICATION - RESIDENTIAL ONLY nn Not Valid without Red X-Press Imprint Map/parcel Number , o 0 3 1 Property Address Residential Value of Work /7 Q O C7 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address ll C__ a_A_� V ./ o a63 Contractor's Name F=A Ge a Qz Telephone Number 50 �' Home Improvement Contractor License#(if applicable) µ .3 Construction Supervisor's License#(if applicable) C S (o (p 14Workman's Compensation Insurance Ched one: ❑ I am a sole proprietor ❑ I am the Homeowner 0,I have Worker's Compensation Insurance I Insurance Company Name T _ Workman's Comp.Policy# D 5 5 O L 3 5 c5 0 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 3-Re-roof(stripping old shingles) All construction debris will be taken to . Q� L ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. 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. _A copy of the Home Improvement Contractors License is required, SIGNATURE: Q:Forms:expmtrg Revise061306 t- Fraser Construction, L,L VCONSTRUCTION P.O. Box 1845, Cotuit MA. 02635 ROOFING & SIDINGEmail: fraser constructiongverizon.net SPECIALISTS e 508-428-2292 www•fraserroofing.com FAX 1-508-428-0123 RE-ROOFING PROPOSAL DATE: February 11, 2008 NAME: Dana Wingrem PHONE: 508-775-2152 MAIL ADDRESS: same JOB ADDRESS: 73 Tern Lane Centerville, MA 02632 FRASER CONSTRUCTION hereby proposes to perform the following services in a neat and professional like manner and in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. Supply and Install - CERTAINTEED LANDMARK /WOODSCAPE AR 30: 30 -Year Warranty, 5 year Sure Start Protection, CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi- Layered, Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10 Year Warranty against ALGAE Containment. 5 year 70 mph wind- resistance warranty or 5 year 80 mph wind-resistance warranty available with six nails in common bond area, for an additional cost. See actual warranty for specific details and limitations. Color: tAte)no PRICE- $9,150 Initial (y� - Supply & Install - CertainTeed Winter - Guard: (ice 8s water shield) Waterproof Underlayment System (3ft. on eves and valleys, 18" on rakes, walls, and skylights) Supply & Install - Roofer's Select Underlayment Paper (as recommended by CertainTeed) Supply & Install -8" Mill Aluminum Drip Edge Supply & Install - Aluminum & Neoprene Soil Pipe Flashing Supply & Install-Air Vent Ridge Vent (as recommended by CertainTeed) Clean & Remove - Debris from work area daily. CHIMNEY WORK: 1 have contacted Richard Rogers from R & R Masonry for the proposed chimney work at 73 Tern Lane Centerville, MA • Re-Flash • Water Seal • Re-point as needed • Repair cement cap PRICE-$1,500 Initial OPTIONS: J 4 Copper Cricket PRICE-$675 Initial net red%n++ Mended dueAo ima *'rps@1tce-021-l�of) F `Z Initial White Cedar Side Wall with copper step flashing rear cheek PRICE-$445 Initial Replace Skylights with Velux Skylights (price includes new flashing kit) (1) VS606 @ $650 (2) VS308 @ $575 each Labor to install @ $100 each Initial ' Interior Trim will be billed at time & material. We bill out @ $50 pe man hour and with a 15% markup on materials. Initial *4 Star Warranty Upgrade will be applied if proposal is signed and returned within 10 days. (see enclosed brochure) 2% Discount if paid by check immediately Mon completion NO MONEY DOWN - NO Payment at the start or part way thru Payments accepted are: CASH - CHECK- MASTERCARD -VISA-AMERICAN EXPRESS *Any payments not made within 30 days of completion will be charged 1.5%for every 30 days the payment is late. Possible Extra'-After the shingles are removed from the roof, we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be . installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$4.00 per panel including Materials 8s Labor. There are 6 Panels per sheet of plywood. ,ible Extra-Any rotted or otherwise deteriorated trim boards, plywood sheathing, ,zad flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$50.00 per hour, plus materials, plus 15% overhead mark-up on total extras. FRASER CONSTRUCTION Warranties the labor for 12 years FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. CERTAINTEED Warranties the shingles and labor 100% through the Sure Start Warranty duration. CERTAINTEED Warranties the shingles to be ALGAE resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. • i Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: J O �a,.VIV Homeowner Fr ser Construction, LLC D&,qh tt)l 6 Ms. Claire Wingren *� 1084 Bremen Road TM Waldoboro, ME 04572-6150 f , The Commonwealth of Massachusetts _ Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): FRftSEC 0-Q/L),' T LY—C t 10 A) Address: 'Po City/State/Zip: ° ,(, I -�- A Q3_5Phone Are you an employer? Check the appropriate box: Type of project(required): 1.0I am a employer with,! 4. ❑ I am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. El New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ g Buildin addition [No workers comp. insurance comp. insurance. ] 5. ❑rewired. We are a corporation and its 10.❑ Electrical repairs or additions required.] 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.KRoof repairs insurance required.] t c. 152, §1(4),and we have no 13.❑ Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. 1 J I Insurance Company Name: �/7 14 R7�—Py 9- Policy#or Self-ins. Lic.#: D 25 p L S 55a Expiration Date: Job Site Address: City/State/Zip: P,7 - O P( 30_ 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 certi yerlheaims and lties of perjury that the information provided above is true and correct. Si ature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town offw aL 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#: ;. .......::ry?:•?iJ::+4iii}>.i";{;;:r ::i:;+iii::::::i::i:(!;ij::::::::::iti::::i::is:::i:::ii:: :::i:iii::i:ii: .�:D. .�®:. jj.:.��{{::..:.;:::i.:.:.:.:.,...:...::-.v:..;:'...;.::;.}:::::::.:..�:.::.::..::.:.:::::::::.:::.:::.::::::::..�:;:::i:.:;::.;.o:.:;:.:•.:i:"r.ti:x::;::;•.>:.:�;•.::.::::.::i.:.;�:i.:;;:i;:.}:;.;;.;.;:;;:.n;::'�.::::::�::;::;:;::i..:::.:;::::.;:::.:;::;:::;;.::�:::::;;i.;.:<%.:;;:.'.;::t::::::::.::::.:>:;:.::;::�.;:;:.:::::;;n'::;:::?�:.:;:.:;;:;:.:: .::;::;.:.::;.:•�.;:;:;::.::�:F: ............. . .� iii » ifiy:Ci ::........ ATE l .M. PRODUCER ....:. ..PHIS CERTIFICATE IS ISSUED ASf A II�ATTER OF INFORMATION wlsE & QUINN INs aGcv ONLV AND CONFERS NO RIGHTS UPON THE CERTIFICATE 449 PLEASANT ST H®LDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES®FLOW. BROCKTON MA 02301 COMPANIES AFFORDING COVERAGE 24WCE COMPANY INSURED A HARTFORD UNDERWRITERS INSURANCE COMPANY FRASER CONSTRUCTION LLC COMPANY PO BOX 1845 B COTUIT MA 02635 COMPANY C COMPANY TH :.:..::... . ...... 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THIS co BJECT TO ALL THE TERMS, LTR TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBER GENERAL LIABWTY' DATE(MMWDXM DATE(MMWDIVY) LIMITS COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE CLAIMS MADE D OCCUR. PRODUCTS-COMP/OP AGG, OWNER'S&CONTRACTOR'S pROT. PERSONAL&ADV.INJURY $ EACH OCCURRENCE $ FIRE DAMAGE(Any one flrs) AUTOMOBILE LIABILITY - $ ANY AUTO MED.EXPENSE(Any one Person) $ COMBINED SINGLE ALL OWNED AUTOS LIMIT $ SCHEDULED AUTOS BODILY INJURY HIRED AUTOS (Per Person) $ NON-OWNED AUTOS BODILY INJURY (Per Accident) $ GARAGE LIABILITY PROPERTY DAMAGE $ ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN AUTO ONLY: '''•'''' :}� ''':' <:r ;: EACH ACCIDENT $ ONLY- EXCESS LIABILITY EACH $ UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ A WORKER'S COMPENSATION AND . EMPLOYER'SLIABIUTY (6SSOUB-085OL35-5-07 THE PROPRIETOR/ 09-26-07 09-26-08 STATUT•ORYUMITS PARTNERBFEXECUTIVE INCL EACH ACCIDENT $ OFFICERS ARE: X EXCL DISEASE—POLICY UMIT-OTHER a DISEASE—EACH EMPLOYEE $ 50 DO )ESCRIPTION OF OPERATIONS/LOCATIONS/VEHICL ES/RESTRICTIONS/SPECULL ITEMS i THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE C' ••�" � `-� LDER AFFECTI WORKERS COMP CO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE.CANOE:.....::::.�:::.i�::•:-::.::•:•�1�:�:��:��::�± 1 EMPIRATION DATE THEREOF, THE ISSUING COMPANY WILL EN BEFORE THE ERASER ENTERPRISES LLC 10 DAYS WRITTEN NOTI OR TTOTME -OTU I T I O BOX 1845 CEYOTHECEpPIp10ATEHOLDEpp LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR � MA 02635 LIABILITY OF ANY IUND UPON THE COMPANY,ITS AGENTS OR REPRESENTATNES, I AUTHORIZED REPRESENTgTIt r �:i::::i:::.;i+::::::?:-i:•ii::::;:;isi:::i:i:>:4::::.:.:�.:�::.�::.�:.�:::::::::.::�::::::::.�:::::.: ....... v {�7��!��t /, {!L743:,:lY,.Gip�::'qT���ii':::::;:::::?;i:{Ci`i:::i::i'i::::"i::::::::i'.::ii::i:.:i':.'r:.iiii:iii:::::.:<.:i•:.:.ii:.i:�::::..�:::::......... 130ard Of B un dinAshburton Re atz�is » One place _ R® Standards ®st®moo Ona 1301 Home �pr®v.Afassachusetts 02108 � • Ient'CO .actcr � Regis Pion: 112536 ® CONSTRUCTION C® ExiT/pe:EAN I=RAP.0 B®) R DSA 184vi= 3/23l 209 71 127920Ca:foT IWA 0263s DP�C.47 �§ 50M-0.S/0&-PCg490 • - -__ _ - Update Address ® aaflt$ullaLin��e _---: - - ❑ Addr�� ❑� �trn card,ATArk reason for ehan a;. gulations and Stan ❑ ZMpI®g�ent g FdOlyide llifip des ❑ Lost Card�+ BRSA!P CONTRAC oR Lie=80 or �gi tdoe�: 112538 before gkt raUon�.U.f®r' ftowiax°°' ® �,� aVon date' ZfbUnd redavadaal use only FRASCR ®: D TnV 127920 ®na Ashburton � 1a13on andtarn$®o CONSTRUCTION p,� j ®stun, dd2g®g ce�g fl3dlfl Standards OF-AN 2RASER ,• _/ COTUIT,MA 02635 -- -- tar Not Vdthont ,d am I i