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0034 EISENHOWER DRIVE
��s� �►v� �� n��� . _ _ Town of Barnstable Building LWh e st ThisCacd:.SoT<hai it i Vi stile Fromahe Street :A roved Plans Must¢be Retained onJob andthls Card Mustbe Ke t steUntier a Certificate of:Occ'u' anc"_isRe" uired'suchBuldmpshall Nof be Oceu ied until aFinal Ins ection has been m`ade� Permit Permit No. B-19-422 Applicant Name: RICHARD P. GARNEAU JR. Approvals Date Issued: 02/19/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 08/19/2019 Foundation: Residential 4 Map/Lot: 039-098 Zoning District: RF Sheathing: I Location: 34 EISENHOWER DRIVE,COTUIT - I �4 Contractors Name ' RICHARD P GARNEAU,JR Framing: 1 Owner on Record: FLANAGAN,DANIEL M& KATHLEEN L ctor en � Contra L►c 'se, CS=009714 2 Address: 4 PARTRIDGE ROAD Est Protect Cost: $35,000.00 Chimney: WESTBORO, MA 01581_ �Fermrt Fee: $228.50 Insulation: Description: FINISH UNFINISHED FLR OF 24X32 CAPE TO UTILIZE SPACE'FOR Fee Paid: $228.50 BEDROOM,.BATHROOM AND DEN. UPGRADE SMOKE DETECTORS Date Final: 2/19/2019 Project Review Req: x Plumbing/Gas ;v 3� s. ;.: . Rough Plumbing: � g g . .. Building Official .t . � �<. Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorzed by this permit is commenced within six months afte6ssuance. All work authorized by this permit shall conform to the approved application and the approved construction documentssfor which"this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures.shall be in compliance with the local zoning by laws and codes. ' I Final Gas: This permit shall be displayed in a location clearly visible from access street oa d r roand inspection be maintained open for pubicinspection for the entire duration of the , work until the completion of the same. � - _ Electrical -The Certificate of Occupancy will not be issued until all applicable signatures by the Building a d Fire officials acre p�rovi ed on,.this.permit. Minimum of Five Call Inspections Required for All Construction Work:l Service: 1.Foundation or Footing 3 Rough: 2.Sheathing Inspection ' g 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 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. s Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final p r _ti Application Number..... ' �► ` ' .............. • BARNWABM • 9 MASS. Permit Fee.......................................Other Fee........................ �j i639• 1� pTFD�A . Total Fee Paid.................. ... .......... ........................�. .... TOWN OF BARNSTABLE Permit Approval by..: ......On...... BUILDING PERMIT .......�....:�.. .............. Parcel............... ....`... .............. APPLICATION Section 1 — Owner's Information and Project Location Project Address ��/ /���/h®��,��2 Village Owners Name Ate/ ., yC��� (�lfA, Owners Legal Address--, n2 0 Ale City �T j��A) f State e4 Zip s 3 Owners Cell#J.S �- O � E-mail f�%I '®/() ,OYIAI I Q Corm Section 2 -Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet 0 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 O Rebuild ❑ Deck Apartment Sprinkler System cu ❑ Addition ❑ Retaining wall ❑ . Solar O r . a � Renovation ❑ Pool ❑ Insulation w� ,Other—Specify 0 M Section'4 - Work Description rw - 'A;z b 2 c9 %�7 �f h l �tcJ .6/ec-�L-r 4 W,[4 a (1p X,4b1 S gaka 5 i Last updated: 11/15/2018 rr s Application Number.......... ........y ...[........................ f Section 5—Detail Cost of Proposed,Constructio QD,V Square Footage of Project Age of Structure Z q,' Dig Safe Number # Of Bedrooms Existing r Total#Of Bedrooms (proposed) (3 110 MPH Wind Zone Compliance Method.�❑ MA Checklist ❑ WFCM Checklist ❑, Design Section 6—Project Specifics [Wiring ❑ Oil Tank Storage [Smoke Detectors [Plumbing 0 Gas ❑ Fire Suppression Heating System ❑ Masonry Chimney Ad relocate bedroom Water Supply 12 Public Private Sewage Disposal ❑ Municipal- VOn Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: fB )T -A 1 e j z,4a2s I am using a crane ❑ Yes El"No Section 7—Flood Zone I' a Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No 0 1 Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. ,4c aojc, f Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed O_ I Side Yard Required Proposed 33 Has this property had relief from the Zoning Board in the past? ❑ Yes 0 No f ' Last updated. 11/15/2018 F� r� BUILDING Epp. FEB�R 201� ! TOWN OF , r '� .. r. _ t .`.�. L..----............. i .� i t 1 mm Barnstable Bldg. Dept. I E I_ l �Ga r I E r.7-- Approved by: „��, \> g aITAC Permit#: —��1— .. _: ..., _ p S .W s. SMOKE DETECTOR'S REVIEWED . N BAR BUI DING EPT. DAT 1 FIRE DEPARTM NT DA E BOTH`IGNATURES ARE REQUIRE©FOR PERMITING T"' .... .� ..,_.w r ' kc� V �+ ) APPROVED BY: DRAWN 8Y SCALE pIf $ d n,.S a a Lin c,r1fc.i _ Ss>ttva ??.:.4 x,.r_ l,f,s k LL._m u aA ^• "' DRA WINO NUMBER t. ° r' l S l . . £ r / � I i ( 3 £ © f 3 � m .. F I l SCALE. j t3 �' 'APPROVEO BY: DRAWN BV „ear � f -" - DRAWING NVMBEH' °-F rr e \. KN 1_ !/ _ A• V. ...... --- 6�,.F .7 t p.t�,r '•`t{ "'v ,dad.t. 1 " f,' ... yF F i �: .... __ ..... �., : e _+,• >>rt: --".->............ . ___.____�..:.:,�..........._._...m._ _..._._..,.._. _ �s} -i .fCe.�6 �r.. }G, _ L.. t3,+� IA"A „' I Y 4„ c i-::Ft Nr; ,mot,` e;""' J .E3 s..farz3ta ,,.. � .W„_.�-T ��•.��V��,^���-~mm~�.. � � 9 } f� APPROVED 6V: ... DRAWN BY F... SCALE:_„tf§ ....,..t. ..� . i F t ......__<. f'` DATE .,'j•.... ,� W<sS'r.�.',P z.�,`C�' _f �`:>—{:?:�.. '�t y,t. ,� ?��G�.,:.i fra t DRAWING NUMBER Cape Cod Insulation,Inc. Estimate 18 Reardon Circle Print Date.0110912019 Page l of 2 Estimate#: 602252.00 South Yarmouth,MA 02664 Date: 01/09/2019 Terms: On T P:508-775-1214 PO#: ��t F:508-778-5735 Plan ID: s E: Sales Rep: Christopher Legere W:www.capecodinsulation.com Phone#: 508-775-1214 Email: Shrislcgere@capecGdingulationcom Customer Name: Job Name: Garneau,Richard Richard Garneau 34 Eisenhower Dr. Richard Gameau P.O.Box 476 34 Eisenhower Dr. West Barnstable,MA 02668 Cotuit,MA 02635 rickgameau@gmail.com rickgarneau@gmail.com P:774-238-8632 P:774-238-8632 A: F: D`escriuhon." 2ND FLOOR INSULATION PACKAGE: Package Accepted(please circle one): YES / NO Attic Flat w/10"R30 Kraft Faced Batts w/a layer of R19 unfaced batts on top Sloped Ceiling w/8.25"R30 High Density Kraft Faced Batts (16 OC) Sloped Ceiling 16"Accuvents installed in entire Sloped Ceiling Walls Exterior w/5.5"R21 Unfaced Batts installed(16 OC) Walls Exterior w/4mil Polyethylene Vapor Barrier Attic Flat 1/2"RB Windwash block with Proper Vents installed around perimeter of Flat Ceiling 2ND FLOOR INSULATION PACKAGE TOTAL: $1,590.00 (Package Is Included In Total REScheck Software Version 4.6.2 Compliance Certificate Project 2nd Floor Addition Energy Code: 2015 IECC Location: Cotuit, Massachusetts Construction Type: Single-family Project Type: Addition Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 34 Eisenhower Dr.' Rick Gameau Cotuit,MA 02635 P.O.Box 476 W.Barnstable,MA 02668 Compliance: Passes using UA trade-off Compliance: 0.0%Better Than Code Maximum UA: 51 Your ILIA: 51 The%Better or Worse Than Code index reflects how close to compliance the house Is based on code trade-off rules, It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies AssemblyGross Area Cavity Cont. . Perimeter Ceiling 1: Flat Ceiling or Scissor Truss 270 49.0 0.0 0.026 7 Ceiling 2:Cathedral Ceiling 340 . 30.0 0.0 0.034 12 Wall 1:Wood Frame, 16°o.c. . 330 21.0 0.0 0.057 16 Window 1:Vinyl/Fiberglass Frame-Double Pane with Low-E 55. 0.290 16 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2015 IECC requirements in REScheck Version 4.6.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: 2nd Floor Addition Report date: 01/09/19 Data filename: Untitled.rck, Pagel of 9 { Office of Consumer Affairs and Business Regulation One Ashburton Place- Suite 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Type: Individual RICHARD P.GARNEAU JR. Registration: 166170 251 WOODSIDE RD. Expiration: 05/04/2020 W.BARNSTABLE,MA 02668 Update Address and Return Card. SCA 1 0 20M-05/17 Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constr4jotlb 'S%S}pervisor CS-009714 40+res:O4/04/2020 RICHARD P GARNEAU;,%jA v 251 WOODSIDE ROAD WEST BARNSTABLE MA`62668` Commissioner ' SQN The Commonwealth of Massachusetts ` Department of IndustrialAccidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individuai):����A Address: b ( D. City/State/Zip: Phone zl> f Are you an employer?Check the appropria a bow Type of project(required): 1.❑ I am a employer with 4. [_1I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.[�'I 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' [No workers'comp.insurance comp.ffisu-ance.# 9. ❑Building addition 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 [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.[1 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 Nyhether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp,policy number. . I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: 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 c der th pains and enalties of perjury that the information provided above is true and correct Simafore: 4Date: Phone#: 7 4/ 62 :35S F6.3 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 Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written. An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to constrict buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to-your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone mIInber(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(11P)with no employees other than the members or partners,are not required to carry workers' compensation inm=ce. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of in rance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition, an applicant that must submit multiple permitllicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The COMMG11wealth of Massa&usetts Department of Indust W Amidents Qftiee of Investigatims 600 Wasbingtorl SU=t DosWn,MA 02111 TeL#617-727-4900 ext 406 or 1-MMASSAFE Fax#617-727-7749 Revised 4-24-07 WM=,gav/dia Application Number.......................................... Section 9- Construction Supervisor Name ,�, la A,z,s &,_�Telephone Number `7 7 y a 3 E 6 3 -2- Address P 61 (�LbsfD,-zo&a—City tj,( 2,/52/S State 2a Zip -6 c� License Number c-'S-O©q 7/ License Type 0 Qj Expiration Date z �� p Contractors Email .Cow( Cell # 5,4 d& 4 g 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 re,7 7 C an 7e Town of Barnstable.Attach a opy of your license. Signature Date Section 10-Home Improvement Contractor Name_ i i a =,> 2rz��"� Z Telephone ? �{ �.73 �G 3 ,� � n Address,��( Wr9� rye i�C l!City &g,r,).S�h fP State LW _Zip Registration Number 1AG i p Expiration Date 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 re ed by 7§p C>M and the To of Barnstable.Attach a opy 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 F APPLICANT SIGNATURE Signature Date Print Name ,e-dA,z D A/7/ic%k) T Telephone Number 7 y „?5r FdV E-mail permit to: RjrxGg-1�!.A)C,�-i C3�/'79/G, ('69114 Last updated: 11/152018 Section 12 —Department Sign-Offs j Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval 1 Section 13— Owner's Authorization I, Xq Lt !` n a.rl. as Owner of the subject property hereby authorize 1dw OV P 614 AtaV , to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of j ob) ' C Sign tune of Owner Lie �T-6 v any Print Name t Last updated: 11/15/2018 �t1KE r((yy Town of Barnstable , PerV. 44mit# —�Y o Regulatory Services. E'ee s 6 months from Issas date * BARNSTABLE. MASS. Richard V.Scali,Director1639. ,%4051 /� �• L Building Division -1 .• ?� Paul Roma,Building Commissioner �J 200 Main Street,Hyannis,MA 02601 /� www.town.bamstable.ma.us �Q Office: 508-862-4038 - �`F508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL-ONLY (� Not Valid without Red X-Press Imprint Map/parcel Number (J Property Address r311 Residential ,Value of Work$ f U D Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address l,t,Mir E' I V( C,pok-trt&e (,( /0/4 paq D x UkstfOild AH DISS Contractor's Name A ab Telephone Number Home Improvement Contractor License#(if applicable) k w . Email: / L" Construction Supervisor's License#(if applicable) C07 (9 . Xworkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance �j,� Insurance Company Name Sw�/Q Workman's Comp.Policy#_ yV cr SOU'S V l Z Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to ❑Re.-roof(hurricane nailed)(riot stripping. Going over existing layers of roof) Re-side Replacement Windows/doors/sliders•U-Value (maximum.32)#of windows #of doors: "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. copy of the Home Improvement Contractors License&Construction Supervisors License is re i d.rl -� F SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\INetCadhe\Content.Outlook\L7U69LF2\EXPRESS(2).doc 01/25/17 Massachusetts Department of Public Safety Board'of Building Regulation and'Standards License CS-009714 M Construction Supervisor � A RICHARD P GARNEAU,JR '+ s PO BOX 476 k M WEST BARNSTABLE MA 02fi68 Expiration', Commissioner 04/0412018 N Office of Consumer Affairs and Business Regulation `1 9 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home lmprovemei��Contraetor Registration . 4` s Type. Supplement Card BAKER &ASSOCIATES INC. Registration: 162600 $ Expiration: 03/25/2019 P.O. Box 923 Centerville, MA 02632 .. . sue; ••r 4`�t ff Mc^- Update Address and return card. Mark reason for change. �(-A' 4s ;?CN4 r.1511 ,mw.... e I"'I I nQt + Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR , Registration valid for individual use only ? TYPE:Supplement Gard before the expiration date. If found return to: k d:• Office of Consumer Affairs and Business Regulation ration it tion xi62600,3 03;`2�i20i9 10 Park Plaza-Suite 5170 Boston,MA 02116 BAKER&ASS6614TESANC RICHARD GARNEAU. I-7� j/z <91)? I Al", 521 Shootfiying Hill Rd Centerville,MA 02632 i Undersecretary. Not valid without signature The Commonwealth of Massachusetts Department of Industrial Accidents qg; -:- I Congress Street,Suite 100 Boston,MA 02114-2017 wnw mass.gov/dia 11—'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Baker&Associates, Inc. Address: PO Box 923 (521 Shootflying Hill Road) City/State/Zip:Centerville, MA 02632 Phone#.. 508-362-2445 Are you an employer?Check the appropriate box: Type Of project(required): 1. ✓ I am a employer with 1 employees(full and/or part-time).* ❑ 7. ❑New construction I. I am a sole proprietor or partnership and have no employees.working for in ❑ 8. E]Remodeling any capacity.[No workers'comp.insurance required.] 3.F�I am a homeowner doing all work myself.[No workers'comp.insurance required.]t . 9. El Demolition 10❑Building addition 4.R lam a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 1 La Electrical repairs or additions proprietors with no employees. 12'.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.: p 6.F�We are a corporation and its officers have exercised their right of exemption per MGl c. 14. Other 152,§1(4),and we have no employees.[No workers'.comp.insurance required:] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for'my employees. Below is the policy and job site information. ; Insurance Company Name:Associated Employers Insurance Company Policy#or Self-ins.Lic.#: WCC-500-5002454-2017A Expiration Date: 4-23-18 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.MGL c. 152,§25A is a criminal violation punishable by,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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do here(:y ertify un er thepains d t s of perjury that the information provided above is true and correct Date: . Phone#: 5043 -2445. 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#: i Client#:9742 2BAKERAS ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY' ;. 1 4/28/2617 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: &O'Neil - Dowling&O'Neil Insurance Agency PHONE 508 775-1620 FAX 5087781218 973 lyannough Rd,PO Box 1990 mn Lo Ext: Arc,No ADDRESS: COI@dO1nS.COm Hyannis, MA 02601 INSURER(S)AFFORDING COVERAGE NAIC# 508 775-1620 NGM Insurance Company-INSURER A: an 14788 p Y ' INSURED - INSURER B:Associated Employers Insurance 11104 Baker&Associates,Inc. INSURER C: P 0 Box 923 Centerville, MA 02632-0071 INSURER D: INSURER E: - INSURER F i - 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. LTR TYPE OF INSURANCE ADDL SUBR "- POLICY EFF POLICY EXP LIMITS INSR WVD POLICY NUMBER MMIDD/YYYY MM/DDIYYYY A GENERAL LIABILITY MPJ7223M 4/19/2017 04/1912018 EACH OCCURRENCE $1 OOO O00 X COMMERCIAL GENERAL LIABILITY - PREMISES(Ea RENTED ) $500,000 CLAIMS-MADE F xl OCCUR MED EXP(Anyone person) $10,000 - PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - .PRODUCTS-COMP/OP AGG $2,000,000 POLICY F PRO- ECT LOC $ " J 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 $ HIRED AUTOS AUTOS - Per accident $ UMBRELLA LIAR �CCUgEACH OCCURRENCE $ EXCESS LIAB AGGREGATE $ DED RETENTION$ $ - B WORKERS COMPENSATION WCC50050024542017 4/23/2017 04/23/201 X T RYTL TU-S , oTH- AND EMPLOYERS'LIABILITY - _ ANY PROPRIETOR/PARTN Y I N ER/EXECUTIVE - E.L.EACH ACCIDENT' $500 OOO OFFICER/MEMBER EXCLUDED? N N I A (Mandatory In NH) - E.L.DISEASE-EA EMPLOYEE $500,000 - If yes,describe under - DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT s500,000 _ DESCRIPTION OF OPERATIONS r LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) - Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the"policy provisions. 1 CERTIFICATE HOLDER CANCELLATION Baker&Associates,Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 923 ACCORDANCE WITH THE POLICY PROVISIONS. -Centerville,MA 02632 AUTHORIZED REPRESENTATIVE - ©1988-2010 ACORD.CORPORATION.All rights reserved.. ACORD 25(2010/05) 1 ".of 1 The ACORD name and logo are registered marks of ACORD #S190160/M190159. CBD n I 'I 022E matters relative to work authorized by this building permit application for : Address of property: 34 Eisenhower Drive Signature of owner: Print Name:',Pryl Date: A, IS L . .. a .,.i - e .� s.-. �.� yro t' ''* .-r.:....,+ 'r'.�;�-s ''�t`"ri'�..«."5:.1F'^��'� ..'-i�"',r„th° .7. -��ir`-,,. ��.,rnw ✓ oftN�,, TOWN OF BARNSTABLE Permit No. .....3Q048.... BUILDING DEPARTMENT e"8"T 3 TOWN OFFICE BUILDING Cash HYANNIS,MASS.02601 Bond ........X...... CERTIFICATE OF USE AND OCCUPANCY Issued to BARNSTABLE HOLDING CO. Address lot #29 34 Eisenhower Drive, Cotuit: USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT •WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. December 2 86 �� `• � xo� � . ........ .................................. Building Inspector TOWN OF BARNSTABLE BUILDING DEPARTMENT Z )AHI]T i TOWN OFFICE BUILDING � rua HYANNIS, MASS. 02601 �o r�r�• j + MEMO TO: Town Clerk FROM: Building Department DATE: /�2 -.2- � An"Occupancy Permit has been issued for the building authorized by BuildingPermit $�............. .. ........... ......................................................._................................_..... issuedto .. N„a ...1. `........................................ . ... ...» ..... _.:......._...._.._.._ Please release the performance bond. l THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A , m / � �G�"- IL DATA TOWN OF NQ----&404R APPLICANT L ADDRESS (NO.) (STREET) (CONTR'S LICENSF.1 NUMBER OF PERMIT TO u id L 1 i.-.t DWELLING UNITS STORY (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) 34 DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT, IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: AREA OR PERMIT VOLUME ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) OWNER BUILDING DEPT. L L t L t�,t i:1�1--:.l'i.,�:; By ADDRESS THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL OUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET 13UILDIO INSPECTION APPROVALS PLUMBING IINSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 9THER 00" 2 BOARD OF HEALTH L3�� WORK SHALL NOT PROCEED UNTIL THE INSPEC= PERMIT ',V!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARICULIS STAGES OF WORK iS NOT S TART E-D*wl THIN SI.: MON THS.0 F DATE E THE ARRANGED FOR By TELEPHONE OR WRITTEN CONSTRUCTION PERMIT ;S ISSUED AS NOTED ABOVE. NOTIFICATION. 15'St�EyRC�D ' w\ 1v LO c.g, 24 0�8 o pb I Z g0 � vo } <_ oT .2 q. N w 0 8.0 3 In a co s 0 � E LoT 3D 1 .>� ,• �e �c�ec''i ate/ PER Tbw J �FrE.. I CERTIFY THAT THE IA OF lw SHOWN ON THIS PLAN IS PAUt A. yN\, LOCATED-ON THE GROUND LEVY AS INDICATED AND CONFORMS No. 1o6i7 " TO THE ZONING LAWS OF vo �F�, .. , MASS. t DAME R G I, TE RED LAND SURVEYO LEVY & ELDREDGE ASSOCIATES,INC. iBAt`NSTAt3 a CERTI ® PL®T P N CLIENT ++��a►a.rF� ENGINEERS — LANDSCAPE ARCHITECTS JOB NO. F15EA1140WF_R DRIVE PLANNERS— LAND SURVEYORS DR. BY: .ICI, INk` ' 889 WEST MAIN STREET CHKD.BY: DPM, I CENTE6I1-LE, MA. 02632 SHEET-L4F_L. SCALE' -'¢� DATES / I6 8� JOSBPN D. ALus 4 � f6L6PNON6t 778•tt20 Bring Comsirdau► BXT. 107 r TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS. MASS. 02601 August 9. 1984 Mr. John Yovicsin , Cotuit. Bay Drive Cotuit, MA 02635 Re: Lot #29 Dear Mr. Yovicsin: I have reviewed a plan of land in Cotuit (Barnstable) Massachusetts, as shown on a subdivision plan by Thomas E. Kelley Co. , Surveyors dated . February 1, 1973 and approved by the Planning Board May 7, 1973. Lot #29 on said plan appears to be buildable subject to the approval of the Board of Health. Peace, J ph D. D uz ilding Commissioner JDD/gr. Assessor's map and lot number ........07�1 ..0?j>........ V IC SYSTEM MU ST of THE roof I % �?. ....... " STALLED IN C® P Sewage Permit number ......... i........... �I WITH TITLE 5 Z BAWSTOELE, y r-j- House number ......................................................................... ENVIRONMENTAL CODE Ak!".1 o Mb 9. TOWN REGULATIONS ��NOAr, TOWN OF BARNSTABLE ( r�. BUILDING I SPECTOR APPLICATION FOR PERMIT TO ......... ........ ....tft.Iti:.::.��a:.L�llr�Xr/. . . ..... ..... .......................................:......... TYPE OF CONSTRUCTION ....... ¢d.Gr......./!. .!t4 C.................... .......... ............................................. ...... .... 9 apg TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a/a permit according to the foil ing information: _ Location ......Z. .. ��.�liC ... .'�t.lV.C�. . .. .. .�.��G............!►„c�l F.L.;..1.................................. ProposedUser= .................�L. ��:r ,/...... ........... .........lJ{. .: ........................................... 4 Zoning District ............. ...(.. ���.. .....................................Fire District ......... .. Name of Owner .. .!Q?... 9.....4� . . ... . .. Name of Builder ........!... . .. . . .... ... .....Address ..y� ...... ... ..............�1.. .'..4..4.......... .. ...,.Name of Architect .........�:t.�.... .... .....�-:.. ...................Address .... .....L)I... ... .... .. '~0.................. ........... Number of Rooms ..........�/..................................................Foundation ..... . . . ... .......lee.ez . . . ............. Exterior Z.. ...Roofin ..... r1o".z, Floors ....`3 y....C.n1S........ '..... A............Interior ... .�.... 1^C v.�l��� .................. ��W 4�� g .. .......................................Plumbing :....,l........ [� Fireplace ..................................................................................Approximate. Cost ........ �. V �........... ............. Definitive Plan Approvedby Planning Board -__------_—------------------- Area .....�JJ 9.-W...................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 .... .. .... . rRr .,......... .. ... .. . ...... ....... J/ i Construction Supervisor's License .C �-. .LJ..� .. . ....... r BARNSTAI�LE HOLDING O Stor o�'..�QQ.4.b.... Permit for ...1..z...........Y................. i - 1 ....a._ingle... .................... t ,may y{ , Location ' e ower Drzye ,r' Cotuit r'4 ............. i Owner .... n Bar .stable. . . ...Holdi. . n. .................... g ........ . ...... . . .... . ...... . Type `of Construction Frame *�•�' "l�; S R'` • r or ` ■� ,,` ............................................................. ................. Plot ............................ Lot October 17`, 86 Permit-'Grari ed z..... 9 llki Date of Inspection Date Completed ,. ...... ... ..... p:.. 1.9 op Alfor -f11, +> `�• !' ark a r `Assessor's map and lot number ...... ..�. .� - a� �' THE t0�♦� a Sewage` Permit number .... � .!...........0-A.... Aw �.. . :....... d r....::.............. 13ARNSTLBLL i House number . ..................... .............ri........................... ro 2b3 ♦� a O 9• ivy MAR -�-WOF BARNSTABLE TOWN BUILDING INSPECTOR APPLICATION FOR PERMIT TO ''r i TYP E 90F CONSTRUCTION ....... Dad r .................... .................................................. r : i .................... ............,.... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for as permit according to the following information: f Location ...... ,,.'. .•! ....................... � !r�?'.r��+ � ... .��1,� !��.:.n:........�....�....�-�.!..�.................................. Proosed Use # C,...............................• l 1"`s r.. ............. ..... ' ................. . ..................................... p ,f r �`�� Fire District ......... .:�? 1 . ZoningDistrict .......... . ............................... ...................................... Name ofOwner ✓`1/3d ..�' ryr 1 ''t, Address .f ...�-:�i. /...... f �......;/✓s1 .a��iJ �/1/��� /I �....x.....Address ..,f ...... /......!`,� /sri (,1 Name of Builder ......... . � ........ ..... ...�' .... / :....... Name of Architect ...................... ......*... ..:...................Address .... .... / P7. ;/ `"� ...... ................. .......................... l� ...........Foundation ...... '� ��i .�. x �.t{ �............. r Number of Rooms • ....•••••••-••••j ...........................�/fit r/Y; [""r"�u.._. �.�r• _ '°"°���'•t /',� ; .. t'..�• Roofing Exterior ���..,�............ .r�................................................ g .. ....... .. ..............:��:.........�................ rr r Floors ../�"�.... .'!.?":........ .....�' /!................Interior .... ............................. .................... ' Feating � A,. .........................................................' Plumbing t. . .. •' l ..................... ....... .... Firepiace ..................................................................................Approximate Cost ........;4-14,. .......... ..j............... .yI.p ............ Definitive Plan Approved by Planning Board -----------_-------------------19________. Area .... /......��................. Diagram of Lot and Building with Dimensions Fee .......`��r....�................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 1a S r i ti ` 't?► 1 � _ 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. r Name . ./....�....... ........, i'� ' Construction Supervisor's License � o BARNSTABLE HOLDING CO. A=039-098 No ....30048,. Permit for ...1. ...Stoxy................ ............... ngl.Q...F.aMi ly..D.wellirag................ Location ....LRt...#29.......3.4... iseahowex...Dri-ve ..................... ............................................. Owner in&..Co_.,.,,_... ..........................Barnstable........Hold..... Type of Construction ...Frame ............................ ................................................................................ Plot ............................ Lot ................................ Permit Granted October : , .................. ...17........19 86 Date of Inspection ....................................19 Date Completed ......................................19 l . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0 Parcel 11' ► Application Health Division Date Issued Conservation Division Application Fee Ae Planning Dept. Permit Fegl��h- Date Definitive Plan Approved by Planning Board r Historic - OKH _ Preservation/ Hyannis Project Street Address 3 el- Village �yy i C. Owner�f K ci ry,1 dui rh ,,d acr; f l Address � 0/ 0-11f I-y�oll �d wo{f�lfier A5 Gl 6Oc1 Telephone ,Permit Request `V1' J_e,d w,fl'FC q j b6/c.-�c- 5 ' r'.1 41 ac d C?t*'c ,n 1 t om, '1 ti'-�, f 12✓6rA li Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation `Z ZY Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 3"' Two Family Cl Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kings Highway: OW'es ❑ 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 rn Total Room'Gount (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 Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ° Name ✓ li0 106 7`c/' ���"'��n Telephone Number 7,f r'J-7/_t1 S L Address -Z G 7 Qv,`%'fc y 1 License # 0P7 96!2 02351 Home Improvement Contractor# l It cJ 12) Email V c fc,r69 �'�l�/-�ic,�� - �c�, Worker's Compensation #X A VD 6 6Z 6 Y3 S Z /.S ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO C h- yP 7421c/1 C� � SIGNATUREX` DATE S/Z za s-v FOR OFFICIAL USE ONLY t APPLICATION# DATE ISSUED ' MAP/PARCEL NO. ADDRESS VILLAGE OWNER 4a i` DATE OF INSPECTION: FOUNDATION FRAME E, INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 1.- GAS: ROUGH FINAL FINAL BUILDING; a r P DATE-CLOSED OUT ASq§OGIATION PLAN NO. w�_. ti r4�REP CERTIFICATE OF LIABILITY INSURANCE 7430/2015 '"IMI°°'YY"1' 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 endorsedAlf 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 NTA Denise Butcher NAME: Strategic Insurance Solutions, Inc. H Nam : (617)558-7100 x122 aC No:(781)459-8282 2000 Commonwealth Avenue ADpRES.:db@strategicinsure.com INSURE S AFFORDING COVERAGE NAIC# Newton MAL 02466 INSURERA:Scottsdale Insurance Cpany INSURED INSURERB:COIDmerce Insurance Company 34754 Insul-Pro Insulation Co., Inc. INSURERC:Torus National Insurance Co 267 N. Quincy St INSURERD:Travelers Casualty a Surety Co INSURER E: Abington MA 02351 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1543003257 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, EXCLUSION$AND CONDITIONS OF SUCH POLICIES.LIMIT$SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTTRR TYPE OF INSURANCE, ��SUBR POLICY NUMBER M POLICY EFF MWDOr EXP rfM LIMBS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 AMA A CLAIMS MADE X D GE TO RENTED OCCUR PREMISES Ea occurrence $ 50,000 CPS2112226 2/13/2015 2/13/2016 MED EXP(Any one person) _ $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑JET Loc PRODUCTS-COMPIOP AGG $ 2,000,000 OTHER: is AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL AUTOS OWNED X. AUTOSULED 131S563 4/5/2015 4/5/2016 BODILY INJURY(Per accident) $ R HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ $ IC UMBRELLA LJAB OCCUR EACH OCCURRENCE $ 5,000,000 C EXCESSLJAB CLAIMS-MADE AGGREGATE S 5,000,000 DED JXJRETENTION$ 0 79425F152ALI 3/5/2015 3/5/2016 $ WORKE COMPENSATION AND EMPLOYERS'LIABILITY YIN R ST TOTE ERH ANY PROPRIETOR/PARTNER/EXECUTWE E.L EACH ACCIDENT $ 1,000,000 D (Mandatory In ER EXCLUDED? N/A - OFFICERIM n NH) 10=6626Y35215 5/6/2015 5/6/2016 E.L.DISEASE-EA EMPLOYE $ 1 000,000 If yes,describe under — DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 11000,000 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Proof of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Denise Butcher/DMB ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(2ouo1) I - The Uommonweauh of Massachusetts Department of Industrial Accidents t Office of Invesdgations lw; I Congress Street, Suite 100 Boston,MA 02114-2017 www mass govl&a . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers ApNicant Information Please Print Legibly Name(Business/organization/Individual): I n f v Address: . Z 7 AK ��;hc/ J 1, ^7f'�� Ci /State/Zi : A-12 I q 2f�� /� 5 0)-?Sl Phone �f7/_tf2 SL Are- u an employer?Check the appropriate bos: Type of project(required): 1. I"am a employer with 4• ❑ I am a general contractor and I � . have hired the sub-contractors 6. ❑NeR construction employees(full and/or part-time).* 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition corking for me in any capacit<. employees and have workers, 9. ❑Building addition [No corkers'comp.insurance comp.insurance." required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all cork officers have exercised their 11.❑Plumbing repairs or additions mL-%-self. ' right of exemption per MGL �o corkers comp. 12.❑ of repairs insurance required.]t c. 152, §1(4).and ice have no � , employees. [No corkers' 11. Others/Il.-/-t?!c✓t 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. tContractors 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.nil mber. I am an employer that is providing workers compensation insurance for my employee& Below is the poaxy and job site information. Insurance Company Name: I r-ri Ve(eff '-CC� Policy#or Self-ins.Lic.#: V/3 (9 L (9 Y j 5 L Expiration Date: Job Site Address:3 C r1 t rt �t a �/ City/State/Zip:(,�tvl fi /`15 02635 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 herebi�certifi�under the airs and et: un,that the in or don provided above is true and correct. Signafore: / - Date: 5 122 A Phone#: �l' Official use onh: Do not rite in this area,to be completed btu 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#: 190711 OWNER AUTHORIZATI.ON FORM (Owner's;Name) owner of the:property located at (Property.Address) (Property.Address) herebY authorize 011� , (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit;and to perform workon my property! la::e.ey kar�aoroo.e,'�, harry ka adoddan(Mar IT 2015) Owner's Signature Date S F t tit Massachusetts -Department of Public Safety f Board of Building Regulations and Standards Construction Supervisor M License: CS-089969 m. VICTOR CIIVIII O` 267 N.QUINCY ST 5"1-t � ABINGTON �023SVAy � ii 4t' Expiration Commissioner 05/11/2016 I 00; ffice of consume • -" '-- Affairs&Bo i ME IMPROVEMENT 4Regulation License or re 'i�ation: 149123 COhiTRACTOR lt +ationvalid for individul use only Ua the ea iration date. If found return to: iration: 11/28/2015 Type: Consumer Private Co, Office'"on 10 Park P! Affairs and Business R INSUL-PRO,INC. Plaza-Suite 5170 Regulation Boston,MA 02116 VICTOR CIMINO 267 N.QUINCY STREET. ABINGTON,MA 02351 - ;—� _ �• _' Undersecretary Not valid without signature I. oETHE rp Town ®f Barnstable *.Permit# + p� Expires 6 months om issue�a i Regulatory Services Fee snxrlsrns�, >` Thomas F.Geiler,Director , '°moo raxc�` Building Division 6 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.batnstable.ma.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERART APPLICATION - RESIDENTIAL ONLY /y _ Not Valid waltout Red X-Press Imprint Map/parcel Number v4 v 5 T - Property Address �i 5�-_ n f OL, r`, dzWrA- ER A 6 26 2n� Residential Value of Work CD _ Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 1 r ` &W C1 6 k1C IC1,6 l koaA 074 eafr , A&A cu 6 2 Contractor's Name 2 Se,r L Cam_ Telephone Number L56a 2/,-? Home Improvement Contractor License#(if applicable) 1 2 J.3(o Construction Supervisor's License u(if applicable) 8 ff Workman's Compensation Insurance A-PRES PERMIT Check one: ❑ I am a sole proprietor DEC 2 0 2012 I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name �a rona Url i oY� �i Pe l nsor'AQWNO.BARNSTABLE Workman's Comp.Policy-4 ir\1 C.Qb Q cr Copy of Insurance Compliance Certificate must accompany each permit. . Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to_ `n awl Cti, e ❑Re ioof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors , ElReplacement Windows/doors/sliders.U-Value (maximum.44)#of windows *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 meat Contractors License&Construction Supervisors License is rega** SIGNATURE: Q_\wPFMES\FORMS\building permrt formal\F�RESS.d.. Revised 090809' i The Commonweafh of'Massachresei/s Dep e&of lrzdaa&Ad.Elceider ®fface of,Treves4katiostis 600 Washhagton Sb,, j Boston,MA 62111 Naww-N�a L9ov/dia i Workers' oyupensa oar Ifmaar nce davit:��ers/�mntir�tc#ois/�eci�acianslp A 1icutFmformation lumbexrs Name i� ess/o --� Please IPrxnt>i, c izaaonlYnaivid iy;�4S2 Y Addzess. i City/S'ta'C ip. Ph0216 '. Jnq - SI Arre,�.�e-T�ou an employer?Checii the aPProriate boa: 2B I•[adIama �employes with 5 4 D I am a general c oatwor and I Type of project(ram): j 2.EempIayees(fuE and/or p eta have hired the sub- 6. i ]i am a sole F sub-contactors New ccrostttzction Ship sari have no etot ao anger- lasted.on:the allnched sheet Remodeling' �p Yees lheSe Sub-contractors have �° [j Remadeline working formein any capaeay employees and have workers' 8 Demolition [No wozicers'comp-i usmantt CMMP insurance t 9. Build ing addition .. � r"dmd-j 5.❑ 'we are a corporation and its 10,❑Electrical repazts or additions 3 1 am a homeow�per doing aII work offtms have exercised their myself j1Vo Wozkers'comp. right of exernpfian per MGL I I[]Plumbing repairs or acldifiorrs msnrance required j t ' a 152.§I(4),and we have no 12❑Roof repairs i =playew-[No workers' 13.n Other Ct}itlp_Ir}}S EE7rranl a requh ] ! "ARY aPPFicaat t6 checks boa#F nmst abo M1 out the sectionbc79wshowingrheir rtte�• F tHomeowaets wko submit this a$davk blacetme{may a.doing aII sho and rhea Iwi o mP�ho4 poLc9 boa sfbuhaotorstbatchwkthis box n2, t udecoocmM 3mustsa5maanewaf�davitindi attacbpd an tsddiGaaal shetsb catiag sack. oY Ffthesttb eonbraetorsbave�nployecs,t5egrrns pmyi t esuG obntmchorseAdStftwhetheioruotthoseeutwcshave rip Paliayaumbcr. .. 1 amz an�ploper�ratic pravir�trg iverhers'corr>pMsatsort t+uurance or i informa8orr / f fiv Qrnpioyeex. Betow is the policy and job s&e .I'nsurance Company Name: -Policy#oz Self ins.1!c,#: W C O bpiration Date: O aJ 24 Job Site Address: - C - sjV _ 7 I City/5tateJZrp: "�' (�Z 6 i Attach a espy of the workers,compensation policy declaration padlme to semen cov page(Showing ffie PONCy number and expirations date), e as required tmd$r Section 25A of MGl'_c 152 can lead to the imp osition ofcrixninal fine up to$I,500.00 and/or one-year imprisonmeM as t?ven as cavr7 p Penalties ofa of"uP to S250.00 a da Pities in fhe fozm of a SIOp WORK ORDMZ and a fhne { y against the violator. Ile advised that s copy of Us statement may be forwarded to the OSSce of Investiigaatfons of the DIA for insurance cove[age veri&cation_ 1 do hereby certf d pdraldes ofperjury 3liat the' i vr}ormaffon Provided above is true and COMICt Si - Date: 2 i One f 07 dal use only.. Do nof wrfte in xhis area,to be c &redb o)V Y cfty or town o,,dfa � City or rorm: i �'ermitfgieezase;� IssuingAuthor*(circle one). i p..Boar-d ofHeahtr 2,BadingDepartment 3. own S.Other Cityfl Clerk 4.Electrical inspector S.phnatb` mg inspector Contact Person: ----�— I°inane#: i AO/zD- FRASCON-01 MOSU CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDrYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOOL/DER.17 IS 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 (508}676-0309 NAME: Suzette Moniz . Viveiros Insurance Agency,Inc. PHONE 375 Airport Road Arc.No Ext:508-676-0309 C,No):508-324-9147 Fall River,MA 02720 ADDRESS:SMoniZ Viveiroslnsurance.com INSURER(S)AFFORDING COVERAGE NAIC R INSURER A:National Union Fire Insurance Com p an INSURED Fraser Construction LLC - - INSURER B: P.O.Box 1845 INSURERC: COtuit, MA 02635- INSURERD: INSURER E: 1NSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A INDICATED. NOTWITHSTANDINGROVE FOR THE POLICY ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICHTHIS 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 ADDL SUBR LTR TYPE OF INSURANCE IN SR WVD POLICYNUMBER POLICYEFF POLICYEXP - GENERAL LIABILITY MMIDDIYYYYfMMIDDIYYYY1 LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE. $ ' PREMISES(Ea occurrence) ,S CLAIMS-MADE �OCCUR - � MED EXP(Any one person) $ PERSONAL&ADV INJURY S GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: pR0- PRODUCTS-COMPIOPAGG $ POLICY J CT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO "` "' Ea accident $ ALL OWNED SCHEDULED BODILY INJURY(Per person) S - AUTOS AUTOS BODILY INJURY(Per accident) S HIREDAUTOS NON-OWNED AUTOS PR ERTY DAMAGE S Per accident S 4AANY BRELLA LIAB OCCUR EACH OCCURRENCE $ CESS LIAB CLAIMS-MADE AGGREGATE $ DIED RETENTION S - RS COMPENSATION - - $ PLOYERS L1ABtLlTY X WC STATU- .. OTH• OPRIEFOR/PARTNEWEXECUTIVE Y1 N WC009930601 TORY LIMITS ER OFFICERIMEMBEREXCLUDED? ❑ NIA 9/26/2012 9/26/2013 E.L,EACH ACCIDENT S 500,000 (Mandatory In NH) If yyes,describe under E.L.DISEASE-EA EMPLOYE $ 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES-(Attach ACORD'107,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 13E CANCELLED BEFORE Fraser Construction LLC THE .EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 31 BOWdoin Rd ACCORDANCE WITH THE POLICY PROVISIONS. Mashpee,MA 02649- • AUTHORIZED REPRESENTATIVE ACORD 25 2010105 ©1988-2010 ACORD CORPORATION. All rights reserved. { ) The ACORD name and logo are registered marks of ACOR1 Office of Consumer Affairs and Vusness Regulation 10 Park Plaza.- Suite 5170 Boston Massachusetts 02116 Home Improvement Conti actor Registration Registration: 112536 f Type: DBA Expiration: 3/23/2013 Tr# 209024 FRASER CONSTRUCTION CO, = DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 `• Update Address and return card.Mark reason for change. t [] Address Renewal [] Employment [] Lost Card EJPS-CA1 0 SOM-04104{i101216 Office�t o i me76`�.'3`fa rs 'l;ursiness izeguia'ho°n� Lease or registration valid for individul use only "—' IMPROVEMENT CONTRACTOR !before the expiration date. Jf found return to: HOME IMPROV Registration: MENT Type: Office of Consumer Affairs and Business Regulation 2536 M Expiration: 3123 013 pBA 10 Park Plaza-Suite 5170 Boston,MIA 02116 F R CONSTRt.)CTION.CO. DEAN FRASER 104 TWINN VIEW ANE 4� f E FALMO11TH,,VIAa:'53o Undersecretary Notvah wit utsi re I lytaissAA setts-Delmilnent of PubliC�Safet�' Board of•Bui iding Regulations and Standards C.ohsteuctibn Supervisor License ` -License: CS 97668 I]EAN % 'IS1R ,c, 104 TWIT ,1M, rlN ,NE EAST 1=AUMI MA O 536 �- — Expiration: 6f7/2013 C'ommissio�icr Tr#: 16692 Lo m m w Fraser Const-ruction.. 'LLC ` P.O. Box 1845, Cotuit MA. 02635 RECEIVED - Email: fraser_constructi on@verizon.net I y 'i www.fraserroofin com FAX 1-508428-0123 HICL4112536` CS#97668 RE-ROOFING, PROPOSAL DATE: December 3,2012 PHONE: 508.769.5560 } NAME: Larry Kachadoorain w EMAIL: Hka6002(a)yahooxom o MAIL ADDRESS: 19 Oak Knoll Road Worcester,-MA-01069 Y JOB ADDRESS: 34 Eisenhower Drive Cotuit, MA 02635 FRASER COL\TSTRUCTION hereby proposes to perform the following services in a neat, professional Uke manner in accordance will 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. CD Fraser Construction will include a 4 Star Upgradod warranty with the selection of any 30 year shingles-or any Lifetime shingles. o� CD CertainTeed SureStart Pius--The extra,measure of protection when a credentialed company installs an Integrity Roof System. 4 Star warranties have a 50 year.Nora-Prorated Coverage for any lifetime shingles,which will cover incase of any,in warranty repair, Labor and Materials, any Tear-Off, and any Disposal Fees. Upgraded wind warranty available on the NN following products when special application methods are used. See description below and in the CertainTeed Sire Star plus brochure enclosed, NI LD 04 m W ASK UV AB0UT OUR 0VERMEAD CARE CLUBI Q f s Suayly and Install -CERTAINTEED LANDMARK:LIFETIME WARRANTY 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. . With a SureStart Plus upgrade customer will receive 10 year 130 mph wind-resistance warranty with six nails in common bond area,Fraser construction includes six nails in common bond area at NO additional cost. Sec actual warranty for specific details and limitations. Color: PRICE-$5,385 Initial /Z Saanly and Install -CERTAINTEED LANDMARK PRO:CLASSA FIRE RATED ALGAE Resistantx Extra He avy , Wei k v3' 1� Self Sealing,.Multi-Layered.,Architectural �Style, Fiberglass Based Asphalt Shingle e with'New England' s s.Exclusive COPPER/CERAMIC Stones with a Full 15 Year Warranty against ALGAE Containment. Landmark PRO is engineered to outperform W ordinary roofing in every category,keeping you comfortable,your home protected,and your peace-of-mind intact for years to come with a transferable warranty_ Be that's a leader in the industry. With Max f colors,a new dimension is added to shingles-with a richer mixture of surface granules. You get a brighter, more vibrant,more dramatic appearance o' and depth of color. And the natural beauty of your roof Y shines through. With a SureStart Plus upgrade customer will receive 10-year 130 mph wind-resistance warranty with six nails in common bond area,Fraser construction includes six nails in common bond area at NO additional cost. See actual warranty for. specific details and limitations. Color: PRICE-",725 Initial S and Inst all CE RTAINTEED AIl`t TEED m LANDM ARK ARK PR EMIUM: I!'IIUM•.Limited� uAUtY ted Lifetime Warranty; 10 year sure start protection, CLASS A FIRE RATED,ALGAE Resistant,Extra Heavy Weight;Self Sealing,Multi-Layered,Laminated Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 15-year Warranty against ALGAE Containment. 10 year 110 mph wind-resistance warranty Wind warranty upgrade to 130 mph when Cerfain3'eed starter CD & Cer•tainTeed hip& ridge are used. See actual warranty for specific details stud limitations. Fraser construction includes 'six nails in common bond area.at NO additional cosh Color: PRICE-$6,715 Initial m SIIpRlY and Install. CERTAINTEED LANDMARK TL: Lifetime Warranty, 10 year sure start protection,CLASS A FIRE N m m m RATED, ALGAE Resistant,Extra Heavy Weight,. Sealing, Multi-I.ayeeed, tri ie Ia er thi I Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full Architectural Style, ALGAE Containment. 10 year 110 mplt wind—resistance warranty, Wind warranty upgrade 1 15-year Warranty against & CertainTeed hip & ridge are used. See actual vraa7anty for specific details and limitations. Pg to 130 mph when CertainTeer!starter common bond area at NO additional cost. Fraser construction includes six nails ia, Color: a PP ICE-S6,995 Ionia! Ventilation Panels: Will be required on our rc► Y p PertY to property ventilate the li lfoa will need a 108 pieces of Rafter R Mate panels and it will be an additional cost of 72S pproidmately } Initial jT w Trun: Two rafter tans'on therear of the building are-rotten and in need of a _ - osupport the roof system ail Grim must be solid,it can be replaced for an,additionalP rt�al replacement. To pro Y cost of$110 Initial Siding: The siding on the left side of the do r on rear of We will replace the siding at an additional cost of the home is curling,worn and i eed of replacement. " Initial Prodact& Installation Details LD Sunnly & In tall=(Soffit Venting)Hick's Ventilated Drip Edge or 8"Aluminum Drip Edge with existing soffit vests. Smart vents over white drip edge. -' Protection against damage to the roofing materials and structure. system is a balance of air intake and exhaust The most effective that creates a uniform flow of air through the attic.This system creates a condition in which the roof temperature is equalized Q, bottom,supplying a uniform air flow along the from top to v entire underside of the roof deck. S !y& Install—Ce-rtWuTeed Winner Guard or Carlisle WIp: (Ice&Water shield) (WIP_ Water&Ice Protection) v m iY■o� m \ v m W Waterproof Underlayment System(aft. on eves and valleys, 1 S on rakes, walls, and skylights) Water and Ice Protection(WIP)is a self-adhering roofing underlayment used on critical roof areas such as eaves,rakes, ridges, valleys, dormers and skylights to protect roofing structures and interior spaces from water penetration caused by wind-driven rain and ice darns. WIT may also be used as covering for the entire roof to prevent moisture or water entry. SUDI ft&Install— Surround Underlayment(A Typar Brand) A smart alternative to felt,it is water's toughest opponent,,creating a secondary water barrier that reduces the incidence of leaks caused`by storm damage,wind-driven rain, ice dams and worn roofing materials. It is a waterproof, synthetic polymer material that will wprotect your home against moisture intnision. Y SunplY & Install—CertainTeed Swift Start With self-adhering asphalt starter course on all eves,and rake edges. CertainTeed requires this product for Integrity Roof Systems and upgraded,wind warranties. Sum&& Install—Aluminum & Neoprene Soil Pipe Flashing Supply & Install--Ridge vent-..Shingle Vent II High performance ridge ventwith external baffle. m (As recommended by CertainTeed) LO SaaDiv& Install—Pre-Cut CertainTeed Hip &Ridge shingles Q1 - Shingle Ridge meets the hip and ridge-accessory requirements. for the CertainTeed Integrity Roof System which is comprised of underlaynient,shingles,accessory products and ventilation all working together.The Integrity Roof System is designed to provide optimum performance—no matter how bad the weather conditions are. CO (As recommended by CertainTeed) Clean& Remove—Debris from work area daffy. N m N m tlJ ri - LD u, m y Total Price: $6,970 discounts allotte (-270) a New Total: $6700 Intial PAYMENTS ARE DUE IMMEDIATELY AFTER JOB COMPLETION. Payment Schedule to be worked out prior to job. Payments accepted are: CASH.' CHECK—MA:STERCARD—VISA—AMERICAN EXPRESS *A y payments not immediately paid upon job completion will be charged 0.0051/6 for everyday after the given 5 day grace period upon day of job completion. SKYLIGHTS-Fraser Construction recognizes that all homes are not created equally,however, this is a constant, incorrectly installed skylights 1 s s leak. Even a skylight installed �' gdays before can possibly leak during the installation f w - 1?o Y g o a new roof system. This being said, all quoted projects from as as a qualified install will - _ g 9 P J � q installer, Lnclude an option for new skylights. U - O Y 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 u against the plywood sheath' preventing ventilation from.the eaves to the ridge. P p� �P g g . If it is, ventilation nets will be installed 8 remov'Pa Y'� m g the plywood sheathin& 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$6.00 per panel including Materials&Labor. There are 6 Panels per sheet of plywood. Possible Extra-Any rotted or otherwise deteriorated trim boards,plywood sheathing, lead flashing,or other carpentry needing replacement will be done and charged for as an extra at the rate of$75.00 per hour,plus 2A%mark-up materials: ERASER CONMUCTION Warranties the labor for LIFETIME of roof,LO - Cl) FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10years. CD CERTAUgMFD 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: 04 m Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and N V m �`1 Lo m LO above the estimate. All agreements contingent upon shtikes, 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 Worlman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: o ner Fraser Construction, LLC W . } W . 0 For company uxe only: y Ne' -- Date Receivers Date Started: Date Completed _Job estimate:Deasr/MikelEd #ofsguares: Balled Material ordered Extras Paid - Available Disco Una m LD v - m i m . , v a v 9 N 7 9 N