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0149 GROVE STREET
e�9 ���.- / � o �� 4 i•"Pr'it7'7..:,iS#'i+��S:l`ti^fit ',rZ' '` v ° %.b' 1Ytri+4+.3' '9' "t+ "'�F"""'fS'it�,''8 �f � ::�., �oF.Me►o,,� Town,of Barnstable BARNSTABLE.p: - Regulatory Ser`Vices , - - 9 MASS: I t639. Building Division . - 200 Main Street; Hyannis lVlA 02601 Office: '508-862-4038 Fax:. 508-790-6230 Inspection Correction Notice Type of Inspection Location Permit,Number Owner-. u l Builder One notice to remain on job site, one notice on-file in Building Department. The fo wing items need correcting: Ait ccsT R61 c-I G-. v A�! A6-r&R,t7 hN?y ��f LL kr �G b e4 a ? 5 0 T d 0 SUr�f� cc, cc ov-,tz5 6° u L L 11.15(1�L34 '7`► c,n� Olsl 2' ��'�C 5 I.�E y 1 AG f� 1 L _tb -Fwq 0 3 To T(vj Ff Please call: 508-862-4 'for re-inspection. �C LlmW fits Inspected b p y Date D f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map � Parcel'- : Application #doego�b 3 Health Division Date IssuedTJ— Conservation Division Application Fee 6 d Q Planning Dept. Permit Fee COS % W Date Definitive Plan Approved by Planning Board Historic OKH Preservation/Hyannis Nroject Street'Address 149 G'IZ�VE se_ _ CaTU i� MA Owner ST�VL� WALb Address A(., A M A y bA� k0 5u0A✓tY /kA elephone 978 ��13 3 0 M 923- J y- o �� Permit Request 4 ►Z nF �J�- 7v wA-N*,/Z. Nki/a6 C- I ela C e—1 iet J f U/A L,, lad t A'1 dN /3/?-'/IAA LL ji CL) .2`,��w� PA 1f nJ e i.J 1 s' Fw AL M&5N2 J- kA L F 6,4i}r ���,J I S h dt-h cN,)i Square feet: 1 st floor: existing 110o proposed +— 2nd floor: existing -SO proposed — Total new Zoning District Flood Plain Groundwater Overlay Project Valuation o. do , Construction Type 4.)006 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family;9--' Two Family ❑ Multi-Family (# units) " ' ---------------- Age of Existing Structure Historic House: ❑Yes Lilo On Old King's Highway: ❑Yes a< Basement Type: mull L3 Crawl W alkout ❑Other Basement Finished Area(sq.ft.) 406 Basement Unfinished Area(sq.ft) 4-0 V Number of Baths: Full: existing._ new Half: existing / new Number of Bedrooms: 3 existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas VUil ❑ Electric ❑ Other - 7V � �as� AS PAS°- Pam'C; C al Air: Yes ❑ No Fireplaces: Existing_1 New Existing wood/coal stove: ❑Yes 0'No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑existing 0 new size _Shed: ❑ existing ❑ new size _ Other: i Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ - Commercial ❑Yes ❑ No If yes, site plan review# Fr Current Use Proposed Use ci> r, APPLICANT INFORMATION '' c� (BUILDER OR HOMEOWNER) c Name 3d k A) 50e6 ALA " � Telephone Number Sv f3- �'71f 7J S3 Address 4 U_70Lr ki LL License# 09-2 :71 A 6-, SA N6 L>i ck MA o;,s37 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULT G FROM THIS PROJECT WILL BE TAKEN TO &AN DKPaSAI SIGNATUREJ41t1_1DATE c�Y� 4 � 4 ; FOR OFFICIAL USE ONLY APPLICATION# y DATE ISSUED _ MAP/PARCEL N0; r f • t' ADDRESS f VILLAGE OWNER f t DATE OF INSPECTION:, FOUNDATION i FRAME {e S < - INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ; PLUMBING: ROUGH FINAL GAS: ROUGH FINAL i FINAL BUILDING 7 goge DATE CLOSED OUT l ASSOCIATION PLAN NO. The Coininonwealth of Massachusetts g. Department of Industrial Accidents Office oflnvestigatiorts r N. d 600 Washington Street r Boston, MA 02111 , www.mass.gov/dia Workers' Compensation Insurance Affidavit: Build'ers/Contractors/Electricians/Plumbers Applicant Information awu _ &LUQN AL A Please Print Legibly Name(Business/Organizatio&lndividuaI): EtJ iJ Z7t-IW 0t1k;— :Y42l.c) D0 Address: L. oe_F ji t,_ Q7 SAA6Ljt C k M A F City/State/Zip: - Phone".#: .177.4— 7"3 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4: ❑ I am a general contractor and I n 6. ❑New constructio employees (full and/or part-time)..* , have hired the sub-contractors listed on the attached sheet. 7. "remodeling ` 2.El I am a sole proprietor or partner- . , ship and have no employees These sub-contractors have g• ❑ Demolition workingfor me in an capacity. employees and have workers' y P ty a. .9. ,❑Building addition .` [No workers'comp.insurance comp. insurance. required.] 5. ❑rWe area corporation"and its 10:❑Blectrical repairs or additions`, 3.❑ I am a homeowner doing all woik officers have exercised their 11.❑Plumbing'repairs or additions: myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs c. 152, 1(4), and we have no insurance required.]t § employees, [No workers' 13:❑Other comp,insurance required.], *Any applicant that checks box#1 must also fill out the section below showing their:workers'.compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such`' lContractors that check this box must attached an additional sheet showing the name of the sub-contractors andstate whether or not those entities have *. - employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. +- a:4 lam an employer that isproviding workers'compensation insurance for my employees Below is thepolicy andjob site, information. Insurance Company Name: C k A1Z M ( S. .Co, Policy#or Self-ins.Lic. #: C 00 03 ' O� Expiration Date: ` ,r 3 O Job Site Address: Cy V`I i M A 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 G. 152 can lead to the imposition of criminal penalties of a fine tip 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 DL4 for insurance c age verification. I do hereby certify under a ains an p nalties.of perjury that the information provided above is true and correct ' Si ature: 4 Date: !J _ Phone#: c7 Official use o ly. 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 i 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 construct 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. m the perfoiance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." t 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 number(s) along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. 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 insurance 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 permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license 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 Commonwealtli of Massachusetts } Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 is Tel. #617-727-49-00 ext 406 or 1-877-MASSAFE Fax#617-727-774 9 Revised 1.1-22-06 www.mass.gov/dia -a ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: .30 kjo S00M N L A - Site Address: 11f9 ok>li S1 pi-in! Town: Coro 17 MA Applicant Phone: 'v - 7 — 0__3 Applicant Signature: Date of Application: t oo- NEW CONSTRUCTIO (eho e. ONE of the following two o tions) , 1 r 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS f�. MAXIMUM MINIMUM Ceiling or Slab -. II]�11 1: Basement 1—�. -Option Fenestration.- . exposed �Wall Floor , Perimeter - Wall AFUE HSPF SKI ER - U-factor floors R-Value R-Value R-V R Value alue R'-Value and Depth National Appliance Energy ` R-10, . Conservation Act(NAECA)of .35 v R-38 , R-1.9 R-19 R-10 4 ft. 1987 as amended,minimums or seater its applicable Note: This form is not required'if you choose either of the two versions of REScheck as listed below. ❑ Option 2: �. REScheck Version 4:1.2 or later variant software analysis must,be completed - (780 CMR 6107,3.2) ., REScheck—Web which can T be accessed at http://www.energ" c� odes.gov/reschecly :'ADDITIONS OR ALTERATIONS TO EXISTING-BUILDINGS.OVER 5 YEARS OLD* *Buildings under 5 years old must use option#1 or#2.in New Construction section above, Complete the following formula to.determine the'%o of'glazing: (a) Gross Wall & Ceiling Area equals Formula: ,(l00 x b=a)goo SF , a 100 x 2 0 -�- `7• % of glazing —�-- (b) Glazing area equals SF- b a If glazing is'<;40%o use.the chart below. If glaziri is 5 .40'.% proceed to "SUNROOM' section . 780'CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE:COMPONENT CRITERIA ADDITIONS TO EXISTING ' LOW,-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM., e- Ceiling and Slab Perimeter Fenestration ., Wall Floor 'Basement Wall :A Exposed floors R-Value U-factor',: R-Value' 1 value R'-Value t R-Value. and De th 39 R-37 a R-13 _ R-19 R-10 R-10, 4,feet a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e.not compressed over exterior walls,and includingan access openings). ❑ SUNROOM—An addition or alteration town existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note:. Owner to fill out Consumer Information Form (found in Appendix 120.P) �0F1HEr � Town of Barnstable Regulatory Services « MRNSTABLE, • . MASS, Thomas F. Geiler,Director �A i639. TFo,,,A�A Building Division .Tom Perry,Building Commissioner . 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Must Property Owner p �Y Complete and Sign This Section If Using A Builder I, ,5A-\ eyo 4 A.L-5 , as Owner of the subject property hereby authorize S-0Ni7 $tjaM aLA ' to act on my behalf, in all:matte rs relative to work authorized by this building permit application for: (Address of job)',. : 12. 0 Sgnatur of Owner . ate S4cph, CA�� Print Narke If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION „ ' OfTHEr Town of Barnstable Regulatory Services x t BARNS-TABLE, Thomas F.Geiler,Director y MASS. 16yg. Building Division TED Mp2l A Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six.units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws, rules and regulations. Th"irdmigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and - requirements. P Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from,the provisions ; of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do.such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that�the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fomi/certification for use in your community. Q:fbrrns:homeexempt �fze i�arr��zoriuspCa ✓�aaa ' g.' `. - ---- -— Board.ofBuilding galations and`tandards ern License or registration valid for individ HOME IMPROV R' ` "',"ENT CONTRACTO Ks w g ` before the expiration date. If found ret Regrstratron ��3bb *" � , �� c`Board of Building Regulations and Star - Exprratiori 08 t�, r � fG� One Ashburton Place Rm 1301 iq Type �; z�� �tk� Foston,Ma.02108 SUOMALA HOME SOLi1,TIONS� �" "��• '�7 .. . JOH9J SUO',MALA ' tr 4 WOLF E.SANDWICH, MA02537 DepuryAdm ink hatitr l Not valid ut g ur d ith si nat e • t�, Y ��fir'.� 8@���..c✓fLC U�07!7/17Z0�/'LL�/P�/� i/I�I.CCOo(�CfLCl6PU6 F ''_ . `' a ) BOARD OF BUILDING REGULATIONS i 1-.License: CONSTRUCTIONSUPERVISOR # Numbe_r-CSC 082712 j i fl a Expires 09/21/P008 Tr.no: 1186.0 Restn!d t 3 it i JOHN E SUOMALA� � 4WOLFHILL �r �w � f0'e + E SANDWICH, MA 029 Commissioner Fj ,l. 1 � t 7 ('raNT�,LY F� c� Lc�/tnfG D'�Ns/J G 04/16/2008 15: 09 5088330680 PALUMBO PAGE 01/03 04/15/2008 .23;02 FAX 6174806601 UNDERWRITING 0003/004 4116/2008 PRODUCER :.,. THIS"ER T[IS I uED AS A R OF INFOR William Palumbo Inauzancc Agency,Inc, ONLY CONFERS NO RIOWM UPON THE CERTIFIOATE 125 Route 6A HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Sandwich,MA 02563 ALTER THE COVERAGE AFFORDED BY THe POLICIES BELOW. COMPANI vRDING V COMPANY INSURED A Allmitip haner insurance Cem VT)AC engineered Homo.Solutions Inc COMPNY a 4 Wolf HilfRoad COMPANY lr Sandwich,MA 02537 C COMPANY _ COVERAGES D THIS IS TO CRRTIFTTMATTISE POLICIim OF INSURANCE LISTCD pELDV11 MAVr SEEN IBBUCD TO1NQiNBURED NAMEDASOVE FOR THE POLICY PRRIOO INDICATED.NOTWRHSTANDINO ANV ACQUIREMENT,TERM OR OONIPMON OF ANY CONTRACT OR OTHER DOCUMENT WJ rH RESPECT TO WHICH THIS: CERTIFICATE-MAY®Q IASUED OR MAY PERTAIN,THE INSURANCE AFFOROI!D Or THE POLICIES DE®CRiggo HEREIN IS HUSJE . 1XCLUSIONS AND CONDITIONS OF SUCH POLICJES. LIUMB SHOWN MAY HAVE BEZN R9GU09D AY PAID CLAIMS. . _CT TO ALL THE TERM1, GO TYPE O►IN9URAHDE PG=NUMBER LTR POLICY EFFEWPA DOLICT EIP7RATION OATS(MMIDDIYY) DATE LIMITS Ifn TTowemde) • QiNERAL LIABILITY COMDREMENSIVEFORtr BODILYINJUMY000 9. DODILYINJURYAGd a PRENI9E9VO�rdRATONe _ UNbORCPOUND r PROPERTY DAMA124 PROPERTY DAMA4�AGG a PJCPL08ipN 6 COLLAP9C HAZARD - - 61 A PD COMBINED dec E, PROOUCT6/COMPLETED OPER aI 6 PD COMBINEOAGO S CONTRACTUAL FZASONAL INJURY AOG INMPENDENr CONTRACTORS BROAD FORM PROPERTY DAMAGE PERSONAL INJURY AUrpMOBILE LNIHR,ITY ANYAUTO EOOILY INJURY (PepamoaJ - g ALL OWNED AUTO%.(Pdvatm Pass) BODILY INJURYAU.OWNW AUKS .(Other Ikon PMven OepeoragprJ .. - (PN 70CIOYnt) 5 MIRIID AUTOS I'1*0PVVTYOAMAOE 6 NON.OWNEDaUTpB - .. - SODILYINJURYA' GARAGE UABILR`( PROPERT'DAMApE _ EJICEBB LIAMLRY COMBINED j UMOIlQLL4 FGPoN - ISACM OCCURRENCE 6 - . OTHER THAN UMBRELIq FARM ACORECATE 9 EMPLOYERS UAW�jrf oN ANv WCV00815900 4/3/20108 4/312009 f-TATVR]RYUIIAITM EACHACCIDENTi' 100,000 DISEASE•POUGY UTAIT c 500 000 018EASE`.[JICNEMPLOYEE�S LQQ'pUUU 13II6CR7PTIDN Of OPERAnONSIIOCATI00151VEHr-LEasPeCIAL ITEMS CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCELLED BERORE THE H Town Of I3a=L®ble EXPIRATION DATE THEREOF,THE ISSUING COMPANY W14L ENDEAVOR TO MAIL Main Street 12 DAYS WRITTMN NOTICE TC THE CERTIFICATE MOLDER NAMED TO 714F LEFT, Hynnnis, MA 02601 BUT FAILURE TO MAIL SUCH NOTI SHALL IMPOSE NO dBLIGATION OR LIABILI OF ANY KIND UPON THE COMPAN ITS AG NTS OR REP6tE, NTAYIVEB, ApmoRIIED REPREGENTATwq ACORb'2&N 3193 e''',.'•,caS �: A,,,,; .;� ry^,,. ,.,. CORDIC'OR06kAT10144T 0 � �d H®me Sots 4 Wolf Hill,E.Sandwich,MA 02537 H.I.C.#136635 C.S.L.#082712 Phone:508-274-7553 n e-mail:jsuomala@comcastnet s a. wwrw.engineeredhomesolufions.com R O s TO: Steve Wald Job Number. 33302 0' 26 Amanda Rd Date: 04/04I2008 Sudbury,MA 01776 978-443-3175 0973-459-8076 We are pleased to submit the following bid: Job Descrfption. Finishing of entire interior of residence located at 149 Grove Street,Cotuit MA as described below. y �g��( .. e i .., Tar n�[.A®GE.a AL mok _: - i *Installation of now baseboard treat cams in all nxmrs�Herat *Installation of all new water shut-off valves at all sink and toiletlocations MIN ough ::*1italt iatiii - die &toW mash bath shower,sink&tom,2nd floor twin sinks,toroK&shower _ f' "-M _ *Relocate baseboard water tines behind 2nd Moor attle areas th - a' - CODE •RepbcameN of all-W hot and cold water Gres tvuqta#entire sfrudw a to . :......:.::..:... . 2 Rough VArMg .eitji�r:.. 3ia�ii2l `ft `•= CODE *Installation of seven new smoke detedars as code 25 = *Installation of new dining room eeil' fixture and dimmer - :::�•' Hof. Is° :;�� - - -- -*Installation of six 6 r ' hts with ctimmer and switch in living room *Installation of new c:ei' fan and vent $100 allowance in 1/2 bath rim'• s � €�€':f�-=•' '. Installation of new and cable N in roam.&master bedroom *Installation of new c:ei' fan ht in second floor bath $120 allowance Installation of.four 4 recessed rights in second floor bath walr3riWRO—FRORsaw€ a _-: € __: : :: = €:=::s:: :=:= -== CODE '2nd floor&master bedroom ceHinps to be insulated wl R-30 Lbaglass $21 00 :•. - *Entire cellino of first floor be insulated with R-19 Vxass insulation :: :::: t1r�►c �RS�J�EA-ftI" 0-- °1;5 = �5�i'�e�4rt14� := =c::=c=c= i'• S=:E i�z_�i:c=E EEE :iE«=2cE:c'=i i = =::i=c- i=:=>::::=:c insulation. Ceilin g to be insulated with R 19 batting 4 DrywaH ; SIC&WiiQiFifii" N of 1/2 d A ,,to sanded smooth and rimed. Ceilings can be textured if ::. _• n ...:. . *All walls and ceili s of first floor and finished basement to be covered with 112" id"::: . :- ft zi B8D PROPOSAL 4 Wolf Hill,E Sandwich,MA 02537 H.LC.#136635 C_S.l#082712 Phone:508-274-7553 e-mail:jsuomala@comcast net o ° wwwr enaineeredhom-Mutions-co► O Steve WaldJob Number. 33302 .. o 26 Amanda Rd Date: 0410412008 Sudbury,MA 01776 978-443-3175 . ©973.459-8076 We are pleased to submit the following bid: Job Des cri don: DESCRIPTION Ctiate=Es TOM * 5 Flooring _ to be covered with 3!4 tnslt�birch hani+nrood, $' 0,200 trrai9 allowance -:: rborts to I urethane vsrdh 3 coats of vvate smooth - ceramic * $1950 the allowance labor K mat7 6 Kitchen "'jam::� • - tt ` 1 6 wall.and 8 base cabinets assumed installation of tenets in afteched . .:: ii0 • t nsHalta.. of customer sink and fau faucet . E. customer m and In� of aiitm - Raor//2 Bafh •7 FlistLOW _ Milli : . Purchase and install one 1 tom of di $250 allowance E L.M. in the �this - * Bathroomnot inducted ations - - renov -- Master -- - - - - --Bath - i!1 8 Second FtoorJac J it tip : `: :. ':�_ .. : it'- 1-- 8�faucets .::.•::..:: .. ._. _ _.. secs<.:::.::-:_•:. ._ awl' .:-.::•:. ::::.:. ::-_ • _.. .-> _ .:._::_:ice above lash to ceitin custom wall rrueror _ ' of new cost Insla --- --- ton of towel bars and Tri m and - 9 Inters ..Doors - - iig au ti4 ' . Purchase and install two 2 holkmr,Masonite smooth bi�otd closet doors its. t" material `1xG - -be to - fioor at - AN base trim -th include one 1 x12 shelf with clothes ,anchored to floor dosteis. 2nd _ _ -•`fit . - -i9iti , t m indt�de 3 feted bed€oogn!'men duset t+taster - _ _ •:ice{�::> :._ ; . di &livi rooms, 36-above floor -1 to be installed in 4 med chair-rail 1x - 1� fetal: 3 Sub i BID PROPOSAL ENOUNWO Home soled= 4 Wolf Hill,E.Sandwich,MA 02537 H.I.C.#136635 C.S.0#082712 Phone:508-274-7553 - e-mail:jsuomala@comcasLnet wrww-enciineeredhomesolutions_com TO: Steve Wald Job Number. 33302 0 26 Amanda Rd t Date: 04/04/2008 Sudbury,MA 01776 978-443-3175 ©973-459M76 We are pleased to submit the following bid. Job Desaripfion. Repairs to Cape Cod Property located at 149 Grove St,Cotuit,MA as described below. ' �h - x .-,:'� a x. .s r '$ig k �y.. Grp °G�Sf.; '�", `-.+. 3 ` x '" s .,.. .tip. .. f.. 1 v - :m.. c.- ,uuf.. e U_- - REAIt DESCRIPTION CHARGES TOTAL 10 Air Conditlanin Optional 1 Payne brand 13 Seer R-22 Condensin unit,220V anxnit w/ed ,l.: - 1 2-zone damM control unit POW ......... to all rooms w/balanci d floor&coin MFIGM 8 91711s, 1 VC refri Brant and condensate p" as needed second floor closets as needed for A/C trunks `= oft 'k3 HtEs Dry-L - - - ok va r barrier sealant 0 ................ . 12 Windows = ::::::: :::.:.::.:::i-i1�LkW.7�i:QES��3�l�IF,i!�S?: .•:�f" �f:'... .��%NR!S2ss� fdCtOFY exterior,white interior, 1Is between the ,haff-screens,and *Installation of new un window material on all windows = = *: - *Purchase and install one 1 new n x V8 double 154de i ' door for o f Xi* . € 'I CE *Purchase and instal{one 1 Harve casement window in new - : C � v : lc6Cln : atta . lCr1> f - Total labor&materials: $6,800 f3atls *Tear-out of e>o tails#;faucet,sink,v ,mirrar tub/shower enclosure,the *Purchase and install one 1 new,shower valve of choice M00 allowance *Eie�icef W'' to include: *Installation.of one 1 new moisture resistant recessed light over shower Mwftwt$elrfrtb !@ ._ afar tit *installation of one 1 GFCI outlet at sink = - *Inshallattion.of new moisture resistant on all walls and i� . Shower sanded smooch and mod for t ::::: .......ram fuel. .. .;1 :. :. .:.::..::........ *Installation of 32x60'Swanstone"center drain shower base#SS 3260 white . . BID PROPOSAL • �gld Y�S�luf�®its 4 Wolf Hip,E.Sandwich,MA 02W HIC.#136635 C.S.L.#082712 - Phone:wl- jg471% L f e-mail:jsuomala@comcastnet - o e lffww endnee Steve Wald Job Number. 33302 26 Amanda Rd Date: 04/04/2008 Q Sudbury,MA 01776 978-443-3175 ©973-459-8076 We are pleased to submit the following bid: Job Descri flon: 42012-0 ITEM DESCR"ON CHARGES TOTAL a 13 Master Bath corrtin ` f wfth fillers and toe-kick nets $800 allowance l Rl�-ir�sl lr> REP Cyr :MOON• .:t�tl threshold,and two match!!.soap dishes $1400 allowance ..:.RAW.-•-•:-:--.�:�.,.ypc:...:- ::.:..�.•.: .:. �._v,: -:::.:-=:;::--ry-;:::-:::.::. :-:::.::.:.::.::::.�-•-•:-: .:.:.:.::.: :�:.:::•:.::-: :•.:-o-:•-::•:.:::: �1!�11i1iL: 1R ... :'f�Jtc .w1, .Y.: :W�aaI��A�:��-�it 'tile. Colors to be selected bx customer M700 labor&material allowance - �:•ca+sf� i��rri�siEiila = € �; ==ai € € =:�= �€<' =: $1700 allowance 777-7777-77* ::::: 'Purchase and Install one 1 Kohler"CimerW o2 aace toilet $350 allowance Total labor&materials: $14,600 *Purchase of McFi fat as attached kitchen design. •-= rtdai��- *Purchase and installation of custom fabricated countersurface medium *Ligh sand of cei ,and paint with Mn Moor flat white ceiling paint palm of 1st floor,2nd floor,finished basement waft with two coats of Ben in M met. *All trim nap holes to be filled and calked with MAWS finish. Customerto.selectcolors '=ice Pain' of windows. $ 1500 M. Quot3don total NOTES: Price valid until: 30 days 1)This quotation does not include repairs due to unforseen decay Acceptan 2)Homeowner responsible for all permitfing fees 3)Timeline:Approx 8-10 weeks to complete Own 4)Payment schedule: Date: . 17 30°!o at acceptance,30%after installation of windows&drywall 30%after kitchen&bathroom renovation Contractor Balance upon completion(doors,trim&painting) Date:_ 5)Contractor not responsible for unforseen project delays caused by others- j o t.,o .O - Town of Barnstable *Permit# � Expires 6 months from issue date PRESS PERMIT Regulatory Services Fee Thomas F.Geiler,Director MAR 2008 wilding Division , r. Tom Perry,CBO, Building Commissioner TOWN OF BARNSTABLE 200 Main Street,Hyannis,MA 02601 r '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 V Property Address 0(/9 GiLcr,�o .� 4z,/ {, [Residential Value of Work tr t. 06 ' Minimum fee of$25.00 for work under$6000.00 y Owner's Name&Address VCAh P1 y1 J Contractor's Name L,'3 Telephone Number Home Improvement Contractor License#(if applicable) / Construction Supervisor's License#(if applicable) ®Workman's Compensation Insurance k, Y Chec one: >AR IT ❑ I am a sole proprietor I am the Homeowner 008❑ I have Worker's Compensation Insurance Insurance Company NameTOA NSTABL V Y Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file . Permit Request(check box) Z-Re-roof(stripping old shingles) All construction debris will be taken to : (.4:v�.. ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side m Replacement Windows/doors/sliders; U-Value (maximum.44) * q p does not exempt compliance with other town de en tregulahon�s�=i a Historic,Conservation,etc. Where required: Is of this permit d p p' 1 ***Note: Property Owner must sign Property Owner Letter of Permission: e e ent Contractors License isrrequired SIGNATURE: wd Q:Forms:expmtrg f Revise061306 , 8 13®a'd of jBun ding p e One ult®.0 place - and a id�ds ®st®uo 1�assachusc�OOM 13 1 Horne 1®8 -iVact®.r Rc�l�t�atl®ll ® NSF CO Registration: CONSTRUCTION co , 112538 i �SER Type: p P'O. BOX 1,945 expiration: 3/23/200s C®TUIT MA � Tr# 12792, 13PS-CA9 dL 50M-OS/OB-PCBggp Update.Address and r use¢f�_a� - -- ❑ Address et�&rn cad, e�aP A'ark reason for change. board®f 1�u91dda -- — •--- - �Ragaladan'and itaadards ❑ ❑ ]Ci MPlo9'33[tent ❑ ]Lost Card HOME iflHP ,WzNT CONTRACTOn IAeeme or re Regition: 12538 before the tatt®ra glad for ftph tisin: �� exPt stion date. if found dieddaag ase onyy 09 Bow Of-Rulg� �d retegr�to: ' Ted 12792C) g lations and q$ t FRASER CONSTRUCTIONl �,10�,®2�®g�e��301 Standards DERV FRASER CO4'O.f 4556 RT 28 COTUIT,MA 02635 Adlifaistmtor� N®t Vaud without if The Commonwealth of Massachusetts D3 partment 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): Fg,9-SEE LQ/),' T L(,(_ct 10/V Address: 'PQ 26X 1.22 y City/State/Zip: (°A,(,(_t,-� PN QZ 3_5Phone #: �� `-' `� o�6�L q `� Are you an employer? Check the appropriate box: Type of project(required): 1.01 am a employer with_� 4..❑ 1.am a general contractor and I employees(full and/or part-time).* 1 ave hired the sub-contractors 6. .:❑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' com insurance.$ 9. ❑.Building addition [No workers comp. insurance p• - i required.] 5. ❑ We are a corporation and its 1.0.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work * officers have exercised their 11.❑ Plumbing repairs or additions right of exemption per MGL " myself. [No workers comp. 12.KRoof repairs insurance required.] t c.-152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box 41 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: ^/7 7`7- y Policy#or Self-ins.Lic.#: C 5 F 0 L: S 550 - 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 certi er the ains and lties of perjury that the information provided abov ds true and correct. Signature: Date: �� 1C7 Phone Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# 4 , 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#: 3i Fraser Construction, LLC CONSTRUCTION P.O. Box 1845, Cotuit MA. 02635 ROOFING & SIDING Email: fraser construction a,verizon.net SPECIALISTS 508-428-2292 www.fraserroofing.com, FAX 1-508-428-0123 Cq�3�6�5�- �ro7 <<) RE-ROOFING PROPOSAL DA : March 6, 2008 NAM . Stephen Wald PHONE: 508-274-9378 C/O Helen Ladd Property Management MAIL ADDRESS: P O Box 3163 Waquit, MA 02536 JOB ADDRESS: 149 Grove St. Cotuit, MA 02635 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. 0 T W� Color: ` �� W PRICE- $5,400 Initial Supply & Install - CertainTeed Winter- Guard: (ice 8v 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 - hick's Ventilated Drip Edge or 8" 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. Fraser Construction recommends removing & replacing white cedar siding above roof line on (1) south facing cheek on dormers, old material stripped, ice & water barrier applied, and new flashing installed. PRICE- $325 Initial Waterproof chimney PRICE- $225 Initial X4 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 upon 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. 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$50.00 per hour, plus materials, plus 20% 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. CERTAINTEEYD Warranties the shingles to be ALGAE resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. 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: 3 I Ho owner Fraser Constr ction, LLC PRODUCER .............. ..rf...:.............»:ny..::'.:::\:nXifi;•;::5::S:.is r::.:i)i:...... ........:..... : .....:::::::}:•i:i::::�;:-::i ............ ..Sv.,w':r•�:::j•}:,>:S ii:iti:;ti:?,?%:;.ji'�v�'"i:�::j:•i::tii:::v�ti�i:i'�:v:�Y�{iy:�ii::i:::....::.::.:.::. ..... ... :::;:,;:o'•:<>f. q7E(AAPAVDDIY1if:. WISE & TIi1S CERTIFICATE IS ISSUED iQS..r.,:n:;..::......,..,..::.. 07 INN INS AGCY ONLY AN® C®NFERS 10—i5- 449 PLEASANT ST �4TTER OF INFOR FIOLDER. 7 FIIS CERTIF CATS®ES NupeOT N TI1E C NATION BROCKTON ALTER TFIE COVERAGE AFFORDEd BY TFIE POLICIES BE olyy.CgTE AMEND, EETEN® OR 24WCB MA o2301 COMPANIESAFFORDIiN®COVERAGE INSURED COMPANY. `4 HARTFORD UNDERWRITERS INSURANCE COMPANY ERASER CONSTRUCTION LLC COMPANY PO BOX 1845 B COTUIT MA 02635 COMPANY C COMPANY THIS 13 TO C + :.;. :;;h;,tr«shs:k<ar}::ti {{y#:;; >?khr.;,;:;:: ;•; .;.. : _ INDIC ERTIFY4THAT THE PO >.:x:;>:•i 'ssv h ' `°'ui ATED, NOTWRHSTAND LICIES OF INSURANCES •:..3'•r..,•c: ;::»•t:<-: :_;'; ?rr::::.;s s: - ING ANY REQUIREMENTLISTED BELOW :s?>:<:: >z:::< :'•; fs. .f;.>;x;.,n:,fs:.x:77 ,;:s •:•>.:::»:. .:.. CERTIFICATE MAY BE ISSUED OR MAY TERM OR CONDIT HAVE BEEN ISSU BOVE F:t"fyy?` EXCLUSIONSANp PERTAIN, THE INSURANCE ION OF ANY CO ED TO THE INSURED "- :^>:•s>:: r•va!:,- <•>s;•:::::.} CONDITIONS OF SUCH POLICIES.LIMITS SHOWNCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO E POLICYf PERIOD rJ NTRACT D OTHER DOCUMENT WRH RESPECT TO WHICH THIS CO MAY HAVE BEEN REDUCED BY Pglp CLAIMS. Lip TYPE OF INSUpAHCE ALL THE TERMS, POLICY NUMBER POLICY EFFE GENERAL UABIUTY- DATE Cn" POLICY EXPIRATION (A9MIDDIYiq COMMER DATE(LIMWDI" LIMITS D IALGENERAL LIABILITY yf:;f k L AGGREGATE •^'=•''�'� CLAIMS MADE�OCCUR. GENERA E OWNER'S&CO PRODUCTS-CONTRACTOR'e PR07. MP/OP AGO. PERSONAL&ADV.INJURY $ i EACH OCCURRENCE B AUTOMOBILE UASIUTY FIRE DAMAGE $ (Any one Nre) 6 ANY AUTO MED.EXPENSE(Any one Person) 6 ALL OWNED AUTOS COMBINED SINGLE SCHEDULED AUTOS LIMIT b HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per Person) $ BODILY INJURY "MOE UABIUTY (Per Accident) $ DAMAGE ANY AUTO PROPERTYE AUTO ONLY-EA ACCIDENT $ OTHER THAN AUTO ONLY: `s`s» `,<5;;•.,.:.. t . EXCESS LIABILITY EACH ACCIDENT $ UMBRELLA FORM AGGREGATE E OTHER THAN UMBRELLA FORM EACH OCCURRENCE WORKER'S COMPENSATION APoD AGGREGATE $ A FNpLOYER'S UABIUN E THE PROPRIETOR/ (6S60UB-085OL35-5-07) PARRJER$rEXECUTNE INC L 09-26-07 09-26-08 STATUTC OFFICERS ARE- CRY .. OTHER X EX( EACH H_AC=IOENT DISEASE—POLCY UMI . E DISEASE— E EACH EMPLOYEE $ 50 00 i )ESCRIPTION OF OP ERATIONS/LWAIIONS/VEHICL.Eg/pESTRICTIONS/SPECIAL ITEMS I THIS REPLACES ANY PRIOR CERTIFICA7"E ISSUE ......:.�::::.�:.:........... ...... .... .... ..... .... ..... ..... ...... ... FICATE HOLDER .........:::::...:.........:..;::;:.:.`:_::�::� :..'.:.. :>:�> <�><;FFECTING-••WORKERS COMP CO =•;:{;sa4>• '%n::•r:-:; VERAGE. j L.D ANY OF TFIE�:::::.;.:t:i::;'�::�r"': . ;:.. ..,.».�a;..:a;::::•x�Yia:'a'C.:.;{''•^`�^::;�{;c,;<,•_.sx�:':,'•'.:;�'=�:��. ABOVEI DESCRIBED POLICIES BE.CANC :;? j, ERASER ENTERPRISES LLC E�IpAn°N �'E THEREOF ELLE0 BEFORE THE 'O BOX 1845 10 THE ISSUING COMP i DAYS WRITTEN NOTICE TO THE C ANY WILL ENDEAVOR To&�L :OTU I T LEFT, BUT FAILURE TO CERTIFICATE HOLDER p�jED TO THE MA 02635 UABIUTY OF MAIL SUCH NOTICE SHALL IMPOSE NO OBUQA71ORI OR ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATMS. .. AUTmO1112ED ...:.. � REPRESE6L114Tglrp- rr y..y.�.y..�.y.......,.q,.y.�..,,.................................:.;.. ......... I TOWN OF BARNSTABLE Permit No. -------------------- 1 SAUSTAX Building Inspector Cash O 070 \ OCCUPANCY PERMIT Bond No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department p Inspection date 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. 19IL =............. ......»»_ » ............................ .........»...........»...».......».»»..»»...._._» .»_ Building Inspector dl 71 s, . •+ 4 e (� 6J . 9 y iq r v `(. SH 5 ace qyv .} r 14 tj -v r tlRltc�'' r w 4, CERTIFIED PLOT -i-PLAN s Sas /)/)a " �9 1 2 NEW CONSTRUCTION ONLY : `.TOP OF FOUN,DATIQNI IS —Lf FEET ,. IN ABOVE. LOW 'POINT OF ADJACENT .9 • ROAD r SCALE `/O DATE � EL DREDGE ENGINEERING CO. IN' �,� � I CERTIFY THAT THE _ ...__ CLIENT/.`: �... 3 Et313TERED REGISTERED SHOWN ON THIS PLAN IS LOCATED ^ JOB NO.��ii3 ON THE GROUND AS INDICATED AND.", CIVIL I LAND � n CONFORMS TO THE ZONING LAWS _ENQINEER SURV.:EYORDR. BY: 1 _— '. BARNS LE M S n, CH. BY: ' 33 NO MAIN ST- 712 MAIN ST. /'/ / j ,t -- '�. 0 YARMOUTH, MASS HYANNiS, MASS. $HEET,f_L_OF D TE REQ LANDY{ SURVEYOR; r - �_.. . � �; f7�jAs'smssor's map and lot number IsTC� jSL/f1 c �•` � r �� q CQ o Sewage Per number ............... .............. aSgf gyp. . HH ...... `�. ......................................... TlQ�House number ........ i 6'l� O ii 9. 1MPY a�9 TOWN :OF BACRNSTABLE BUILDING .INSPECTOR � i9lililbll APPLICATION FOR PERMIT TO ♦ TYPE OF CONSTRUCTION .......................�—. a—vu . .... ............. _.. ............19. 1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....<.. .. ...14 ........ .!!: .....5 ........ ............................................. ProposedUse .... .041 .4 .:......................................................................................................................................... Zoning District ....... ........................Fire District ........... ............. ............................... !C................... a Name of Owner ..............Address ..�....... .... .... ... .... .. . . Z%� Name of Builder Address .................................................................................... .. .. . . Name of Architect .................................................:................Address Number of Rooms .............6................................................Foundation .... ...... .. Exierior ... .. :... Roofing ........... ....... . :� -k Floors ......................................................................................Interior ............�!..le ................................. Heating :F3t,..LtJ.........CJ�4-...............................................Plumbing ....5 ..1........ �.. �-........................................... Fireplace ...............�...............................................................Approximate Cost ... ........................ n .... Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area /. ... ..�,.... ..., � z Diagram of Lot and Building with Dimensions Fee ..... . ..................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH l� t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....................... Parker, Michael 1*? 20859 1 112 s 10 ................. Permit for ........................:1�2ry... single family dwell* ........................................... .................. .............. Location ...........1.49..G.r.ove...S.tre.e.t.................. . .... .. . ...... . ...... . .. cotUt ............................................................................... Owner. ..............Michael Parker............................... .... Type-of Construction .......... frame ........ ......................... ................................................................................ J Plot ............................ Lot .....1�3A..&..1.V3AA 7 A Permit Granted .......Novemb-or..24........19 78 Date of Inspection ......................... 19 -2 1 Date Completed PERMIT REFUSED . .................. ...... .................... .............. 19 ... ... . ....... ................................... AF .. ..... ...... ...... . ................. .. . .................. .... . ........ . . ... ............... ........ ................................................................................. Approvedd ..................................... ....... 19 .......... ................ ..................................................... ............................................................................... Assessor's map and lot number ....... .. --�-� ! i THE TOE Sewage Permit number ........................................................ /4 l BABHSTADLE. i House number ........ ... r.......................... 90o MAS e00 'oTE 639- 0 Mix a` TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO �� .�...':.....::�..� ............................... TYPE OF CONSTRUCTION ............... I1 Q Y1 ..................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the ,following information: Location .... .3�9...:f.. ! ........ • ../ c{: `S:.:... ___.. Pro osed Use //7©.......6._.� e. :..... ZoningDistrict ....... .....................................................Fire District ........... -+ .................................................... Name of Owner / �- '!s . ....�.. : ..............Address :/c 7.., 1' .. .: .. _* *..7x? , Nameof Builder ....... ....'?.....:fir.....................................Address ................. cc'.....`...r.......................................... Nameof Architect ....................Address.............................................. .................................................................................... e Number of Rooms ............. ................................................Foundation .....�•.;......... ..... n�-a+.. ................... Exlerior ... � ........................................ Roofing ......... /r . 1 ......r..................................... ..................Interior ��C� Floors ...................................................................... ........................................ FsY t�J r � c' Heating ........................................................Plumbing G ............................................:::................................... Fireplace ............... ................................................ ...........Approximate Cost ...535 Imo...° .................................... Definitive Plan Approved by Planning Board ________________________________19________. Area ........................................... Diagram of Lot and Building with Dimensions Fee f j it SUBJECT TO APPROVAL OF BOARD OF HEALTH / CJ ✓f t '' . a1 �• - r I hereby agree to conform to all. the Rules and Regulations of the Town of Barnstable regarding the above construction. , Name �+!��� nc. .... ��.. ........��.. ......................... . �• Parker, Michael - - A_ 9-2 1 1/2 No 20859 Permit for StAr. single famil Location .........149. ...Gr6ve...S.trget.................... f .... . .......... ... Cotuit ............................................................................... Owner Michael Parr„ „•. ,.•., ................ ............... Type of Construction ............frame................... ........................................... ................................ Plot ............................ Lot ........133A..&..1.3.4A Permit Granted I Nav®m}�er..- 1 .........19 78 Date of Inspection ..................... .............19 Date Completed .................. ...................19 C PERM REFUSED n... ... // ...................... 19 r ^ ;.:.1. ............................... .................. .................................... . .............. Approved ................................................ 19 ............................................................................... ............................................................................... i/ Assessor's office(1st Floor): / SEP110 SYS=MUST BE Assessor's map and lot number r / 9 THE O Board of Health(3rd floor):*--.7 Q_ Sewage Permit number l U Engineering Department(3rd floor): TOWN MASS T&Btc ° Z House number _ o 039' `®m' A, Definitive Plan Approved by Planning Board 19 �rar APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUIL NG INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION Dom 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use J�6 Zoning District Fire—District, v Name of Owner , �C1�gT \,�R 6._-�/� Address Name of Builders\\ �� �c Address Name of Architect Address Number of Rooms Foundation Exteriors�`_,,,A ��z� — Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost C�_O c> 11 Area Diagram of Lot and Building with Dimensions Fee Sal 3S'' ray av t 5T 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 �� Construction Supervisor's License PARKER, DONNA No 33266 Permit For BUILD STORAGE SF?.ED Accessory To Dwelling Location 149 Grove Street Cotuit Owner Donna Parker 0 Fir Type of Construction Wood Frame Plot Lot Permit Granted October 6 19 89'. Date of Inspection 19 Date Completed 19 64 .{ ;j Assessor's office(1 st Floor): / /�a a Assessor's map and lot number {����/ Board of Health(3rd floor): 7U � ^r'7•-} Sewage`Permit number o 11 y� R2y Z DAHIST&BLL i Engineering Department(3rd floor): y VAX& House number °o 039- \®0 Definitive Plan Approved by Planning Board 19 ��raY d• t APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use Zoning District G Fire-District tName of Owner Z )n 2 � \ � `�/ Address Name of Builder `-w�` ` ���. Address '` Name of Architect y Address -� Number of Rooms ` Foundation Exterior � Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost c _ , j Area Diagram of Lot and Building with Dimensions Fee J�i a 5T 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. i Name Construction Supervisor's License PARKER, DONNA A=019-=022 No 33266 Permit For BUILD STORAGE SHED Accessory To Dwelling Location 149 Grove Street Cotuit Owner Donna Parker Type of Construction Wood Frame Plot Lot Permit Granted October 6 19 89 Date of Inspection 19 Date Completed 19 i OpTHE Town of Barnstable Regulatory Services • sn MASS.re. ` Thomas F.Geiler,Director Maas. 'OrF1639. �� Building Division Thomas Perry,Building Commissioner 200 Main'Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 March 27, 2008 Home Solutions Mr. John Suomala, 4 Wolf Hill East Sandwich, MA.02537 Dear Mr. Suomala, Re: 149 Grove St;, Cotuit,MA The plumbing inspection performed at the above referenced address failed due to the material used on the water piping. Type M copper is not in.the present Massachusetts Plumbing Code. Please see 248 CMR article 1 +M section 10.6. x Sincerely , Edward L. Jenkins Plumbing Inspector q/jenkins TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map Parcel rApplication 4,_�00960_ Health Division Date Issued 3D Conservation Division Application-Fee Tax Collector Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board �YY Historic-OKH Preservation/Hyannis o Project Street Address_ A-0 V i Village L 0 %U) zz f� -I A Iv Owner s T t V L W i- d Address 1S' d91//0/ M 0, O f 776 Telephone '7 3 Q 5_2 c,S o 76 Permit_Request Flo L, l/0 A-1 %f IV J O w.. _17-W SJ t,A-r►V .✓ Square feet: 1st floor:existing 5 o proposed y 2nd floor:existing S G U proposed 0 Total new 0 Zoning District Flood Plain Groundwater Overlay Project Valuatio 7 a Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family U Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: W/Full ❑Crawl t�Walkout ❑Other Basement Finished Area(sq.ft.) 11-5-O Basement Unfinished Area(sq.ft) Number of Baths: Full:existing -3L new 17 Half:existing new Number of Bedrooms: existing new 0 , Total Room Count(not including baths):existing new 0 First Floor Roomcount 1 Heat Type and Fuel: ❑Gas '�d`b11 ❑ Electric ❑Other Zti Central Air: ❑Yes ❑No Fireplaces: Existing New ?� Existing wood/coal Stove: &Yes e/_❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑exi ting ❑,pew *e Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ ----Commercial_❑-Yes ❑No--- If--yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name ,A/ A w fZ 'To A a j j„ MA Li Telephone Number Ste' -7 6 9 �� Address _),2 A�1 2 !C'4 ay 4/4 Y License# s p e-N'iy)-s /►7A, o ', 6 6 o Home Improvement Contractor#_1 Worker's Compensation# 5�0 C/ /3 o 06 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Yj4�iL� C�V T 5_c,� A16 VA SIGNATURE DATE 0 �. FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT• ASSOCIATION PLAN NO. M� i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA. 02111, wtvw.mass.gov/dia ' Workers' Compensation Insurance Affiddvit: Builders/Contractors/Electricians/Plumbers _Applicant Information ,4 Please Print Legibly Name(Business/Organization11ndividual): Q k /1 /) L 9G 11/ 1 t�G �G i'� I I %I C/I'1/ S �G i�V 1 G ✓S •Address: 2 1 0 M L(L-1 L A/ 1,W W City/State/Zip: S , E iv rV i S Ma 0 G Whone w: Are you an employer?Check the appropriate bog: :Type-of project(required):, 4.- I am a general contractor and I `am a e to er with `S:1.LJl�1 mP Y 6. ❑New construction have hired the sub-contractors ees full and/or art time . • employees 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 �vorkin for me in an capacity. • employee$and have workers' g Y P tY t. 9. ❑Building addition [No workers' comp,insurance comp,insurance. 5. We are a corporation and its 10.❑Electrical repairs or additions required.] . , . officers have exercised their 11. Plumbin repairs or additions '3.❑ I am a homeowner doing all work . ❑ g . P myself.[No workers'comp. - t, right of exemption per MGL 12.❑.Roof 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 anew affidavit indicating'such. $Contractors that check this box must attached on 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 prrrride their workers'comp.policy number. lam an employer that isprovfd[ng workers'compensation"insurance for my employees. Below is.the policy and job site* information. Insurance Company Name � � � � l- L � � [/ T V Q L " Policy#or Self ins.Lic.#: (1 3-� 1 mj G Expiration Dater D Job Site Address- l a /LO V S City/State/Zip: a7V l T AM 01z� S 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 tip 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 1)IA for insurance coverage verification 'do hereby certify under the pains aisd penalties of perjury that the information provided above is true and correct . . Date Si_anature — Phone Offtcia[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): J.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector i .6. Other Contact Person: Phone#: _ h 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 tliree 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 construct 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-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. 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 insurance 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 permit/license.number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license 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 Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax 617-727-7749 www.mass_govldia Tame jm:Lxv(reaaaaeeo Prescriptive Pacbgei for Give and Two-1onDy RaideatW Ba3ldtoji%f sW svfid►'F '�lsels ' BiAXf1H'UM Rffi+i1MLIM Glaring Glazing Caning Wall ' Floor . B*=nras siab 'H mcnl Em i i M ('/o) U-valoct R-vsIver ' Revalue R•y4d Wall -Perlmeier Fgoli�meat ElSdeacy9 F 'fie R vaku� R-Value . 370I to 65D0 Flesflag be grrr Dmy!? 12% . 0.40 33 13 19 10 R 1i 12% 0.52 30 19 -. 19 10. 6 NO ' g . I2°/a 4.30 33 13 I9 10 W US T Isle 036 3i 13 23 .WA NIA. Normal' 15% 0.46 33 19 19 10 f - - .1+lorsssal �r 13% 0.44 39 13 23 NIA Nth' 13�� Rr 13% 0.32 30 19 19 10 i i 39 AFn x . 13% 032 33 • 13 29 NIA NIA' Alarmal Y 18Q/., 0•42 33 19 23 NIA NIA Nomm z 18% 0,4� 33. 13 19 i ;` 6 90 AFUE 1 3% 0.30 30 19 19 10 t 8 NAME I, ADI PRESS OF PROPERTY'. a SQUARE FOOTAGE OF ALL EXTMOR WAZLS; / 3, SQUARE FOOTAGE OF ALL GLAZING, s 4, % GLAZINO AREA 03 DIVIDED BY42): >> , SELECT?A=GE(Q AA see chart abo4o'. ; F VOTE; C)tHER MORE INVOLNIM IvIErTHODS OF DETIER LR-UNG MTERGY REQUIREMd"TS ARE AVAILABLE, A •US F R THIS INFORMATI9At, , EMDING-INSPECTOR APPROVAL: YES;, N0; q-erns-paQ303a TMETati 'Town of Barnstable Regulatory Services - BMNSTABLM y Mass $ Thomas F.Geiler,Director �� 'OWED MA'I16 Building Division - Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject J property hereby authorized W � (O to act on my behalf, in all matters'relative to work authorized by this building permit application for. U ( � Address of Job) a&la� lg er ]Pate e Print Name If Property Owner is applying for permit please complete the Homeowners License'Exemption Form on the reverse side. QTORMS:O WNERPERMISSION L ' THE Town of Barnstable Op i!p� Regulatory Services BARNSTrABLFE = Thomas F.Geiler,Director v MASS. q,A 019. .0 Building Division rf0 MA'1 A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 vvww.to wn.b arnstabl e.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor.,. Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt t' x BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR 3 � +' Numbei „CS 074928 I' Expires 08110/2008 Tr.no: 1273.0 Restricted WILLIAM WHALEN 122 POND STREET BREWSTER, MA 02631 - Commissioner Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration;._ 129244 Exprratron 7%30/2009 Tr# 132276, Type Private Corporation Whalen Restoration Services Inc. William Whalen "22 American Waya,,CZ� South Dennis,MA 026601 " Administrator y a f Date: 1/15/200B Time: 10:14 AM To: Deb @ 9,1,50876D9995 R&G Ins. Agcy. Page: 001 Cli'ent#: 32193 W HIALRES ACORU, CERTIFICATE OF LIABILITY INSURANCE 115/08°"YYY' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.-So.Dennis ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOTAMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O.Box 1601 South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED NSURER A: Arbella Protection Co Whalen Restoration Services Inc NSURERB: Arbella Mutual Insurance Company 22 American Way NSURER C: South Dennis,MA 02660 NSURER D: - INSURER E: COVERAGES 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 AF=QRDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN NAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR NSR DATE MWDDNY) DATE MMiDDIYY LIMITS A GENERAL LIABILITY 8500024585 041011107 04/01/08 EACH OCCURRENCE $1 000 000 X CO"' ES GENERAL LIABIL TY DAMACE TO RENTED PREMIS S E occurrence) $100 000 CLAIMS MADE a OCCUR - MED EXP(Ary one person) $5 000 PERSONAL&AD'✓INJURY $1 00O 000 - GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COIAP!OPAGG $2000000 PCLIC� PRO- LO,� - JECT A AUTOMOBILE LIABILITY - 74917400001- - - 09/25107 - 09/25108 COMBINED SINGLE LIMIT ANY AUTO (Eaaccdant) $1,000,000 ALL OWNED AUTOS - BODILY INJURY $ X SCHEDULED AUTOS (For person) X HIREDAUTOS BODILY INJURY $ X NON-OWNED AUTCS - (For accident) PROPERTY DAMAGE $ (Far accident) GARAGE LIABILITY - - AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ - A EXCESS/UMBRELLA LIABILITY 4600021586 04/01107 04/01/08 EACH OCCURRENCE $1 000 000 X1 CCCUR CLAIMS MADE - - AGGREGATE $1 00O 000 $ DECUCTIBLE X RETENTION $10000 B WORKERS COMPENSATION AND - 9091320406 04/01107 04/01/08 X WC ORYSTATUlr�llyS OTH- S FIR EMPLOYERS'LIABILITY E.L:EACH ACCIDENT $SOO,000 ANY PROPRIETOR/PARTNER'EXECUTIVE OFFICER/MEMBER EXCLUDED? - - E.L.D SEASE-EA EMPLOYEE $500,000 If yes,cescribe under , SPECIAL PROVISIONS below E.L.D SEASE-POLICY LIMIT $500,000 OTHER - - DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BYENDORSEMENT/SPECIAL PROVISIONS Project location:149 Grove St.,Cotuit,MA 02635 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Steve Wald - DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 11) DAYS WRITTEN 26 AmandaRoad NOTICE TO THE CERTIFICATE HOLDER NAMED TOTHE LEFT,BUT FALURETO DO SO SHALL Sudbury,MA 01776 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. - AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #S337491M28098 CBR ©ACORD CORPORATION 1988 r , i Date: 1/15/200B Time: 10:14 AM To: Deb ® 9,1,5087609995 R&G Ins. Agcy. Page: 002 IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. A statement on this certificate does not confer rights to the certificate*holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of 6nsurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer,and the certificate holder, nor. does it affirmatively or negatively amend, extend or,alter the coverage afforded by the policies listed thereon. ACORD 25-S(2001/08) 2 of 2 #S337491M28098