Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
1345 MAIN STREET (COTUIT)
�, __ . _ __ �� �� I� �i Town of Barnstable _ -Building iPost°This Card So That,it is Visible From the Street -Approved Plans Must--be-Retained on), and-this Card Must be Kept SAMSTARLM a Posted Until Final Inspection Has Been Made. .. 4 p yam 1 ru ° Where a Certificate'of Occupancy,is Required,such Bu1ld�ng shall Not:be Occupied until a Final Inspection has been made 1 �1 llll a , ..- .. .,� ._., e ._ _ _ed ., ..men m Permit No. B-18-4144 Applicant Name: Henry Cassidy Approvals Date Issued: 12/20/2018 Current Use: Structure Permit Type: Building-Insulation- Residential Expiration Date: 06/20/2019 Foundation: Location: 1345 MAIN STREET(COTUIT),COTUIT Map/Lot:;018-069 Zoning District: RF Sheathing: Owner on Record: FRUSZTAJER, ELISABETH&TYE, LAWRENCE S A Contractor Name:'. ,HENRY E CASSIDY Framing: 1 j Contractor License: CS-100988 2 Address: 1345 MAIN STREET COTUIT, MA 02635 ,Est Project Cost: $ 1,000.00 Chimney: r . Description: 2 hours air sealing, Basement ceiling 520 sq ft R19 encapsulated, Permit Fee: $85.00 basement sill R19 FG batt to 40 sq ft Insulation: Fee Paidi $85.00 Project Review Req: , ' Date: 12/20/2018 Final: 1 �l� Plumbing/Gas Rough Plumbing: _Building Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized bythis permit shall conform to the approved application and the-approved construction documents for which this permit has been.granted. Final 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. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for_public inspection for the entire duration of the Electrical work until the completion of the same. Service: . The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. P Y � Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing - 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final- 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable . BU11Cliri g Post,�This Card So That�t.is"Visible=Frorn".the Street A rouedaPlans Must;be Retained ortiaob end this Card Mustbe,ICept , '�ARNtTPAE41:'�, ' `y v ? ��, ,. ''„", �i; pp. ;z$` y .c �4 r" ' i = a -"'-i • 6" Posted Untilfmal Inspectwn Has Been Mader ; g R ;Where aertificate°�of Occu anc, �s Re uredsuch.Bu�lrJm shall""=Not be,Occupied�unt�I;a"Efnal�lnspectionhas�been made Permit ,,v, Permit No. B-18-900 Applicant Name: Brian Olsen Approvals Date Issued: 03/30/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 09/30/2018 Foundation: Location: 1345 MAIN STREET(COTUIT),COTUIT Map/Lot: 018 069 Zoning District: RF Sheathing: Owner on Record: FRUSZTAJER,ELISABETH&TYE,LAWRENCE S ContractorN' BRUIN CORPORATION OF Framing: 1 Address: 1345 MAIN STREET �ATTLEBORO :� 2 . ., - -on,ra- rlicense 104-439 COTUIT, MA 02635 i"Al, r' Chimney: rotect Cost: $3,495.00 Description: 7hrs of air sealing,638sgft of Cellulose in attic,2�18sgft of rigid Est P board in crawlspace. Pemrt Fee: $85.00 Insulation: Project Review Req: Fee Paid:S $85.00 Final: 3/30/2018 W. g Plumbing/Gas Rough Plumbing: La ---t .0 Final Plumbing: � °``Building Official Rough Gas: This permit shall be deemed abandoned and invalid unless the work autho'nzedsbythis permit is commenced within six months after issuance. Final Gas: All work authorized by this permit shall conform to the approved appl'cation,and the approved construction documents for whichthis permit has been granted. All construction,alterations and changes of use of any building and strwctures shall be in compliance with the local zoning by laws a d codes. ,t t ' ' . This permit shall be displayed in a location clearly visible from access street or-road and shall be�rnamtained open for public inspe.ction for the entire duration of the Electrical work until the completion of the same. P i Service: v The Certificate of Occupancy will not be issued until all applicable signatures by the Building,and"Fire Officials are rov ded on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: 1.foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth_:in MGL c.142A). Final: - Building plans are to be available on site - All Perrh Cards are the property of the APPLICANT-ISSUED RECIPIENT . Town of Barnstable Building Pos .T.h15 Card So That rttis Visible From the Street-.A roved Plan's;.Must be Retamed:on Job and thls Card Mus •be Ke t �'. • .nn�+,trewsts. • ' �° �.�,.. � ��� � �',,� � � DPP � �� �; �� �. '� P � � Posted Until Final Inspection Has Been Made R Where a Cert�ficate.of,Occu and . svRe ured sachBuildm shall No`t"be Occu ied until a Final<Ins ectionhas'been;made Permit ..�••. ._„ �u..... ,�.� ... ,P ,..Y=,_ .q ,._ .u' ; ,,,�,. ;��.g<... ., :�. �� . _�... .per ,.•�. �a .. :�.,«. ., ...., x. .,�.,:;� ,�., s Permit No. B-18-900 Applicant Name: Brian Olsen Approvals Date Issued: 03/30/2018 Current Use. Structure Permit Type: Building-Addition/Alteration-Residential 'Expiration Date: 09/30/2018 Foundation: Location: 1345 MAIN STREET(COTUIT),COTUIT Map/Lot 018 069 Zoning District: RF Sheathing: Owner on Record: FRUSZTAJER, ELISABETH'&TYE,LAWREN ;S Contractor N e .BRUIN CORPORATION OF Framing: 1 CE Address: 1345 MAIN STREET h r•,; ATTLEBORO 2 ...Contractor,license: 104439 COTUIT,MA 02635z Chimney: Y � y, Description: 7hrs of air sealing,638sgft of Cellulose in atticgft 218s QI plgid Est Protect Cost: $3,495.00 board in crawlspace. $85.00 Insulation: Permit Fe'e: Project Review Req: ', iee Paid: $85.00 Final: Date � 3/30/2018 . Plumbing/Gas . Rough Plumbing: Final Plumbing: Nk i x Building Official Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six f'nonths after�issuance. Final Gas: All work authorized by this permit shall conform to the approved appl cation a the approved construction documentsftFoWhich this permit has been granted. All construction,alterations and changes of use of any building and structures=shall be in compliance with the local zohing.by laws and codes. This permit shall be displayed in a location clearly visible from access street or road and mtame shall beimad apenfor publicinspection for the entire duration of the Electrical work until the completion of the same. f Service: The Certificate of Occupancy will not be issued until all applicable signatures by"the Suildmg and,`Fire Off dials are„provided:on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work:- `` g 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do.not.have access to the guaranty fund" (as set forth:in MGL c.142A). Final: Building plans are to be available on site-- All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT FAQ to-I I- R >�.- -, Town of Barnstable RECEIPT MAM 200 Main.Street,Hyannis MA' 02601 �508,862-4038 s63q. ♦ �� Application for Building Permit f- V Application No: TB-17-4171 Date Recieved: 12/2/2017 I Job Location: 1345 MAIN STREET(COTUIT),COTUIT 1 ^ Permit For: Building-Solar Panel-Residential )�1�l lf,�,J Contractor's Name: JOHN VREELAND State Lic. No: CS-107947 Address: Mashpee, MA 02649 Applicant Phone: (508)428-8442 (Home)Owner's Name: FRUSZTAJER, ELISABETH &TYE, Phone: (781)734-0527 LAWRENCE S (Home)Owner's Address: ' 1345 MAIN STREET; COTUIT,MA 02635 Work Description: Roof mounted solar PV installation of 9.1kW size. System to consist of 31 -295w modules connected to microinverters. Total Value Of Work To Be Performed: $27,534.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a'business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application,,I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and . specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: John Vreeland 12/2/2017 (508)428-8442 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $27,534.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $190.42 12/2/2017 $140.42 X)M-)OM-X)M-i Credit Card _ 4817 Total Permit Fee Paid: $190.42 12/2/2017mm _$50.00 XXXX-XXXX- Credit Card y 4817 Town of Barnstable THE, Regulatory Services Richard V. Scali,Director EM NSCABLE. ; Building Division BARNSTABLE waxsraale•cartra•iue•mrort•w umis 9 p N.FSIC%..YI.1•GSIEAVILLF•YKlBfYYaiIBtF� 1�39. `®� 'Thomas Perry, CBO � .. 1639-2014 i0lec�ne+A Building CommissionerDg 200,Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 November 18, 2014 Robert Rea 21 Orchard St. Lakeville, MA. 02347 RE: 1345 Main St., Cotuit,.Map: 018 Parcel: 069 Dear Mr. Rea,' This letter is to inquire on the status of building permit application number 201401407 . issued.to remodel the existing building at the above referenced property. To date; this office has no records of any building inspections. Please contact this office immediately to explain the status. This permit shall be considered expired December 1, 2014 unless you provide a reason to keep the permit active. Thank you for your anticipated cooperation in this matter. Respectfully, J fre L. Lauzon Local Inspector jeffrey.lauzon@town.bamstable.m'a.us (508) 862-4034 y t. } �. �'� L,F-r�Z � � � � cam,--�-� f � A a.. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION JJ o1, 4 6 q Map Parcel pplication # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee I r 60 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address I)g6 mA ii, 7-V is Village Owner Li�4 Tr�A2-"rMr' Lfi'n,�v 'Address 6,tC m��n -- �mr✓�, 026)6- Telephone___ en - 33k 6 Permit Request ReVAG%4 t)((kplI (, 0ygr,SXV% ,h e J104, Ahghr sm. hSze) /I At✓ hQ r 11-AS►..aI1rr (Inrh 3TyJ IK L4gcI^ (hqG'h TfLa 4l fort..,14o vet r 'a.Q. 7hfa II rn t" 160V a,r`m w ►� Pi�PDAI.cl � kn y . h I I 1.e w vg n 17 c t,Jiriar o►� Square feet:1 st floor: existing proposed 2nd floor: existing proposed Total new .Zoning District Flood Plain Groundwater Overlay Project Valuation 3o arm 5 f Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family I/ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl O/Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: I existing —new Total Room Count (not including baths): existing ro new First Floor Room Count y Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No U.4 c� —�1 Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ exi ting ❑:raw Re_ d 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# w Current Use Proposed Use r; APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name _(ZoS�f-;.- RPh Telephone Number sas-s2.5�3Se�� Address Ix o rc T a r a yT,, License# jo, ->, 3 p Z 3tlI 7 Home Improvement Contractor# __1 I Email gal Ret, L (On, Worker's Compensation # v A So I? P6ZL/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �et14't 2:�jL SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. f ' ADDRESS VILLAGE t Y OWNER DATE OF INSPECTION: 'T FOUNDATION FRAME L INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL z: GAS: ROUGH FINAL FINAL BUILDING t - h DA &CLOSED OUT AS SUTATION PLAN NO. . �7s�e7?7f7iloYl!€�t a��assarh�e�€s -Oqmrwuwt qf-fiukY&idAccidemtr trice vf'�ttgaFrr7s 600 Washfigt©n meet Evstaxj�MA OO YVaw.7Ftamgm aldia We rkers' Campensafkixhm-ance Affidavit Rui[ders/Cantracfnrs/BlectncmnslPlumhers . Iicant Information Please Print Lagibly N3i11�(SusmeaslOFgani2�ioalfndivid��. RJ� �-('c� �+�►1�cTrvf 7'1�h C yfStat dZip: Lr,lce,s 1 t 2 e Phow SyS�,SzS'`3�5b Are u nn employer?Checkdic appmpriatn ba= T of project: 4. ❑ I mn a dal=fmator and 3 I r d}: Ll 1 am a employer iS New o employees(fUn andlorpait-ttme�* ha hi dfbe sob Eos Z❑ I am a sole proprietor or partner- listed on the attached sheet'` 7_ ❑FMnod r-ma slug aid have no employees These sub-contactors have 8- ❑Demolition, wanting for me in any caparitjr employees and have workers' g- 0 Building addition [No workers`comp.insurance Comp-incmaM-I 1 5. ❑ Trite are a corporafionand its 100 Electrical repairs or additions 3-❑ I am a homeowner doing all work officers have exercised their 11�'Plumbing repairs or additions myself.[No workers'cony- t afe fioriper bfQ. 12-0 Roof mm=e�e&1 Y c_152,§I{4},and we Frati�e rra rs i �1��-[Nowarkers' 13�Otber Comp-inm anCe requiredj *fA=yWBotxtfhbcheers baz#1 tanst also Moltthesecdaab9o'WSb=ing Mrvoikeze CD=pemsmdtutpoRf' - T Sio-mee7wners err.Srfb ft hir in g they ace damg mUua G sad&mlfte aamde camb:zctna nm9t Saar s meta s�dscst m sm[h T^ n6 that check this boat mast atteclte3 an idditiansl sheet v`the name of&a mb--amt-2cois imd state whether i3r=tf=gE wb&s have - .. e34alayees. Iftbesmb-CM++* lZMeMplayM%theyWantFU idethesrwarps`Comp.palicynt—b- Iam an empk w that isprmWffg workers'congmnsedion irmirano!r for my eagAayeRs Belau'is 61ep09e7 rmed fob site izifarrr�a°tiarz �' Insurance ComgarcyName: 7 r ti v e it r S I,bky;#arS&--inn-Ilf-& tJa.'s-012 P6ZL/ Expimtio n Da te: Job site Atidiess I�t t S' m ti n i i ry e r vw CifylStafieJZrp: (o,ram t? .�•-� v??,6 ' A#fach a ropy of the workers'compensafian palicp declaration page(show.mg the policy number and cq3iranon date). Far-lure to secumcayr-rage as iegdired under SectibrL 5A o€MGL c.. 152 tea lead to the imposit;m ofcrimsnal penalties of a fine up to SUGG©d andlor am-yearimptisonmenk as well as civil penalties in Cite forn of a STOP WORK ORDM anal a fine of up to$250.00 a day against the violator- Be advised that a cry of this statement maybe fiarwarded to the Office of Investigations of the DIA for insurance coverage veciffcation- Ido hemby certify ruuL-r tIwpains andpeaaWas a pedwy litcrtthe irf,{otuzabanpratu&daham fs hue und.camsrt Sitmatuze " Lizz Bate_ 3-^j 0 -1 e-1 Y'hane# CO-L--S2 5'-3 Sri--6 Olki t use m4y. Der not trrehs in tits area,to bs crrxip&M by city or town of CinL City or Town: Perm ti iceme# Fssrung Authanty{ rcle ones: L Board of$e:Ith 1 Ong I}Tulmeat I CitYJTGwa O=k 4.Electrical Inspector 5.Plumbing Inspector 6.Othar Comet Person: Fhane;#- 6 Information and .Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for them employees. Pursuantto this statute,ari employee is defined as 1`__every person i a the service of mother under any contract ofhire, 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,constriction or repair work on such dwelling house or on the grounds or budding 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 Iocal licensing agency shall withhold the issuance or renewal of a Iieense 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)stafes"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpubiic work until acceptable evidence of compliance et-with the ins nce requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checlang the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their cerificaic{s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)withno employees other fhau the members or partners,'are not required to carry workers'compensation inatrance. If an LLC or LLP does have employees,a policy is regtured. 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 PIease be sure that the affidavit is complete and priated legibly. The Department has provided a space at the bottom of the affidavit for you to El out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to ffiI in the permit/licemse number which will be used as a reference number. In addition,an applicant that must submit multiple pmnitllicense applications in any given year,need only submif one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations im (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 fur future permits or licenses. A new affidavit must be tilled 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 bum leaves et;.)said person is NOT required to complete this affidavit The Office of Investigations would lice to thank you i a 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. 'fie CDMMQ1L t&1Va of Massach=tts Depaitmmt Qf Industrial Accidents Office of Xuv w atiGm 600 WasbMKtM sfte, t BQADZ=Mai G2111 TeL#617 727-4 at 406 or 147MLAJ WE Revised 4-24-07 Fax#617-'27- 49 . gavldia 141. .mom DATE(MM/D D!YYYY) CERTIFICATE OF LIABILITY INSURANCE TMIS&CMIFICATE 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:lithe certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER CONTACT NAM E: FARRELL.BACKLUND INS AGC PHONE FAx 128 DEAN STREET - (A!C,No,Ext): (A/C,No): E-MAIL TAUNTON,MA 02780 ADDRESS: 77U7 W INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: TRAVELERS PROPCRTY CASUALTY COMPANYOT•AMERICA REA,ROBERT C JR DBA ROB REA CONSTRUCTION INSURER B: INSURER C: INSURER D: 21 ORCHARD STREET INSURER E: LAKEVILLE,MA 02347 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS Is TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - - WSR ADD SUB I POUCY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MM\DD\YYVY) (MNADMYYYY) LIMITS GENERAL LIABILITY --ACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMAGETO RENTEC CLAIMS MADE OCCUR. PREMISES(Ea occurrence) VIED EXP(Any one person) $ ERSCNA_8 ADV INJURY $. GEN'L AGGREGATE LIMIT APPLIES PER: ENERALAGGREGATE. $ POLICY E]PROJECT LOC PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE S ' ANY AUTO LIMIT(Ea accident) ALL OWNED AJTOS BODILY INJURY S SCHEDU-E AUTOS IPer person) HIRED AUTOS BODILY INJURY S NON-OWNED AJTOS (Per accidents PROPERTY DAMAGE S iPer acciderdl UMBRELLA LIAR OCCUR EACH OCCJRRENCE S EXCESS-IAB CLAIMS-MADE AGGREGATE S DEDUCTIBLE S RETENTICN $ S A WORKER'S COMPENSATION AND X WC STATUTfU— OTHER CD EMPLOYER'S LIABILITY Y/N UB-5012Pti24-.14 U1/'L1!2U14 U1/2112U15 IVAIIS 1 T ANY PRC•PERIMRPARTNERiEXECUT VE E Y.-I ^ OFFICEWMEMBER EXCLUDED? NIA E.L..EACH ACCIDEI;ffjt $ S00,D00„x;.? (Mandatary in NH) E.L.DISEASE-EA EMPLOYEE $ 30,000 tyes,describeorder - - DESCRIPTION OF OPERATIONS below E—DISEASE POLICY LIMIT $ -5'00,000 . DESCRIPTION OF OPERATIONSILOCATIONSiVEHICLESIRESTRICTIONS/SPECIAL ITEMS )1 y THIS REPLACES ANYPRIOR CERT�ICATE ISSUED TO THE CERTIFICATETIOLDER AFFECTING WORKERS COMP COVERAGE. REA,ROBERT C JR IS COVERED BYTRE WORKERS'COMPENSATION POLICY. � Ln CERTIFICATE HOLDER CANCELLATION . TORN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED 2UQ MAIN S'I' IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT/] VE f' IIYANNIS,MA 02601 } ACORD 25(2010J05) The ACORD name and logo are registered marks of ACORD 1t188-2010 ACORD CORPORATION. All rights reserved. This fax was received by GFI FAXmaker fax server. For more information,visit: http:tiwww.gfi.com This fax was sent with GFI FAXmaker fax server: For more information,visit: http'./twww.gfi.com w.gfi.com Prima Construction Contract Rob Rea Construction 21 Orchard ST, Lakeville,MA 02347 508-525-3856 fax: 774-213-6905 License# 163001 101273 Robreaconstruction@hotmail.com Date: 2/28/2014 THIS AGREEMENT IS BETWEEN ROBERT REA (CONTRACTOR) AND LARRY TYE AND LISA FRUSZTAJER (CLIENT). CLIENT INFORMATION: Name:. Larry Tye and Lisa Frusztajer Project Number: Address: 1345 Main ST. Project Name:: 2nd floor bath Cotuit,MA 02635- Project Address: 1345 Main ST.' Telephone: 617-823-5386 Cotuit, MA 02635 - 1. DESCRIPTION OF WORK ' Remove existing tub-and shower in 2"d floor bathrooms. remove existing window above tub in:larger bathroom and replace with new wood grain vinyl window. build new tile shower larger than existing and install new cast iron tub.patch and repair walls.install new fixtures and custom built vanities to match existing. tile floors, shower,and surround of tub. paint to color of customers choice. 11. IN ACCORDANCE WITH THE:FOLLOWING CONTRACT DOCUMENTS 1. Estimate#63, dated 1/13/2014- 2. , dated . III. PAYMENT SCHEDULE Owner agrees to pay the sum of: J $30,080.00 Installments to be made as follows:_ 10% upon signing plus specail order items. .$5,000.00 20% upon start of project. $6,016.00 30% upon start of framing for shower $9,024.00 30% upon start of tile. $9,024:00 Final remaining $1,016.00 F' Funds are to be disbursed by: Work shall commence on: 3/10/2014 Work shall be complete.:within 30 working days: IV: SIGNATURES - . Initial! Client Contractor Page-1 oft I have read and agree to the terms and conditions of this contract. Larry Tye and Lisa Fruszta'er Robert Rea Clie a Contractor Name Sign ture Signature 2/28/2014 2/28/2014 Date Date. Initials: Client 1 `Y Contractor Page 2 of 2 CJ/te 1"pa�m�ctarrruetrll�o/C�/l/ c�trrc�ure Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 163001 Type: Office of Consumer Affairs and Business Regulation piration:= 5�4L2015_ DBA 10'Park Plaza-Suite 5170 'f `' Boston,MA 02116 ROB REA CONSTRUCTION ,g , ROBERT READ I5loo � > 21 ORCHARD ST = ,y , LAKEVILLE,MA02347 3r' f g Undersecretary Not valid without signature Alassachusett oar s-Departure nt d of Build' of p Constructiogs egulatio d blic Safety License: UPerrisorns an Standards C 2�3 2 OR RTC REq ;�� _ o � Se 77 Y Commi-� ` '`-1fl i L , ssioner Ex e pi ratio - i _ A 15'-1 1/2" 9'-4 1/2" 5'_9" 7 3/4" 7 3/ 2'81 6-2 3/4" '-7 1/4'�2's -` 26 070007� CD o cc a . ODOo O 21031. . 1/ „ 1/ 21031 1/ - 2'-10" 2'-10' e r � 4'-10 1/2'. 3'-0" 3'-0" ' 4'23" - 15'-1 1/2" 15'-1 1/2" 9'-4 1/2" /4" 2' 6-2 3/4" ,-7 1/4'�68 es s 7 3/ On no 10 N � O � O O � Np o fl. O C � W � '-49421031 21031 11/ " 2'-10" 2'-10" 3'-9" 5'-51/2" h TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0190 Parcel Application # Health Division Date Issued V Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board P� Historic - OKH _Preservation / Hyannis f 9 Project Street Address > VillageUI Owner &UreAoUe, a /Srrus�741 Address 6ra4� 4 .r ,ee . i' Telephone 29, j0S 2 7i Permit Request GeC fie ge tl `C'�9, �e��©® �✓`, ��e� fiJ1e/ W1,, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay .Project Valuation !a � Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) _ Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new v Total Room Count (not including bath: existing new First Floors om Coin# =�= o Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other V Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing woo coal stave: Zes 0`No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing �p 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 /1 V Telephone Number Address e/ License # Z0�eO CS O�F36(2 Home Improvement Contractor# 3,-7 4-yo Worker's Compensation # u/G V 0®TC'.3!?0 6' ALL CONSTRUCTIO /,SULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �� /� k FOR OFFICIAL USE ONLY APPLICATION# +`U' DATE ISSUED MAP/PARCEL NO. ADDRESS ' VILLAGE OWNER DATE OF INSPECTION: 1, } FOUNDATION FRAME glvt hg ;- INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING - DATE CLOSED OUT ASSOCIATION PLAN NO. i Lei— ASSOCIATION J f t F� tee -. l� •9�, �,'r , �' , - k 4 p e co" ofMassachuseits DepI�m striallSiCCille]'ItS. Qfj"cce a fluvestrgktions 600 Washington Street www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers_ APPUcant Iuforiniation / Please Print Le bl Name(Business/organizerion/]tudividnal):. e ' Gl�`' oof Address: City/State/Zip: c�`r�1 Z�3 f�Yhone.#: '8'�10� .'®y Are u an employer?Check the appropriate box: -Type of pro]ect(retluire�:. 1. I am a employer with •' 4. .0 I am a general contractor and I employees(fb11 and/or part-time).'* have hired the sub-contractors 6. ❑New construction . 2.❑ I am a•sole proprietor or partder- listed on the'atiached sheet' 7. ❑Remodeling ship and have no employees ! These sub-contractors have S. El 13emoIition working for me m any capacity: employees and have workers' . • �• co insnr•ance.#' 9. ❑Butidmg addition .• [No workers comp.insurance required] 5. We are a corporation anal its 10:❑Electrical�epairs or additions 3.❑ I am a homeowner doing 01 w6r c officers have exercised their l 1.[]Pltimbmg repairs or additions . myself [No workers' comp. right of exemption per MC 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we hsve no employees.[No workers' 13.❑Other comp insurance regpired.] *Any applicant that checks box#1 must also fM 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. k_'mtractms that check this box must attached an additional sheet showing the name of the sub-ontactois and state whether or not those entities have employees. If the sub-contactors have employees,they must providb their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepoUcy and job site information. l Insurance Company Name: ���'d%t�ta�� Policy#or Self-ins.Lic.# / ®j �e` � Expiration Date. Job Site Address: 1JK,04,;0 51rce 4 City/State/Zip: fr Attach a copy of the workers' compensationpoIi ydeclaration 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 time 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 ofuptc)$250.DDa,#&yagahistlheviolatDr. Be advised that a copy of this statement may be forwarded to the Office of - Iuvesti ations of e for ifisurEnce covers e verification. I do-hereby ce th a ws•and penalties of perjury that the information provided above is true and correct- Date: Phone Offtc4d use only. Do not write in thkar•ea,fo be completed by city or town gffzcid 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#: . ,. ' HARTS NSURANCE N0, 976 P. 1 DA7EtMWDDPPWYY) CERTIFICATE OF LIABILITY INSURANCE 02/19/2013 CONFERS NOUPON THE CERTIFICTE HOLDER IS ISSUED AS.A MATTER.OF INFORMATION ONLY END OR ALTERRIGHTS THE OVERAGE A FORDEDABY THE POLIC1EI FIRNIATIVELY OR NEGATIVELY AMEND, S ; vOES":NOT`gF M�_µC� pICgTE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED y�NTATIVE:OR PRODUCER,AND THE CERTIFICATE HOLDER f the the )must be endorsed. if na terms and co dltivns of the pollcate icy,certain r is an Dpolicies Amay require.an endorsement A statementn this certificate does notGATION Is confer n,ghtslect to to.the certificate holder in lieu of such endorsement(s). oDU AM- Laura J Murphy HART INSURANCE AGENCY,INC. PHONR 508-759.7326 X207 Ax 508=759.7366 243 MAIN STREET No E-MAu- PO BOX 700 ADn BUZZARDS BAY,MA 026320700 INSURMiSl AFFORDING COVERAGE NAJC a INSURMA: PROVIDENCE MUTUAL FIRE INS CO 16040 suRED John Welch dba Quality Home Maintenance INSURER a: ATLANTIC CHARTER INSURANCE COMPANY 44326 110 Ashumet Road INSURER East Falmouth,MA 02536 INSURER D INSURER E: INSURER P: :OVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH-THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. A L 519 POLIcY EFP POUCYEXP SR TYPE OF 1NSUR NC11 POLICY NUMBER M nNDT A GENEM LIABILITY CPPOO59628 06/04/2012 06/04/2013 EACH OCCURRENCEumnis i 1,000,000 COMMERCIAL GENERAL LIABILITY E nee S 50,000 P E CLAIMS-MAOE OCCUR MEDEXP one elaon S 5,000 PERBONAL&ADV INJURY s 1,000,000 GENERAL AGGREGATE s 2,000,000 GEN1 AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 2,000,000 POUCY PRO LOC S JE AUTaMOBILE LIABILITY COMBINE GLE LIMI eae' ANY AUTO BODILY INJURY(Per person) S ALL OWNED 60M6DULED BODILY INJURY(Per accident) S. AUTOS OS NON-OWNED 0 ERTY DAMAGE S HIREDAUTOS AUTOS $ UMBRELLA LIAS OCCUR EACH OCCURRENCE S EX r LIAB HCLAIMS-MADE AGGREGATE $ DED I RETENTION S S B WORKERS COMPENSATION WOVOOS03808 04127/2012 04/27/2013 WCSTAYu- 07H- --.) AND E,ePLOYERS'LtASUM 7 ANY PROPRIETORIPARTNER/DCECUTNE Y J N E.L.EACH ACC,y9ENT 3''/ 500,000 (FFFICEEt MEMNER E%CLUDED7 NIA L 'j 500,000 �1yy E.L.DISEASE!-AI EMPLOYEE 5 x IDESCRePTION OF OPERATIONS holow E,L,DISEASE`MP..OUCY LIMIT S"`� ;'�500,000 71 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHILXE5(Atdch ACORD 1D1,AddlUenel Remark%Schedule,Ir mom spas Is mqulrad) )perations as performed by Terms&Conditions in the.policy CERTIFICATE HOLDER CANCELLATION . Fax*.(508)790.6230 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 230 SOUTH STREET HYANNIS,MA 02601 AUTHOR&=R9PRE3 01988-2010 ACORD CORPORATION..All tights resgrved_ ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD i r P.1 1 V W11 Vl-Dill lt,LU:UlG . •-.. '�--�.__: :-" . - . �-=- --Regula�o�v S�exsrices � - ._ --- • ------ _..-.-- Y y MUM Thomas F.Geiler;Director Biad ng Division ; Tom Perry,Building Commissioner 2001\M Strcc;Hydnnis,_MA 02501 ' - ��.town.barnstable.ma.us - - . flfffice: 5JB-862-4038 Fwc 50&790-6230 Property.. Must Complete and Sign This Sectioti If Using A Builder as Owner of the sabl ect property hereby'autiioriZe' ..1i� .; �� lG �? to ad oa my bebz� iu aIl=tten mlatke to wow aalho=ed by this building peurit (Address ofrobi **'-Pool feo-ces_and alarms are the responsibility of the applicant -Pools axe not to be filled or utilized before fence is s"nstzUed'and all Emal inspections are perfozme'd'and.accepted_ 77 l-� �f sigrzue of own ut ate of Applicant .. Or CM r- •.Print Name - - • • Punt Ns1ne .. - Date Q-FORMb`.OWNM0M- Y SI0NPO0U 6,2012 l'd 9lL£-ti£L-L9L aAl tiael eSZ:Ol £L OZ qe� Office of Consum�ej�ycoaecuecclG�i IP r Affairs&Business Regulation License or registration valid for individul use only ; ME IMPROVEMENT CONTRACTOR j before the expiration date. If found return to: j gistration: 1:37600 Type: Office of Consumer Affairs and Business Regulation j xpiration: ;__1:2/4=1'720:1-4, DBA 10 Park Plaza-Suite 5170 Boston, A 02 16 QUALITY HOME MA'NTENANCE�.-;.:; i JOHN WELCH 110 ASHUMET RD. g � a E.FALMOUTH,MA 02536 Undersecretary Not'valid without signature i Massachusetts _ ---------- Board of Building Re Department of Public Regulations and Stanty dards fety Construction Su ns and Standards License; Pervisor CS-083182 JOHN A WELCH EF AW METRijq MOU _ TH NIA _ 02 Commissioner Expi ration �__ 05/29/2014 I , , I I r r� ! .��;�i i.��.J i r �i�`!` i � -' �Iaz � 'P I. /� f._ I=�z ° ►_ 1�-1 -,I --=1 1-1--- - -- 1----� i-sl._I__I _ r ��..r?_ � � �I�I ���� I I ► 1 �{ r � @� - �.�__P�1=1._ I [�I !--�I�.�{-r_r_I=i-i i l► I _I 1= 1� _ { t �I l._"I so ��I�oa_di_I �:.=..ma�l I,=! 1 I (.a.�. � - - ►�I- I � _ . I � � �� I � I � I ..R I I , i,;��sl I yl� _ I«_► __1�T-1_1=1_=JI-�_r I_=I�f 1.�=1:=;�,_1 I-;�r- _ -_!_ I �I'�I�� �_.d_.�i�.1 I I 1=�I��r I ► ��:I �3t !_:��?� _ �I�` � - ---�� �_�I=L-1- =-1-�-'-- ��1 -I -f- I I __1-1-► ._i__�i==1 I _�1JI --I fie(DL61_ -, i { f { ! ' � _ ; I I I 14� 1 �`gin I I . . - � r� �`�'��_i�i Leh?_ 1-►_ [-�1__i f-_i�- I i I � ITS I f .I ,��.r_._�.-m.r�.,.,e.., ,.-.e .. �,� =ice _�.� �--1—•-- h- I; { _1-! I , ' ' , _',�I_'_I ,�'�I�I ;- z---.ja �.�....-.I I �I��I 1 I •i I_-I. f _ i-� f-I--I�- I� I �1�{�-I I ! _...._.L. .._. ...-! f I _ I i I 1 - 1 } --i. '�..Y. r- ' � ! I I i I- i I.� ` i....,s' _.I !�( �i� j I� I ! _ ? J I �.l�I�I -{ -Imo•--y ' --I�.{ !�,.,__!�I ! I I I- I �1 -_ �_ ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 10 I Map 1906 c Parcel ppon Health Division Date Issued Conservation Division Application Fee F Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address `�� �r',�a gee Village Owner laa el-11 t�SZ e,71��Address Telephone Permit Request doline - ov d CaAedm I ��� /�� �Sfe;- room / .&Arts00l ®� ®AIL Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation row r .� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)-, -4 Aj Number of Baths: Full: existing new Half: existing new -, Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room ount Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coa stove: d.Yes ip 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 � )e�M Telephone Number ✓0v Address,-//O Axame License # CS l0937/gz Home Improvement Contractor# �V ��j 00 d 2 S 3 Worker's Compensation # Vi c✓ POS 06M r ALL CONSTRUCTI BRIS SULTING FROM THIS PROJECT WILL BETAKEN TO door A)C SIGNATURE DATE s t- j\ r FOR OFFICIAL USE ONLY it APPLICATION#, DATE ISSUED , MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION 1 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL L FINAL BUILDING 6&43116 5,h� DATE CLOSED OUT r _ ASSOCIATION PLAN NO: .� _ ._ _ .. Depw .rent oflndustria[Accidmtr Office-oflrcvesdgakons- ` - -- --------- _. ..._ ` 600 Washingtoit Street Boston,'M4 02111 www.mass gov/din Workers'Compensation Insurance Affidavit: Builders/ContractorslElecfricians/Plwmbers Applicant Information PIease Print -Name(Business Tanizafion/7ndividnaI): AU .Address: • /® ��'f • city/sj�jw�zj le, a AVi u an employer? Check the ap ropriate bog: 4. I am a neial contractor and I Type of project(required), 1. am a employer with ❑ employees(fall and/or part-time).* have hired the sub-contractors - 6 ew 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. t, employees and have woiicers' [No workers'comp.inciTrRnoe comp.insurance. 9• ❑Building addifion requited] 5. ❑ We area corporation and its 10.❑Electrical repairs or additions 3.❑ I am a home vimm doingall work officers have exercised their, 11.❑Plumbing repairs or additions t myself. [No workers'.comp: right of exemption per MGL ' . inCttrun�requited] t c I52, §I(4), and we have no 12.E]Roof repairs employees. No workers' 13:❑ Other comp.insurance required.] *Any applicant that checics box#1 mast also fill out the section below showing their workers'compensation policy Efnrma don: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. �Contzactnrs that check this box must attacbed 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 work=-comp,policy member. I on an employer that is providing workers'compensation insurance for my employees Below is the p'oZicy¢rtd fob site information, Insurance Company Name: �at�� Policy#or Self-ins.Lid.# La.)n/w `3,9.0 r Expiration Date: Job Site Address:_ / y �I;qSrcoh-11i' City/State/Zip:� Aftach a copy of the workers' compensation policydeclaration page.(showing the policy numb.qr.and expire-ation date). . Failure to secure coverage as required tinder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a - fine up to$1,500.Do and/or one-year imprisonment,as well as civil penalties in the fowl 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 t e DIA for ins ce'coverage verification I do hereby c e enahles'of perjury that the information provided above is true,and comer Si Date: ✓��4 Phone# � Vl� /. 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): f.Board of Health 2.Building Department 3. City/Town Clerk C'Electrical Inspector. 5.'Plumbing Inspector 6. Other Ctintgct Person:. Phone# r VFEB. 21- 2013 8:38AM HART INSURANCE N0, 976 P. 1 DATE(MMIDDIYTY1r) CERTIFICATE OF LIABILITY INSURANCE 02/1W2013 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 tifi 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 endomement(s). Ldura I Murphy PRODUCER HART INSURANCE AGENCY,INC. PH ONe 508-769-7326 X207 g 508=759-7366 VAX 243 MAIN STREET E-MAIL PO BOX 700 A°D BUZZARDS BAY,MA 026320700 INSURERS AFFORDING COVERAGE NATO III (Ny11R2R A PROVIDENCE MUTUAL FIRE INS CO 15040 wsuReD John Welch dbe Quality Home Maintenance INSUR,,0: ATLANTIC CHARTER INSURANCE COMPANY 44326 110 Ashumet Road INSURERC: East Falmouth,MA 02636 INSURER D: INSURER E= INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L SR A L SUe POLICYEFP M�CDYEXP LIMITS I TYPE OF INSURANCE POLIRYNUMBER M 1,000,000 A 6QPIERAL Icy CPP0059628 06/04/2012 06/04/2013 EACH OCCURRENCE i E 50,000 ZGENI MERCIAL GENERAL LIABILn Y P E rar Ce MEDEXP An one SMOn S 5,000 CLAIMS-MADE OCCUR 1,000,000 PERSONAL AAPVINJURY S GENERAL AGGREGATE S 2,000,000 GREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGO $ 2,000,000 RO LOC $ICY COMBINE GLE LIMIT AUYOMOBILE LIASILITY a ace BODILY INJURY(Per person) S ,ANY AUTO .ALL OWNED SCHEDULED BODILY INJURY(Per accldene), S DAMAGEAUTOS AUTOS NRTWEP HIREDA A09 $ $ UMaRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAMS-MADE AGGREGATE S CEO REYENTION S WC5TA7U-„ OTH- B WORKLRscOMFENSAnoN WOV00503808 04/27/2012 04/27/2013 ANP EMPLOYERS'LIAau-M YIN ` ANY PROPRIETOR/PARTNERIEXECUMr. E.L.EACHACCjOENT S'} 500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E,L,DI$EASETM"AiMPIOYEE S 500,000 I{yas,.OeeCtlDe undor E,L,DISEASE` uMrr S" 500,000 DESCRIPTION OF OPERATIONS below 4 rx DESCRIPTION OF OPERATIONS rLOOATIONS IVEHICLES (Auach ACORD 7D1,Additional Remarim Schedule,it mom space is naquind) NO - Operations as performed by Terms&Conditions in the policy 4w CERTIFICATE!HOLDER CANCELLATION Fax#l:(508)790-6230 SHOULD ANY OF 711E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE PEUVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 230 SOUTH STREET HYANNIS,MA 02601 AUTHORED UPRESOTF 01988-2010 ACORD CORPORATION. All rights resQrved ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD V Cr p6w Aft WS IV 44 - - .. - t t ' a .�e-..�iyuae,. 5- �. �_. ._....... .�.�..�s•.r..�.•.. ...o,......_ .._a .r._.. e. _...,..�....� .,_..�•..... $ ' " A _4 c t 9y aia PA € ....+_r+.�rm�uuxasRvaws•::H .Mvti.•+rm.xMpr✓a�+Ra �'.vx+YNNw.saavr+a+r.a'sv tm cs __ _ _ _- .y4 i ' r _ s tv to Ali +=moo, F1evAr,ofj PGz 7� -..F ?lam R . 77 r .. +CXi S o 1•'� �ii q?Miaaicoeal(,�o1GAaaocr,oxctoeCY�l -------•------ _�_._....�_....___.___._.`—, Office of Consumer Affairs&Busiuiss Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: �gistration: 137600 Type: Office of Consumer Affairs and Business Regulation - xpiration 12/11/201.4; DBA 10 Park Plaza-Suite 5170 ;i Boston, A 02 16 QUALITY HOME MAINTENANCE.__,:k sat i-M c?T ar JOHN WELCH 110 ASHUMET RD. E. FALMOUTH, MA 02536 Undersecretary Not alid without signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards j Construction Supervisor License: CS-083182 I Is �. •, a JOHN A WELCH 110 ASHUMET ROAIS E FALMOUTH MA 025 i - Expiration Commissioner 05/29/2014 d i p.1 1.V 1'Pll Vl'Dail Ab LU:UiG ' ,Regulafo�cv S.ers►ice . arms Thomas E GeUer;Director i63sL `o Buadil2g Division, ; Tom Penn IWA7 ag Commissioner •2001\ain 5:rctst Ryah*MA 02601 . - - - ��.toWn.barnsiable.ma.ns•. _ - . Office: 508-8624038 Fait` 509-790-6230 Property Owner Must. , Complete and Sign This Section If Using A Builder 2I, r lyC. �� _ ,Zs Own=of tie sabject propefLT hereby azoffialize' Je�kn �J�f-6? to act on sy beh in-Z=tten reladve to wo=atithorize3 by this building peurit (Address of Job) Pool feaces.and alas a.ire the responsibilify of the applicant -Pools are not to b6'HUed or utilized before fence is i_nstJled'and all final inspections are perforane'd and.accepted Sigr a true of OwwneA agate of Applicant - Print Nmne punt Name 2 Date Q:MR S-.DSNIIt_3----RMM31ONPOOLS 62D12 ; ./_ L'd 911E-bEL-LeL eAj tiJe� s8Z:0L,C OZ gad c; _Jk TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map V Parcel - Application # Zo Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Z z , q0 Date Definitive Plan Approved by Planning Board Historic - OKH Preservation /Hyannis Project Street Address j 3��5' Mgth CATVId- Village Owner L(,mil,,, L� IT ��5 2d 4 1� Address Telephone G 1-q "I,- �-3�rb = Permit Request > 4 2ne6s C.,0L. 1)nyrt or 01,L,, Square feet: 1 st floor: existing. proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation zwm,Ao Construction Type ar.w,,de, r Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. welling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes W 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 _a--, stew _,3Nun-'sser of Bedrooms: existing. new . Total Room Count (not including baths): existing new First Floor Room Comet ,2i.21 g CIO Heat Type and Fuel: ❑ Gas ❑ Oil ❑Electric ❑ Other �n Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: I)Yes ❑ No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: existing'''❑ r�Qyv 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 V (BUILDER OR HOMEOWNER) Name ka Telephone Number Address m�c�ti��. c License # I , tG.ug.v lc��pa �7 Home Improvement Contractor# Worker's Compensation # L, N(Sol ZP 6 Z ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 2 ( orf 4 C.,e- si-, SIGNATURE DATE -'lo-1� i FOR OFFICIAL USE ONLY Y ,.• •lam. .,► APPLICATION# DATE ISSUED MAP/PARCEL NO... ;j 4 ADDRESS VILLAGE I OWNER k. DATE OF INSPECTION: 4 :,'FOUNDATION FRAME rL Rw•�k—aFI2 INSULATION FIREPLACE F ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL a t GAS:,-,- ROUGH,.,., FINAL 11 . F:INAL BUILDING r©31 �3 DAT..E CLOSED OUT: r; ' ASSOCIATION PLAN NO. r r `a' The commonwealth ofAfassachuset r. Departrnent of Industrial Acciderjft Office ofInvesfigations 600 Washington Street Bostoxz, lL4 02III www.masr gw/din - Workers' Compensation insurance-Affidavit; g Auilders/Conic-actors/Mectlicians/Plmabers licant Information - Please Print Le gib Name (Basinass/Org d,-,im4ndividnaD- S rrvC l o a Address: City/Stafe/Tip: 1-k il' v d L Phone zu an employer? Check the appropriate bar, I• am a employer wiffi 4. ❑I am a general contractor and I �e•of project(required): . =PIoyees(111 and/or part-tiara).* have hired the sub-contractors 6. []/New construction 2.[] I ant a sole proprietor or partner listed on fire attached sheet. 7. [�'RemodeImg ship and have no employees These sub-contractors have g; [�Demolition working for me.in any capacity.. employees and Nava workers' [No.workers'comp,m =e comp,insrnance, 9 ❑Btvlding addition d] 5• ❑ We are a corporation and its 10.E]IIectrical repairs or additions 3 0•I am a homeowner doing all work officers have exercised their eI£ 11.[]Plumbing repairs or additions Myself[No workers comp. right of exemption per MCI, iusurance required]t c, 152, §1(4),and we have no 12•❑Roof repair MnP1Ayocs•[No workers' 13.❑Dther comp•insurance required.] Any aPPR-ut that checks box#1�mt also fm out the section below ra wing.theff workers' Hnmeowmers who submit flue affidavit mdicatia th arc compensaizon policy infoimetioa. g eY doing a r w sad fhca lure outside cautrectors mast submit a now affidavit mfi-dng each: . �Con>zsctors the cheer this bur mast ariaehed an addihoasl sheet showing the name of the cmPlnyca. If the sob-contractors have employees,they mast sob-cpnizac-tors and stain whether or not those natures hale ptwide.tbea• wcd=,comp,policy uumbor. I am an employer that zs providing workers coazpenszzsion iasur'ance for my emproyem Beloit,is the po&cy mzd job rife zrrfbrmatrort Insurance Company Xams: rq u C j Pz� Policy#or Self-ins.Lc, Expiration Date.k Job Site Address: r► t r► S s i City/stnte/Zip;�d2.dv r— e= �"='y �y� S" Attach a copy of the workers' compensation policy declaration Failure to secure c Page(shoaling the poficp number and expiration date). overage as regr�ed under Section 25A of MGL c. 152 can lead to the• osition of �e up to$1,500.00 and/or one-year mapriso criminal penalties of a Of UP to$250.00 a der as well as civr7 penatfies in the fowl of a STOP WORK ORDER and a fine y against the violator. Be advised that a copy of this statement may be forwarded to the Office of moons of fhe DIA for insurance coverage verification I do hereby certify under the pains a7zd penatfies ofPer1Te3'that the iaformfzon provided above oYe.is trine and correct. Si Date: tl,,lo- 12r Phone -,SZ �6 Q 7c"d ase only. Do Teat}trite in this arez�,to be campleted by city or tom offz� City or Town: Pernhucense# Issuing Aut_h.ority(circle one): I L Board of Health Z.BtuZdingDegartment 3, City/Town Clerk 4.Electrical}:uspector S.Plumbin G. Omer g Inspector ConfactPerson: Phone#: RightFax Fax berver CERTIFICATE OF LIABILITY INSURANCE DATE c411 MM/DDIYYYY) IFICATE 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 and endorsement. A statement on this certificate does not confer rights to he certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: FARRELL BACKLUND INS AGC FAX PO BOX 549 (A/C,No,EXt): A/C PRODUCER MIDDLEBORO,MA 02780. CUSTOMER ID#: 7707W INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A:. TRAVELERS PROPERTY CASUALTY COMPANY OFAIvIER:CA, REA,ROBERT C JR DBA ROB REA CONSTRUCTION INSURER B: INSURER C: INSURER D: 21 ORCHARD STREET INSURER E: LAKEVILLE,MA 02347 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IB TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - ADD SUB - POLICY EFF DATE POLICY EXP DATE - - - LTR TYPE OF INSURANCE L R POLICY NUMBER (MMDDIYYYY) (MMiDD%YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $. CLAIMS MADE .�OCCUR REMISES(Ea occurrence) ED EXP(Any one person) $- RSONAL&ADV INJURY $ . GEN'L AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE $ POLICY E]PROJECT 1:1 LOC RODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY OMBINED SINGLE $ ANY AUTO IMIT(Ea accident) ALL OWNED AUTOS - ODILY INJURY $ SCHEDULE AUTOS Per person) HIRED AUTOS ODILY INJURY $" NON-OWNED AUTOS Per accident) ROPERTY DAMAGE $ Per accident) L ELLA LIAR OCCUR r ACH OCCURRENCE $ S LIAR CLAIMS-MADE GGREGATE $ TIBLE $ TION $ $ A WORKER'S COMPENSATION AND X WC STATUTORY OTHER EMPLOYER'S LIABILITY Y/N UB-5012P624-12 01/21/2012 01/21/2013 LIMITS ANY PROPER ITOR/PARTNER/EXECUTIVE:OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT $ 500,000 (Mandatory In NH) _ - E.L.DISEASE-.EAEMPLOYEE $ 500,000 Ifyes,describe under - DESCRIPTION OF OPERATIONS below E.L..DISEAS - LICYLIMIT,^ 5' 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. JOB:1345 MAIN ST.,'COTUIT MA. REP,ROBERT C JR IS COVERED BY THE WORKERS'COMPENSATION POLICY. ---------------- r �2 CERTIFICATE HOLDER CANCELLATION ri TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE cAkcELLQY BEFORE THE EXPIRATION DATE THEREOF,N6TICE WILL 7DELI )2ED 200 MAIN ST IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT73VE BARNSTABLE,MA 02601 ACORD 25(2009109) 1988-20 9 ACORD CORPORATION. All rights reserved. 9 Massachusetts-Department of Public_Safety } ff Board of Building Regulations and Standards Ccm�truction Supervisor License: CS-101273 ffu` ,` y ROBERT C RgA R_. 21 ORCHA W ST LAKEVII,I.FjMA02347 — �21_,ommi 3E. � tt � ��� Expiration ssioner I C 1 U2412043 f _ HOME IMPROVEMENT CONTRACTOR Registration g163001 T r , ype: Expiration: 5/4%2R13 DBA R EA CONS RUC .O ri=�- ROBERT REA ' 21 ORCHARD ST { t LAKEVILLE,MA 02347 , \a, � Undersecretary Permit Set FRUSZTAJER - TYE RESIDENCE 1345 MAIN STREET COTUIT , MA ARCHITECT., SMART ARCHITECTURE 237 PUTNAM AVENUE SUITE 302 CAMBRIDGE, MA 02139 T:617.576.2720 F:617.576.2827 www.smartarchitecture.net ,r 9 pANCH I ECTU RE TOl Vmn^n^.nu,iWis AE E.wiil0y.M^OE1003!!4 FmsziajedTye Residence lus Mdn s1l.. Cal MA Permit Set Drawing Index: � IwsupmE^slot um0ar A-0.0 Cover Sheet A-3.0 Proposed Bathroom Plans o�. A-12.0 Proposed Interior Elevations mb Cover Sheet A-0.0 "s m I — — — — — — — — — — — � I I — — — — — — — — — — — — 1 I 1 I r - - — - - —� U') Ci + I II � I_` 11 1 I z I I I 1 Y I I z I 1 1 1 I O I c=n I 11 O I I L _ _ _ _ —1 1 O 0 Existing First Floor Partial Plan - Bathrooms 1/2" = 1'-0" 1 1201 SaIaRT ARCHITECTURE Job number 237 Putnam Avenue,Suite 202 Cambridge,MA 02139.3725 Existing as noted Scale v ■ Tye/Frusztajer Residence Conditions Date 01.03.12 Cotuit,MA aj Drawn b Permit Set 9 BE; 77 1 1_.4 l- - � H I y r 1 C' — $ BATH 4 1 �SHOWN $3 !$3 �. DID 101 y ]-t-t L tDs .�i.. Bia"B _pGFI ACH 4-3 fI ° EXISTING I�.y,LI 4 _{ ®: ° .I s -Y $ 1 REMAIND o ppp /` ____\ �1 GFI LADIES: 1 IAVATORV SINWCOUNTERS ON STAINED WOOD VAM1 n s RECESSED ROBERN FRAMELESS MEDICINE CABINET WITH APPLIED WOOD WALL FRAME MATCHING VANITY WOOD, REGISTER FOR FAN. 3 RECESSED TILED SOAP NICHES WITH WHITE CORIAN FLOORS-12NI2'. MOTOR ABOVE TV,R EQUAL BRAND)IS REMOVED IN ATTL ANTE TV,ROOM. < WHrE LOR1AN THRESHOLDS AND WALL TOPS,BENCH SEAT. CERAMICTILEFLOOR. Proposed Lighting Plan B SXVLIGHTCENTEREDOVERSHOWER, 1/Z" 1'-O" ] NEW MAC REGISTER IN FLOOR. Proposed Floor Plan 1/2"= 1'-0" DOUBLE UP EXISTING JOIST NEN LONBHOWERPAN 18.0,L. "I& ,Venn sine URF \` ] r ID]Cnm1IJpe.xM1 031]G.TIi EXISTING SEAM NEN R)2.10 LVL BEAM �1 Frusztaje7Tye Residence 13CduH, BIreM f� II HEAD ON SIMPSN HANGERS FLUSH FROM CNUA,MA HANG ONBLEP IN HANGERS FLUSH FROM NEW DOUBLE 1.10'LVL BEAM �. I I I u tru.atepmy.t]ot 2.10 FLOOR JOISTS EXISTING BEAM BELOWREMAINS i1o0"umear u neMe J ea,x I I o ao.0 Ir Dala —� 1m i NEW(2)2n 1D L4L BEAM I� I I I DM[bC Ey -e Proposed Conditions Bathroom Plans Existing Framing Plan Proposed Framing Plan 1/2"= 1'-0" 3 1/2"= 1'-0" 4 A-3.o Permit Set ,�� ss TocEluwo 'TMATtH Ouss HElalrr GL GL GL TO HALLWAY L. VObU -1 Q COHfRO / ..- tOHfHOL r r.- 1 i ' e e e e \ e e GL—�-. - Interior Elevation Through All Rooms•C Bath 101-D Shower 102•B ---------------------------------- 'r-_____----_-i---------_------------ I I 1 GL GL GL i \ TO SEMOOM O ' / 6YAARCHITECT110.E / rmr..e a..... �.aoaom,�as.aaoaxs.nxa a—GL Frufiztajer/Tye Residence -- 1303 Mein 61ree1 Cdud,MA Intedor Elevation Through All Rooms-A Bath 103-B Bath 103-D r—a 1- i �a wao.n �j1` r4 � checemW m,e IA 'j Proposed Conditions Bathroom Elevations D A-12.0 B Proposed Bathroom Interior Elevations Plan Key, N.T.S. C 1r'_ �r-oe � A-12.0 C) w Ca BATH I .i SHOWER l - BATH 101 �__� 103 i i _ � tY 4'-4.5" --4---4'0" — 5'-4.5" i IT i SMART. 1201 ' ARCH ITECTURE � JObnumber 237 Put—Avenue.Suite 202 Cambfidge.MA 02139.3725 Proposed as noted 4 . 0 Scale Tye/FrusztajerResidence Bathroom Plan Date 01.24.12 Cotuit,MA aj/lm Drawn b Prime Construction Contract Rob Rea Construction 21 Orchard Street Lakeville; MA 02347 508-525-3856 Fax: s License# Robreaconstruction@hotmail.com Date: 4/2/2012 THIS AGREEMENT IS BETWEEN ROB REA CONSTRUCTION (CONTRACTOR) AND,LARRY TYE AND LISA FRUSZTAJER(CLIENT). CLIENT INFORMATION: Name:. Larry Tye and Lisa Frusztajer Project Number: Address: 1345 Main st. Project Name: Tye/Frusztajer Cotuit, MA 02635 Project Address: 1345 Main st. Telephone: 617-823-5386 Cotuit, MA 02635 I. DESCRIPTION'OF WORK ' Demo two existing bathrooms located off of and next to master bedroom. Rebuild according to plans submitted by architect. Contractor is responsible for all sub contractors, skylight and construction related materials. Customer is responsible for-all-allowance items specified,in scope including added allowance items. 11, IN ACCORDANCE WITH THE FOLLOWING CONTRACT DOCUMENTS . 1: Scope, dated 2/21/2012 2. Permit Set, dated III. PAYMENT SCHEDULE Owner agrees to pay.the sum of: - $24,000.00 Installments to be made as.follows: 10%due upon signing of contract $2,400.00 20%due upon start of demolition $4,800.00 30%due upon start of framing $7,200.00 30%due upon start of the $7,200.00 10%due upon completion of project $2,400.00 Funds are to be disbursed by: f Work shall commence on: 4/9/20:12 Work shall be complete within 30 working days. `IV:SIGNATURES410. '` Initials: Client. Contra ctor Page 1 of 2 , 1 } I have read and agree to the terms and conditions of this contract. I j Larry Tye and Lisa Frusztajer Robert Rea, Rob Rear Construction Client Name Contractor N me I Signature - Signatu e 4/2/2012 4/2/2012 Date Date f Initials: Client Contractor Page 2 of 2 I j r ` K- , -• :: y ,. s :.. .,,. a ., x ,.. a: 9 s s Y ,v - � _ :. a ...: - .• r , o- : r n r§ e ti s _ ti r � Ls ,N s t2wcti i y . C-L� a ET I /GLOB. � �"o B7R rx 5 ORK�, �-y 1.o u. ----- •4: �.. _ - Fri--- ._r� a J �j U C - N X fS„TfnLG HOUSE 1 kc.•� ►IoT J. I I 9. .. _. .....:. _—._...r•;:.-..-:- _ ,-. .. _ -- .:_. r. > kI' .�o.!'.' !�►�...."..�_ ai .. •Cry _" Li ~~ _4, -S�Pre.IJ. LLiE 1N Ls.L.LNC � b ' � r -:-6 � c.� � - ---� � �.no�•.c•� � LINED I I �. � vy�����> �w�c eLVles� = i. '*+-- ►---'�•• (-4/Z -' :L»• « �., -�./2 t5b.-- r_l-9%Z:. 40v•-µ I�;ii 2�8" �• - L:vOro4 til3 LU P1ou 1'al3 .; �►1 Z91 os� Town of Barnstable *Permit# g 7a�$ Expires 6 months from issue date Regulatory Services Fee Thomas F.Geiler,Director Building Division Tom Perry CBO Building Commissioner 200 Main Street,Hyannis,MA 02601 P Psi `T-I T www.town.bamstable.ma.us S E P 2 8 � Office: 508-862-4038 Fax: S %0-6230 TO EXPRESS PERMIT APPLICATION - RESIDENTIW%VL�ARNSTAF3LE Not Valid without Red X-Press Imprint Map/parcel Number Property Address_ ! LA IC� M fn of t cb�Q \t ET Residential Value of Work 3 17� 8 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address \ l EW`J"Z i \A Z Contractor's Name �-- e��5� Telephone Number Home Improvement Contractor License#(if applicable) 1 a Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ am the Homeowner ; 0 I have Worker's Compensation Insurance Insurance Company Name CA\r A 1(j'1 A 0 ir, Workman's Comp.Policy# ^]D 1 1P Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) + n Re-roof(stripping old shingles) All construction debris will be taken to esn, ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property O er m t sign rop Owner Letter of Permission. H me rover t Con act icense is required. SIGNATURE: Q:Forms:expmtrg Revise071405 09/15/05 THU 13:55 FAX 508 775 9974 BUSINESS CENTER CAPE COD �J002 wn„c.. ra' ,,.r" n+r \vi,. \Y ••e :,{,." -.w•• r,e; a n,,,.,.c•„ cr,:"n•,+."V"n a��,, aC.:o- `C'•fii\: T'i'Y, \ rinri `y .n,-`l ',:\-;: 'g":;" \ :J. \a -nrrAv S_.:, `Gtii'?uM,C'<..;t`."R. :'9..,�''n,Un\ .w••. \. ,C:' l.h .1,\\' .n' ^+:,\1 ' \'", (• :)\,• ,•\.. 'n :\, :C\`)•";`v..pa,' ,;1.- .dLa`. ..ro'_f?, . ., ^J:,:3, .y., .`�" 7\r'`a`:r\•.V A ,M •1 ,i-ca`:}�:' ti•.,; •,:;c:.:;"\ a'tl,\ f..\,,y ,.n„,;;;-��;;"r ,.a,)`4.''Y"•r.`. R\1 YY•• q.,\•, �� ".•,% ,p;".l \\:trt•:a l' `�' t!\. \'1A4 1.1 \ r,. \.,,\=r.: r 'r.. l_:,:.'i;.i:n,::.a;; ;,r:G•t;:; r ',4,u, rA�\: ?;:lp:r`i'k:.•,V:,.:,,.= h 1\.+\,!,, ,,.� `-J�.� \� �t N,_ ' ` .:. \. n' �),r .A a.; '\:., ., �� ` n\„ \, ,"� ` a �\ F) .n x� �\er:?. \^,.,:!\•, I,`.I,:;,n. aaxi,:,, ,.d,r.,, k.>,, „ •. :'•'•1. .> \,.• -d. .": ,•p^ \ -l 1..W, \ .a•\y '\:1 r hr, Yt:,,,..a..:.,:i�%i�`ri i'r:;;;;ig):< :? ''a c:\:n.,,,W^;O .. . �� rAa \ .k a, !A�••• ,\ \ t1 J \..,`\\:J`;;An„\..,,,..:.v 4., \.'s, n , .\.•,.�\: \, :y`-F �, 1,4 `\ ':C',`^t, \L• 2 '� p,.aCt,n , ,4{•,t,\\ J1\'\ ^\•1" ,S'\C.l);w.'o,•," \.,, ;�,:c;.;:.:;•:;\!,. :nlr::.: aS. ^:•\P < w^ \ r Cr •„o', \ , 1 't \,•`•I'.n,,:\\. >C:ra.o :,y..'g•v(hr„\n• •,C;,a,:. i,vt :•\ .�;\'�\•,,, ,•". }. f`\ .0 o\-tn. ,•Y. \� :\ \t,\,,v, �''r�) \ \tt r.. ,f'. 1. V .) \,,l\;,,�,n'1\:' �\..'C^: :•;:•\.. u... \1\- a^`-!1,`\:`4ay. �'P �- s:: Ccr •'i., \� \„ i.,,. ,.4 ( .\\ „C:1. :�.,.,., �•' ^- \, >„ r;;C„ii-xr:ir;: .\ `�„ `�,: •n\'r,\ \.,.a,\\\,. •Y'„y,.u., ,y\\, rtc,\ ,- a, .1 r \.:\' r.• P, \! ay�•�\,f\,. .b.Ft. i,. .A ^,c'.� .,,`:. :z,,, r,� `. , V. •�� .�,, ,.\. .' '•t'•yv.p\r1\`\'� S,t;l. ,.\ , �'``,�., \t:n`1��+� )�, �\ i` '•` 1\.4 Cy' \.\; \.\�"i H:\\c'F•:n:Aya, w\�;,• ..J;�):r.. h• ,,A'. ', Y "\\ :;\Y•:.��(r.1�\ �!\..A �\ •tl �� ,•(tJ1;1\"^",'1 M1,�Y. ,M�\ 0, \- �) ,, 4 \\:,``:':\+�'••l, ':S\, i ,.\r.\.:`r` r,�:\M•,.,.,.\::w"� ti::.jh;;, Z. 4`>::0\\�C3\\ \�L. .\n�:1�i' •.\,•::.•`� -11Co\4o;C t\.\\.\ �P,,,1 1 n �1\ ` ,n, rC a \t���� 1;,,., .p C\. \" v',ar,, ' 6x .a .\.. ,•\,1,, •((, ^i,„\,•\ 1a a+, '`\,\\ 1(P�Y \a\\\:YC�.,�\\n,\,u'.•c,\`�' L\t\i.,•\1 \._\.\\\AY:�'4:�'Y, <�„�., \S�c.L.:.V),X,..ht�:'<:\ve`:i�:Y�}t:i.`Ll:•?'w,r,�r:.;?;?r \G \•,;�-. ..,,\\.`q,. d�aM,•: \� w „\ f\ \ fVc ,�\\,w \\ c�,fi\�C' .\, .\\\, )H :S, b;7.\y av,., ,\,) ,�n•:a•'\( a \ r,� ,4 \ 7, d<C.. o•\ .�\�;^ ;, \,�, \,\,g \b,\„`4 ffi..0 r�)7,, t� �:•��;a n h�.,�.; ;e:.r enY v.M,,, ,.�:;M'•ti �C'si:;Mt;;' FF: \• \\. tCn.,\,\\ a,. �< \ 1a \,\\ �\ r.. .C� v, o ,� :1- �� a J';n 3;:;�>'\t: ,, .\.r.iw •,\•:. �, ,,\�\... Hl -N n•• -'I".,`1, 113,1'?t., r\ ` ::,\S. 1,`.,J C, .. „`"\\5>'p.,,h?va,�H',;�c\@,y,P`''t::'"•\•"•. `. p\ .h, ,;a:�; \n.. M ,;dW\..\,S , ,y..\ .•,n,t'r, h.w) k-1\. �`\ 1•iv, H.; H� >"1r,,,._ > „`Y^:):..;!;;. \ . `�.1. '\V... :J ,�o a.J\• U u\„1\•a:,. .• \z ,�u v.;t i?:,t,: ,,.r, ,:So•:r ,ir;,, \.h S4 \ \: +•\ .,l••. ;�\•c1s, ..•:1, c �,Ua:\2; .r,. .cv: :a:i .':\".•2'i':\•' :'nT:::;:Z2ar„ n\.• nn, f$�'�, \ N,o �.`?. h�•,nev`;' �,✓�q:'? (':?�:�>::•a':7,,r,::,\i-C';,,,nr•' iC;?n, h. '\: 1 ` \ ::pit^` Y.. `r !`'W.$:^ ::>' Ii•�-..;C:S ?G.; art"••ed, C „•t \. Y •:hi,. .'..v .......,. .. \: .\• :i'\;. ..,tj :..:...:.:.....:. ..:.:.........3S,Pee .Toad Rd. I. \•.: ,'': v\ / .Centervi ,. n, :. k�': ,. \' . 508 '4'20 6216. a• l ll .� ,,...:r :' . .'r...':. ..cell, hone,774-23 8- "�`(+„•;:,: \ \�,r r p 293 8' . , c'.>)>'to,),. ..,,a, \\ :\. 3n " ,�l. ;a a C,. n:Y \. \.,>. �'" ::PF' T+' \\., \ ..; 'Y'TED.' .Q: a \ ;.. .,. ;' . •;~ '::::<c- �. . , n. . .. . :. ; v 'rs A.,. r v:,. .. f.?ii �7.S..I St. Z34S Alain:SCreet Y ,'. w :..: • .:: :.• n.M.. .. :. N ..... ... : . .. : Ca t:::: ... , ..r\.,.1.... ,.. . . . . ;;. F ., ,.. a n :....... .....:' ,..,.:....:...... _ .... . aretaker<17oria>rd Beiioit.11 C ,. , ,.. .. .. 'tN,�•. .. .. , , ... ..::.' ;zl;� ......4 ,N.,: ... .. .. .: .. .. t1 .\. r\ ..., :....... :... : ... l� :ri..: % .. . :. .. I. :•' ::a ...... . :.'..: .... .. ..:..... ..: .. r . . ...:. :: ,,.�. ..1.,.. ... .. ..... .. ... . . .. ... ..: "-. " ..,r .. n, _... .. _.rab;;, iS'rv:"u'�u•�:i`i,�ttYis:,., :. �fi:",,: ro oseao:fllrni9h.tb►c'materu�is:and.. rform.t4e,'�abUS..;ll+ccessa . Or.'.he :'' :> w:' ;"' ,nJ-;A +;;_::; :: ..:,... .. . . . .... :. .... .: Pe. \. �. :. ., ..,,. :.....:'....:. �'f. '"'' ,.: ., a \ . . Y : :: . ........: ',.. \ l� Ill ,!._.•,;,`,,; .,� ,.coin let�o n of the fo�ow .n,:: , . -.... ..... ;. . : . . ... . % % ,. v,... ,, .::....;.:. . ... .. r,:IAA :vb�::'.`..,.:: _\ ,. ..�.... ,,,. .r. ....•.. T.P exlsttn les Remove Z I e .-: . n., ;)a ::? ,. %,. ,,. :':'. .:.::. ca . ,Nn". ed e;, : dg . ...... .. ..... .. .. .::..' ' \.. Instal per_. :..: : .... :,, :'\,r yr ;:r::,.,.;.",:.,.:...,. at.ed :; 1. ter shield.: . .,,,.:,,.:....,.,...... . was :':::::" tee Install & 11---5 . elt er :.. :.,... •:. :::. . ::: t n.,i. .; t; \ :l:'. i` r�s.'. ,. ,, �'. ;..4,,, 11 'ertainteed Waor ` 3 'r...AI ae:Resastant Shan 11 ".. \. \... .` a :.:. I...� . : .. .. ..... . Please.. 11 1'harak You..:'..::....::. 1 .o choice fz m. :',:f:, r ,, Coo (/ ;, ."• ;,::.. ':.::...:.:...:.;:::; a vent M. :,...-_': . d e install cob ra :t c& `'`r.H /r rr :..::.:..,: r bOOfS: ,`.--," �,,.n..r..:.::..:....,. Re lace al ... .,.' ' .: ,. ............. , .:... .,.. eCl.11 "r..bras clean \ .. %;..Add de :. .. .. p ;._; '' I" :,A,: - eraal' 'labor.'c loin ees: \. H:.: Prace tncludes.mat .:;,:..4;;-r,;::.;w;;.:: ,.. <>,': . . ,,;` n ...... ,, ,t,', Z'.;..:.: ..: \. :: 1,\ \ .r.!,...... : .....:•:.;': .rho.' "0111, IV:,�t \ k.. ,,,�... .: n;;,:,..:.. .... ?\. I I ,,,,c::::-.,,:.. " ��. vewoi^kto e�r£oiaed':iai' r; :��-ti ^ -:r err 1,- Alt:matenA its axantee .. be as specifiedI I.. ,abo p. . ' :.: fir,'!,". �-f;x:: cordaa+ce with s eclfications'submitted far.abov and:co�pi feted:�n:a:substsan�i�il ::::`:: `;%:'.%; :�,�;�>.!_, :,: 4. ae p. .. . P ,Y;�r,�,.. :r,: :::..::::....• .. . :',- :, !,n,\!\ rG".\a. \ 1. iv��and'�zne-Hted�&Seven e::�:� -'�>�,"�:'��>;`� °�,::>'�;;;;'� "':, .• -\•:�,`;;,:".,::• :, wo.. .. .Irke'man. . for.:thesunr;of ty'F••?Thirfeen'�Tf�uua N �,..>x, e'in 1 on.:,:. / .start'tiv�alartce:'du Z ,.`+., 5.0 Yth: meats as follows•1 2' liars 13 97 0 w a „\.. o s s. P p Y 'ys< _�.,r :^. GY:>, �:,..:. ':-. . _....r.:.".. _.'...,,.:,_.,,.,.,, ",n:.:., _ _:•:.....:.... eo . . .:.:.. /: . . .....,. ....., ,,,EU .. ? :...:. ..:.:: ;ai>` :•.\.. rw:S?' :. .L::< .l .,: .._::........:... ,: .. ... ...., ,:{,,.rat\,; ....;..• h\:'RS 1 .Ny;.)'„S,: .yt.. n •r.:wrrtt� "•'• �\`C` „x rp`r v.\,.1f;\; ,YL" ; An. 'alteratloll S from-above�'mvolvuu e�.tracosts•:wlillbe'.added..ue . e wr\,\.�\�\.,'..�., •.:.::.. ,.^n. nd beeo an' h e:aver..ai :a o.e's� ed'.estunate a� e>dnie>iit'�:_>: ` '<; ;;:<.,,,:),�,,;."" \�(a,. 1.:. :. ( :.::. ...itiNi, •....:..,• \` a r, n, \ , .`,1 .IN \...,; .,..,..:.... ..I.. •. \fib S nature 1 c ♦T :'„' `� ..t 1., , ACCE�'l� E:pF,plt� 08 % „\,.hr �. v.v.: . �:,N w '! -.. \,. ,,,"••,!'. :.: rkes s eClflca>tloll'.&:condltloIL9:are.satin acto we 1w � ::acce`t11 .,,,,.+.a,. "\ 1.:,:: t:,•.......:,. .. The above p, p rY�. Y. p k ,:,\> ,. \at° :,,.,:. .".:_... 11" ill:be:as s'ecied:abo�e::;'.'` ' a� oft ark sinthorized to do't2le:'wor. ,',:and.;pa a ts''w P :,,;.'. :;���w .`v..,.,;' -">;;:':'. " .y. Yin ^�(� ::,' :,.::''. :'.:. ..'::: �Ina� l� ;' .::: . :•r.. :A...w ,.A .,., ...,.. ... .. ••. �.•��•r.. .-,.7 �` fir. s1 atu ,>, r P- ;.•.:• ::'; k Y 1. ....... .,. ... y. ti ". .. ,.,. . ;. ,, ,...: :.:•. 6 ':h. ' ' t. .r Date. 1' rr:1.:�. , \ :.:a. . • : :\ ;,....r:.::.....R.. man if:nat acCe ted'wit ile:3(1`.cta':s.: :` ;;.,.:,Y„',,;xg-\l, .. :A-r,�;�. '�'h�s'proposal ma 'be wythdrawt,by:sa d.co :. l A,, Y,. t r v .N:•....�. .... .. .. .,. .... ... . :�,. ;,\ A\ %. \ 1. ra ) a \ re.l,, . r:: .. �:l .. ... .. .. .. .. .. . .....,.. Y �., _....... ........ ..... .-.. ..r. ,. .. .... . >.:„:., 3.h l r , .. .. .. ,. . .4,. "+• 2iSr 1 _., .r, r 1• Y.•vC \. \Y.;,V. t . r\ ''1 4..1t„K` , , C .,: .,,rn. r: .Y. \,:,1 ,:..\. .. ....::".,:.:: ..�.,... ..,.,4.,..:.... r_•,/„' .::^...rn,.f.,'.:n.r,v,.n:,, :,p� ;.>.:`„-'`v':•�.•�'M::,'�'•:;.,i'i+ +' ,,, ..::v...,,:,:n .{,:....d:,...nn...,. ..�,� )✓\\4r.,,\ �a .i ..\,,..�1h W:.,..,..:. r,f. F,n:.. \., N �.. C rr • 1 ::7 .4%, vr...v`_vn ,\. ..:....n. \.1� .l f , n •, .. .\ . \, n�,.^,..,,,,..,t:,.;.�.�.;,..,n4n\r:',':::'i.,.....;,.{..,.:.:.,•:�..:.. ..n,, ,.,..!.., i:%'''. '`::�'!,`:r: w�4`,. w v.".•r. ,:.n ., C.:n,`. .,"k,. S .,n.,,'n F .r .,.:., ._,,.`.. ;::..":•`ra.(.'n<•:,e,;:':".,`^r;.,.,. Y,e?': `1 :\ ad 1 l t?. h\ nR,u.4.t.1, a, ,. .k�•d �.. I. Vvs"^ Y (� :r 5. err '� 5 ,.v. trY. r°a� ,�/ - �. :pA' -E,v ...4.• ,C:`:':. "`�t�.,"i:•.::,H;r•>a'':yti:°�•lv,.:W:` s 1. Y* t'� ;� A` ,y i ,.• a!.M1 1, .••,\. \-•� v, Y ' , G�.n r L... .i 'Y ,. .. � : �.w..Y.,. Z\.,v '•:a.,� ,':, y`l�� ,:Y•:,.�.:;,. `,t� '^if,:' M •J C 1 \ L ' —M. M. � 1.••.,U, ...,rrGCi m �?w .C;41.1U.�ftS�1•. ,.w � \,\:�'a�•e`,a,...,.�' r,. •:`:y , ,,.t::,.C.. .... ..:.:„�\• �. fi 'rr�a d.A1 `h L o � '1 v,:`,A:,,Jn.,a..::\,YS„o,..:,. "•• ..�.U:::,".:.a+:v�:,•r'C\^,.. .... .........r. � � K si i ,rtilLl `o� a�VO� ao e a1.11k m N O N d k m Engaineering Dept.(3rd floor) Map Parcel- 069 Permit# House# Date Issued f 9- Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee co Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept. (1st floor/School Admin. Bldg.) 114E Definitive Plan Approved by Planning Board 19 ; RNSTABLE. TOWN OF BARNSTABLE (/ Building Permit Application Project Street Address / 7 5 /�,9/-1<.) s,-/— Village Owner Address Telephone 7 Y6 V -Permit Request s eve /Sf'irt G First Floor c90square feet Second Floor square feet Construction Type Estimated Project Cost $ 6onn Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family El Multi-Family(#units) � Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway 'Ll Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil p Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None Ll Shed(size) ❑Other(size) Zoning Board of Appeals Authorization p Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name ERASER CONSTRUCTION Telephone Number Address 71 TARAG®N CIR. License# CGTUBT MA 02635 Home Improvement Contractor# 7/a l508 42II-2292 Worker's Compensation# &,C/1�(- NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO S IGNATUR DATE 17hi BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. 4 DATE ISSUED MAP/PARCEL NO. Al ADDRESS VILLAGE 5 C-. OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION _ FIREPLACE ~ ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t - FINAL BUILDING. 4 DATE CLOSED OUT , ASSOCIATION PLAN NO. 'W HOME IMPROVEMENT . CONTRACTORS.:REGLSTRATION Board of Building Regulations and `Standards One Ashburton Place - Room , 13O1 Boston, Massachusetts.'O21O8, lyn HOME:'IMPROVEMENT CONTRACTOR ` Registration' 112536: F. at =k �= t 4s -:�.-~- ------ Expir ion tO4/O6/99r� ���w,� :. � s } TYPe.: ;x .�^ •:g � � � �� xHONEINPROVENENT CONTRACTOR FRASER CONSTRUCTION 3 ` ' "` { R0918tration 112536 C. FRASER t ` ' `+ ' DEAN �'�� s�fiy _ YrPe 71 TARRAGON CIR .ExpiratioQ '"°04/O6/99 COTUIT MA 02635 FRASER CONSTRUCTION C. FRASER 1 1ARRA60N CIR COTUIT NA 02635 The Commonwealth of Massachusetts _= Department of Industrial Accidents - - OIIlceatlm�est/gat/oos 600 Washington Street Boston,Mass 02111 Workers' Co m ensation Insurance Affidavit name: FRASER CONSTRUCTION location: 71 TARAGON CIR. city 1021 one# — A�S,21 ❑ I am a homeown per ormtng wor myself. ❑ I am a sole o� rietor and have no one workin in aav ca achy r ///�//,���/ ,vi�✓�,/,�i� •• ,�'"��/�v��".�/"i��a"�i.�7//.%��///yy/�. i�////%/G,;;: I am an empi ation for my employees working on this job. companvname: 'aI 'TAt2llf'-ON GIR ` a aaress• COTUIT MA 02635 {808) 428-2292 dtv: phone#• Insurance en. he 4A Polim# C :S Z U 36 3 ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: companv name• " address• dtv phone#: ininrance cm ;.: . .. 'oliev# ? v¢'r>: •``v:fi WAKINQW11111,4111AM1150AAx company name:address: :.:. city: phone# iesurnnce�co. ::,... :.. :..,..>. . .. oiicv Failure to actors coverage as required under Section 25A of%IGL 152 can lad to the imposition of criminal pens ties of a arse up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP♦VORK ORDER and a tine of S100.00 a day against me. I understand that a copy of this atatement•may be forwarded to the OMce of Investigations of the DU for coverage verilleation. Ida hereby eerd the airs an enalties of perjury that the information provided above is trrr.and tarred signature_ � Date _ � —T Pont name OQA� C' �.ri ca 1_r,n Phone.#` `/ X— B a c1 k of vial use only do not write in this area to be completed by city or town oM dal city or,town: permdtalcense# Building Department, . (]Licensing Board ❑check if lmmedlate response is required ❑Selectmen's office C3He*M Department wntact person: phone#: ❑Other (tevved 9/9S PIA) - - 'tne Town of narnstanle Department of'Health Safety and Environmental Services eo ' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Cressen Fax: 508-790-6230 Building'Commissioner Permit no. Date I AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or,construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost s Address of Work: Owner's Name: Date of Application: I hereby certify that; Registration is not required for the following reason(s): r ❑Work excluded by law ' (3Job Under S 1,000 (31uilding not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEM OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply fora permit as the agent of the owner. i Date Contractor Name Registration No. . OR . Date Owner's Name t gJbrms:Affidav Engineering Dept.(3rd floor) Map _ Parcel ermit# 16 -7 a 5/ House# /cJ � Date Issued 7— g Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) - S'S Y $'� Fee C-to5, 6 o Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) 7/hZ&V THE "%7 V, p �0,-� ��8"tgSTAHLE. d4p� 6f�Yw, TOWN OF BARNSTABLE Building P rmit Application 7rojectAddress ! `� Village OZLI ' Owner ,, ` r Address Telephone —�— Permit Request /d First Floor f square feet Second Floor square feet Construction Type Estimated Project Cost $ - 17 n6 e.-) Ll Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft) Basement Unfinished Area(sq.ft) Number of Baths: Full: ExistingNew Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other �l Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# c At Current Use Proposed Use Builder Information Name Telephone NumberK tl Address License# O O 7 Oi ®� Home Improvement Contractor# o / �L Worker's Compensation# k/Z A j o y 2 F 3 .3 01 f NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES,ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) } • 1• M �AF':y Vh f �ul.`Y+}bl�r,1.3dw.�w5x'��,,a.ku�}R'en'ww.R`�4�•FCisiR:rb:w�io��,ea4»'�3.�i&� J t sip S r«y .i AUGUSTE G. CLOUGH tq� , BUILDER ROUTE 28 A, P. O. BOX 193 WEST FALMOUTH, MASS. 02574�O � (617)548-5654 Ti)r 4 ,. 2 g. -34 It 4r/' ,14 f fi p�C r s GAWE G41Yor I to t A C 0 DeCk ,x 1 \ BUILDER 1 ROUTE 28 A, P. O. BOX 193 f, WEST FALMOUTH,.MASS. 02574 ( � TA 1 - 4y .. DEC 1' G L -- d U .�, co xc���� $� V { • , �' , WOOD 'tts J-� - RE Th I V Iv Gs �� 5 , i qr= T,A ,U TCA Cr a 2 x G �12 0 N a �X CAR A, F At ri DOOM x w ' o Kt r _: :� F �,the�oarwnwnuieald�✓�aoaac/umelt4 'a -�'HOME.IMPROVEMENT C NTRACTOR Z ,. `Rgglstrat'on 100124 x IIVIDUAL Expirafion p„06/09/98 AU6USTE 6 GLOU6H, BUILDER ` �.(l, Auguste 6. Clough x 193/686 W Falmouth Hgw ADMINISTRATOR Falmouth MA 02574 T �,y1ie �omz�rea�uvea,CC� a�✓�/�:xtac�uaell:� ;j DEPARTRENT OF PUBLIC HIETY I CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Birt•:'.Gdte: t CS CW506 93114i1998 O3`14(193`_ AUGCSTE G CLOUG1 PO BOX 193 W FALNOUTH, NA K5714 ,, The Town of Barnstable Department of Health Safety and Environmental Services 059. � Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no.__ Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. .,,IX Type of Work: Est.CostT°J /Address of Work: 3 Owner's Name /Date of Permit Application: �- I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME WROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit 44e a ent of the o r. ®4 Date Cont ctor&ame Registration No. OR Date Owner's Name f -- The Commonwealth of Massachusetts Depart menl ojladustrial Accidents `t i, 600 WitAinrton Street Boston, Alas. 02111 ` Workers' Compensation Insurance Affidavit it an 1nf rn �.� �.....,.. Aacation: /60 V M " city V'L'S� r� /1�'I D 1•C IA _ U,;? Sr'7 12hone# `��6 '26-�f�' rj I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity .,.rawr.:..+rnesrfj- _...�u• --7'..w >�^'T�+.7!'�rcvnwr.fewg7i7�lr`.^4JSiT:i�' ... ..w.?'.K*""�,+r!" 'P9^��'�'^,!7"""^",p�pnfww'�,,..!e.'�...an>�r....,.+v•.a.:e� ..._.�:.,:.... / .. ,.. :d.r�w }....1!n.i,,.. �. .-' YJJrLY� ,�.:r:.G.... ,..GL,.::sa:i• ,_ �__.._ .� _ _...— •/•,..:.•_-, f�:.rr'....W�....«.....�,.� I am an emploverpr viding workers' compensation for my employees working on this•Iob. company name u C 7 � C 0 address 0 V, 3 ON: VE S' _ xg phone#: insurance co. lie # W ^d 2 3 d l I am a sole proprietor, 'general contractor,or homeow er(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: address: cirv: phone#• insurance co. policy# ' ._.�s.:_.,...- rR'.f1!i:' ?t�ati�^^']K;...:'T'C.!'^f"- _ -�f"f"I^i,:i"�..^��57'ir7"7w."��:T'r,:.^"�.;r—e�gUr••:l.� .!...<y �" ..�.,.�.� _._..�«...._..ter=. - .��._..J:a• - a��. - �:�a.a�s.�r:_4T^'-__ __ s.�y..�-... company name: address: city: phone#• insurance co. policy# Attach additional sheet if necessa�y � 4;`'n" _ �" F _lr:.T/^�"..hT`�h.%w�«.�Y_ -� :+,�'�~` r.,+•.�. ....._ _..�__..._..._... .if�•i. - - ,Ys. h —�.3'�. - -�idb:rk>=- "'.•�9fiLP... Failure to secure coverage as required under Section 25A of AIGL 152 can Iead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Mee of Investigations of the DIA for coverage verification. 1 t `herehp certif nder the pains and naltie of perjun• r t the information provided above is true and correct. Signature DD to 22 tnt name ✓ Phone# re — r�_'/ s�otlicial use only do not write in this area to be completed by city or town official city or town: prrmit/liccnse# MBuilding Department Licensing Board I]check if immediate response is required QSclectmen's Office [311calth Department contact person: phone#; Mother Ire%ised 3,95 P1A1- Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' ccnnpcE!sation for their. employees. As quoted from the "law", an emplm?ee is defined as every person in the service of another''under anv contract of hire, express or implied; oral oi•written. �. An einphnrer is defined as an individual, partnership, association, corporation or other legal entity, or anv two or more of the foregoing enga-ed 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 d%aellin�(, house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the -,rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that eweri, state or local licensing agency shall withhold the issuance or rencival 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, 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. ` J S Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits 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. ;. City or towns 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 tite permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you'cooperation and should you have anv questions, please do not hesiiate'to give us a call. y...y�r,+T••.•-.,.............�ro:..s.•• •.•!ev—I@••r•Pw•v�r4-.�•.vR��'Z@•+�Yt�_•.^'FOR'�'Ltf!A►*rA'�+ewMT1R\�w:.¢4�+.Cif..�T�'�.I�aM�rw..W}1►sV.+t�lrl�f'i.'.NVL.tICT',-�Ttv*P+'+�'110►Mwr-„`Tf*4fT' The Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 R'ashington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 pi_OTPt-AM("aifo'-o"K\(l.AMDfl£M£>SCSOWJw,AOOnfD^*Yo«ouSttNCo-rsjlT^••'i SAE5STOLE.TOWNOFBARNSTABLEBUILDINGINSPECTORAPPLICATIONFORPERMITTOTYPEOFCONSTRUCTION19Cc.^.TOTHEINSPECTOROFBUILDINGS:Theundersignedhereby_Qj?plifisfoLOpermit^accordingtgthe following Information:LocationProposedUseZoningDistrict^y.y.FireDistrictNomeofOwner7;^?^^:?^..Address.d^£..AddressNameofArchitect.;Address2^...FoundationRoofingNumberofRoomsExieriorFloorsInteriorHeatingPlumbingFireplaceApproximateCostrDifinitivePlanApprovedbyPlanningBoard19,^'P^Diagram ofLotandBuildingwithDimensions/^5'¥4'I herebyagreeto conform to all theRulesand Regulations of the Town of Bornstableregardingtheaboveconstruction.Name\5^-5'.V\C Henderson,Gerard No Permit for Location Cotuit Owner Type of Construction Plot Lot Permit Granted 19^7 Dote of Inspection . Date Completed ...19 PERMIT REFUSED •p.19 Approved 19 --t