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AUX ` Town ®f Barnstable *Permit# zao
TO v V O •, Expires 6 mouths fr issue dote
H►ea, �,LE Regulatory Services
Fee
nb� Thomas F.Geiler,Director — 4
Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma,us
Office: 508-8ti2-403 8
Fax: 508-790-6230
E"RESS PERMIT'APPLICATION - RESIDEA TIAL ONLY
Not Valid without Red X-Press imprint
Map/parcel Number. 7 Q O
Property Address 1,6o / J n ,
[residential Value of Work � q� S
Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address '
U o S7�c�G
Contractor's Name
Telephone Number 5o g-q A e--,;Z p 9 p.
Home Improvement Contractor License#(if applicable) oC�j l�
Construction Supervisor's License#(if applicable)
Oworlcman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
JX I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy# C( i Q
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
Re-roof(stripping old shingles) All construction debris will be taken to ,
❑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: ro Owne ust si
gn
�wner Letter of Permission.
Home ense is required.
SIGlolti, IiB;
Q:Forms:expmtrg
Revise071405
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass.govldia
Workers' Compensation Insurance Affidavit:Builders_/Contractors/Electricians/Plu>inbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual):
Address: C) ' ), 1 gqj.
City/State/Zip: C,6(7 WOL. U 9,635 Phone #:
Are you an employer?Check the appropriate box: Type of project(required):
1. I am a em to er with 4. ❑ I am a general contractor and I
p Y 6. ❑New construction
employees(full and/or part-time):* have hired the sub-contractors
2.0 I am a sole proprietor or partner- listed on the attached sheet. ❑Remodeling.
ship and have no employees These sub-contractors have 8. ❑Demolition
workingfor me in an capacity. workers' comp.insurance.
y p tY• 9. ❑Building addition
[No workers'comp. insurance 5- ❑ We are a corporation and its
required.] officers have exerc`ised'their, 10.❑Electrical repairs or additions
3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions
myself. [No workers' comp. c. 152, §1(4),and we have no 12.iKkoof repairs
insurance required.] t employees. [No workers'
comp. insurance required.] 13.❑ Other
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic:#:' �T X U l c? Expiration Date:
Job Site Address: �QU �'4�e City/State/ZipC1Q�G 3S
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 herebYxeeti,AL ler t s and anal s o per ry that the information provided above is true and correct.
Sign e: Date: a
Phone#:. 150 9— L of
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
• 'a
Fraser Construction
CONSTRUCTION
Roofing & Siding Specialists
ROOFING & SIDING
SPECIALISTS
P.O. Box 1845, Cotuit MA. 02635
508-428-2292 Email: fraser construction@verizon.net
www.fraserroofing.com
Phone 1-508-428-2292 & FAX 1-508-428-0123
RE-ROOFING PROPOSAL
DATE: July 31, 2007
NAME: Marie Oldoni PHONE: 508-428-5038 Mom's
MAIL ADDRESS: same 781-944-6144 Kevin's
JOB ADDRESS: 100 Stub Toe Rd. 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.
Color: > p__ ��,,� 1
�r1��- � RICE- $6,050 Initial
Price includes new White Cedar Side Wall on cheek between garage & main house
Price includes waterproofing the chimney
Supply & Install - CertainTeed Winter - Guard: (ice 8s water shield)
Waterproof Underlayment System (3ft. on eves and
valleys, 18" on rakes, walls, and skylights)
Supply & Install- Roofer's Select Underlayment Paper (as recommended
by CertainTeed)
Supply & Install-- Hick's Ventilated Drip Edge.
Supply & Install- Aluminum & Neoprene Soil Pipe Flashing
Supply & Install-Air Vent Ridge Vent (as recommended by CertainTeed)
i
Clean & Remove - Debris from work area daily.,
TOTAL INVESTMENT:
LANDMARK/WOODSCAPE AR 30 - $6,050
Price includes white cedar on cheek between garage & main house
Price includes waterproofing the chimney
*4 Star Warranty Upgrade will be applied if proposal is signed and
returned within 10 days. (see enclosed brochure)
2% Senior Discount
Payable 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 18%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
over and then plywood en re-installingthe plywood. If P 3'�' needed, this would be charged for
as an extra at the rate of$4.00 per panel including Materials
P P g ials 8v Labor. There are 6
Panels per sheet of
plywood.
1 ood.
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. t
CERTAINTEED 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:Carries Workman's Compensation and Public Liability
Insurance on the above work, certificate available upon request.
DATE OF ACCEPTANCE:
Homeowner v Fraser ons ruction -
a
Board Of-BuR
One Ash y I've lat'Ons and Stand.
t®n Place m Room 13 01 ds
BOst®nq lWassachusetts
Home ��°®ve�.e.nt.,C0�. 0210�
'apt®r Registration
��� �® Registration: 112536
CONSTRUCTION CO, Tvpe: DBA
�•®, BOX1845 R Expiration: 3/23/2009
P-0- � Te# 127920
COTMA 02535
')PS-CA7 0o SpM-p5/pg_pC8480 - -
__ dress and return card- �
❑ dress k reason for
-- ------
❑ BBene�ral ❑ Enaplog ffient change.
® of�uil
ding y�e�ylations and Standards
- --- -
Fl®iy1E 1MP ❑ lost Card
�EANENY COiNTRACYoR 14vense or registration
top Registration: i 12536 before the l( d valid for iudivtdul
Expirayan: �djng.on date, Zffound re rue only
' hoard
`fi3/2009 Ts# •127920 ®f������lations and to;
e: DPA4 i One Ashburton Place y301 Standards
DRASSER COINSTRUCTIGN CO., .j r -Boston,1,a.021o8
EAN FRASER
4556 RT 28
COTUIT,MA 026a5 ���
'administrator
I�ot valid�atla®mmt sl
gnature
Aw
r449
;:.;:.::.;::.;:::.::.::::.::.>:.;.::.::.::.;:.;......::::.::.
................... ... .. .. :: :::...............:.::...............::..........:.:.......... ATE M D
al
CER THIS CERTIFICATE IS ISSUED AS A MATTER OF (INFORMATION
& gUINN INS AGCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE,
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ORk
PLEASANT ST ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
KTON MA 02301 COMPANIES AFFORDING COVERAGE
COMPANY
CB HARTFORD UNDERWRITERS INSURANCE COMPANY
COMPANY
FRASER CONSTRUCTION CO _ B
PO BOX 1845
COTUIT MA 02635 COMPANY
C
COMPANY .
D
...`l�.6.�F A ..:::::::.: ..:.:::::::::....:::::::::.;.:....:::::::::::. .....:::::.:::.....:.::::::.::..:.......:::::::::.::........::::::::.:::..::::::::.:::::::.:...................
:....
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE ::.: :;::.;::»:>.:;::>::s:::<:>:: <::::::<s;.....
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM SOR CONDITION VOF ANY CONTRACT OR OTHERRDOCUMENT WITHERESPECT TO LWHICH 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.
Co
LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
DATE(MMU)D\YY) DATE(MM\DD\YY) LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $
PRODUCTS-COMP/OP AGG.
CLAIMS MADE�OCCUR. - I $
PERSONAL&ADV.INJURY OWNER'S&CONTRACTOR'S PROT. $
EACH OCCURRENCE $
FIRE DAMAGE(Any one flre) $
AUTOMOBILE LIABILITY MED.EXPENSE(Any one person) $
ANY AUTO COMBINED SINGLE $
LIMIT
ALL OWNED AUTOS
SCHEDULED AUTOS BODILY INJURY
HIRED AUTOS (Per Person) $
NON-OWNED AUTOS BODILY INJURY
I (Per Accident) $
6
$
GARAGE LIABILITY PROPERTY DAMAGE
ANY AUTO
AUTO ONLY-EA ACCIDENT $
OTHER THAN AUTO ONLY: _
EACH ACCIDENT $+
EXCESS LIABILITY AGGREGATE $
UMBRELLA FORM j
EACH OCCURRENCE $
OTHER THAN UMBRELLA FORM AGGREGATE $
A WORXIER'S COMPENSATION AND
EMPLOYER'S LIABILITY (UB-794XG 19—1—06) 09-26i-06 09-26-07 STATUTORY UMITS
:.......
E PROPRIETOR/ EACH ACCIDENT
PARTNERS/EXECUTIVE X INCL $
OFFICERS ARE: EXCL DISEASE—POLICY LIMIT $
OTHER DISEASE—EACH EMPLOYEE $ 500 000
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/RESTRICTIOMS/SPECIAL ITEMS
THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIF
ICATE HOLDER AFFEC
COVERAGE.
SHOULD AMY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE+
EXPIRATION DATE THEREOF, THE ISSUING COBIPANY WILL ENDEAVOR TO MAIL
ERASER CONSTRUCTION 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
PO BOX 1845 LEFT, BUT FAILURE TO MAIL SUCH MOTICE SHALL IMPOSE NO OBLIGATION OR
COTU I T MA 02635 LIABILITY OF ANY IOND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
..............:�::: :: :::.. :•::::::::.�::.:�::::::. :v::v::.:�:::.::�:::i::::::.:�:::::::::.::::::::::•.�::ii::::.:�:::.�::.�:•:.::•:....�..�n�..-:F:::::: •. :n.::::.�::::.............
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Aooeoao/y mop and.lot number
, k
THE
6avvoQa Permit number -' ...........................
�
r
House number ---------- ................... ]
-' �
1639
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| BUILDING
0 �� ��N ������ N� 0m � NN ��INSPECTOR
'
� APPLICATION FOR PERMIT TO ...................... ngj7t................................................................................
�
Wood Frame
TYPE OF CONSTRUCTION --------------------------.,_____._,^___.__._____
~
.10--
�
� TO THE INSPECTOR OF BUILDINGS:
�
The undersigned hereby applies for o permit according to the following information: �
Lot 40 Stub Toe Road, Cotuit, Ma.
Location -'.---.-.-------.-------------------~.-.-~-----..--.-___-,,.,,_____-.
Residential Proposed Use .
-------.--------------~-.^-__________,___,______.-.--------~ `
� BC C0tuit ]
Zoning District ------.---...--...------.-.Rno District .------~-----~------_,____.. ,
The.o Construction Co. 24 Great Pond Dr. , S. Yarmouth, Ma.
Nameof Owner -------.-.....-------------.A66,ea ----------------..-----------.
same
' Nome of Builder' ----------------------A66rmo -----.-.-.-..----..-.--.~..~.-.-,
� '
0/A
Nome of Architect -.��--------------------A66reo --------------------~------- `
� l
Numberof Rooms ...5.............................................................Foundation .....................................
|
cedar shingle asphalt shingle �
Ex|eriur ----------------._-----_----'Kuofing ----..------'.......-----------.--..
plywood sheetzock
Floors --------.................---------------|nte,ior ------------------__________
1 1/2� ba-V-S.- --- �
Heotin{. - -------------------------F1um6ng ----......----.-------__~______..
`
one ~ ' $25 OOO /
Fireplace ---------------------^-----.ApproximoheCoo ...............�-------_,_,,____,_. |
Defnh�ePlan Approved by Planning Board --Sept. 31 19-9-3-_. Area --------------
�
� Diagram of Lot and Building with Dimensions Fee ---------------
SUBJECT TO APPROVAL OF BOARD OF HEALTH �
`
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OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
-
| hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. ' ]
C000t. Sun. Lic. 01068110 /
'` -'`^^'-:r^^'~^^^^'-^-----------^`^ �
� .
THB0 C0NST1UJCTI0N)0. A:--40-108
�� ,/6791,
No AAM..... Permit for ....one..St.or.y............
.......Siragle.-Fami-ly..JV&-J-j-j-nc
.......................
Location ...I�Qt--40-o......100...St.U]3,.qbe...Road...
. ....................cotuit.............................................
Owner .....r1hea..Corjstxuc--Uon..co�...............
Frame
Type of Construction ..........................................
................................................................................
Plot ............................ Lot ................................
Permit Granted kW..22,........................19 84
Date of Inspection ....................................19
Date Completed ......................................19
sor's map.and' at number, 0'.�® fT`HET�Y
�,. A o 0
.g it u ........ 3. : Ali............. /� ..,SEEP,I
Sewage Permit number - g� INSTALLED
� �.
4 � .w
House number NS I ALLED W� ''� �T$�
.................
�v
r
h� WITH
fi6q�u .�E L MAI
.� TOWN OF * BARNSTAMLELATIONS
Nl/I .�-SULco D
J BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ......................C.Qx1aJ;X-UD.t.................................................................................. _
TYPE OF .CONSTRUCTION .............................Wood Frame............................................................................. `
19........
TO THE INSPECTOR-OF BUILDINGS:
The undersigned hereby applies for a permit according Ito the following information:
Stub Toe Road, Cotuit, Ma.Lot 40 •
Location .....................................................I................................................................................................................
. Residential
ProposedUse ........................................................................................ .... .... . ............:................:................
RC `Cotuit
ZoningDistrict .................................................................. —.-.Fire District ..............................................................................
Theo Construction Co Address 124 Great Pond Dr. S. Yarmouth, Ma.
Nameof Owner ...........................................:........-........ ................................................'....................................
same
Nameof Builder• ................................. .. .......................Address• ....... ...........................................................................
r t
Name of Architect N/A
Address
Number of Rooms ...5.............................................................Foundation .poured...cats-crete.....................................
cedar shingle asphalt shingle
Exterior :...............................................................................Roofing ...................................... .. ....:: `.
Floors Plywood sheetrock
........... ........................................................Interior ....................................................................................
Heating F.HW—gas. . ................ ............................Plumbing .....1.. 1/2 baths
:............ ............ .. .
Fireplace ..................one........................................................Approximate Cost .........2... 000 • >�...
........................................ ...
l �.:. ..:....
Definitive Plan Approved by Planning.Board _Sept. 21 19�_3___. Area ..... ....../...../... G i
Diagram of Lot and Building with Dimensions CD b I
- g g . � Fee. ............................n.............`..
SUBJECT TO APPROVAL OF BOARD OF HEALTH
5 YA
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.
Const. Sup. Lic. 016681 Nam .......... ......... ... ... .........�...........
e r✓. 5 .
�� CONSTRUCTION (30.
{
2ra4.7.0.... Permit for ....9x1e..StQxy.............
f
.....Sizig-Le..Fama1y..Dwelling.........................
Location .S.ot...40......100..Stab..Toe-Road.....
...C;otaait............................. �.
Owner :.. Theo Construction Co.....•.........
Frame
Type of Construction
.... •........................... .............................
plot ............................ Lot. .............................
w
Permit Granted .....1" y...2 :.....................19 84
Date of Inspection ..................19
DateCompl, d ... S';`'.': .............19
r f
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""`* TOWN OF BARNSTABLE
*�•s Permit No. -----------
Building Inspector
�au7Tant Cash
OCCUPANCY PERMIT Bond
Issued to Address
Wiring Inspector Inspection date
Plumbing Inspector / ,% /t /► _ - Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
Building Inspector
.. - - -- FROM ..
(— TOWN OF BARNSTABLE
BUILDING DEPARTMENT
Mr. Francis Lahteine Tmm Clerk IU�AFN STREET HY ►�INtS, MAt�26Q
*
. . Phone: 775-1120
SUBJECT:
FOIO HERE • -
DATE
A G E
22
Work has bEA1 ccap*.. leted under yPe t'#26470'(Thoo� COO
Please release Bond.
. -,7
SIG ED - -
DATE
REPLY
SIGNED • "F.'
i
Ne7•RMF RECIPIENT:RETAIN WHITE COPY,RETURN PINK COPY'
• • _ PRINTED IN U.S.A.
-SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES.WITH CARBON INTACT:
/HEREOY CERTIFY MW r TiWU LOT/J /Or LOCAMR /K FEOEiPA�. FL 000 NAZAI�l�L�a%f'
' A"AS SAWN ON THE FLOOR-INSURANCE RATE AMP FO/R' THE TOWN OF
COM /Ty PANE, N0, 25ado/oaMIEFFECT/YE OATEj ���'
17-7
ER RAYM
5 800 3,f
Lo T: 40 � LoT4/
Val 61 ,
6Y1 bT
POU Al D.
52 t
S l06 rJ6 2aAD
I hereby certify that this foundation is located
on the lot as shorn and conformed to the Town of
,P// L
Barnstable Zoning Regulations,regarding setbacks
` from street lines lot lines. at the time it .
was ru F
j
r i mot P�A wAa�nr�aAaE �OUNPAT/ON 4400 4T/ON PLAN
AID' MA/srmwENr oilewYANO /.i FOR THE � d T: � U; .STU.Li TD E •'iCOf��
USE OF THE BANK'QWkY. IINRER NO
C/RMACYTANCE.S ARE OFFSETS TO BE 00W/T' C,dh.t�k16 7- L CS)
. IhSEO FOB' FENCE. , WUkd NEMEC"
NNEO BY: T/lEo e_ gwf>�-�2ur r
19 OF M9��'C AAWW E' N�'EI!/N6 /MC.
RoaERr A fe0 EAST �iNOUM HIGHWAY
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