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HomeMy WebLinkAbout0071 WAQUOIT ROAD "r7 l (,vim moos- ' I II i ti , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map— pig Parcel U — I Application Health Division Date Issued Conservation Division Application Fee • i Planning Dept. Permit Fee 4 Date Definitive Plan Approved by Planning Board Historic -'OKH _ Preservation/ Hyannis Project Street Address I/ a6y u o! /Z� Village C 7-2/2 1- Owner � � �v�/Ji i/A k/ Address Telephone 4_ WW � ,�o Permit Request ,Z" .1 ✓�� �� �.� / ere 6-jfa Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 9- GA Construction Type zIf 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 A 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 BUILDING DEPT. Total Room Count (not including baths): existing new First WI0� 0�1 nt Heat Type and Fuel: ,❑ Gas ❑ Oil ❑ Electric ❑ Other 1 TOWN O;�gqq�N Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coaYS� ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 4�4 Z�Welz&r�Q_*z Telephone Number ✓ 7, / Address Z7p� :e�Al Ci rZ License# 0,0 ufi�ca Home Improvement Contractor# /1-r 1�� Email ftii 6,w Worker's Compensation #k2e� e D 3 f C z ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKENTO SIGNATURE DATE Zd&Z Z07 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ti - The Commonwealth of Massachusetts s% Department o Industrial Accidents I Congress Street,Suite 100 q Boston,MA 02114--201 7 www mass gov/dia *� R"orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print LeLftly Name(Business/Organization/Individual):__ f-1 (,�� ,j r l c�([�,�►!;l�I i� Address: City/State/Zip: 6-7 -71 M-4 o*A/Phone#: 3z =775-/d/y Are you an employer?Check the appropriate box: Type of project(required): 1.®I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.rl 1 am a sole proprietor or partnership and have no employees working for me in 8. D Remodeling any capacity.[No workers'comp.insurance required.] 3.�I am a homeowner doing all work myself.[No workers'comp.insurance required.] 9. ❑Demolition 4.[]I am a homeowner and will be hiring contractors to conduct all work on my property. 1 will 10 D Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.[]Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.o I am a generil contractor and I have hired the sub-contractors listed on the attached sheet. 13.�Roof repairs 'These sub-contractors have employees and have workers'comp.insurance? `� 6.�We are a corporation and its officers have exercised their right of exemption per MGL c. 14.®OtherdcY f�ei1/2A77 L'✓1 152,§1(4),and we have no employees.[No workers'comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A•f L .,f-t C C 1 A A -f e 2 Policy#or Self-ins.Lie.#: (_ QQ y3 ItC'1 O,A Expiration Date:_&_D /d0Oj k Job Site Address:'? 11�v//O/9`� ,& �'��J q� City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and enabyes of perjury that the information provided above is true and correct: 9 . Signature: Date: Phone#: 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 r Contact Person: Phone#: a Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-1 0098 Construction Su 8 Supervisor HENRY E CASSIDY\\\' 8 SHED ROW WEST YARMOUJH l 0 Commissioner Expiration: 11/11/2017 i Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Ma oab usetts 02116 Home Improveme l'Co�,tractor Registration - --= Type: Corporation Cape Cod Insulatio n, 'Inc _ f i"�,.,:y l r�'•� I` Regis tration: 15356 7 Expiration: 12 14/2 01818 Reardon Circle So. Yarmouth, MA 02664 - ��� --- Qt SCA 1_i 20M-05/11_---- -- Update Address and return card. Mark reason for change,V/ce�poo���aooac�ealfl o��aa0ac�ccae�la Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only Type`; Corporation before the expiration date. If foun urn to: `.R"eglstration to Office of Consumer Affairs and sl ss Regulation 12/14/2018 10 Park Plaza• 05170 Boston,MA 11 Cape Cod Insulati 1 - HenryCassidy 18 Reardon Circl, ,o � ..._._..� �� V So.Yarmouth,MAC 2w6 :f'' .;Qr_ Undersecretary t al hout si atu A ACORO' CAPECOD-27OYL �..� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDOrMY) 06/32017 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(les)must have ADDITIONAL INSURED provisions or be endorsed, If SUBROGATION 13 WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsbment s , PRODUCER C ACT Rogers&Gray Insurance Agency,Inc. PHONE 434 Rte 134 we No Ex(: ac No: 877 816.2166 South Dennis,MA 02660 mall ro ers ra .com RS F_QAP!NQ COVERAGE _ NAC# s ER Ai Peerless Insuranc INSURED e Company 24198 RE 'Safet In uran a Company Cape Cod Insulation,Inc. 39454 _ 18 Reardon Circle N R ,Endurance American Speclait Insurance Company 41718 South Yarmouth,MA 02664 N RER 'Atla tic Charter Insura ce Company 44326 fflURER E CO E A E INSURERF: CERT [NUM 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, IITR NSR TYPE OF INSURANCE AOOL SUBR A X COMMERCIAL GENERAL LIABILITY POLICY NUMBER POLICY EFF POLICY-EX LIMITS CLAIMS-MADE a OCCUR CBP8263083 EACH OCCURRENCE 1,000,00 04/01/2017 04/01/201$ DAMAGE? RENTED 100,00 MEDEXP(Any one person) 5100 E LAGGRE LMT AP PER: N X POLICY R 11000,00 C LOC N R AGGREGATE 2,000,00 OTHER: OMP/ A 2,000,00 B AUTOMOBILE LIABILITY n ANY AUTO COMBINED SINGLE LIMIT 1,000, AWNED gg 6232707 COM 02 04/0112017 04/01/2018 AUTOS ONLY X AUTOSULED ooNN ppwNEp BODILY INJURY a arson X A� ONLY X At1TOS ONLY BODILY TN R Per cclden P�eccRdenl AMAGE C' UMBRELLA LIAO X OCCUR X EXCESS CLAIMS•MADE EXC10006636002 04/01/2017 04/01l2018 A C URRENCE 2,000,00, DED RETENTIONS RE 2,000,00 D WORKERS COMPENSATION AND EMPLOYERS'LIABILITY X PER ANY PR OPRIETORIPARTNERIEXECUTIVE / R/0 WCE00431802 OTH• F'&'rMEMgeREXC'NERIE N� N!A 06/3012017 08/30/2018 �— endetorylnNH) L.EA ACCIDENT 1,000,00( Ilyes describe under RIP I N ERA ION elo I E E•E EMPLOYE 1,000,00( DE .L.DISEASE•EgLICy LIMIT 1,000,00( Workers DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101etrs,,Additional Remarks Schedule,may be attached It more apace le required) Add Additional I sured stiatus Is l Provided udes cunder ers rthe Gelneral Liability and Auto Liability when required by written contract or ag reement with the Certificate Holder, CE IF ANY OF Thlelsch Engineering Inc. THE SHOULD EXPIRATION THE ABTEV THEREOF,E POLICIES BEC DEL VERED OR 195 Frances Avenue ACCORDANCE WITH THE POLICY PROVISIONS, NOTICE WI Cranston,RI 02910 AUTHORIZED REPRESENTATIVE ACORD 26(2016/03) ` The ACORD name and logo are registered m©sgofACORDCORD CORPORATION. All rights reserved, of s►+e To Town of Barnstable . Regulatory Services w KARNSTABLE, » Richard V. Scali,Director. y MASS. 6 00 � 9: Building Division Paul Roma Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 . Property Owner Must Complete and Sign This Section I, THOMAS SULLIVAN as Owner of the subject property hereby authorize -�-� to act on my behalf, CIJ in all matters relative to work authorized by his building permit application for: 71 Waquoit Road Cotuit, MA 02635 f (Address of Job) .Signature of Owner Date Print Name If Property Owner is applying for permit;please complete the Homeowners License Exemption Form. . C:\Users\decollik\AppData\Local\Micr`osoft\Windows\INetCache\Content.Outlook\L7U69LF2\EXPRESS(2).doc 01/25/17 ;~ tKE Town of Barnstable *Permit b J-�,� ofti 130ding Department Services lrrs 6mout ef'o""f snxivsTeSt$ Brian Florence,CBO MAS& Building Commissioner 039. 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION = RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 71GCJ� �61 c� Residential Value of Work$ 7, 6-00 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address -Y 0�43 Contractor's Name (Z",r d, So 11i'vrm Telephone Number f 7 0-3 Home Improvement Contractor License#(if applicable) ? Email: C(ff CLr .2 ba-d (0 caxc.et S - Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ► . ❑ I sole proprietor � +�� ❑ . pry am the Homeowner I have Worker's Compensation Insurance AUG 28 2017 Insurance Company Name T( W9, 0 /i �d rr /'+ABLE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Reque (check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is re,quired. SIGNATURE: QAWPFILESTORNIMbuilding permit formsEXPRESS.doC 08/16/17 The Coznmornreah*of-Ma ad�iusdfs Depa rkyrezrt of rrtd—us ria Accidents 600 Waskingti obi 119treet Boston,A.02M tc Fourltcrsxg-arldia Workers' CaffipensaficaInsurauceAf EdaviL SederslCantracturslFlecfridansJPhanbers APPRcan#IQfGnmafian Please Print Legibly q�1sf:,trm, ce -�-✓e l-e e Phon*'�' 7. I X1.-7'9 (9-73 Are an employer?f�tecktheappropriatebox ' T of project r I_ I am a employer� J 4. ❑I am a general contractor.and I 6. (New con suctim employees(Tall andfor part-fime).* 1=e lmeItlie soar-contractors 2_❑ I am a sole pmp:ddcw orpartrter- listed onthe.attached sheet.. 7. ❑ReusodelEug slip and have ao employees: Thy sob-coaftactors have S. ❑Demalafiaa wad-into, forme is any capacity. employees andhace wadners' 9. ❑Building addition jl`Ta UP605IS,' Comp,iris ante Camp_kyuran.- respired] 5_ ❑ We are a corporation and its 10-0 Electrical repairs or adclitious 3.❑ I am a bomeotimer doing all wad: officers have exercised fhe<r 1L❑Plumbingrepairs or additions. mysdf[No workers'comp_ right of e i mpfibn per MGL 1,❑Roof repairs insurance reT ired I[ C_152,§1(4k and we have no employees-[No woAmrs' -0 Other romp-iasaranm requireci_] •Any app&®tQlat che�ss box l maw slsn fiIlomEthe settioabeiaar�mdng iEie¢wo�tus'compensaSnupnIi�yiafntms`oa� ffameowaetsrrho snb�t c�ris�da� indc�ag t3bey ue�aing slE;ra�c eudl5ea avdsid�eoasamc;sub�ranemsr�da�i indi�no tech_ fCoaixscioa 8�st d�wX*h hint must attsr1,st addibonsl shed siioteingthenameof line -msnd sEsfewheg et or notrbose middeshnvt employees.If thesabtaatraclaeshweempIoyers,they imrsI pzM&thek workeo'comp.paliyaumber- I arrc all elnpFayeF dtati5.PAnMH,-markers'campm- satin frtsrirance for my empZgam $etow is Mepv&y trad job site• itrformat&m insurance Company.-Farm: Po-ficy 4-or Self-m s I tc. E�ps�tnDate: , Job Site Address= citylstawZip: Ad2ch a copy of the Workers'compensation polrt_-dedEaration pnge(showing the policy number and expiration date). FaAwe to secure coverage as requiredunder Section 25A of MGL a.157—can lead to the imposition of criminal penalties of a fine up to$L500 OG aadfor om--year imprisons as well as civil penalties in the farm of a STOP WORK ORDERand a$me of up to$250-D l a day aaairmt the violator. Be adsdsed that a copy of this statement.maybe fiarwarded to the Office of Itrwre:strgafiow ofthe DIA for in' rramce-coverage yerifrca ion. Iti`a Fteraby rzdVr and the 1#=andpsr s of f.pajtry diatthir irefarnza&n prm rTr*d above ig bw and carrect $itmatu bate: 'd�—g" 1 Phone 0,,ocial use on y. Da ztrrt wrke in dds ar€Q,&r be minpTeted by city artDil a nq`rciat City or Yawn: PermifUcense# Lwdng Authority(dmle;one): L Board of Health 1.Building Department 3.#ityl£own Clerk 4.Electrical Fuspector S.Plumbing Inspector, 6.Other Contact Person: _ Phone#: — -- — -- - 6 t - information and lastructiOUS Magic ]rt �Geneam Laws cliapfe3.152 req=all=nPlOY=to Pie ' emat=for their employem pm uantto this statube,an�Iayse is defined as¢.svezY person in fha service of anotiir under any eanixact ofhire, exprev or ip]ie -oral orvniim" Au et Pk yer is defined as`pan mdividaal,partnersbip,assodon,cozpondm or 0-ffi=legal entity,or any two or more of the foregoing m a Joint eofr�pnse,andmclndmg$e legal�se�frves of a dEceased employer,or ffi.e rec;ejV=or tivstee of an kffVidiral,PMtat�,association or otherlega1 efi-ty,=PIOyMg CMPIDyf--M $OWDVer the owner of a dwelImg house having not more ffian tla= artmenis and who resides fTiereai,or f e;occtrant of the- aI dw ng house of ano$w who employs P=Xms fn do ,tuns ra on or repair work on such&7DI mg horse: or on the grounds or bmldmg appvif�fherefo shallnotbmanse of sash MOPlDyme±be deemedfn be an employes.°' MGL chapter 152,§25C{6)also stgns that¢every state or local li�agencY shall. b old ffie issaance or renewal 'f a$cease or permitto operafe a business or to construct bmldmgs in the comet-onePeal$i for sap applicantw'ho b$s notproclaced acceptable evidence of cdmpl'iancewifii the mCQTa^ce.M4erageregnired_" Additionally.MCrL cbaptr I52,§25 siaffis-Teifiim f3ie c^,,,,,,rmwTi�ra nor nay of its political sub Ewisions shaIl enter into any contmdfortheperfo:ance ofpnblic wm:kmOtiI ac=ptable evidence of compliancevtkh.file mscsance.. r e ents of this cbapterrhave be=p==ft-dto flie mntuctmg.aaihority." Applicants Please:fill oht the worker''compensation aiadavit completely,by chug iheoxes b ffizt apply to your situation and,if necessary,supply sob-ten tor(s)nane(s), addresses)andphone— =Cs)along viaf =certf icsfP-(s)of imsorance Limited Liability Compames 9-LC)or L�itEd I iabz7itp Ps( )'wi6ino e�Ioyees o$�er fig the, members or part ams,are not zbqPimd fn carry woEbc &compensation.insmxam If an LLC or LLP does have empIoyees,apolicyisregai Beadvisedfastthisaffi&#maybesobmiLiindto the Depa-{mentofludnsftial Accidents mr confr�n of fi snranoe coverage Also be sine to signand date the affidavit The affidavit should b eretame d to the city or town that the applica hn for the permit or license is being req'n=hA not the D epai maut of j ai A-Cdd=L-, R onldyou have my questions reg�tiie law or ifyou are reqafi�t3 obtain a workers' compen safi.on pofiey,please call fhe Departeat at fiie number listed below: Self--n:L d companies should enter$Zeir self-msuraace license number on the appropriefn line. City or ToWIL Officials - t Please be sine that flie affidavit is comPleta andpri3:Eedlegmly. The Depa tmenthas provided a space of ff=booms of the affidavit for you to fill out in the event the Office oflnvestigaf ins has to co�actyou regarding the applicant Pleas a be sure to f M is the p=itllicense m=ber which VM be used as a reference number. In addition,an applicant that must submit mvffiple pemaWlic=a applicadons M.any give<a year,need only sab=t one affidavit indicating ean=t p olicy intonation Cif necessary)and•®der"Job Mte ddre&'fii e appEca t Should write-au lorafiens in (may or town)."A copy of•tare affidavitf at has ben officially stamped or maimed by ALa city or town may be provided to fhe applicant as proofthat a valid affidavit is on file for fuirffe'permits or licenses_ A now affidavitrmrst be fMcd out each year.'Where a home owner or citizen is obtaining a U=ms;e or pmmi:t not related to any business or commercial vfttL= a dog license orpennit in bum leaves e#c-)saidPegson is NOT r to complete this affidavit The Office ofIn7csfigaflow WouldEetothankyonin advance for yourcooperation and sbDuldyouhave any questions. please do nothesih2dm to give us a�- 'Ihe I}epa�lete�saddress,telephone and fax nnmber D �c�fflnd�sizzaEArcld.�nt-� • . � E�111 T�1< 617- -494 c�ft 4-06 or 147 ILA��� Fax#617 727 '749 xevised4-24-07 , trfc Client#:44947 2ALLST1 DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 8/11/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - NAME:C Dowling&O'Neil. - Dowling&O'Neil Insurance Agency PHONE 508 775-1620 F'4X 5087781218 A/C No Ext: AIC No 973 lyannough Rd,PO Box 1990 E-MAIL coi@doins.com ADDRESS: Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE NAIC# 508 775-1620 INSURER A:Acadia Insurance Company 31325 INSURED INSURER B:Associated Employers Insurance 11104 All Star Renovations,LLC Richard Sullivan INSURERC: INSURER D: 14 Powderhorn Way INSURER E: Centerville,MA 02632 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 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD MM/DDIYYYY A GENERAL LIABILITY BOA507775914 01/02/2017 01102/2018 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL-LIABILITY PREMISES Ea oNTED nce $50 000 CLAIMS-MADE 51 OCCUR MED EXP(Any one person) $5,000 PERSONAL'&ADV INJURY $1,000,000 GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $2,000,000 _ 7 POLICY PRO JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS ' NON-OWNED POP cid ent DAMAGE $ HIREDAUTOS AUTOS $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WCC50050116252017A 01/02/2017 01/02/201 X WC STL TU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $500 000 OFFICER/MEMBER EXCLUDED? FNI N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy.provisions. CERTIFICATE HOLDER CANCELLATION _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S196283/M186060 CBD Name- tom sullivan Job address- 71 waquoit ave Date- 01/24/17 cotuit MA 02635 Phone- 508-280-5616 Home address- ' Celli- . Emaill- P.O. box- Office All material and work is guaranteed to be as specified and all work will be completed in.a substantial workmanlike manner for a total sum of $17,500.00 with payments made as outlined. Deposit 1/3 $6,000.00 Remainder due immediately upon completion! Please make check payable to Richard Sullivan If paying by credit card please note that there will be an additional cost of 2.75% in addition to any APR that you may already be incurring. , If you would like different payment options please ask. All workmanship is guaranteed. Factory warranties apply to all materials used and we Stand by the products we use and also our customers. In the event of a problem with any product used we Pledge to stand behind our customers to resolve the issue. Any alteration or deviation from the above specifications involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate, This proposal may be withdrawn by us if not accepted within 14 days.. w Any issue of mold n e uilding will not be our responsibility during or after the project. Si natur ` Date of acce tance t�0 The above prices,specifications'and conditions are satisfactory and are hereby accepted. I as the owner of the kproperty hereby author6 you to do the work as specified. Payments will~be made as outlined above. Home Improvement Contractor registration#164857 www.expertrooferoncapecod.com- Construction Supervisor License#103265 AL-L Name- tom sullivan Job address- 71 waquoit ave Date- 01/24/17 cotuit MA 02635 Phone- 508-280-5616 Home address- Cell- Email- P.O. box- Office Job description: new roof (will be stripping off old roof) (main house) 46 We hereby propose to perform the following services in a neat professional manner in accordance with manufacturers specifications and local building code. 1.Supply and install Certainteed brand/Landmark line (limited lifetime warranty ten year surestart protection 10 year warranty algea resistance 130 MPH wind resistance warranty)These shingles are heavy weight self sealing multi-layered fiberglass reinforced architectural style shingles featering copper-ceramic stones. 2.Supply and install Certainteed Winterguard ice and water shield at all eves walls roof vents skylites valleys and roof penatrations 3.Supply and install synthetic water-proof under-layment to entire roof deck 4.Supply and..install new stink pipe(lashings 5 Supply and install 8"white drip edge along all fascias 6.Supply and install vent along the ridge (shingle vent 11) 7.supply and install 8"white drip edge up along all rakes upgrade to Landmark Pro shingle with high def colors palet. install customer supplied copper drip edge valley and pipe flanges fl upgrade to CertainTeed SURESTART PLUS 4 star warranty with online registration of completed job. In addition to the above work we will also clean and remove debris from the work area daily, re-nail roof deck as needed, and clean all gutters. . Find us on: facebook® www.facebook.com/allstarroofers Home Improvement Contractor registration#164857 Construction Supervisor License#103265 .,Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-103265 Construction Supervisor RICHARD P SULLIVAN 14 POWDERHORN WAY CENTERVILLE MA 02632 r�1 '►-= IZ CA-l Expiration: commissioner 08/31/2017 J �ie�a�r,irac�zcaeul�a�'�c�sac�ccaeC� Mee of Consumer Affairs&Business Regulation I HOME IMPROVEMENT CONTRACTOR c Registration:`<-.as1'64857 Type: Expiration; ll'/_1;9/20;17 DBA ALL STAR RENOVATIW9 t r � RICHARD 3ULLIVAN Y� .� :; "o 14 POWDERHORN WAY ; CENTERVILLE, MA 02632 ` Undersecretary~, Assesse.r's map and lot number .:..�a ....�.. .:.... ®'� • / C� 7 { SEPTIC SYSTEM `MUST BE r, r INSTALLED IN SO age,',,Permit number.. COMPLIANCE WITH ARTICLE II STATE . SANITARY yocTHETO Sty TOWN OF BARNSTIAIR ANC row ► P ♦ �, m " 9°° oYe� BUILDING INSPECTOR' tj APPLICATION' FOR PERMIT TO, ....................................... ........................................... �. TYPE OF CONSTRUCTION ... /" RUC .!.T ............. .......... % ......................... y t r., :..... ..................I9.TO THE INSPECTOR 'OF BUILDINGS: / The undersigned hereby applies for raa,permit according to the following information- 7- Jam' Location .......... �� l /�-.c !... ... 1t.. .............................. ProposedUse ...........I.................................................................................................................................................................. a/y Zoning District Fire District ... ............................................................. / Name.of Owner ..� t/....Address";5�5... / 0.6.22). 2:. �l A � � Name of Builder ./...U ....�.�l.C!!°�'` �$ .............Addressa„kl C..G�t � .< .. ! � �... .Name of Architect ............. ....................................................Address. .................................................................................... /to..........:Number of Rooms ........................ Foundation .. . . . Exterior .......�wob.Z /�..............................Roofing ..��� �� ....... Floors <.. 1.� ......... �`s ,(1 �.. - ..............\................./................Interior :............:...:..........................`........,. .... ' Heating lV.. C{1,gCL/: �lt....... ,'...Plumbing ................ Fireplace .:.... .' _._- . ................... ...............Approximate Cost ...........�� G? r....,... , a9�� �Ry Definitive Plan Approved by Planning-Board ________________________________19________. Area ...... . -/.'. .....................�...S Diagram of Lot and Building with Dimensions Fee . ..r'.............. ..... SUBJECT.TO APPROVAL OF BOARD OF HEALTH 14 i o 7-1 '��W I hereby agree to conform to all the Rules and Regulations of-the Town of Barnstable regarding the above construction. Name if .�.. . .......... Carretan1, Jmaeob S.18583 - ` ` . . one mtmzy* Noj................. Permit for ---.---.----- n_ ! ,�,single family dwelling ` -------------..-----.------.. ' - \ Waquoit Road & ` Location r ................r—.-------^-- ........... � Cmtult / � ^ ----..---^----_---------�_^_—. . . Joseph S. Carretani . Owner .................................................................. frame ^ TylSa'of Construction ...................... . ----.� --.—.----------.------.. ^ , '� .. Plot ............................ Lot .................... ---..' ~ ' . Permit Granted . . � . ' Date of Inspection2 ~ Date Completed ... 7 l ` PERMIT ~ �7lA-----.----.-----.^--��— � /..--.—.----~-----------. ' ' � --- .-----------. ,--- ° � '--.------. —.~......—....—..:,«—....-. Y --------------.—.-----. —..�— _----.---'------. lA . . ........... ------- --------------.------.---.... ' ~ � | �� LA"I'•' i.; ry, nt d t �. t _ r ,.t; } i t r,'t ,gym q... J t ' r4 '.k h'1 ti : ' � 'R, F .. , s °r '. 'q� °'f•�f.t t d fit F - i�,� � Iit t .ti rt3t I `� :r 4gW r .i{", _ t: ,x7 t[S#y,l �: ¢I r'4� 4•r f °.:. 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