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Home My WebLink About0044 HI-ONA HILL ROAD L `ii - ... � 4 2 •� .... , .. r 4 '� \ n s )� j a � .;a F �`� ` � � �� .. � o j ,. .. . c. �. it •. ik o .. ,. I' ., .,. e -� � .. .. f. �. a 61 Zzl!� 0 Town of Barnstable *Permit# — 7 Expires 6 mon&s from issue date Regulatory Services Fee 3 — anaxsreat.e. Richard V.Scali,Director Building Division o Tom Perry,CBO,Building Commissioner �uN 2 ��jj 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.usTOWN OF BARNS),,- Office: 508-862-4038 -790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Map/parcel Number 24-7 ! 6 e Not Valid without Red X-Press Imprint Property Address 1 1 ' 6NA ixxy alc- Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name • ,�(�@�I� 1�� Telephone Number Home Improvement Contractor License#(if applicable)___.-(4g157- Email: 7Work co on Supervisor's License#(if applicable)) ®$$5 S man's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ am the Homeowner I have Worker's Compensation Insurance Insurance Company Name VWTAO—D V0 R-WrzSMF-f 3,05. CA Workman's Comp.Policy# V 3 3 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Goinf over existing layers of roof) El Ide ER"Replacement Windows/doors/sliders.U-Value 3� (maximum.32)#of windows .� #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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 required. , A SIGNATURE: C:\Users\Decollik\AppData\L.ocal\Microso8\Windows\Temporary Internet Files\Content.Outlook\2PIOlDHR\EXPRESS.doc Revised 040215 #F r Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-01=95 Construction Sup rvisor. ALEXANDE.R M RANNEY 239 SCUDDER AVENUE , HYANNIS MA 02601 Expiration: Commissioner 04/16/2018 Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. Failure to.possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visa: WWW.MASS.GOV/DPS ,.. /-J�f f(`txl/U)fn7ttl P�I�117 I'/r jl.C/�((I'lt!(ol flr Office of Consumer Affairs&Business Regulation Massachusetts _f3eoartrrsertt of Rit:hise Safefy OME IMPROVEMENT CONTRACTOR Board of Building Regulations and Stan reds tegistrataon. 144752 TYPE 5 irat�on 11/2/2016 DBA Construction �s�aPcrr ia�?,; 4 f' P License CS-088595 RA Y&RIMINGTON:CUSTOM CARPENTRY , § bi ALEXANDER M ALEXANDER RANNEY 239 SCUDDER AV* i Hyannis MA 0260ii 239 SCUDDER AVE g _ Y � . V HYANNIS,MA 02601 Undersecretary r . �✓,�... ..11d4 . '' i"A Expiration 04/1612016 License or registration valid for individul use only Unrestricted-Buil gs of any use group which before the expiration date If found return to: contain less than 3 ,OOU cubic feet(991m)of Office of Consumer Affairs and.Business Regulation 10 Park Plaza,-Suite 5170 enclosed Space. Boston,MA 02116 Failure to pos ess a current edition of the Massachusetts Not valid without signature State:Build! -Code is cause:for revocation of this license. For DPS Lice sing information visit: www.Mass.GoV/DPS } rczgnztax IrL-J ts!iGI GUJ 5 1V!JZ:d% AM VAUL -ZI UU•Z Pax berveP CERTIFICATE 4F LIABILITY INSURANCE DATE gliggn/YYYY) T IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT'S UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY:OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, HIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(SJ AUTHORIZED REPRESENTATIVE tORTANT':It the certificate holder Is an.ADDITIONAL INSURED,the pollcy(les)must be endorsed. II SUBROGATION IS WAIVED,subject to 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 endomemen s. PRODUCER CONTACT NAME: ROGERS&GRAY INS AGCY PHONE FAX 434 RTE 134 (NC,No,EXQ: (A/C,No): E-MAIL SOUTH DENNIS,MA 02660 ADDRESS: 23TSF INSURER(S)AFFORDING COVERAGE NAIC# INSURED 1 INSURER A: HARTFORD UNDERWRTIBRS INSURANCE COMPANY RIMINGTON,PATRICK&RANNEY,..ALEX DBA RANNEY& INSURER B: RIMINGTON CUSTOM BUILDING INSURER0: INSURER D. PO BOX 816 INSURER E: MARSTONS MILLS,MA 02648 INSURER F; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: WLICIES OF MM USTED BELOW BE O THE INSURED NAMED ABOVE FOCI E POLICY PERIOD INDICATED. STANDING ANY REMOREMIENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BEI$SUEO OR MAY PERTAIN.THE WSUBANCS AFFORDED BY THE POLICIES DESCRIBED HEREIN I SUBJECT TO ALL THE TERMS,EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PART CLAIMS. NIA ADO SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (kRAMYYYY) (MMIDDIYYYY) LIMITS GENERAL LIABILITY [AC OCCURRENCE $ COMMERCIAL GENERAL LIABILITY GE TO RENTED $ CLAIMS MADE OCCUR. ISES(Ea occurrence) EXPJAryr one Person) $ ONAL S AOV INJURY $ GEN L AGGREGATE LIMB APPLIES PER RAL AGGREGATE $ POLICY .�PROJECT LOC UCT$ COMP/OP AGG $ AUTOMOBILE LIABILITY BINED SINGLE $ ANY AUTO LIMIT(Ea-accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per peSon) HIRED AUTOS BODILY INJURY S NON OWNED AUTOS Per accident) PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ ` RETENTION$ $ A WORKER'S COMPENSATION AND WC STATUTORY OTHER EMPLOYER'S LIABILITY YIN US-2ES31333.15 00612015 06106/2018 X L&TS ONY FFICER E MBERIEXCLUDEDXECUTIVE 'NIA t E.L.EAC,H ACCIDENT $ 100 000 OFFlCERrAAEMSER EXCLUDED? 01ta+d—Y InNH) - E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,desWbe under DESCRIP71ON OF OPERATIONS below E.L.DISEASE.POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLEWRESTRICTIONSISPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE, THE INSUREDS MA WORKERS COMPENSATION POLICY AND ITS LIMITED OTHER STATES ENDORSEMENT AUTHORIZES THE PAYMENT OF BFNEM FOR CLAIMS MADE BY THE INSUREDS MA EMPLOYEES IN STATES OTHER THAN MA. NO AUTHORIZATION IS GIVEN TO PAY CLAIMS FOR BBNERTS IN SPAT85 OTHER THAN MA IF THE INSURED FIDtES,OR HAS HIRED EMPLOYEES OUTSIDE OF MA.THIS POLICY DOES NOT PROVIDE COVERAGE FOR ANY STATE OTHER THAN MA, NO PARTNERS ARE COVERED BY THE WORKERS"COMPENSATION POLICY. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE 7HOROF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIO AUTHORIZED REPRESENTATIVE N— ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988 2010 ACORD COii is reserved, AN'NEY + PO Box 816 1p'R�' IMINGTON Marstons Mills;MA 02648 Tel 50$.428.7147 info@thecapecodcarpenters.com Fax 508.428.7167 RENOVATIONS•ADDITIONS•CUSTOM HOMES TheCapeCodCarpentersxom Walsh—windows and storms doors-revised TOTAL LABOR& MATERIALS $ 4,468.25 Initial deposit requested to schedule work $ 15000.0011 Due upon receipt of permit and ordering of windows & doors $ 2,000.00 Due upon completion $ 1,468.25 Please note-our standard contract: • This estimate is valid for 30 days. • No additional work is included in this estimate unless described in writing.. • Deposits and payments are not refundable unless otherwise noted. - • Contractor is not responsible for any damage to lawn or plantings around demolition area. • Contractor is not responsible for any damage to interior furnishings that may need to be moved to complete work. • AIF c'an,^.ruMion^uastcand replaced items(including vNrdo",doors&dpplim•ces),M1.Vbe onmidered eisposablc.=!v.y wherindicatcd by pFoperty ownei. .. ,.,.,.. .._... Property owner is responsible for all costs associated with hazardous materials,lead,mercury storm water pollution discharge or costs associated with American Disabilities Act requirements if necessary. • Any repair,moving or installation of alarm system is the responsibility of the property owner. - - Customer is to supply all paint if any is being used(unless otherwise specified) - • Property Owner agrees that Ranney&Rimington Custom Builders may display a small sign on the property during the duration of the work and one month after completion. Property Owner is responsible for any and all engineering,site plan.Conservation,Zoning,andfor Historical costs necessary in association with obtaining anyy.necessary permits unless otherwise noted. • All home improvement contractors and subcontractors shall be registered by the Director and any inquiries about a contractor or subcontractor relating to a registration should be directed to:Director,Home Improvement Contractor Registration,One Ashburton Place,Rm 1301,Boston,MA 02108 • The property owner has three-day cancellation rights ofthis contract under M.G.L.c.93,48;M.G.L c.140D,10 or M.G.L.c.255D,14 as applicable.After 3 days all deposit and special order payments are non- refundable. • All warranties and property owner's rights are under the provisions of 780 CMR 110.6 and M.G.L.c.142A - • Any alteration or deviation from above specifications involving extra costs will become an extra charge over and above the estimate at S75,00 per hour plus materials. If cost of materials and labor changes,this estimate may increase no more than 15% It is the obligation of the home improvement contractor to obtain any and all necessary construction-related permits;in the event that the property owner secures their own construction-related permits or deats with unregistered contractors they will be excluded from the guaranty fund provisions of M.G.L.c.142A.Work will begin no later than six months from the issuance of any necessary permits and will be completed no later than two years from the issuance of necessary permits. - • Property Owner's failure to make payments for work duly performed may result in a lien against the homeowner's property.Owner is responsible for any legal fees and court costs Ranney&Rimington may incur to collect the monies due on this estimate.The contractor and the property owner hereby mutually agree in advance that in the event the contractor has a dispute concerning this estimate,the contractor may submit such dispute to a private arbitration service which has been approved by the secretary ofthe office of consumer affairs and business regulations and the consumer shall be required to submit to such arbitration as provided in M.G.L.c.142A. DO NOT SIGN THIS CONTRACT IF YOU HAVE NOT READ IT OR IF THERE ARE ANY BLANK SPACES �j/16 1 for Ranney& Rimington Custom Builders Date Property Owner Home Improvement Contractor Registration#144752 RANNEY+RIMINGTON CUSTOM BUILDERS Proud Member of National Association of Home Builders•Home Builders Association of Massachusetts•Home Builders&Remodelers Association of Cape Cod•Better Business Bureau The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leaibly Name(Business/Organization/Individual): Ranney+ Rimington Custom Builders Address: Box 816 City/State/Zip:Marstons Mills, MA 02648 Phone#: (508)428-7147 Are you an employer?Check the appropriate box: Type of project(required): LQ I am a employer with 4 employees(full and/or part-time).". 7. New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in $. Remodeling any capacity.[No workers'comp.insurance required.] 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]a t 9. ❑Demolition 10 Q Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.[:]Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5[]I am a general contractor and I have hired the sub-contractors listed on the attached sheet: 13:❑Roof repairs These sub-contractors have employees and have workers'comp.insurance? 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] 'Any applicant that checks box#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 sue information. Insurance Company Name: Hartford Underwriters Insurance Company Policy#or Self UB-2E331333-15 8/06/16-ins.Lic.#: Expiration Date: p� Job Site Address: _ r` 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 penalties of perjury that the information provided above is/true and correct Signature: Date: lD !Z( 1 16 Phone#: (508) 428-7147 V 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#: