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Home My WebLink About4351 MAIN STREET r - III J�'� '/ g UPC 12434 '�' •�� No.2-153LLV 'OOST.CONSJ� HASTINGS, MN tzTown of Barnstable *Permit#• 1J Regulatory Services ires 6 months from issue date uuuPPP ��s,� „ . y� _ BARNSTABLE 111°.f �y�V.Scali,Director -tili 6 (p- Richard J _ ,....2441639.11 Buildin Division APR 2 6 all N- Paul Roma,Building Commissioner.. y p� ` 200 Main Street,Hyannis,MA 0 , O F BAR N S I�B L� www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �K V ct C Not Valid without Red X-Press Imprint Map/parcel Number 1 p P �te U ./) �J� /. � ,� st!'dl 5 a E2 0 f� Property Address (/4 3 57 ' o./!? S/. 1 - VResidential Value of Work$ /02, ?SD Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address /ti,/C..64 Cr Z y fete 0 C a' Contractor's Name CO 1 � d Cot Telephone Number ©$ 7 70,2700 Home Improvement Contractor License#(if applicable) Email: eor P PP ) �� O.2 .ecr aet o1 co e.YC'oopts pc:94(42e*/ Construction Supervisor's License#(if applicable) /0 C/0e.2 V �/ Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ am the Homeowner I have Worker's Compensationio Insurance Insurance Company Name i5 (�e t//ct Pro¢,c 71i O P Workman's Comp.Policy# ..SC)0 J ® /SCE C'/ c 2 0/ G 4 Copy of Insurance Compliance Certificate must accompany each permit. Permit Req est(check box) � , � Nif Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ©C .o r e S VI�J ❑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 :• •,must sign Property Owner Letter of Permission. copy h/ I me Improvement Contractors License&Construction Supervisors License is equi / SIGNATURE: C:\Users\decollik\A Data\Local\Microsoft\Windows\INetCache\ on n pp C to t.0utlook\I,7U69LF2\EXPRESS(2).doc 01/25/17 I..0 3r t 5 IlLEY fit rrTill— - oof is t POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards,Plywood Sheathing,Missing Metal Flashing, Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus Labor at the Rate of$ 40.00 per Hour. PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORK SCHEDULE: All Roof Work is Scheduled for Completion Within 60 Days of Acceptance and Receipt of Deposit providing the Materials are Available. Therefore Deposits Received are Non-Refundable After a Three Day Cooling Off Period from the Date of signing. This Proposal May Be Withdrawn By Us If Not Accepted &Deposited Received Within Thirty Days Or Before The Next Price Increase In Materials Please Make Checks Payable to: COREY & COREY COREY & COREY Warranties Labor for 5 years. CERTAINTEED Warranties the shingles and labor 100% for the First 10 Years and the Shingles your LIFETIME if the shingles becomes defective. CERTAINTEED Warrants the Shingles up to a CATEGORY III HURRICANE-130 MPH WIND WARRANTY. CERTAINTEED Warrants the Shingles to be Algae Resistant for a Full 15 Years. COREY & COREY carries Workman's Compensation and Public Liability Insurance on the above work DATE OF ACCEPTANCE: y /go e 7 ACCEPTED BY: SUBMITTED BY: "Oliet MITCH GRAKVOC CHARLES COREY, CONSULTANT HOMEOWNER COREY & COREY n 1 Wo/inmw4uvect&A %1 'F' / _ ,§YYY Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration -,,- r ' Supplement Card x f, Type pp i ARMEN SAFARYAN f�' r;^ ---- Registration: 183202 '''i .._."` �x: Expiration: 09/13/2017 , 67 Sea St Apt A4 i ~ = >,. Hyannis, MA 02601 -- ��`' ==� '-' i L\-4 t`fi,.=7 - - Update Address and return card. Mark reason for change. SCA 1 0 20M-05/11 ..._.-. -- ._... _._... .... -- Office of Consumer Affairs&Business Regulation ti"- �= -1 HOME IMPROVEMENT CONTRACTOR , - TYPE:Supplement Card Ni - Registration Expiration 7 183202 • 09/13/2017 ARMEN SAFARYAN -.,:-- D/B/A COREY AN D'COREY_ EVGENY SUSHKO°_ 67 Sea St Apt A4 6.(2-cca-e--. Hyannis,MA 02601 Undersecretary 2 jMassachuseffsoepm Board of Building Regulations and Standards License: CSSL-106102 Construction Supervisor Specialty . • ARMEN SAFARYAN 67 SEA STREET APT A4 • " ,r HYANNIS MA 02601 �//j /�✓• %r. Corn Expiration: missi oner 10/02/2020 AR CERTIFICATE OF LIABILITY INSURANCEDATE(MNUDYy6Y) D/ 9/16/2016 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 CONTACT NAME Ashley Paiva Southeastern Insurance Agency, Inc. PHONE (508)997-6061 I 439 State Rd. (NC_No.Eat). (aC,No) (SOB)990-2731 E-MAILADDRESS:apaiva@southeasternins.com P.O. Box 79398 North Dartmouth MA 02747 INSURER(S)AFFORDING COVERAGE NAIC# INsuRERAArbella Protection Insurance 41360 INSURED ' INSURER B:AEIC Armen Safaryan, DBA: Corey and Corey INSURER C: 67 Sea Street INSURER D: Unit A4 INSURER E: Hyannis MA 02601 INSURER F: COVERAGES CERTIFICATE NUMBER:2016-17 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. ITR TYPE OF INSURANCE ADDUSUBR' POLICY EFF POLICY EXP INSD W Vp POLICY NUMBER (MM/ppryyYY)I(MNUDDIYYYY► UNITS X I COMMERCIAL GENERAL LWBILRY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE C OCCUR DAMAGE TO RENTED PREMISES(Ea commence) S 100,000 ! 9520046441 9/16/2016 9/18/2017 MED EXP(Arty one person) S 5,000 PERSONAL&ADVINJURY I 1,000,000 GEN1 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 2C!POLICY I JECT I f LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER AUTOMOBILE LIABILITY Employee Benefits $ I COMBINED SINGLE LIMIT s .J ANY AUTO (Ea accident) ALL OWNED —SCHEDULED BODILY INJURY(Per person) S AUTOS AUTOS BODILY INJURY(Per accident) S HIRED AUTOS AUTOS PROPERTY DAMAGE (Per accident) $ UMBRELLA LBWS I OCCUR EXCESS UAB I CLAIMS-MADE I EACH OCCURRENCE S DED I I RETENTIONS AGGREGATE S WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY I ETITUTE I I ER ANY PROPRIETOR/PARTNERiE(ECurvE Y/N OFFICER/MEMBER EXCLUDED? N/A EL EACH ACCIDENT $ B Manddtoryesc In NH) I WCC-500-5015091-2016A 9/18/2016 9/18/2017 1,000,000 If yes,describe under EL DISEASE-EA EMPLOYEE 5 1,000,000 DESCRIPTION OF OPERATIONS belay EL DISEASE-POLICY LIMIT S 1,000,000 DESCRION OF OPERATIONS 1 LOCATIONS(VEHICLES(ACORD 101.Additional Remarks Schedule,ma I PTI be attached if more space is required) • 3 I CERTIFICATE HOLDER f CANCELLATION Dis la SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE p y Purpose Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE - Ashley Paiva/AMP are registered marks of ACORD ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo INS nnsanlla The Commonwealth of Massachusetts _.= Department of Industrial Accidents l _:' �� f Officeoflnvestigations _;'f;�_ 600 Washington Street •_ Boston,MA 02111 `�., www.mass gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le2bly Name(Business/Organization/Individual S'ck ii--.r v e? 1)8A c.,-..,. ,d cor, e....v ., q J. --4 .... City/State/Zip: Phone#: O e 7 7 6-2 9 0 0 Are ou an employer?Check the appropriate box Type of project(required): 1.a., I am a employer with 4. 0 I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction listed on the attached sheet 7. 0Remodeling 2.CI I am a sole proprietor or partner- ship and have no employees 'These sub-contractors have 8. o Demolition working for me in any capacity, employees and have workers' [No workers'comp.insurance comp.iasurance.t 9. Building addition required.] 5.El We are a corporation and its 10.[]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL insurance required.]t c.152,§1(4),and we have no 12.0 Roof repairs employees.[No workers' 13.E Other comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they am doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box mist attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the subcontractors 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 polky and job site • information. . G // j� , Insurance Company Name: Ir(� e//ec' t d'Ci e C./i•Op?? Zia S 40i-ri7C @ Policy#or Self-ins.Lic.#: -5 (-9 J J 0/- i �° Expiration Date: // `--� t• / 7 Job Site Address:4 3-�/ �cad'n s PI, > C' /State/ (ie) 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 criminalpenalties fine up to$1,500.00 and/or one-year of a imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day againe Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for/insiAnce coverage verification. I do hereby certify ufrI t Jalir Y 'My that the information provided above is true and correct Signature: J% 'attars '-y _ Date: O Q /• /7 • Phone#: e'sa9 7 6 1 © o 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): :) 2.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ' I Assessor's office(1st Floor):, _ Assessor's map and lot number 35 O O / Conservation(4th Floor): � - _ x Board of Health(3rd floor): w >; sear3rintt Sewage Permit number', ` ip wa Engineering Department(3rd floor): E • °° i010' �� House number ��NO Definitive Plan Approved by Planning Board ' 19 APPLICATIONS PROCESSED 8:30-9:30 A.M..and 1:00-2:00 P.M.only TOWN OF BARNSTABLE ' :BUILDING INSPECTOR APPLICATION FOR PERMIT TO roc,r C3czs � — S},c . �ct 7cf" etol ea.c.. TYPE OF CONSTRUCTION 1993 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location '135) Rf &f > 4 1 .1 Proposed Use $)j/c M)I,/" Zoning District I l F ! Fire District Frq 01S. Name of Owner `.`'`r7 ire-S1-40 Address 1/ / IZi" tat 6.4111M4 f►-'c�) f( Name of Builder ` "`" y -1 )ei1LS Address .3 .!'coiort f Sv- •4,-, D-2-&46 Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost Area N25 ,1-eA- (-7_A .ep, Diagram of Lot and Building with Dimensions Fee e20 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License psi /3 12 • ANDRQSHKO, GARY & FAY `z No 36310 Permit For Re-ROOF . - Single Family Dwelling • Location- 4351 Route 6A . Owner Gary & Fay Andrgshko + - . , . Type of Construction Frame - V - Plot Lot Permit Granted November 9 , 19 93 Date of Inspection: . . Frame 19 Insulation 19 . Fireplace V - 19 Date Completed ��?` 19 ) . ./A t .-. • I • 1 , ; _ t , s I i t ; r