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HomeMy WebLinkAbout0800 BEARSE'S WAY (40) ?aw 4 .s W4�r lfi�;--TSB ( � Town of Barnstable Building Department °F rti Brian Florence,CBO Building Commissioner nwu+srnsr�, = 200 Main Street,Hyannis,MA 02601 i63 � www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION RAGISTRATI N Dater,�l��01� Name:. Fexvc� m Phone Address: k)o &a,�rS L �E village: Name of Business:_rM iA Tl rim n LLC, Type of Busiuess: M eO n i nQ us ii 1,tSS MapUt: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. Such use occupies no more than 400 square feet of space. There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display ofmaterials or equipment, There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be f included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,hav read and agree the above restrictions for my home occupation I am registering. Applicant: Date: �:" 15-20 �a c � o � O l 1 E4 r � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2 -1 Parcel `' � Application #. I zT pp 1 Health Division Date Issued �fe- Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 4 Q _ Village g Owner l r �u-✓ ��-G t� c C� Address tom► , Telephone Permit Request kI L S &y d-ca Square feet: 1 st floor: existing I I 1 Oproposed !C 0 2nd floor: existing proposed Total new-6 -:Zoning District Flood Plain Groundwater Overlay Project Valuation ) ()j �� 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: ❑Yew❑ No o Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other �= ; Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.jt) Number of Baths: Full: existing new Half: existing =- newer' Number of Bedrooms: 3 existing nnun ew i ' CIO Total Room Count (not including baths): existing new �� First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes - ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑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 J 49 1/ [� G� Telephone Number Address ���- !i t,, License # ( S-0-7V (e 6 c I'a ��� ,Z l Ze C�f Home Improvement Contractor# )6 r- Email JCS Gg�,�/�h� ��� 5 ���Sf�ct�; Worker's Compensation # �?7, 4i0- 6/7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I a✓�. z . SIGNATURE DATE_&Y� y FOR OFFICIAL USE ONLY t APPLICATION# ` DATE ISSUED MAP/PARCEL NO. f 1 iy S ADDRESS VILLAGE r OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING Pffw&CLOSED OUT ASSOANIONj PLAN NO. r: i� The Commonwealth of Massachusetts Department of IndustfialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly � � C Name(Business/Organization/Individual): Address:e; e9) City/State/Zip: Phone#: y 7 3 6 Are you an employer?Check the appropriate boa: Type of project(required): 1.[ am a employer with 4. I am a general contractor and I ` _� 6. ❑New construction 91employees(full and/or part-time).* have hired the sub-contractors listed on the attached sheet 7. ❑Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have g• Demolition workingfor me in an capacity. employees and have workers' Y aP tS'• 9. ❑Building addition [No workers'comp. insurance comp.insurance 1 required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t C. 152,§1(4),and we have no employees.[No workers' 13.[1 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 are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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 worker;'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: kL/�7 IAu4 �, Policy#or Self-ins.Lic.#: �9L — '�7 �Cy r D l 3 Expiration Date: ,/ ` Job Site Address: / City/State/Zip: 1�"`�A/UI h tS 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 D for ce?overage verification. I do hereby certify u er a airs d enakies of perjury that the information provided ab ve is true and correct Signature: Date: Phone#: 61 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, 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,construction or repair work on such dwelling house or on the grounds or building 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 local licensing agency shall withhold the issuance or renewal 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,MGL chapter 152, §25C(7)states"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." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. 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 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 the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (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 for future permits or licenses. A new affidavit must be filled 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in 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: The Commonw' ealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel,#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#f 17-727-7749. WWW.mass.gov/dia 4FICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS AGATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES -�I& THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED PRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. APORTANT: 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 endorsements . PRODUCER FRANK L HORGAN INSURANCE AGENCY INC CONTACT NAME: 44 BARNSTABLE ROAD PHONE JAX,No.Exits FAX fA/C,No: HYANNIS, MA 02601 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC 0 INSURER A: INSURED - CAPE& ISLANDS CONSTRUCTION COMPANY INC WsuRERe: PO BOX 210 WSURERC: CENTERVILLE MA 02632 INSURERD: . WSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 16291898 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. INSR TYPE OF INSURANCE - ADD SUER POUCYEFF POLICY EXP LIMITS - LTR INSR WVD POLICY NUMBER MMIDD! MMIDD/YYYY GENERAL LIABILITY EACH OCCURRENCEDAMA S COMMERCIAL GENERAL LIABILITY PREMISESO a oeaiErrDenm $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY 5 GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO-JFCT LOC 5 AUTOMOBILE LIABILITY E e a¢i D LIMIT $ ANY AUTO BODILY INJURY(Par person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Par accident) $ NON-OWNED PROPERTY AMAGE HIRED AUTOS 8 AUTOS Par.cadant $ $ $ UMBRELLA L.IAO OCCUR - � � EACH OCCURRENCE $ EXCESS LIAS CLAIMS-MADE AGGREGATE $ ' DED RETENTION$ $ $ 5 - A WORKERS COMPENSATION WC5-31 S-377540-013 . 5/7/2013 5/7/2014 we STATU- �7�+• AND EMPLOYERS'LIABILITY ✓ TORY LIMITS ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N N/A - - E.L EACH ACCIDENT - $ 100000 OFFICERIMEMBER EXCLUDED? ❑N (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100000 It yes,desrnbe under . DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Workers compensation insurance coverage applies only tD the workers compensation laws of the state of MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE' TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS MA 02601 - AUTHORIZED REPRESENTATIVE - Jeff Eldridge ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD RT No.: Lo29y 998 Didi Dan as 519/ 013 7:24:08 AN Pa. L of I lrhis certICicate canMs and supersedes ALI� previously issued certificates. U Massachusetts - Department of Public Safety "Om�n� ea� o�. aaoacluae y Office of Consumer Affairs&Business Regulation Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Construction Supervisor .' Registration 01:650j6 Type:. . License: CS-074660 a`Expiration d71j/—14 Private Cor oratio JOSHUA X KOUR ,. CAPE&ISLANDCSR�N CTIVIOINC: €� PO BOX 210 ff t ' .CENTERVILLE MA�OZ � JOSHUA,KOURI jj 55-ELM AVE a 1 fti z�'a ��.�„�� HYANNIS-MA 02601` , Expiration Undersecretary Commissioner 02/12/2015 y License.or registration-_valid-for.individul.use only:: before`the ezpirat�on date If founds.return to: Office:of Consumer Affajrs and Business Regulation 1 Par:Ic Plaza,-=Suite 5170 J . Boston;4M 0211-6 �t thouf signature - A 0 e 8�ISIQ� Date Mar 12,2014 Cape & Islands. Construction Co. Po .4 l Po Box 210 / Centerville Ma. 02632 Terms 508J75.7663 Sh" 'Via c�NSTRUCTIO�CD Ship Date Arthur Weinstock 800 Bearses Way Hyannis Ma. 02601 ID Description • • BATHROOM Bathroom Remodel 10,610.00 REMODEL Bathroom Rescue. Finish failed bathroom remodel. Obtain necessary permits to finish bathroom started by other contractor. Install remaining tile. Install remaining wall board. Contract plumber and electrician to finish project. ***This is an estimate only*** Permits and inspections$900. Labor$5200. Plumbing$2600. (includes$800 owed). Electrical$1660.billed at$.85 per hour plus materials Waste removal, including current mess$250. ***Additional time and materials if needed billed additionally'** Total (0) $10,610.00 j Signature Page 1 , , ' Iq�. I �'.1.. I�'�� R 0 �! I i i f I i ti .. I .' �. -� I ,.�--•1?---,.i W..>,�-.y ,-�-,'W._. Imo•., � r„�,:.,mrj,�a:., i �:::,,�,a� t b..�n ;e ..fq�,.� �.„�,..,! '., ::....� I �;�i I� i ., .. I i bb , CIA - 1 1 Y 11 I . I i I ! i II _ T P.a ' p j I ' : I , 3 I .. - I I /:1 I I ; {. , dt �Y4K. , ,.«a,,,,_....._,,. f ! -A . . 1 Fill . t I , ! , i w... I It8" ' + } ! 1"I' [ �}} i 0 I I loll t.I I I {• 'i I i ! ,yc I I - , i I 'D3+" TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION dya V �fP el -- s' � Application #A013a44 7� Health Division-' Date Issued Conservation Division Application Fee Planning Dept. Permit Fee ,Z Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street1(,Address DSO y � �«S U.,5 a LA S S E Owner �(��n►>r �e.��►s �-e-��C Address-•----' S�.�.�no Telephoned V,Permit;Regquest re _ S e.x(s r,7 s Ze1 ( S A,-e Z S(� � (,���In douS c N GuJ V -Vl l oc = •3 Square feet: 1 st floor: existing proposed 2nd floor: e ting proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ` , �• 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 Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing womd/ oal stow: ❑As ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: E, xisting fl ne o size r, I Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:. Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ - ca� Commercial, ❑Yes ❑ No If yes, site plan review# p w Current Use - Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) TeIepo Number-7&I - �(dO S98 Ad resd s� License # 08167 ork(A ,r�vl 1n m� K A D 2 -q Home Improvement Contractor# 1 7cS 2((o Worker's Compensation # Se.A.,- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE I Ye DATE r t _ e FOR OFFICIAL USE ONLY APPLICATION# v ' S P '4 r DATE ISSUED ti '. MAP/PARCEL NO. 7 ADDRESS VILLAGE t OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL s GAS: ROUGH FINAL FINAL BUILDING i DATE CLOSED OUT. v ASSOCIATION PLAN NO. 1 Massachusetts Department of Public Safety Board of Building Regulations and Standards Construction'Supernisor t License: CS-086986 } DENNIS W RIDDI,, 50 WINTER ST KINGSTON MA:02364 v J ' Expiration Commissioner 06/10l2015 C�/le �Famneorauea���a� �ayracfiulef . - '\ ffice of Consumer Affairs&Business Regulation ME IMP QVEM ENT CONTRACTOR ' t Regisra ion f 175216 Expira ion Type..j 5/1/2015 Supplement YETI HOMES LLC., DENNIS RIDDLE t 345 WASHINGTON PEMBROKE,MA 02359 ;r Undersecretary 4 71 the Communwakh of Massackusetts Dkgwhnent cqf In&Es*iat Accid Ofike ofInm itgadons 600 #i whington Stmet Boston,MA 02111 rvr m masxgov/dia Workers' Compensation Insurance Affidavit: Bmiders/Con ' ianslPluinbers Apylicant Information ( r I Please Print Lee>biv Address: -Z S w as ��- citylstate/zip: VkA, QZ?5 Phone '►� r - q Z� -r�3 Are you an employer?Check the appropriate box Type of project(required): ❑ I ama contractor and, 6. ❑New constxuctiva 1.❑ I am a employer with 4. employees(full andlca part-time)-a have bired the sui�-cantiactois 2.❑ I am.a sole proprietor or partner listed an the attsclied sheet. 7• ❑ Remodeling sbip and have no employees These sob-contractors have S. ❑Demolition w for n an �l and have workers' �°� f i y `• x 9- ❑Building addition [No wogkg'comp•insurance comp-msurance. 10.❑Electrcal or additions 5•��e are a'corporation and its 3.❑ I am a homeowner doing aU wok officers•have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp- right of exemption per MGL 12_❑Roof repairs insurance re -]1 C. 152, §1(4),and we have no �� employees-[No workers' 13.f: t ner V JcttiJOU-rS comp-insurance required-) *Any applicant fat cheds box#1 nia also fill out the settim below showing their wades'compensation policy informatian- I Hon oho submit this d6das k m&art y,they are doing aH vat and then like outside cam rxiors nmst submit a new affidavit indicating such_ .ICemt< Mn thar check this boat most sttached an additional sheet showing the name of the sub-cantors and state whets oraot tlwse enfities have employees. If the sub-contactors have employees,they must provide their workers'romp.policy number. I am an employer thatirprmRdurg workers'compensation insurance for my emplalwa. Below is the policy and jab site information. Insurance:Company Name: Policy#or Self-ins.Lic_#: Expiration Date: Job Site Address: R'> 5e--ZXtela WJLf V-C City1Statet7.ip: Attach a copy of the workers'compensation.policy ration page.(showing the policy number and expiration date). Failure to secure:coverage as required under Section 25A of MGL c. 152 can lewd to the imposition of criminal penalties of a fine up to$1,500.00 andlor 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 hereby ca fy under the s On allies ofperjuty that the inforinationproWded above is hue and correct L4 # Bate: z( Phone M O,fjfcial use only. Do not write in this area,to be completted by city or town official City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.C y/rown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: 6- JUL-09-20131 12 :39 PM = CAPECROSSROADS 00000000 P. 01 American Propertles Team, Inc. July 9, 2013 To Whom It May Concern: Yetl Home improvement is approved to change windows for the owner of unit SSE, Arthur Weinstock, at Cape Crossroads Condominium. Respectfully, American Properties Team, Inc., as Agent for Cape Crossroads Condominium Peg Thompson Property Manager - 500 WEST CUMMINGS PARK•SUITE 0050• WOBURN •MA•01801.781-932-9229 •PAX 781,998-4289 HOME IMPROVEMENTS THIS CONTRACT MADE THE - day of Fe u� 20 3 between. (Home Owners) (-JCL(,) p iiII (Home Phone) (Bus/Cell Phone) of 'Eo-O 6WG t.3 1-JCt(,1 Mr S �JL ��It�4N�IS Ke ©�,t 0 (Address) h U� (City) (State) (Zip) the"Owner"and Yeti Homes, LLC,"Yeti Home Improvements". Yeti Home Improvements hereby agrees that it will for the consideration hereinafter mentioned, furnish all labor and. material necessary to install the following described work at the premises located at: al,� (� l.Je.lnCTod�. 1t' C46L.Corl\ (Job AA dess) (email)for prdprj*Lqary use only Specifications rt �' a arI 4f Hrwllil Vj .ur Q a Gv. QQS SI { "a , .. (VA W ad J. .. It shall be the obligation of Yetl Home Improvements to obtain any and all permits necessary under this agreement,as the Owner's Agent. The Owners who secure their own — - construction-related permits,ordeal with unregistered Contractors will be excluded from the guaranty fund provisions of MGLC,142A. All home.Improvement Contractors and Subcontractors shall be registered by the Director and any inquiries about a Contractor or Subcontractor relatingto a registration should be:directed.to: . Director,Home Improvement Contractor Registration,One Ashburton Place,Room 1301,Boston,MA 02302,(617)727-8598. - Yeti Home Improvements represents that it carries Workmen's Compensation and General Liability Insurance in the amount of$100,000•$300,000.: Liquidated Damages.If the Owner refuses to permit Yetl Home Improvements to proceed with the work herein,or in the event of any breach by the Owner of this agreement, for any reason whatsoever,the parties acknowledge the difficulty in proving Yeti Home improvements'actual loss. The parties further acknowledge the delays,:expense and d Iffl"ItlesInvolved in proving In a legal or.arbitration proceeding the actual loss sustained by Yeti Home Improvements.Accordingly,Instead of requiring any such proof,Owner and Yetl Home Improvements agree that the Owner shall pay to Yetl Home Improvements a sum of money equal to thirty-three percent of the price agreed to be paid,as fixed, liquidated damages,and not as.a penalty,without further proof of loss or damage. Any breach by the Owner for work performed or materials supplied to the residence may result in a Mechanic's or Materialmen's Lien on the Owner's premises In accordance with M.G.L.ch.254,s.t,et.seq. - Yeti Home Improvements shall not be held liable in damages for delays In the performance of this contract due to causes beyond its reasonable control. Owner warrants that he is the owner of this property on which the work is to be performed or that he is otherwise authorized on behalf of the owners to enterinto this agreement. -This contract represents the entire agreement between Owner and Yeti Home Improvements:and cannot be changed except in writing signed by both the Owner.and Yeti Home - Improvements.You are entitled-to a copy of the Contract at the time you sign. Keep it to protect your legal rights. We,the:aforesaid owner)certify that immediately after signing of the.aforesaid agreement,'a copy'was furnished to us. You may cancel this agreement if it has been signed by-a party thereto at a place other than an address of the seller,which may be his main office,or branch thereof,provided you notify seller at his main office or branch by.ordinary mall posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement. (Saturday Is a legal business day).See attached notice of cancellation form for an explanation of this right. -- DO NOT SIGN THIS CONTRACT If THERE ARE ANY 8LA7K SPACES: r IN WITNESS WHEREOF,the parties have hereunto signed their names this ` day of Tel nla Investment Agreement It is agreed and understood by and between parties that this contract constitutes the entire understanding between the parties,and there is no verbal understanding,changing or modifying any of the terms. This contract may not be changed or its terms modified or varied in:any way unless such:changes.are In writing and signed by both the Buyer(s)and the Contractor. Buyer(s)hereby' acknow ledge:the Buyer(s)has read this Contract. Total Cash Price: �0") Estimated Beginning Date of Work`; jej 3�0 Less Deposit.(33%):_I Estimated Substantial Completion Date: r�` Due at Install(33%): Q4.1Od�i� //ssff11 �t 0p r O Due upon Comple' (34%): Approval Date ►�� 09�6 3i�W CusromeriN r4Lo - Approval Mr Date Approval _. Date /J!✓—/ J� Y ti Home Improvements e - 07 10 2013 09:47 41325 ,h rravt mil'"� DATE 711 012013 Ag:�O& CERTIFICATE OF LIABILITY INSURANCE HIS CERTIFICATE 19 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 S CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZE ID REPRESENTATIVE OR PRODUCE&AN13 THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the arms and condltlona of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights tathe rtificate holder In lieu of such endorsement e. PRODUCER CONTACT NAME:Ma Woodard PHONE No Ext:t4j$1253490 I FAX AIC No: Amherst Insurance Agency Im E-MAIL ADDR$;Mwoodard nathana enclea,cottl PO Box 40 INSURERS AFFORDING COVERAGE NAIC# Amherst MA 01004 10328 INSURER A:Ca Rol S lal Ina CO INSURED INSURER IN: Yetl Home improvomonts, INSURER C: 345 Washington Street INSURER DI Pembroke,MA 02359 ' 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 POUOIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFF POLICY EXP INST DD'L SUER DATE DATE LTR TYPE OF INSURANCE 1ZSRD WVD POLICY NUMBER MIDD/YY MIOD LIMITS AC60204838303 8/72013 6!7/2014 EACH OCCURRENCE $1,000,000 GENERAL LIABILITY DAMAGE TO RENTED $100.000 X COMMERCIAL GENERAL.LIABILITY PREMISES a O=urrenca ^_ CLAIMS MADE 1 _I OCCUR MED EXP y one person) S5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2.000,000 Y POLICY N FM FN`J LOC COMBINED SIGNED LIMIT $ Ea accident).- UTOMOBILE LIABILITY BODILY INJURY(Perpsmun) S ANY AUTO ALL OWNED BODILY INJURY(Por $ AUTOS AUTOS ccidentHIRED AUTOS ]SCHEDULED NON-OWNED PROPERTY DAMAGE $ AUTOS Per aoddent MBRELLA LIAR I JOCCUIR EACH OCCURRENCE LESS LIAR LAIM$MADE AGGREGATE $ S ED ETENTION$ 99 T1J WORKERS COMPENSATION AND RV LIMITSR H. EMPLOYERS'LIABILITY YIN ANYPROPRIETOR/PARTNERIID(ECUTIVEea EL EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) EL DISEASE•EA S IF yes,deserlbo under EMPLOYEE DESCRIPTION OF OPERATIONS boloW EL DISEASE•POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more apace Is required) r CERTIFICATE HOLDER CANCELLATION Bamstable Mding Department 0 Searms Way SHOULD ANY OF THE AaOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL RE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, outs Hyannis MA, AUTHORIZED REPRESENTATIVE ACORD 23(2010MB) 01988.2010 ACORD CORPORATION.All rights reserved. The ACORD name and Iogg are registemd marks of ACORD _ 7r9/13 Rolling Windolas Viq Replacement Windows New England Window Manufacturer HARVEY FOR PROFESSIONALS» ' • • •' m M/U4V8V �. BUILDING PRODUCTS Energy Rebates�Showroom Locations I Customer Service Contact^Us k PHOTO GALLERY p LEARN THE'SASIOS AB0UT HARVEY i Our Products/Windows/Vinyl Windows/Rolling Vinyl Window «home ® M 8 Rolling Vinyl Window r-91- Overview Features Colors&Hardware Grids&Screens Options Performance Thermal Performance Glazing U R SHGC Visible Light Region Factor Value Transmittance Clear 0.49 2.04 0.62 0.64 - Low-E 0.36 2.78 0.32 0.57Ll 71j - Low-E/Argon 0.33 3.03 0.32 0.57 - w Tribute DG Low-E/Argon 0.33 3.03 0.28 0.49 SC SunCleanT" 2X Low-E/Argon-ENERGY STAR@ 0.30 3.33 0.30 0.50 N,NC, Package SC TG 2X Low-E/Argon 0.26 3.85 0.28 0.46 NSCC, Tribute HP TG 2X Low-E/Krypton 0.22 4.55 0.24 0.40 All SunCleanT" Zones Clear w/Grid 0.49 2.04 0.56 0.57 - Low-E w/Grid 0.36 2.78 0.29 0.51 - Low-E/Argon w/Grid 0.33 3.03 0.29 0.51 SC Tribute DG Low-E/Argon 0.33 3.03 0.25 0.44 SC,S SunClean-w/Grid .2X Low-E/Argon-ENERGY STAR@ 0.30 3.33 0.27 0.45 All Package w/Grid Zones TG 2X Low-E/Argon w/Grid 0.27 3.70 0.25 0.41 All Zones Tribute HP TG 2X Low-E/Krypton 0.23 4.35 0.22 0.36 All SunCleanT""&SPFTP"w/Grid Zones Download Thermal Performance Data for Windows&Patio Doors O Structural Performance @ 2013 Harvey Industries,Inc. 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