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HomeMy WebLinkAbout0058 LONGVIEW DRIVE SB Ivorrgview J�Je e Town of Barnstabl Building e HAI, � {Post This Car.,d So That it is Vis ble From the5treet 'Approved'Plans MUstbe yRetained onlob and this Cartl Must'rbe Kept w M' IPosted Until�Final Ins11�pection H`as Been�Made �k 163 °' Where.a Cert�ficafe,'of Occu anc -:sRe uired,such Building shall Notbe"Occupieduratil a Final�lnspect�onhas�beenmadex Permit t p Y " � a �_ . Permit NO. B-18-605 Applicant Name: WILLIAM L SCHMITZ Approvals Date Issued: 03/20/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 09/20/2018 Foundation: Residential Map/Lot 251-070 Zoning District: RC-1 Sheathing: Location: 58 LONGVIEW DRIVE, HYANNIS Contractor Name Cape&Islands Kitchen&Bath Framing 1 �lZz j Remodeling Inc Owner on Record: WALSH, DAVID PATRICK 2 Address: 58 LONGVIEW DRIVE ContractorLicense' 160266 Chimney: CENTERVILLE, MA 02632 Est Project Cost: $26,474.00 { $ 185.02 Insulation: 3I z�1 Description: Remodel Existing Bathroom by removing tub and replacing it with Permit Fee: S walk-in shower. Demo Existing Walls and flooring Install new Fe'e Paid`k $ 185.02 Final: Blueboard and the floor and shower. Install new vanity and fixtures. ,, d w7vDate, Y, 3/20/2018 Project Review Req: REMODEL EXISTING BATHROOM Plumbing/Gas J.: v�y -- Rough Plumbing: ' Final Plumbing: ,1 :; Building Official -. Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorzed by this permit is commenced within six'months after issuance. r Final Gas: All work authorized by this permit shall conform to the approved application and the,approved construction documents for which this permit has been granted. b � g building and cturesi'shall+be in compliance with the local zomn"b ws:and codes. All construction,alterations and changes of use of any bu g stru p g Yla This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Electrical work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatures byahe Building and-FireOffiaa ls�are provided on this permit. Rough: -. Minimum of Five Call Inspections Required for All Construction Work:_... ;. x P q 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) tow Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: -Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT pap Application Number............................. ............................. + I XAS& Permit Fee..... . .... . 3 Total Fee Paid...............4.. ...... .. .... ........... ...... Permit Approval : .....................on........ S TOWN OF BARNSTABLE Appro by.... BUILDING PERMIT .� L........Parcel................. . ...... APPLICATION Section I — Owner's Information and Project Location Project Address" LO Village 8-Letoti S Owners Name ► Owners Legal Address !!�e Lv. �J�-\ �t2 City 4 LS State -A4A Zip Owners Cell# 6/-7 %�(7 �r"��� E-mail Section 2—Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ® Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 -Work Description k���(( .li.�S�-,�.�.� rJ•CtL ��f..�� �ie,ua f �� �s� d ��te�c.) � • �+cT�1 ate;/V'6{ ',�.J - �2[TM' T.aat imdmted:2/9201 S Application Number.................................................... Section 5—Detail Cost of Proposed Construction Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics Wiring ❑ Oil Tank Storage ❑ Smoke Detectors Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility. �,_ -( - �� � I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last undated:"/2019 f Town:of B.arnsta.ble Building Department Services $Tian Florence,CBO Balding Commissioner 200 Main Street,Hyannis,MA 02601 www.town.banutable mans Office: 508-862-4038 Faic 508-790-6230 Property Owner must Complete and Sign This Section If Using A Builder .a A 5 as C>..of the subject property hereby authorize A-"x IV V%Ati + to act on my behalf; in all matters relative to work authorized by this building permit application for (Address of job) **Pool fences and alarms are,the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted.. Signature pf Owner Signature of Ap t Print Name Print Name Dam QYORNO:owDlMMUv slaNPooLS Rcr 09/16/17 " DATE(MM/DD/YYYY) o® CERTIFICATE OF LIABILITY INSURANCE F07/17/2017 i"'THIS CERTIFICATE 15 ISSUED AS A MATTER TER INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFlCATE 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 FPRODUCER ificate holder in lieu of such endorsement(s). CONTACT NAME: Christine Davies FAx LING &O'NEIL INSURANCE AGENCY a/c°NNE,rt: (508)775-1620 { ac.No: ADDESS: CdavieS@doins.com ANNOUC RD INSURERS AFFORDING COVERAGE NAIC# HYANNIS MA 02601 INSURE-A: LM INS CORP 33600 INSURED INSURER B: CAPE & ISLANDS KITCHEN &BATH REMODELING INC INSURERC: DBA C&I KITCHENS INC INSURERD: 99 STATE ROAD ROUTE 3A INSURER E SAGAMORE BEACH MA 02562 INSURERF: COVERAGES CERTIFICATE NUMBER: 173797 REVISION NUMBER: 1 r,IS 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 C-ciIFiCATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCL'IiSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDL SUBR POLICY EFF POLICY EJCP LIMITS INSR TYPE OF INSURANCE POLICY NUMBER MM1DD MMIDD IYYYYI LTR GOM€MERCIAL GENERAL LIABILITY EACHOCCURNTE $ DAMAGE RENTED $ OCCUR PREMISESS(Ea occurrence MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GENERALAGGREGATE $ _sue_===?Ai=LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ CT LOC $ COMBINED SINGLE LIMIT $ AL 7 OMO3IL`LIABILITY Ea accident " BODILY INJURY(Per person) $ _ -_: -UTO SCHEDULED N/A BODILY INJURY(Per accident) $ 1AUTOS PROPERTY DAMAGE $ ' J NON-OWNED Per accident -?__ -OS I AUTOS s EACHOCCURRENCE $ Lql=.�L.A U AB j HI OCCUR XC=S$LIAB I CLAIMS-MADE NIA AGGREGATE $ i S _.-� RETENTION SOTH t4'O.Lu-.4S COMPENSATION i X STATUTE ER I AND BEPLOYERS'LIABILITY YIN E.L.EACH ACCIDENT s 500,000 ---=?.J=ii OR?A4TNERIJCECUTIVE G=1).t�.+P,�R�CCLUDED? NIA NIA NIA WC531S369904027 07/03/2017 07/03/2015 E.L.DISEASE-EA EMPLOYE S 500,000 litaradamry in NH) - _.' E.L.DISEASE-POLICY LIMIT L sd2t $ 500,000 OF OPERATIONS below NIA 'DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) _ c:�-se:,'Compensation benefits will be paid tO Massachusetts of Massachusetts. employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay a..==or benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside .:ate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the - __==s:r.'-cate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification j.k*p,=n1Evc�OVrrywdlworkers-compensationfinvestigations/. CEFC—i-C T'E4OLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2'4_;Ysir c-_._ AUTHORIZED REPRESENTATIVE Kra =z vtP 02601 Daniel M.Cr y,CPCU,Vice President—Residual Market—WCRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(20'a4 0+) Tire ACORD name and logo are registered marks of ACORD _ Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Const\ i:fiMri-i�iSpF,,rrvisor f - CS-076571- r � e: II-PIres. 09/09/2019 WILLIAM L SGHMITZm* 66 CARAVEL UJRIVE EAST FALMOUT,F�MA�02536'I p1,SS'a•kL h Cif- a" Commissioner PaC° 1' License or registration valid for individual use only l ieon�r?wnwez i � ulation; � before the expiration date. If found return to: Office of Consumer Affairs&Business Reg Office of Consumer Affairs and Business Regulatio�� ME IMPROVEMENT CONTRACTOR I 1;0 Park Plaza-Suite 5170 egistration 160266 SupP Type I Boston,MA 02116 Expiration 7/ZIz�18 iern. i Cat& athtRerno�eling Inc Cape&I:•:Iands Kitchen"8� / WILLIA'N" SCHMITZ 5t. = �— = tu reNo valid withoutsign, 99 State cretary ,MA^256� Uerg Sagarhore Be.;ch, CAPE & ISLAND KITCHEN AND BATH REMODELING INC. 99 State Road, Route 3A Sagamore Beach,MA 02562 Phone: 508 888-4762 Fax: 508 833- 14( ) ( ) 42 Contract Date: 7-26-16 To: Dean Hindman & David Walsh 58 Longview Drive Centerville, Ma. 617-947-8768 Dhindman4@comcast.net ; Cape & Island Kitchens & Baths Remodeling Inc. will provide the following renovations as per plans provided. Included in this proposal are as follows with respective allowances: Plumbing: • Provide all rough and finish plumbing as required for new bath design. • Disconnect all existing bathroom fixtures. • Convert tub to a shower. • Provide 2" drain. • Supply and install new shower valve and spray head /hand held.Allowance: $1.000.00 • Toilet allowance with soft close seat: $400.00 • Faucet allowance: $300.00 each • Radiator: To be determined. Cost of unit to be added to proposal. Labor included. • Provide new water supplies with new shut of valves for[2] sinks. • Provide new PVC drains and traps. • All plumbing fixtures to be selected from either Snow & Jones or Fergason Plumbing Supply. Electrical: • Supply and install new Panasonic Fan /Light combo. • Install any owner supplied sconce lights. Supply and install [2] 5" recessed lights in ceiling. • Provide proper GFI receptacles as required w/arc fault breakers. • No upgrades to existing service panel. • Connect NU Heat floor warmer thermostat. Tile: • Install main bathroom floor tile. Pattern to be selected. • Floor tile allowance for material: $8.00 • Floor tile installed upon new Hardi Backer underlayment. • Tile installer to set Nu Heat floor warmer. • Supply and install shower floor tile. • Tile allowance for shower floor: $25.00 • Provide custom mud floor for shower. iSupply and install tile walls in shower. Tile walls up to ceiling. Tile allowance: $8.00 per sq. ft. Water proof shower complete. Supply and install recessed shower niche for soap and shampoo. Match threshold of shower to counter top material. Provide Grout Once Sealer. �• All tile selected from either Best Tile Plymouth or Bellew Tile Rockland. General: • Provide all necessary permits. • Provide trash container on site. • Complete gut of existing bath except closet. Leave shelves and walls as is. • May lay over ceiling if blown in insulation exists?TBD • Provide blocking in walls where necessary. For shower door and grab bars. • Insulate exterior wall as needed. • Durock 3 walls of shower. • Blue board and plaster remaining walls and ceiling. Replace all existing trim in bathroom. • Leave both doors. Do not replace. • Hang owner supplied mirror and fixtures. No allowance carried for these. • Vent new fan to exterior as best possible. • Provide all necessary inspections. Total job as per proposal: $26,474.00 Floor warmer option included in proposal. $1,000.00 Not included: • Vanity • Top • Toilet topper and mirror. • No painting. To be selected and priced on separate contract. Payment schedule: • Deposit required upon signing contract and schedule of start date. $5,000.00 ✓`• Payment required upon completion of demolition and prep: $7,000.00 • Payment due upon completion of rough inspections: $5,000.00 • Payment due upon completion of plaster and start of tile installation: $7,000.00 • Balance due upon completion of work: $2,474.00 We propose to furnish material and labor in accordance with the above specifications for the sum of TOTAL OF:$26,474.00 In the event that it is necessary to pursue any legal action to collect any outstanding balance the customer shall be responsible for the total balance plus all legal costs. ACCEPTANCE O OPOSAL: SIGNATURE ` I� ATE30 Michael Heinrichs Project Manager 7-26-16 I 11 2411-- 65 211 94 2" II 332" 6011 IT R * COMPLETE GUT EXCEPT CLOSETAND CEILING. ^� CDS602 �� * CONVERT TUB TO SHOWER. *O ALL NEW PLUMBING FIXTURES. . . IN TOILET-1 * REPLACE HEATER W/ NEW. co INSULATE EXTERIOR WALL. v� * NEW FAN / LIGHT COMBO IN SHOWER. u * NEW RECESSED CEILING LIGHT. 4 * INSTALL OWNER SUPPLIED SCONCE LIGHTS X (2] * SUPPLY AND INSTALL NU-HEAT FLOOR WARMER. * NO UPGRADES TO PANEL A THIS TIME. ` * DUROCK WALLS IN SHOWER. \ * HARD[ BACKER FLOOR. ` * BLUEBOARD AND PLASTER ALL OTHER WALLS. Cl) \� * LAYOVER EXISTING CEILING. * PROVIDE BLOCKING. * HANG OWNER SUPPLIED FIXTURES. * REPLACE ALL NECESSARY TRIM. Am * SUPPLY AND INSTALL NEW VANITY, TOP AND TOILT TOPPER. tdb, 60 S H WR SIN 2 ��- ' (]211 11 cM —6011 All dimensions_size ons nati desi This is an original designand must Designed: 7/16/2016 given are subject to verification on TECHNOLOGIES� p g 2® M not be released or copied d unless Prin ed: 7/16/2016 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. Dean Hyman A11 Drawing#: 1 No Scale. _........__....._.... _,...... F �tr o . AAA 0 4 r� Note: This drawing is an artistic ` F Designed: 7/16/2016 interpretation of the general 2® Logy;5 Printed: 9/17/2016 appearance of the design. It is not meant to be an exact rendition. Dean Hyman All Drawing#: 1 7 11 2411 6 C 2 11 - 94Z11 11 33 z 11 6011 COMPLETE GUT EXCEPT CLOSETAND CEILING. CONVERT TUB TO SHOWER. CDS602 I *ALL NEW PLUMBING FIXTURES. ,IN TOi._ LET-.1 REPLACE HEATER W/NEW. Cl) * INSULATE EXTERIOR WALL. * NEW FAN / LIGHT COMBO IN SHOWER. NEW RECESSED CEILING LIGHT. * INSTALL OWNER SUPPLIED SCONCE LIGHTS X [2] * SUPPLY AND INSTALL NU-HEAT FLOOR WARMER. __..._ * NO UPGRADES TO PANEL A THIS TIME. * DUROCK WALLS IN SHOWER. (D * HARDI BACKER FLOOR. * BLUEBOARD AND PLASTER ALL OTHER WALLS. c�i �� �.� * LAYOVER EXISTING CEILING. �\ * PROVIDE BLOCKING. * HANG OWNER SUPPLIED FIXTURES. * REPLACE ALL NECESSARY TRIM. wu Y * SUPPLY AND INSTALL NEW VANITY, TOP AND TOILT TOPPER. x trp' 29,11 IN �'s 1 2 11 M §t, -6011 All dimensions_size designations 2® ' � This is an original design and must Designed: 7/16/2016 given are subject to verification on TECHNOLOGIES not be released or copied unless Printed: 7/16/2016 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. Dean Hyman All Drawing#: 1 No Scale. 6L— __ s ........_........._ ._._._. 00 �0,10 0 o F �f�1Ci� s3 >]Cod r� ..w.. - Note: This drawing is an artistic 20 2W Designed: 7/16/2016 interpretation of the general recHNoioc es; Printed: 9/17/2016 appearance of the design. It is not meant to be an exact rendition. Dean Hyman All Drawing #: 1 24" 65 Z" 94 2 11 n 33 z" - 60" I. TT N * COMPLETE GUT EXCEPT CLOSETAND CEILING. ? * CONVERT TUB TO SHOWER. CDS602 *AL ES.1 L NEW PLUMBING FIXTUR TOI._ LET=.1 * REPLACE HEATER W/NEW. _ c * INSULATE EXTERIOR WALL. * NEW FAN / LIGHT COMBO IN SHOWER. v * NEW RECESSED CEILING LIGHT. *r' :P * INSTALL OWNER SUPPLIED SCONCE LIGHTS X (2] * SUPPLY AND INSTALL NU-HEAT FLOOR WARMER. * NO UPGRADES TO PANEL A THIS TIME. ` * DUROCK WALLS IN SHOWER. O \ \ * HARDI BACKER FLOOR. * BLUEBOARD AND PLASTER ALL OTHER WALLS. * LAYOVER EXISTING CEILING. �\ * PROVIDE BLOCKING. * HANG OWNER SUPPLIED FIXTURES. * PLACE ALL NECESSARY TRIM. = ' * SUPPLY AND INSTALL NEW VANITY, TOP AND TOILT TOPPER. s� 60 SHWR �, 291" _ �O Tom.,r 2 B M � . All dimensions_size designations 2 1 This is an original desi and must Designed: 7/16/2016 2® g given are subject to verification on TECHNOLOGIES U not be released or copied unless Printed: 7/16/2016 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. Dean Hyman All Drawing#: 1 No Scale. rh ............ Celli ., 0 � 0 o f -T�lCt� s3od b Note: This drawing is an artistic 2020 F Designed: 7/16/2016 interpretation of the general TECHNOLOGIES r� Printed: 9/17/2016 appearance of the design. It is not meant to be an exact rendition. Dean Hyman All Drawing#: 1 a �k"� OKI r,L s The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 �••`'• www.mass.gov/dia 11-7orkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Lembly Name (Business/Organization/Individual): lam/jpt 9 S fh1C/ k T �A S Address: 5�y - City/State/Zip: Q 6 a Phone#: 57 -_ �s-q Are you an employer?Check the appropriate box: Type Of project(required): 1.' 1 am a employer with 1 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 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 3. I am a homeowner doing all work myself t 9. ❑Demolition ❑ g ys [No workers'comp.insurance required.] 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 ❑Building addition ensure that all contractors either have workers'compensation insurance or are sole I L❑Electrical repairs or additions proprietors with no employees. 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12.❑Plumbing repairs or additions., These sub-contractors have employees and have workers'comp.insurance.t 13.❑Roof repairs 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 site information. Insurance Company Name:_ "-�. {�E� Sty 2A tic iE Policy#or Self-ins.Lic.#: 1 S 6 0116- Expiration Date: 7- 3 Job Site Address: Q . City/State/Zip ��� L� A1,4 Attach a copy of the workers' comp ation 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 un r the ns and naldes of perjury that the information provided above is true and correct Si Lyn ature: 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): r . 1.Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Application Number............................................ Section 9—.Construction Supervisor Name ,2 Telephone Number. Address 6j�, l b City i State ram..+ Zip License Number (jam S Y-I License Type tA iration Date Contractors Email I�r IC.`1 .is r v Cell# 5T g- -4 f3 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the constriction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section.10 —Home Improvement Contractor Name � o�.Ic Zs�s{,,,, Telephone Number •�� -� Address J .534k fe . City ,L, State Zip Dom Registration Number Expiration Date - 7/8 I understand my responsib'' es under the es and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts Building de. I understand the construction inspection procedures,specific inspections and documentation y the Town of Bamstable.Attach a copy of your H.LC... signature Date -� Section 11 -Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date "P IC T SIGNATURE Signature Date 0 ?-leg � Print Name GJ.((c. (�A,( .� Telephone Number `5t ?'_ E-mail permit to: �� (� C .L�"f �nJS �C o t4 r «....a .va.mmrni0 Section 12 —Department Sign-Offs Health Department © Zoning Board(if required) E Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire deparonent for approval Section 13—Owner's Authorization L , as Owner of the subject property hereby authorize to act on my behalf in all matters relative to work authorized by this building permit application for: (Address of j ob) Signature of Owner date • F Print Name `j 1 J • 1 I i If ' I I j ° I 1 ' I Last undated:2/9/2018 Town of Barustable *Permit 4123g2g Regulatory Services .F Qes6morttrs rofiissue date � antovsrwet.e, Thomas F.Geiler,Director y 1H488. $ �/ 1639-" Building Division Tom Perry,Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERART APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 0­2Z Property Address ` V-l!5: l� Residential ,Value of Work, 6 56-)o Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address v,,:�ej lz, Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) ,25 ❑Workman's Compensation Insurance X-PRESS PERMIT Check one: ❑ I am a sole proprietor J U L 17 2008 ❑ I am the Homeowner I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company NameUe ��� Workman's Comp.Policy# to,3 �C_) 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 v Replacement Windows/doors/sliders.U-Value 4 (maximum.44) *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 is required. SIGNATURE: Q:Forms:buildingpermits/express Revised 123107 f The Commonwealth of Massachusetts Department of Industrial Accidents 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 Le ibl Name(Business/Organization/Individual): G, Address: City/State/Zip: syJ Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. Q I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. Q New construction 2.❑ I am a sole or partner- listed on the attached sheet. 7. ❑ Remodeling proprietor ship and have no employees These sub-contractors have 8. Q Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition o workers' comp.insurance. [Ncomp. insurance required.] 5. Q We are a corporation and its 10.Q Electrical repairs or additions 3.Q I am a homeowner doing all work officers have exercised their I I.Q Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.Q Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13. Other L /AA10&J S 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: Policy#or Self-ins.Lic.#: 9 ,g Expiration Date: (> Job Site Address: &N6 ca�Sosj City/State/Zip: , AIA 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 hereby c under the pains and penalties of perjury that the information provided ab ve is ue and correct Si afore: Date: -2 /7 �� Phone#: 52? 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#: • CEEDMEM3 • THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA 77209-0000 WC 983-98-00 13889 _ �� 013-82-0208-01 ••• . ENN Y • ST7EVEN9S HOME IMPROVEMENT CO INC Member Companies of FAI RHAVEN, MA 027119-0000 011n American International Group EXECUTIVE OFFICES: 70 PINE STREET, NEW YORK, N.Y. 10270 SEE NAME AND. ADDRESS SCHEDULE - WC990610 I.D# MA UI#: •••• • •.•• WORKIE OAK RS COMPENSATION AND EMPLOYERS THE I AGENCY GROUP LLC 377 OAK STREET CS 601 LIABILITY POLICY INFORMATION PAGE GARDEN CITY, NY 11530-0000 INSURED IS PREVIOUS POLICY NUMBER CORPORATION REWRITE 009839800 OTHER WORKPLACES NOT SHOWN ABOVE:SEE NAME AND ADDRESS SCHEDULE - WC990610 ITEM 2 POLICY PERIOD 12:01 A.M.standard time at the Insured's mailing address FROM 02/04/08 TO 02/04/09 ITEM 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 1 ,000,000 each accident Bodily Injury by Disease $ 1 000,000 policy limit Bodily Injury by Disease $ 1 000,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: AK AL AR AZ CO CT DC DE FL GA HI IA ID IL IN KS KY LA MD ME MI MN MO MS MT NC NE NH NJ NM NV NY OK OR PA RI SC SO TN TX UT VA VT WI ITEM The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All Information required below Is subject to verification and change by audit. Estimated Total Rate Par Estimated Classifications Code Number Remuneration $100 of Re- Remium ❑ Annual ❑3 Year muneration 0 Annual ❑3 Yee SEE EXTENSION OF INFORMATION PAGE - WC7754 TAXES/ASSESSMENTS/SURCHARGES $864 EXPENSE CONSTANT(EXCEPT WHERE APPLICABLE BY STATE) ,$ 1 8 MA MINIMUM PREMIUM $500 MA TOTAL ESTIMATED PREMIUM $19,8 4 If indicated below,interim adjustments of premium shall be made: ❑ Semi-Annually ❑ Quarterly ❑ Monthly DEPOSITPREMIUM ENDORSEMENTS(FORM NUMBER) SEE ATTACHED FORM SCHEDULE - WC990612 02/25/08 PARSIPPANY 82 Issue Date issuing Office Authorized Representkilve WC 00 00 0' 39967 Town of Barnstable ,nsMns,E, MAS . .e3�. Regulatory Services � ,0 g rY Thomas F.Geiler,Director Building Division Thomas Perry,CBO 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 If Using A Builder I, bpwlb (���5�1 ,as Owner of the subject property 1 hereby authorize .5ai� g vSIf< l�3 �✓l� to act on my behalf, in all matters relative to work authorized by this building permit application for: i6'J &L (Address of Job) / Signature of Owner Date Print Name QTorms:buildingpermits/express Revised 123107 T� yy�� _ Boar o ui mg egu la�ions an tan ar s One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 101251 _ - Type: DBA Expiration: 6/25/2010 Tr# 267789 STEVENS HOME IMPROVEMENT CG ' Steven Alves rt 119 ALDEN ROAD Fairhaven, MA 02719 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card DPS-CAI G 5OM-07107-PC8490 i r PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 07/17/08 TIME: 14:42 PERMIT $ PAID 33.15 AMT TENDERED: 33.15 AMT APPLIED: 33.15 CHANGE: .00 APPLICATION NUMBER: 200803839 PAYMENT METH: CHECK , PAYMENT REF: 8935 I JUL-17-2008 14:54 BLANK P.02i02 S Board of Building Regulations and Standards License or registration valid for indivldu)use only HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to, Board of Building Regulations and Stanos. rds Replstratlon: 101251 Expiration; 612512p10 Tr# 2677ti9 One Ashburton Place Rut 1301 Ex p Boston,Ms.02108 Type: DBA STEVENS HOME IMPROVEMENT CC Steven Alves . 119 ALDEN ROAD -�-•` -_. „ ---�......,----- Fairhaven,MA 02719 Administrator Not valid without signature BO t Construction Supervisor License License: CS 13895 l Blrthdats,.7/15/1967 Fatp)nitlon: ,7115/2009 Tr#J 15683 ResWation: 00' STEVEN ALVES 4:7— 119 ALDEN RD FAIRHAVEN,MA 02719 Commissioner TOTAL P.02 e, °Ft r Town-of Barnstable *Permit# � 0 353 'b Expires 6 months rom issue date Regulatory Services Fee u BARNSTABLE, » Thomas F. Geiler,Director 1 v MAC 1 — 9, i639• ,� Building Division _n TTom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY / Not Valid without Red X-Press Imprint Map/parcel Number d `' Property Address T) l esidential Value of Work q9� J Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address ( /1• SL�. / vei Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) z orkman's Compensation Insurance X-PRESS PERMIT Check one: ❑ I am a sole proprietor ❑ I am the Homeowner JUN 3 ® 2008 ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name 's Vas /y✓S Workman's Comp.Policy# *TVdS ;7�V 15QA7 no 5 Copy of Insurance Compliance Certificate must be on file. Permit Request eck box) Re-roof(stripping old shingles) All construction debris will be taken to /? "'6L A 4 ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. 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: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. Ql; � ------•-- ou�Z SIGNATURE: Q:\WPFILESTORMS\building permit forms\EXPRESS.doc Revise020108 The Commonwealth of Massachusetts Department of Industrial Accidents 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 Le ' 1 Name(Bus'messlorganizarion/Individual): Address: City/State/Zip: v V Phone 4: 47$7 7-1�9-3!4-2 - Are you an employer? Check the appropriate o Type of project(required): 1.❑ I am a employer with 4- am a general contractor and I 6. ❑New construction 1. employees(full and/or part time).* have hired the stab-conUra.ctors 2-❑ I am a•sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship.and have no employees These sub(-comiractors have 8. ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9. ❑ rl�BUil addition [No workers' comp.-insurance Comp.insurance•$ ieq&�] 5. We are a corporation and its 10-❑Electrical repairs or additions 3-❑ I am a homeowner doing all work officers have exercised their I LEI Plumbing repairs or additions right of exemption per MGL myself[No workers comp- 12.❑Roof repairs rance ram]t c.152, §1(4),and we have no employees. [No workers' 13.❑Other Comp•insurance required.] "Any applicant that checks box#1 must also M out the section below showing their work='compensation policy information- t Homeowners who submit this affidavit in mfing 1hry are doing all work and thin hilts outside contractors must submit a new affidavit indicating such. tC bacto=s that check this box mast attached an additional sheet showing the name of the sub-conttactors and state whether or not those entities have employers. If the sub-contactors have employxs,they must prwidb their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the polity and job site information. Insurance Company Name: 1--t/7 Utr Zo v S Policy#or Self-ins.Lic-.#: 7 (� � 7� _ Expiration Date: / lob Site Address: D i-Q &%a. City/Sbwzip: ae Lk ✓V4 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 tip 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 Inyestieations of the bIA for insurance coverage verification. I do hereby certify a pains"and penalties of perjury that the information provided above true and correct Si e• t Date: _ Phone# Official use only. Do not write in this area,tb be completed by city or town officiaL City or Town: Permit/License# I 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(e7 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 compliznce 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),addrrss(es)and phone number(s).along with their certificates)of inc�Tranrr, 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. Bp 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 munber listed below. Self-insured companies should enter their self-inanransr 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 permiVlicense applications in any given year,need only submit on;affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should wriie"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 time applka 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 house owner or citizen is obtaining a license or permit not related t0 any business or commercial venture (i.e.a dog license or permit to brim leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would Mce to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. That Depattment's address,telephone-and fax number. The C6mmonwealth of Massachusetts ' Department of Industrial Accidents Office of Investigations ' 600 Washington Strut Boston,MA 02111 TO. #617-727-4940 ext 406 or 1-V7-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dia ACORD CERTIFICATE OF LIABILITY INSURANCE "�"°°"""' >ti 04/00/2008 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SCHLEGEL INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 34 MAIN ST ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WEST. YARMOUTH, MA 02673 INSURERS AFFORDING COVERAGE NAIC# aNsfRED INSURER NORTHLAND INSURANCE Paul Buckmiller INSURERS: TRAVELERS INSURANCE DBA BUCKMILLER ROOFING INSURER C: INSURER D: Hyanais, MA 02601 IN"ERE: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AWL POLICY EFFECTIVE POLICY EXPIRATION LTR INSRO TYPE OF INSURANCE POUCYNIRNBER DATE(MMfODIYY) DATE(MMfODIM LIMITS A GBIENALLIABILITY CP46859504 05/15/07 05/15/08 EACH OCCURRENCE s.1,000,000 DA X COMMERCIAL GENERAL LIABILITY PREMISES(Ema'- j -) f 50,000 CLAIMS MADE a OCCUR MED EXP(Any one person) s EXCLUDED PERSONAL&ADV INJURY f 1,000,000 GENERAL AGGREGATE s2,000,000 GENL AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMPlOP AGO s2,000,000 POLICY JMECCT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) f ALL OWNED AUTOS . BODILY INJURY f - SCHEDULED AUTOS (Pet pe—) ' HIRED AUTOS BODILY INJURY f NON-OWNED AUTOS - (Per aectWud) PROPERTY DAMAGE f (Per accident) GARAGEUASIUTTY ALTO.ONLY-EA ACCIDENT: f ANY AUTO OTHER THAN EA ACC f AUTO ONLY: AGG f E XCESSAMWELLA LIABILITY EACH OCCURRENCE i OCCUR F-1 CLAIMS MADE AGGREGATE $ s DEDUCTIBLE RETENTION f f MW 8 —WORKERS COMPENSATION AND 7PJU8-7430A7-07 04/11/07 04/11/08 X TORYLUNrrs ER EMPLOYERSLIABILITY ANY PROPRIETORIPAR TNF/E(ECUTNE 7PJUB-743OA7-08 04//11/08 04/11/09 E.L.EACH ACCIDENT $100,000 _ OFFICERMEMNBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE i 100,000 If yes,deso the under YES SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMB i 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS THE WORKERS COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR PAUL BUCKMILLER CERTIFICATE HOLDER CANCELLATION COREY &COREY SHOULD ANY. OF THE BED POLICIES BE CANCELLED BEFORE THE EXPIRATION 1694 FALMOUTH RD #115 DATE 70SU DF, THE ISSI4NG WILL ENDEAVOR TO MAIL 21 DAYS 'WRITTEN CSNTERVILLL,. MA 02632 - NOTICE TO THE HCATE HOLDER ED TO THE LEFT, BUT FAILURE TO DO 50 SHAI.L I IMPOSE NO GAT16N OR I: !OF ANY (OND UPON THE INSURER ITS AGENTS OR REPRESENTA .AUTHORIZED R ATIVE FAXs 508-775-0155 ACORD 25(2001108) 0 ACORD CORPORATION 1988 <i� `jO�I77g9Zpryy�jp�/,� o��/�aQaculuaetta.._ Board Of Building Regulations and Standards " HOME IMPROVEMENT CONTRACTOR I egistrat or n 136066 �ExptR ot�-5%6/2olc j a r„ Tr# 268785 COREY&COREY HOMlVEMENTS i CHARLES COREY 1694 FALMOUTH CENTERVILLE,MA 02(i32 ' Administrator � 3 gistra fio valid individul tonly License or reIf foundreturn o the expiration date before ldin Regulations and Standards Board ofBu'bu rton Place Rm 1301 one Ash Boston,Ma,02108 Not valid without signature CHARLEjS Cf t� i I+ Y- ' TM R11-110,041-b"T..s", R110.0,for-y' ' TOTAL INVESTMENT 9950.00 Including Senior Citizen Discount Payable immediately upon completion. POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards,Plywood Sheathing,Missing Metal Flashing, Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus Labor at the Rate of$ 75.00 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. WORD SCHEDULE: All Roof Work is Normally Scheduled for Completion Within 30 Days of Acceptance and Receipt of Deposit providing the Materials are Available. Please Make Checks Payable to: CHARLESCOREY CHARLES COREY Warranties the Shingles and Labor for 10 years. CERTAINTEED Warranties the shingles ated basis foorr 0% for the 30 First and then on a pro Years Total if the shingles becomes defective. CERTAINTEED Warrants the Shingles up to a 70 MPH WIND WARRANTY. CERTAINTEED Warrants the Shingles to be Algae Resistant for a Full 10 Years. Any alteration or deviation from above specifications,will be executed only upon written orders and will become an extra charge,over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tornado,and other necessary insurance upon the above work.. This proposal may be withdrawn by us if not accepted within thirty days. CHARLES CORE Y carries Workman's Compensation and Public Liability Insurance on the above work DATE OF ACCEPTANCE: ACCEPTED BY: SUBMITTED BY: C RLES C E17 4�'P�ATRITCK WALSH CONTRA TO f F t►+e rqy, Town of Barnstable *Permit# �" Erp'es 6 months from issue wr A ( tsTAB Regulatory Services Fe@ '""SS' 1639. Thomas F.Geiler,Director �0 �EO11o'�p Building Division Peter-F.DiMatteo, Building Commissioner .. 367 Main Street, Hyannis,MA 02601w -PRESS PE MI Office: 508-862-4038 ,J U L 1 8 2001 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION OWN OF BARNSTA.BLE Not Valid without Red X-Press Imprint Map/parcel Number Z-6-(l/D 7 6 Property Address 67 1 0A)q u I Eo k v Residential OR ❑Commercial Value of Work Owner's Name&Address �/�\��C\� 4, w d e �n Contractor's Name n WN6 k _Telephone Numbe ` r 7 r Home Improvement Contractor License#(if applicable) Conf'auction Supervisor's License#(if applicable) ❑Vorkman's Compensation Insurance r Check one: i ❑ am a sole proprietor 2 I am the Homeowner Y:1. , I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) dRe-side- Replacement Windows. U-Value (maximum.44) ❑ Other(specify) . *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. F Stgnatu Q:Forms:expmtrg:rev-070601