Loading...
HomeMy WebLinkAbout0028 OWENS STREET ACTIVE i..a• "gyp y�: � P C �E �i' V ` / `��� �c`> G ��:, t1� .,� 0� r , �� /- . � GfG 1 :,, ��J � . � ��,� �O O �> ♦}y 41 �� \�,.=� c,� ,r ;� _ �� � `��:�� t_. ,�,, v �, : `R��w�• ,�� . �. � p � .� . . ! � � �� • t Z \�\ ` ' G ;`3 p 6 J V n! p C= Town of Barnstable �� 3(00 OFF Expires 6 months from Issue date Regulatory Services Fee �0 fARNSCABLE, stagy Thomas F.Geiler,Director .4 3 s b a1� Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 ww .town.barnstable.ma.us Office: 508-862-4038 w Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY at Valid without Red X-Press Imprint Map/parcel Number / Property Address C28 esidential Value of Work ��cfo6 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 11T%, t dVIAS- A16 .26 (/IAJe�►vS 1.406,,e r X4 ai,20 Contractor's Name �r� � � n„�s i �a t �-G "' Telephone Number t_S 2 �67 �/ nr�P �rr�enA.�. Home Improvement Contractor License#(if applicable) ZG � V �-P-ESS ,—Gr11V11 ll. Construction Supervisor's License#(if applicable) /3 JUN 3 2013 orkman's Compensation Insurance Check one: ❑ I am a sole proprietor TOWN OF BARNSTABLE ❑ I am the Homeowner 0I`have Worker's Compensation Insurance / Insurance Company Name Workman's Comp.Policy Copy of Insurance Compliance Certificate must accompany each permit. Permit Re ues .(check box)B-1 e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) UKe side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. "Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\decollikWppData\L&al\Microsoft\Windows\Temporary Internet Files\Content.0utlook\QRE6ZUBN\EXPRESS:doc Revised 053012, j I The Commonwealth of Massachusetts Department of Industrial Accidents E Office of Investigations 600 Washington Street Boston, MA 02111 F www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information 4. / Please Print Legibly Name(Business/Organization/Individual): J Address: P D, 9,6 6 / City/State/Zip: ZA Aq A Qd ahone#: 6 0 Are you employer?Check the appro late box: Type of project(required): 1. I am a employer with_� 4 ❑ I am a general contractor and I 6 ❑New construction employees(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- These sub-contractors have g, []Demolition ship and have no employees employees and have workers' q �Building addition working for me in any capacity. comp. insurance.' [No workers' comp. insurance 10.❑Electrical repairs or additions required.] 5• ❑ We are a corporation and its ❑ officers have exercised their I I.❑ Plumbing repairs or additions 3. I a homeowner doing all work right of exemption per MGL myself. [No workers'comp. 12.[�-R�stSf repairs insurance required.]T c. 152, §1(4),and we have no employees. [No workers' 13.❑Other �o comp. insurance required.] *Any applicant that checks box#I 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: s,;;—,\ - ✓►'t I tJ-�6 E `020 Policy#or Self-ins.Lic.#: �.DO 1 3�� xpiration Date: � Job Site Address: 7i avS s� City/State/Zip:_ ,-q I`modd Attach a copy of the workers'compensation policy declaration page(showing the policy numb r 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 certify un er the pains and penalties of perjury that the information provided above is true and correct Date: Si nature: Phone#: JPP ?1 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#: r ' �'C� CERTIFICATE OF LIABILITY INSURANCE' 7E(MM/DDNYYY) /14/2012 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 Mark Sylvia Insurance Agency,LLC PHONE Donna Ostrowski FAX 404 Main Street c o 508 957-2125 A/C No E-MAIL ADDRESS: Centerville,MA 02632 INSURERS AFFORDING COVERAGE NAIC# I, INSURER A:Farm Family Casualty Insurance INSURED INSURER B: Doyle& Thomas Construction, Inc. PO Box 168 INSURER C Centerville,MA 02632-0168 INSURER D: 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 POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A GENERAL LIABILITY 2001XO485 7/21/2012 7/21/2013 EACH OCCURRENCE $ 1,000,000 DAMAGE TO X COMMERCIAL GENERAL LIABILITY PR EM SES Ea oNcur ante $ 50,000 CLAIMS-MADE ❑X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 JECT X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION 2001 W6390 7/1/2012 7/1/2013 1 WC STATU- X I 'ER AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Carpentry CERTIFICATE HOLDER CANCELLATION (508)420-7989 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Doyle&Thomas Construction Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 168 ACCORDANCE WITH THE POLICY PROVISIONS. Centerville,MA 02632 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD .X Qa �G Gy 506® 3-1635 SPECIALIZING IN ALL FORMS OF ROOFING & SIDING doyleandthomasconstruction.com P.O. BOX 168 BBB. CENTERVILLE, MA 02632 Fully Licensed & Insured Construction Supervisor Lic# 99913 Doyle and Thomas Inc. Proposes to perform the following work: Location of proposed work: Mr. & Mrs. Babner 28 Owen Street Hyannis, MA 02601 Date on which construction should begin: May/June 2013 The homeowner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that cannot be avoided by the contractor shall not be considered as a violation of this contract. The contractor agrees that when such delays become known to the contractor,the contractor will advise the homeowner as soon as possible. The homeowner hereby acknowledges that in certain remodeling work,the demolition process may reveal defects in the existing structure which must be repaired,creating additional work which may need to be carried out in order to complete the work described in this contract. In such case the homeowner agrees that the duration of the work and the schedule date of completion may differ,and that such variation is not to be considered a violation of this contract. The total cost for labor and materials under this contract: $7,754.95 30 yr.GAF/Elk Timberline Architectural shingle(Life Time Limited Warranty) Above proposal total includes the removal&re-install of the railings on low slope roof Thank You For Giving Us The Opportunity To Help You Improve In the event that while stripping the roof we find rot that needs to be replaced,the homeowner then has to agree and authorize any replacement or restoration. Then in addition to the above contract price,the homeowner agrees to compensate the contractor for any repairs or restoration at the hourly rate of$45.00 for a carpenter and$30.00 for a carpenters laborer, plus the cost of materials. -Roof to be stripped and cleaned of all old shingles and debris -Roof to be papered with weather watch leak barrier, Synthetic roof underlayment, and installed with Timberline architectural shingles using galvanized nails. (Hurricane nailed) -All new 8"drip edge and pipe flanges to be installed -Cobra ridge vent to be installed on all ridges -Timberetex premium ridge cap to be installed -A 5 yard dump trailer will be needed on site; and will be removed at completion of the job -Contractor will be responsible for all building permits needed at the property NOTICE REQUIRED BY LAW With the agreement of the contract$500.00 of estimate is due. Further payments under this contract are as follows: 1/2 of the estimate due at the start; and remainder due at completion of the job. Balance of all materials and labor shall be payable in full upon completion of work described in this contract. Payment as agreed upon shall be made when due. Any payments which are delayed shall be subject to a finance charge of 1.5%per month. The contractor warranties the work completed under this contract for a period of one year from the date of completion. During the stated warranty period the contractor shall be responsible for the service of the repair or adjustment, but the contractor shall not be responsible for the normal maintenance, repair due to abuse, misuse,and or normal wear and tear,which shall be the responsibility of the homeowner. All warranties for the materials supplied by the contractor shall be passed directly to the homeowner. The homeowner may be required to register or mail in such warranty card or evidence of ownership in order to activate such warranties. Homeowner failure shall not create any responsibility for the contractor under the warranty provisions;the choice of repair of replacement shall be at the discretion of the contractor. The homeowner acknowledges that the form, content, and notices contained in this contract are intended to comply with the applicable portions of the Mass. General Law Chapter 142A, and regulations promulgated there under. In the event of any instance of non-compliance,only such portion shall be invalid and the remainder of this contract shall be in full force effect. In addition,any such portion not in compliance shall be read and interpreted so as to have its intended meaning to the maximum extent allowed under such law and regulation. Signed as a sealed instrument on this date: �v�, U Date: I e I � 4 . Home r I ntra for = v Z 7+ 5 SPECIALIZING IN ALL FORMS OF ROOFING & SIDING doyleandthomasconstruction.com P.O. BOX 168 BBB. CENTERVILLE, MA 02632 Fully Licensed & Insured Construction Supervisor Lic# 99913 Doyle and Thomas Inc.Proposes to perform the following work: Location of proposed work: Mr. & Mrs. Babner 28 Owen Street Hyannis, MA 02601 Date on which construction should begin: May/June 2013 The homeowner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that cannot be avoided by the contractor shall not be considered as a violation of this contract. The contractor agrees that when such delays become known to the contractor,the contractor will advise the homeowner as soon as possible. The homeowner hereby acknowledges that in certain remodeling work,the demolition process may reveal defects in the existing structure which must be repaired, creating additional work which may need to be carried out in order to complete the work described in this contract. In such case the homeowner agrees that the duration of the work and the schedule date of completion may differ,and that such variation is not to be considered a violation of this contract. The total cost for labor and materials under this contract: $2,568.05 Strip&Re-siding upper side over low slope area home with Maibec White cedar shingles Thank You For Giving Us The Opportunity To Help You Improve In the event that while stripping the siding we find rot that needs to be replaced,the homeowner then has to agree and authorize any replacement or restoration. Then in addition to the above contract price,the homeowner agrees to compensate the contractor for any repairs or restoration at the hourly rate of$45.00 for a carpenter and $30.00 for a carpenters laborer, plus the cost of materials. -Siding to be stripped and cleaned of all old shingles and debris -Building to be papered with Typar house wrap -Grade A Maibec clear white cedar siding to be installed -5 yard dump trailer will be needed on site; and will be removed at completion of the job -Contractor will be responsible for all building permits needed at the property NOTICE REQUIRED BY LAW With the agreement of the contract$500.00 of estimate is due. Further payments under this contract are as follows: 1/2 of the estimate due at the start; and remainder due at completion of the job. Balance of all materials and labor shall be payable in full upon completion of work described in this contract. Payment as agreed upon shall be made when due. Any payments which are delayed shall be subject to a finance charge of 1.5%per month. The contractor warranties the work completed under this contract for a period of one year from the date of completion. During the stated warranty period the contractor shall be responsible for the service of the repair or adjustment, but the contractor shall not be responsible for the normal maintenance, repair due to abuse, misuse,and or normal wear and tear,which shall be the responsibility of the homeowner. All warranties for the materials supplied by the contractor shall be passed directly to the homeowner. The homeowner may be required to register or mail in such warranty card or evidence of ownership in order to activate such warranties. Homeowner failure shall not create any responsibility for the contractor under the warranty provisions;the choice of repair of replacement shall be at the discretion of the contractor. The homeowner acknowledges that the form, content,and notices contained in this contract are intended to comply with the applicable portions of the Mass.General Law Chapter 142A, and regulations promulgated there under. In the event of any instance of non-compliance,only such portion shall be invalid and the remainder of this contract shall be in full force effect. In addition,any such portion not in compliance shall be read and interpreted so as to have its intended meaning to the maximum extent allowed under such law and regulation. Signed as a sealed instrument on this date: Date: r Homeowner Contractor COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation ' Home Improvement Contractor Registration Program 10 Park Plaza,Suite 5170 Boston,MA 02116 APPLICATION FOR RENEWAL OF REGISTRATION HOME IMPROVEMENT CONTRACTOR OR SUBCONTRACTOR MGL Chapter 142A,201 CMR 18.00 REQUIRED RENEWAL FEE' ONLY CERTIFIED CHECKS OR MONEY ORDERS CAN BE ACCEPTED. ANY OTHER FORM OF PAYMENT, INCLUDING BUT NOT LIMITED TO $100 PERSONAL OR BUSINESS CHECKS, WILL BE RETURNED AS INELIGIBLE. .. J.. It lrti sp It:+.i i� d l c��.. h','�S z tiC HL See 21,0,i ? t 1< Ji r w l! f=i Tllt c ca ? tt1� t j 7 1` t t -tin : 1s �. 3hn is v i ----- -- ---- t-�i L jLLt^t -t-- f t = i t7L .to �a 1 Jt7. 1� ?�,c. znd �� t.iY}� �ih i-1 - St Stip P.t. 1. Name of Applicant as listed on Current Registration: M 2. Registration Number: 3. D/B/A used by Applicant(if different from current registration): (if filing as a new D/B/A, you must provide a copy of the Business Certificate filed with the City or Town Clerk.) 4. Address/Tele ph one Number of Applicant(if different from current registration): . Telephone#: n Sao l�j 5. No.of Employees(if different from current registration): 6. If Applicant is a Partnership,Corporation,or Trust,indicate the name, Social Security No.,and contact number of the individual responsible for Applicant's work(if different from current registration). �`, Nl AS ' , rst Middle Last Telephone#: <O 3C22 -- -i..---_ --- —.-- -- ' ---- [80 c a ro ult„a re e It, r rige, in t!le Ow,(t ;U;lunr i Chapter 27 of(`1E Acts Cr 20091. :he holders or''ons a ction Supervisors Licenses are no lonrl? exempt i o 1-11C j CsSO � 1, ', ,ALL CC'�y�a"1 t��L a��3 �; �`1�UD?3%�tI S1�,�5!1w��4� '�M��3��V"�1G THEIR�?aC, v. REGISTRATIONS S MUST PAY A, RENEWAL. FEE OF $100,'00. n� _— _ m ._-.. _ -—-...-—----- ---- ----------- --- , 7. Registration Renewal Fee enclosed: $ /001 Make all certified checks or money orders payable to"Commonwealth of Massachusetts." ONLY CERTIFIED CHECKS OR MONEY ORDERS CAN BE ACCEPTED. Pursuant to Massachusetts General Laws Chapter 62C§49A, I certify under the penalties of perjury that,to the best of my knowledge and belief, I have filed all state tax returns and paid all state taxes required under law. J Si ature of Applicant Tit a held, if applicable Date A FALSE ANSWER TO ANY QUESTION IN THIS APPLICATION CONSTITUTES GROUNDS FOR SUSPENSION OR REVOCATION OF THE APPLICANT'S REGISTRATION. �Xe:.&wm„w.uueccN o�✓�aaeac�iueelt Office of Consumer Affairs&Business Regulation ' License or registration valid for individul use only _ before the expiration date. If found returti to: a HOME;IMPROVEMENT CONTRACTOR o RegisYrat�on ''145954 Type: i Office of Consumer Affairs,and Business Regulation. 10 Park Plaza-Suite 5170 Expiration 3[h51201.3 Private Corporation Boston MA 021.16 DOYLE+THOMAS;CONST INC TROY THOMAS /�� 499 NOTTINGHAM DR - CENTERVILLE, MA 02632 Undersecretary Not v id w' out signature Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Super�isor Spccialt License: CSSL-099913 TROY A THOMAS 499 NOT'nwdHAr&DRIVE CENTERVIIjLE MA +02632 J51`tat�� Expiration Commissioner' 04/13/2014 I Town of Barnstable *Permit# 0e6w 7 Expires 6 months from issue date �T Regulatory Services Fee antwsrAar.s, MA & Thomas F.Geiler,Director s6g9 �� fD NIAI A Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.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 Property Address aL �A4S 7"-,( &rj V Ab esidential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address lov, !S tv/� y �KtiI S nrz ate!" ,,i r� 6/ Contractor's Name e�(e yr' / �.A; c 0��f r, Telephone Number.979 Ta8 L' J'S' t, r Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) X-P R ESS PERMIT OwleFkcman's Compensation Insurance Check one: O C T ® 5 2009 ❑ I am a sole proprietor ❑ I am the Homeowner TOWN OF BARNSTABLE Q-f(iave Worker's Compensation Insurance Insurance Company Name le2.411 M1 C ,— Workman's Comp.Policy# 0241 �7(9 Copy of Insurance Compliance Certificate must accompany each permit. 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) tv-si�nPGt" _- ^,V � � a� #of doors ❑ ReplacelmentlUW�indows/Vd000rs//sliders.U-Value (maximum.44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\decollik\AppData\Local\Mic soft\Win ows\Temporary Internet Files\Content.Outlook\4STGU5QO\EXPRESS.doc Revised 090809 w� y ,3 16 3 5 SPECIALIZING IN ALL FORDS OF ROOFING SIDING doyle-thomas@comcast.net (508) 3 - -1635 P.O. BOX 168 Fully Licensed.& Insured CENTERVILLE, MA 02632 LIC# 145954 Doyle and Thomas'Inc.Proposes to perform the following work: Location of proposed work: Mr.&Mrs. Babner 28 Owens Street Hyannis, MA 02601 Date on which construction should begin:. September/October 2009 " The homeowner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that cannot be avoided by the contractor shall not be considered as a violation of this contract. The contractor agrees that when such delays become known to the contractor,the contractor will advise the homeowner as soon as possible. The homeowner hereby acknowledges that in certain remodeling work,the demolition process may reveal defects in the existing structure which must be repaired,creating additional work which may need to be carried out in order to complete the work described in this contract. In such case the homeowner agrees that the duration of the work and the schedule date of completion may differ,and that such variation is not to be considered a violation of this contract. ,The total cost for labor and materials under this contract: $10,146.49 " In the event that while stripping the siding we find rot that needs to be replaced,the homeowner then has to agree and authorize any replacement or restoration. Then in addition to the above contract price,the homeowner agrees to compensate the contractor for any repairs or restoration at the hourly rate of$45.00 for a carpenter and$30.00 for a carpenters laborer, plus the cost of materials. 1 . Thank vcu for Givina us the Onnorh inity fin HPIn Yni j ImnrnvP Yni it Hnmp s a� Signed as a sealed instrument on this date: Date: Homeowner Contractor 3 1 t 1 1 ,1.\ul��lllllll ) £L666 �T11 ZLOZ1£WV :uoilpndx3 Z£9Z0 dW'-T01WUN3O 3A G WdH Vj0V4 l�Obl SV :oi pai311;sa2! £1666 asuao!"i FXf�{�adS aosin�adnS uollonjIsU00 )ur .u►►►i►'In;;aN r�UWI) ng 4►► P�rog �1�.1►. aitdnd.11l lua►ut►►'ita(1 - ffj -- (ajJ« * e ration date. If found return to: HOME IMPROVEMENT CONTRA z Board of Budding Regulat►o�is and Standards License the expiration valid for individul use only before P CONTRACTOR Board of Building Regulations and Standards One Ashburton Place Rm 1301 3115/2 Expiration: 115/2011 Registration: Tr# 282668 Boston,Ma.02108 Type: Private Corporation DOYLE+THOMAS CONST INC —�� TROY THOMAS _---- M DR Not v t out signature 499 NOTTINGHA Administrator CENTERVILLE,MA 0263 r The Commonwealth of Massachusetts Department of Industrial Accidents N Office of Investigations 600 Washington Street - Boston,MA 02111 www mass.gov/dia Workers' Compensation-Insurance Alidavit: builders/Contraetors/Electricians/Plumbers Applicant Information / Please Print Legibly Name(Business/Organization/Individual): xz�ze� {� y19QS -Oil .2��0 r/ —7eAdr,, Address: �, �� /�o ✓ City/State/Zip: J7,7 Phone#: Are you an employer?Check the appro rate box: Type of project(required): 1.21 am a employer with 3_ 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. emodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in any ca aci employees and have workers' capacity. � 9. ❑Building addition [No workers'comp.insurance comp.insurance. 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 I I. 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.❑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. :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: Ax /-rr 4 Policy#or Self-ins.Lic.#: 6✓6 TY0 Expiration Date: ;F al —"2Q/O City/State/Zip: Ci ,,,,•„•f fj� OW61 Job Site Address: 0& 4Q k 15 ty p: Attach a copy of the workers'compensation policy declaration page(showing the policy num r and exVration 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 certify under the pains and penalties of perjury that the information provided above is true and correct Signature: Date: AP ' O 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): 4.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: '8!AUC,03-2009 12:09 From:MARK SYLUTA INS 5084209227 To:15087906230 P. 1/1 "'' DATI=(MMIUU/T TI ACORD,N CERTIFICATE OF LIABILITY INSURANCE 06103/2009 t.qR Serial# 103846 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MARK SYLVIA INSURANCE AGENCY HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 771 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POIJCIF_S ELOW. OSTERVILLE,MA 02600 TEL:' 608.428.0440 FAX: 600-420.0227 INSURERS AFFORDING COVERAGE NAICii INaUli61) INSURER A FARM FAM14Y CASUALTY INSURANCE CO DOYL�e THOMAS CONSTRUCTION INC. INSUnCR D: PO.SOX 108 INSURER 0: CENTERVILLE, MA 02532 INGURPR D: INSURER 11 COVERAGES ITHE POLICIES OP';INGLIRANCE LISTED BELOW HAV@ 911EN ISSUED TO THE INSURED NAMED ADOVP.FOR THG POLICY PERIOD INDICATQD NOTWITHSTANDING .ANY REQUIRaMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHGR DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY DE 198UE0 OR MAY'PERTAIN,THE INSURANCE APFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, QXCLU610NG AND CONDITIONS OF SUCH POLICIES,AOOREGATC LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS NO I ? T F N L Y X 70N LIMITS 1YPQ OP INBURANCL' POLICY NUMDQR e gRAI.LIADICITY EACH OCCURHIaWCE s 1 OOp 00( I x COMMhRCIAL OI!NERAL LIABILITY 2001 X0a95 07/21/2009 07/21/2010 G, O �I; TrD r 50,00( 4AIMe MADfa a OCCUR MI^D 0XP (Anyone m mon r Pr!RIIONAL A ADV INJURY 6 01cNGRAL AOORUOATE f 2 000 00( 01141-A00 136A'TC LIMIT APPL.IPS PCR PRODUCTS COMPIOP AGG .1 2,000,00( 7X. P&ICY E3P LOC AUTOMOOILL"(IABILITY COMOINED SINGLE:LIMIT E ANY AUTO (Ea oaoideN) ALL OWNED AUTOO DODILY INJURY , OCHEDULCO AUTOS (For poleon) HIROD:AUT00 DODILY INJURY S NpN•OWNIO AIJTOG IPdr onaidenq PRQPCRTY DAMAGE lPoI'eo"Id onq ...:.. OARAQI!LIABILITY AUTO ONLY.IIA AGCII)r.NT $ ANY AUM OTHER THAN (,-'A_AC S AUTO ONLY AGG S L'XC0851LIMOROLLA LIABILITY CACH OCCURRENCE t ZD Occult CLAIMS MADS AGORCOATG 6 ' S OQDUCTIDLC RDTENTION S G VIORKOR'S COMPENSATION AND 2001 W0380 07/012009 07/01/2010 C I X IO" 1 RMPLOYORS'LIABILITY t L EACH ACCII)IaNT S 500,00 ANY PROPRIMz RIPARTN�RIQXECUTIVE OPFICL•RIMEMBI5R IaCCLUpGp?'_ FL 01(!I A6V•f:A EMPLpYEF. 6 5Q0� II yea doldrlbe unddll rPRCIA':PROVI�IO aeelow YES r1.D1cr?Aer+•PallcvIIMIT G 50000 .... .. 'OTNOR. " DOICRIPTION OF OPL'RATION81LOOATION8NQHIC4f38/3XCLUSIONS ADDOO By riNDORSOM13NTISPUCIAL PROVISIONS CARI?E.NTRY ` tHI WORKERStOMPENSATION POLICY GOES NOT PROVIOI:COVERAGE FOR TROY A THOMAS, SHAWN DOYLE,- ;< .CERTIFICATE HOLDER CANCELLATION .......... ... SHOULD ANY OF THFa AOOVG DLr:,CRIOGD POLICIB©DG CANCOLLL',D 313FORI7THH CXPIRATIC OATI3 THC COP,THEE ISSUING INSURER W11.1.DNpCAVOA TO MAIL DAYS WRITfEA TOWN OF BARNSTABLE NOTICE'0 W1 CERTIFICATE 1-101,DER NAMED TO 7I10 LEPI',BUT FAILURE TO DO GO SHALL BUILOING DEPARTMENT ATTN SALLY MYANNIS, MA 02601 IMPO •N O LIGATION OR LIApILI' PAN IND UPON TI•IGdNBURGR,IiTS AGGN'fG OR FAX508.790-8230 JSp Rr:P err, T i' AUT RIZ I: V ACORO 20(2001108) v9 A RD CORPORATION 1009 Town of BarnstablePermit: 5/ pTHE i �o ati Regulatory Services ate: (l�-Y/o Thomas F.Geiler,Director ee: 5 09 BARNSTABLE, Building Division MASS. 9 A i6 0 • � �9• . Peter F.DiMatteo Building Commissioner AIFo �a 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: T,&SAXICPhone: �714,1 Install at-c2!V 0 �V A�I-l / Village: )4 Al I Map/Parcel: 3 2 Date: Stov A. ew Used B. ype: dia /Circulating VT6 e�' C. Manufacturer: C' a fi C S Lab. No, 1,. i D. Model No.: 1 9'9L) - " rl`GS 4 3 Chi e N Q-.(„! �./h!r�~, —t,l I't'�f l�1 S /��� �'�t r �' A. e /Existing (If existing,pleas note ate of last cleaning) �l �.e /� B. Flue Size / /� C. Are other appliances attached to Flue? !1 D. Pre-.fab Type and Manufacturer 0.� , E. Masonry: Lined/Unlined 1 Hearth A.• Materials: 4 fl CO-) Wi'i� B. Sub Floor Construction: U SJ/q-re, F�w 7a.C7'' Flak Installer Name: —I SPi lk Address: I!•G Gx Phone: S C 'OY6-F- r%C f &144 Location of Installation: �_a 12a1%r S APPROVED BY: Please make checks payable to the.Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove Rev 122801 �— a� [ ] [R324 033 ] LOC] 0028 OWEN STREV CTY] 07 TDS] 400 HY KEY] 235855 ----MAILING ADDRESS------- PCA11011 PCS100 YR100 PARENT] 0 BABNER, WILLIAM J MAP] AREA] 61AC JV] MTG] 9201 PAULETTE C BABNER SP1] SP21 SP31 28 OWEN ST UT11 UT21 . 33 SQ FT] 1722 HYANNIS MA 02601 AYB] 1932 EYB] 1970 OBS] CONST] 0000 LAND 30500 IMP 75100 OTHER 1300 ----LEGAL DESCRIPTION---- TRUE MKT 106900 REA CLASSIFIED #LAND 1 30, 500 ASD LND 30500 ASD IMP 75100 ASD OTH 1300 #BLDG (S) —CARD-1 1 75, 100 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 1, 300 TAX EXEMPT #PL 28 OWEN ST HY RESIDENT' L 106900 106900 106900 #RR 1195 0090 1851 0160 OPEN SPACE #SR WILSON STREET COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 00/00 PRICE] ORB] 1642/138 AFD] LAST ACTIVITY] 00/00/00 PCR] Y R324 033 . • P P R A I S A L D A T KEY 235855 BABNER, WILLIAM J LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 30, 500 1, 300 75, 100 1 A-COST 106, 900 B-MKT 113, 600 BY 00/ BY /00 C-INCOME PCA=1011 PCS=00 SIZE= 1722 JUST-VAL 106, 900 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 61AC ----------------------------- NEIGHBORHOOD 61AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 305001 LAND-MEAN +0 1069001 74880 IMPROVED-MEAN +0 250-o ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 130061 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADDS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] R324 033 . • P E R M I T [PMT] ACT [R] CARD [000] KEY 235855 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR .CMP NEW/DEMO COMMENT a ® a N r � r c7 z z i m k J J POPERTY ADDRESS II ZONING I DISTRICT CODE - SP-DISTS.)DATE PRINTED STATE I pCS I NBHD PARCEL IDENTIOCATION NUMBER CLASS KEY NO. 0028 OWEN STREET 07 .LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS TY IJ NIT ADJ'D.UNIT Lantl By/Date Size D�menso" FCRES/UNITS VALUE Description B A 3 N E R. W I LL I A M J co. F1=De ,mAares LOC./VR.SPEC.CLASS ADJ. COND. PE PRICE PRICEM A P— #LAND 1 30,500 CARDS IN ACCOUNT — 10 1BLDG.SIT 1 x _33C=13 203 34999.9 92364.9 30503 #BLDG(S)—CARD-1 1 75,100 01 OF 01 #OTHER FEATURE 1 1,300 CBATHS 1 .1 U X I C= 100 6000.0 6000.0 6000 a #PL 28 OWEN ST HY MARKET 113600 FI LACE U x C= 1003100.D 3100.0 3100 3 #RR 1195 0090 1851 0160 INCOME AR�ilETGAR S 12 x 28 193 C= 20 19.3 3.8 1300 F #SR WILSON STREET USE Di APPRAISED VALUE UI PARCEL SUMMARY00 S ! LAND 30500 T ; BLDGS 75100 M 0—IMPS 1300 E i TOTAL 106900 N CNST N I I DEED REFERENCE Ty, DATE R� df PRIOR YEAR VALUE T Boox Page Ins,, MO. Yr.D Sale.Pric. LAND 3 0 5 0 0 S 1642/138, 00/00 BLDGS 76400 TOTAL 106900 BUILDING PERMIT Numtigi. Ue,e lypp A-mOuiit LAND LAND—ADJ INC ME USE SP—ELDS FEATURES BLD—ADJS UNITS 30500 130 9100 Cons, To,al gas¢Ra,e Atl.Ra,e Year Built A Class Un,s Units I A�uel �fh ge Depr. COntl. CND_ Loc- ^b R.G. Repl.Cosl New Atll_Repl.Value S,ories Heignt Rooms Rms Baths •Fia. P.rtywell Fx. 000 110 110 64_15 70.57 32 70 24 74 90 64 117345 75100 2.2 8 4 1.1 6.0 �cnptiun Rate Square Fee, Repl.Cos, MKT.INDEX. 1 .01) IMP.BY/DATE: / SCALE: 1/U 0.5 9 ELEMENTS CODE CONSTRUCTION DETAIL BAS 100 70.57 660 46576 GROSS AREA 1722 SINGLE FAMILY DWELLING CNST GP:00 UOP 35 24.70 70 1729 *-10* N STYLE 19DUTCH COLONIAL 0. FOP 35 24.70 140 3458 !FSF10 - ---- - - - -- ---—----------------- DLzi. ADJMT 02DESIGN ADJUST 10. FSF 90 63.51 150 9527 ! ! - - ------ WALLS 01i0-- FRAME 0. UFO 60 42.34 12 508 HEA ------- -- - ------------------ 20 *----22-----* HEAT/AC TYPE 040I1 FSF 90 63.51 240 15242 ! ------------- --------------- 10 822 *-10—* INTER_FINISH 00 - -- Q.- B22 67 47.28 660 31205 ! ! !FSF ! INTER_IAYOUT 02 --------------------p=- *5—** ! ! -------------- IfvT'tR.tiUAITY _i72SA_ME AS EXTER. 0. 6UFO! ! ! FL0 ---- --- FLOOR STRUCT 00 --------- --- --------- ------------ D - W ! !30 BASE 24 24 EFLUOR COVER 5p 0� --------------- --- ---------------------- E T01alA,eas. Apa_ Base= 1050 *--*! ! ! ROOF TYPE 00 - 0. BUILDING DIMENSIONS --------------- ___________________a=- T ! ! ! ELECTRICAL - -'7p - -- -- ------- BAS W05 UOP S07 W10 N07 E10 .. ! , , 99. A FOUNDATION 0U FOP E05 S07 W20 N07 EIS .. SAS ! *-10—* -------------- - --- ------------------1� W17 N30 FSF E05 N10 W10 S20 E05 *--*--10—*5—X VEIGHBORH60D 61AC HYANNIS L UFO S06 W02 N06 E02 _. FSF N10 7 7 7 7 LAND TOTAL MARKET BAS E22 S02 FSF E10 S24 W10 ! ! UOP ! ! PARCEL 30500 106900 N24 _ . SAS S28 .. B22 N30 W22 *--*—FOP—*--* AREA 2848 S.30 E22 .. VARIANCE +0 +3653 STANDARD 25 f AVAT. NIW•�� 3 ® rN a r q r � V� � �'I�mZ x a- to x � 1 e T N N H O N Id d �. 0 V v M W x b • / M � {/gyp td 01 td s td otd � r td � N N M CJ P 0 T' ✓ y i ;r.:;:yy;•:�:: .............. DIN ERV ..� . I E .........:.:::::..::::..:. >.B DIN low": ..:...:.::: . ........ ........ .............. ► � .....' ::'. w>>::>:<:: ::<:BABNER WMmin .........:...:::::......... «< WEN STREET <:< % `,>:: ANNIS .......... ...:... :.:: ............:..........:.... ••?:.Ilea ��i?k:£::��M1•M1t..•�'••'•. ?`��#` >.`tiro,'.``iiti.:::';'::.ititi.' :.rr..>` z� #�`>' #�`�M1t%f%'` '#? ���<�'�' `M1` > ':?z'•,`: <`:.'•.��>#'r?#������' lit I Him N . <::<::Z NIN .....:.:.:.:.. OEM so RE LEGAL?????????? . mill IN 1 is Sol 111, SEARCH ...:.......::..... Mm xmill ow ON IN 1 MEN Ill . ............ >" ............................................... ............................................ ...................................... . (4(4 nnw•,c4�' z �tn�Vy F v I`mZ s ;� r' i