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0025 SEAGATE LANE
-- - /� - - -� � I f i T 1 y ��� -Z� —,Y pow � r Tovm of Barnstable -Pemrit(90/ 61 r Expires G months a Regulatory Services Fee L1R.tisrABLE �4y , ��� Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street.Hyannis,MA 02601 ww,w.towrLb atnstab le.um.us Office: 508-862-4038 Fax:508-790-6230 EXPRES P APPLICATION - R]ES]DE+NTLAL ONLY Not Yultd wi&hotu Red X-Press Imprint MaplparcelNurnber � � � Property Address 7 Wz, Residential Value ofWork S Minimumfee of S35.00 for work nnderS6000.00 n Owner's Name&:Address Contractor's Name "� r ` �j Telephone Number Lop J D)9j Home Improvement CoinmactorLicense 1-ur(ifapplicable) 106 J Construction Supervisor's License (ifapphr-able) Woria a S Compensation Insurance t; Check one: ❑ I am a sole proprietor Wamthe Homeowner MAY 2 7 2014 Uti I bave Worker's mpensation Insurance IT,�,u=e Company Name (J 3fafe 6sura* ul6e, �� J WN 01 i3 Workman's Comp.Policy,# W L 0 p . Copy of Insurance Compliance Certificate must accompany each permit. Permit Request c que (check box) //��( � �Re-roof(hunicane nailed)(stripping old shingles) All constructiondebris will betaken to_ � �j�V�rl" k ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers ofroot) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maxir0m1.35)r ofv,indows ofdoors: ❑ Smoke/CarbonMonoxide detectors 4 floorplaw marked with red S and inspections required. Separate Electrical&Fire Permits required. °Wl=e required:Issuance ofthis permit does not exempt compliance with odter town departm=reguhtuas,ie.Historic.Conservation,etc ***Note: Property Owner rrnist Sig nProperty Owmer Letterof Permission. A copy of t ee Home Improvement Contractors License&Construction Supein-isors License is required. SIGNATURE: CAUsersldecoUkNAppDwA,LocarJdicrosoft\ iadows\TemporaryTutanetFs7es\CocxenLOutlookl$276BDVA1E)�.ESS_doc Revised 061313 TIie COT%Monwealth 0J kfa sachu,Seetty Department of Industrial Accidents C3�Tfice o� 17zvesrigatio,u � P J 500 Washington Street .Boston, 11A 0211.7 Wl.W.mass.gov%dia WorkWs compelasation.Insurance Affidavit:Pailders/Contractors/Electrir-iaus/Plurnl;ers Applicant Information Please Print Legibly Name(Business/Organization/hdiViduai): Address: r City/State/Zip: Q 3,5 Are you an employer?Check Ehe appropriate box; Type of project(required.): l- IJ E am a employer vvithi— 4.E] I am'a general contractor and I have 6. employees(full and/or part-time).* hired the sub-c New consimction P� 1 • oA,tractors listed on 7. Remodeling 2. lire �,ed�sheet+ ❑ a i am a sole proprietor or partnership These'sub-contractors have 8. Demolition and have no employees working for employees and have workers,comp. 9. Building addition mein any capacity.[No 1rjorkers, insurance. comp insurance required.] 5.E] 'We are a corporation and its 70.Q Electrical repairs or additions officers have exemised their*fight of 11• plumbing repairs or additions 3• I am a homeowner doing all work exemption per'MOL c.152§(4),and 12. Roof repairs myself.[No workers'camp, we.have no employees.[No workers, insurance required]i comp.insurance requi,-ed.] 13 Q Otb +tlny applicant that checks aox rl must also yA out the section below showing their wokers,.compensaiorpolfcy is oa atiol. fi Homeonmexs who sebmit this affidavit indicating they are doing all work and then hire outsid:contractors must subtnita new affidavit indicating each #Contractors that ebeck this box must attach an addt^onal sheet snowing the name of the sub_ rplby ,;f the sub conaxc exa tors have ployees they must provide their;P,otkcrs onttacto.s and state whcthe=or not those catities have 'con¢p,ooEcy number. I anti an employer that is providing Workers'compensation,insurance for my employees.Beloi9 is thepolicy and job site iafvrnuttio7L p Ins�sxanca Compa_zy Name �j C. �ALI?�2 DA �f0f'Xe o Policy 4 or Sel ins.Lic.ih v_ C D0%q 30t1` 0 J / Expiration Date: Job Site Address: �Q' N' CitylStatelLtp:— �1!t��� _ Attach a copy of the workers'compensation po declaration page(showing the policy.number and expiration date). T ai_ute to secure coverage as required amcer Se;tion 25A of MGI c.152 can lead to tee imposition of criminal penalties of a f5nc up to$1�t?O.OQ and/or one-y is imprisonment as wet]2s civil penalties in tee form of a STOP WORK ORDER:and a fine of uo to$250.00 a day against•the violator.Be advised that a copy of this statement may be fo wazded to the Office or Investigations of tht,DIA for insurance cov�ge v=ficad 16 hereby certify the enalifes of perjury that the information r vided above u true and correct. Signature: Date: �/����3 Phone#: o?. Official use only.Do not write in this area,to be comp?e:ed by city or town offcicd I City or Town- Permit/Lieense n Issuing Authority(circle one): t 1.Board of health 2.Building Department 3.City/To�vn Clerk 4.Electrical inspector 5.Plumbing Inspector j 16.Other Contact Person: Phone#: FRASCON-01 PAAS CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 9/1912013 THIS CERTIFICATE 1S 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 508 676-0309 CONTACT Viveiros Insurance Agency,Inc. ) NAh1E: Ashle Paiva 375 Airport Road uc No Ext': 508-676-0309 127 (.vC,No): 508-324-9147 Fall River,MA 02720 ADDREss:APaiva viveirosinsurance.com INSURER(S)AFFORDING COVERAGE NAIC R INSURER A:Granite State Insurance CO INSURED Fraser Construction LLC INSURERS: PO BOX 1845 INSURER C: COtult, MA 02635 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 "DLLTR TYPE OF INSURANCE IN R WVD POLICY NUMBER MIDD M1DD EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER RO• $ POLICY P LOC g AUTOMOBILE LIABILITY COMBINED SINGIE UMI Ea accident)ANY AUTO $BODILY INJURY(Per person) $ AUTOS NED SAOEDULED BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED AUTOS Peraccidert)A A $ e UMBRELLALIA6 OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE DEDI FRETENTION $ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY TORYWC STIM ITS A T' OTH- _ A ANY PROPRIETORIPARTNERIEt CUTIVE YIN L WC009930601 ER OFFICER/MEM3ER EXCLUDED NIA 912B/2013 9/26/2014 E.L.EACH ACCIDENT $ 50o,0o0 (Mandatory In NH) II yes,describe under E.L.DISEASE-EA EMPLOYEE $ 500,000 DESCRIPTION 0=OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES(AftaehACORD 101,AddRional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable Building Division THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601— AUTHORIZED REPRESENTATIVE O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD r Mass cIc'Iusett$ •Department of Public safety iBoard of Building Regulations and stancla(ds CGi list rurtinn Supervisor License; C"V668 b&A ' N C FRASL+R` =` 1041'WAVN VIEW LAAM-c2< EAST'I�ALMOY7x'tI tt�tA V2) expiration { l Commissioner 0 610 7/2 0 1 5 f Office of Consumer Affairs and Business Regulation _ I0-Park Plaza.- Suite 5170 Boston,Massachusetts 02116 Home 7mpravement Contractor Registration Registration.- 112536 Type: DBA FRASER CONSTRUCTION CO. Expiration: 3123i2o15 Tr' 237059 DEAN FRASER P.O. BOX 1845 COTU IT, MA 02635 Update Address and return card_Mark reason for change. sr,;r,, zon.-rust r Q Address ❑ Renewal 7 Employment ❑ Lost Card _-= Office of CoasumerA{fairs&Susi$ccs Regulation License or registration valid for iadividul u only l '=- OME IMPROVEMENT CONTPACT40R before the expi ration date use If return se egstration: -1.. 112535 Type: Office of Consumer Affairs and Business Regulation Piration: 3232015 DBA 10]Park plans-Suite 5170 FRASER CONSTP,UCTION CO. Boston,n'FA 02116 DEAN FRASER 104 TVVINN VIEW LANE E FALMOUTH,MA 02536 � A UndersecretRry Not valid without signature ,r - Fraser Construction LLC 31 Bowdoin Rd. Mashpee, MA 02649 Email: info@fraserconstructioncapecod.com www.fraserconstructioncapecod.com FAX 1-508-428-0123/ PHONE 1-508-428-2292 HICL#112536 CS#97668 RE-ROOFING ��®�®sue, DATE: PHONE: n r7 NAME: \` EMAIL: MAIL ADDRESS: JOB ADDRESS: FRASER CONSTRUCTION hereby proposes to perform the following services in a neat, professional like manner in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. Fraser Construction will include a 4 Star Upgraded warranty with the selection of any 30 year shingles or any Lifetime shingles. 4 Star Warranties have a 50 year Non-Prorated Coverage in case of any warranty repair, labor and materials, shingle tear-off and disposal fees. CertainTeed SureStart Plus- The extra measure of protection when a credentialed company installs an Integrity Roof System. ASK US ABOUT OUR OVERHEAT) CARE CLIB! 1 f Supply and Install - CERTAINTEED LANDMARK ARCHITECTUIaAL ASPHALT SHINGLE - Lifetime, Limited Transferable Warranty - Class A- Fire Rated - 240 lbs. per square - Two Piece multi-layered Laminated Fiber Glass Construction - Durable, Beautiful Color Blended Line to match any trim or siding color - Manufactured with Self-Adhesive Strips and fastened with six nails in common bond, large nailing area - 10 year warranty against Algae containment causing discoloration and streaking - 15 year wind-resistance warranty up to 130 MPH .F COAh/� Color: jd2A I PRICE-$ 04 Q Initial 4 40 V E Supply and Install - CERTAINTEED LANDMARK PRO ARCHITECTURAL ASPHALT SHINGLE - Lifetime, Limited Transferable Warranty - Class A-Fire Rated - 250-270 lbs. per square - Two Piece multi-layered Laminated Fiber Glass Construction - Classic Shades and dimensional appearance of natural wood or slate - Max Def Color Selection offer a more vibrant, brighter appearance with a richer mixture of surface granules that provide a more profound depth of color - Manufactured with Self-Adhesive Strips and fastened with six nails in common bond, large nailing area - 15 year warranty against Algae containment causing discoloration and streaking - 15 year wind-resistance warranty up to 130 MPH Color: PRICE-$ Initial Supply and Install - CERTAINTEED LANDMARK PREMIUM ARCHITECTURAL ASPHALT SHINGLE - Lifetime, Limited Transferable Warranty - Class A- Fire Rated - 3001bs. per square - Two Piece multi-layered Laminated Fiber Glass Construction - Exceptional Durability and Protection -- Max Def Color Selection offer a more vibrant, brighter appearance with a richer mixture of surface granules that provide a more profound depth of color - Manufactured with Self-Adhesive Strips and fastened with six nails in common bond, large nailing area 2 I - 15 year warranty against Algae containment causing discoloration and streaking - 15 year wind-resistance warranty up to 130 MPH Color: PRICE-$ Initial Supply and Install - CERTAINTEED LANDMARK TL ARCHITECTURAL ASPHALT SHINGLE - Lifetime, Limited Transferable Warranty - Class A- Fire Rated - 305 lbs. per square - Three-Piece multi- layered Laminated Fiber Glass Construction - Tough, patented 3-layer laminate design provides ultimate durability and the dramatically thick roofing style of classic wood shakes - Random tab design and unique natural shadows give luxurious dimensional character to the shingles - Manufactured with Self-Adhesive Strips and fastened with six nails in common bond, large nailing area- - 15 year warranty against Algae containment causing discoloration and streaking - 15 year wind-resistance warranty up to 130 MPH - Price includes supply and install of 16 oz. custom red copper open W-shaped valleys Color: PRICE-$ Initial Additional Work i 3 f Roofing Product & Installation Details Supply & Install - (Soffit Venting) Hick's Ventilated Drip Edge or S" Aluminum Drip Edge with existing soffit vents. Smart vents over white drip edge. Protection against damage to the roofing materials and structure. The most effective system is a balance of air intake and exhaust that creates a uniform flow of air through the attic. This system creates a condition in which the roof temperature is equalized from top to bottom, supplying a uniform air flow along the entire underside of the roof deck. 4 f Supply & Install- Ice & Water shield Waterproof Underlayment System (3ft. on eves and valleys, 18" on rakes, walls, and skylights) Ice and Water Shield is a self-adhering roofing underlayment used on critical roof areas such as eaves, rakes, ridges, valleys, dormers and skylights to protect roofing structures and interior spaces from water penetration caused by wind-driven rain and ice dams. Supply & Install - Surround Underlayment (A Typar Brand) A smart alternative to felt, it is water's toughest opponent, creating a secondary water barrier that reduces the incidence of leaks caused by storm damage, wind-driven rain, ice dams and worn roofing materials. It is a waterproof, synthetic polymer material that will protect your home against moisture intrusion. Supply & Install - CertainTeed Swift Start With self- adhering asphalt starter course on all eves, and rake edges. CertainTeed requires this product for Integrity Roof Systems and upgraded wind warranties. Supply & Install-Aluminum & Neoprene Soil Pipe Flashing Supply.& Install- CertainTeed Ridge Vent High performance ridge vent with external baffle. Supply & Install-Pre-Cut CertainTeed Hip & Ridge shingles Shingle Ridge meets the hip and ridge accessory requirements for the CertainTeed Integrity Roof System which is comprised of underlayment, shingles, accessory products and ventilation all working together. The Integrity Roof System is designed to 5 CERTAINTEED Warranties the shingles and labor 100% through the Sure Start Warranty duration. CERTAINTEED Warranties the shingles to be ALGAE resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. ERASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. LlDATE OF ACCEPTANCE: J �a Homeowner Fraser Construction, LLC I Ix-e !g Office of Consumer Affairs and Busin' R Business egulation 10-Park Plaza- Suite 5170 Boston,Massachusetts 02.116 Home Improvement Contractor Registration Registration: 112536 Type: DBA FRASER CONSTRUCTION CO. Expiration: 3123/2015 Tr_- 237059 DEAN FRASER P.O. BOX 1845 COTU IT, MA 02635 Update Address and return card-Mark reason for change. Address [] Renewal [] F mlloyment Lost Card License or registration valid for individul use only IMPROVEMENT CONTRACTOR before the expiration&t, If found return to- 112536 Type: Office Of Consumer Afrairs and Business Regulation ,7,'7#-xP1rZff0n: 323a015 DBA 10 Park Plan-Suite FRASER CONSTPUCTIoN Co. Boston,MA 0-1116 DEAN FRASER 104 TwINN VIEW LANE E FALMOUTH,MA 02536 Uaderseerct2ry Not valid wftOut Signature TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Z Parcel Application # O �� Health Division Date Issued 3� Conservation Division i Application Fee Planning Dept. Permit Fee p Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address czl- S_e�- A41S Village Owner A(A) (1 -Q y2 R Address cScc.rY,.e Telephone SZ7 f; 7 �/4! 6 Permit Request 2eon X 16�-i 1`1 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 5_(Dl, Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family, IN Two Family ❑ Multi-Family(# units) Age of Existing Structure j9 9`3 Historic House: ❑Yes A No On Old King's Highway: ❑Yes &No Basement Type: 51 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 FloorqRoom Cou_Rj -ED A Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑Other w = M. C) Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: CYes ❑ No Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: 0 existing..❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: _ r" Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use t A1_44j Proposed Use J_C APPLICANT INFORMATION BUILDER OR HOMEOWNER Name I LQ Telephone Number .SZ08' Address (2. o CSox 1 `6 YS Ca4i I M 1s License # `j266 Home Improvement Contractor# l/a5 Worker's Compensation # 6VC 00 F 1 Jo 66I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATUR -' DATE r � 1 - .r_ FOR OFFICIAL USE ONLY `. rr .:APPLICATION# ti k ` DATE ISSUED u,' {{ MAP/PARCEL NO. 4 ' ADDRESS. VILLAGE OWNER ; i DATE OF INSPECTION: _ FOUNDATION"' ' FRAME INS ULATION' �g FIREPLACE 1 ELECTRICAL: ROUGH FINAL I � PLUMBING: ROUGH FINAL— GAS— ROUGH FINAL •VEINAL BUILDINGatrf IA4 N '.Po f }t ti DATE CLOSED OUT . i ASSOCIATION PLAN NO. �CORO" FPASCON-01 MOSU CERTIFICATE OF LIABILITY INSURANCE DTEiM maw" PRODUCER ( )676-0309 10/21/2010 Viveiros Insurance Agency,Inc. ONLY AND CONFERS NO RIGHTED AS AS AUPONN THE C�ATE 375 Airport Road HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Fall River, MA 02720 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 4 INSURERS AFFORDING COVERAGE I NAIL# INsu�o Fraser x IS45 ctJon LLC INsuRERA:National Union Fire Insurance Compa P.O.Box 1845 Cotul%MA 02635- IE:l s I a I : INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NO ANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY I ISSUED OR TWITHST MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CON POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. DITIONS OF SUCH TYMMINSURARM uNSR POLICY NUMBER PO TION GENERAL LIABILITY LIAARS COMMERCIAL.GENERAL LIABILITY EACH OCCURRENCE $ PREMISES aowranoe $ CLAIMS MADE OCCUR MED EXP(Any pne n) $ PER60NAL&ADV INJURY $ GENERALAGOREGATE $ GEN'L AGGREGATE OMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY �O- LOC AUTTDMOBl ELABIll Y ANY AUTO COMBINED UMIT $ ALL OWNED AUTOS SCHEDULED AUTOS R EP�n)URY y HIRED AUTOS NON4OWNEDAUTOS =Y= $ DAMAGE GARAGE LL49L TY 8 ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHERTHAN EAACC $ AUTO ONLY: AGE, $ MOM/UMBRELLA LIABILITY EAL`H OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ a RETENTION $ a WORKERS COMPENSATION .. X we STATu- 071I- AND EMPLOYERT LIABILITY A ANY PRO urnE Y� 1 912&2010 9/26/2011 (� ryM ppq�Dmp EL EACH ClDENT g 500,0 rc y�g d�afbe u EL DISEASE-EA EMPL S 500100 SPECIAL PROVISIONS below EL DISEASE-POLICY UMIT S 500;00 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION " SHOULDANYOFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Fraser Construction,LLC DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN PO Box NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO Do SO SHALL C �' A 02635- IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHOR®REPRESEN7ATIVE ACORD 25(2009101) ®1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD - 3Q .. '��4+.:?t p v._• ��r ill � \ 40T' IA 4 H fir. On 777, 'n .� .. 6 CA "i F' y G? - ` 11 f r i --: o �Sk �'_'" IT R )i�Lo ' p aw ',1 L br i d-R' • -' �U'"� ,� ..``?' _{...e� .EI""„r 1,¢� �" rlk 41� , r'Ct�rJ �,"r ntri I i bus }19`,�n a ir y a t C' 1 kJSl` t y 4 'i r N st i li � 5 StA 8 k rc �L x f, r' �: 'Y-" � s 'G • : r ' " � � *rr , z° ;� ; �gJ T�� thla,.; j � 7�¢,. 4 4 jf• t��.�-� � �$,i� 1''nN� i .f:�o, � - i �? !`'a �-¢ r 1.- � r<A 1' ?t •}'�-41L;';i„ �f f t } C+i aA■; fX r'�I aF11 ��� � .,?'.�Cx.,p, `•x is Ji t i t .. C� �rn �, 6 ► �4 kk r a A as+ Project: Deck Loads Project No: I)ate:. 27 Janaury 2003 ph,l��ok DESIGN DATA -General Notts: 1. Use Group: R-4 2. Loads: IAW This 1606 and 1615.5 State Building Code, 6th ad. Cd = 1.00 Stairs/Decks: Live Loads,. 60 lb/sq ft for Exterior Decks Cd = 1.00 Stairs/Decks: Dead Loads; 10 lb/sq ft for Exterior Decks Cd — 1.25 Railing Loads: 200 lb Point, 50 lb/If Floriz.; 100 lb/lf Vert. Cd = 1.15 Snow & Wind Loads: not checked - Ocoupancy Live Loads govern Technical Specifidations: --�----- a-- — Joists: 2"x 6" @ 16" c/o Pressure Treated #2 or BTR SYP W/ Fb(rep) = 1,440 psi Joi9ta: 2"x 9" @ 16" o/C Pressurs Treated #2 or BTR SYP w/ Fb(rep) = 1,380. psi Joist x s: 2" 10". 16" .o/a Pressure Treated #2 or $x`R SXP w/ Fb(re Main p) 1,245 gsi Girt: 2/2"x 8" Pressure Treated #2 or BTR SYP w/ Fb(sgl) = 1,200 psi Main Girt: 2/2"x 10" Pressure 'Treated #2 br BTR VP w/ Fb(sgl) = 1,100 Psi Posts: 41'X 6" Pressure Treated #2 or BTR.SYP w/ ra(11) = 1,450 psi & E 1,600,000 psi /pical Layouts: ---- --------------- -- ------ -- ---- ------------------- ---- _.. ------ Joist Joists: 2"x 6" @ 16" o/c 9.83 ft 8 ft 10 in Spans Joists: 2",x 8" @ 16" o/d 11.40 ft 11 ft 4 in Joists: 2"x 10" @ 16" 0/0 13.81 ft 13 ft 10 in f Joist Spans ft ff. ft 10 ft 12 ft 14 ft --- `- ---- ------ ------ - --� __—.� -- ---- - - --- 4 r, 6.12 .5.59 5.17 Girt Beams: 2,%2"x 6" @ 16" o/0 7,90 6.84 7ft10in 6ft10in 6ftIin 5ft7in .5ft2in Spans Beams: 2/2"x 9" @ 16" o/o 10,01 8.07 7.75 7.08 6.55 10 ft 0 in 8. ft B in 7 ft 9 in 7 ft 7, in 6 ft 6 in Beams: 2/2"x 10" 9 16" 0/0 12.22 10.59 9.47 8.64 D 12 ft 2 in 10 ft 7 in 9 ft 5 in 8 ft 7 C- S:f c-'7 - Office of Consumer Affairs and VUSness Regulation 10 Park Plaza - Suite 5170 ,� .. Boston, Massachusetts 02116 Home Improvement Con%,tractor Registration Registration: 112536 7 Type: DBA Expiration: 3/23/2013 Tr# 209024 FRASER CONSTRUCTION CO. DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 Update Address and return card.Mark reason for change. Address 0.Renewal F1 Employment E Lost Card DPS-CA1 0 50M-04/04-G101216 Office-&AU-MvW.W. ifsines�a on License or registration.valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 12536 Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Expiration: 3123V,013 DBA Boston,MA 02116 F R CONSTR.UCTION.CO: ;- -_ r DEAN FRASER �}� 104 TWINN VIEW LANE E FALMOUTH,MA 02636 Undersecretary of vale wit ut si re y lYiassachu�sett's- Dep.tment of Public`Safet Board of-Building Regulations and Standards Cio"truefibn Supervisor License License: GS 97b58 . CIFJ41� . ifs Rr+ L-E 104 TV�lll ., �W!� . EAST PAL Z 91fiI BOA lj, 536 Expiration. 67/2073 C'onumssiorte+r, Tr#: 9 6B92 Fraser Construction, LLC P.O. Box 1845, Cotuit, MA. 02635 Email: fraser_construction@verizon.net www.fraserroofing.com Phone 1-508-428-2292 &FAX 1-508-428-0123 DATE: June 16, 2011 PHONE: 508-771-4426 NAME: Aldo Ferranti 781-439-1089 Cell EMAIL: f.ferranti@rcn.com MAIL ADDRESS: 25 Seagate Lane Hyannis MA 02601 JOB ADDRESS: Same RE: Decking SCOPE OF WORK4 1. Remove shrubs around deck 2. Remove old deck 3. Dig sona tubes, concrete 4. Frame new deck approximately 14' x 19' Sa•�, o 5. New brownstone decking asek 6. New white posts and rails asek 7. New step on driveway side no rail 8. New step length of deck rear, 9. Azek skirt trim/ PVC Lattice under deck to ground. Re-sidewall as needed4 Price for entire job: Deck- $100678.00 Sidewall- $350.00 $119028.00 Initial Option 2 Same as above- Deck and rails to be Pressure treated wood. No Azek PVC on new deck, skirt or lattice. Price for entire job: ., De $69525.00 Si ewall- 350.00 $6,875.00 Inl 1 r V/a I�� Option 3 SAME AS ABOVE- Using Azek on railing system. No Azel skirt or lattice below deck. Price for entire job: Deck- $91,175.00 Sidewall- $350.00 $9,525.00 Initial i i NO MONEY DOWN - NO Payment at the start or part way thru Payments accepted are: CASH- OKECX-MASTERCARD- VISA -AMERICAN EXPRESS * Any payments not made within 30 days of completion.will be charged 1.5 % for every 30 days the payment is late. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. A: agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION', LLC: Carries Workman's Compensation and. Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: 6117/1 q Homeowner Fraser Construction, LLC I Tte Co11 m0fiveaft Of 1�jip� llS¢ D w*mw O0fidrek&WACCid.,,6 "ffl'c 0fIRvMAFg0*x5 i •B0004y MA 02111 wMRMasxgor/dk Workers Compensation A. Iieant Information Iasweame davit.-Bugders/Cantiletor MeeW cians/PIutmbers Print Name L fIndM"): QSe Y o nSAr'U C'�'o L.L Address: 5- CrtY/S /Z' LautL.;+ RA - 3 S Are on an em Phone#: ��- y,2g P Check the appropriate bos I. I am a employer with '� 4 (]I am a gmetal contractor and I Type of project(ram): employe=(full and/or�ttime)* have hired the� 6. []New construction , 2.❑ I am a sole proprietor or par=- SSW on the attached sheet, strip and have no employes These wb-contractm have I ❑Remodeling I ❑ , Feou king forme in airy catty �loyees and have wodceas' t3 Demolition wo�cets'warp,insurance insurance i 9. ❑Building addition I red•] 5.❑ We ate a corpondon and its 10.❑glee s or 3.❑I am a homeowner doing all work offiiceas have�'4sed their. additions myself[No worms'cep. right ofmMmption per MGL 11.0 Plumbing mpah or additions { insurance d]t c I52,§1(4j and wehave no 12•C]Roofr+epft errployem[No workers' 13.0 Outer tHHMw nn=whho 't b aW fill onkIlIfnt>be secLloa be�w8hoWb8** compensation��eY won i �Cms that check this box met afo d ��°�e�c�s Est submit spew affidavit Wxftg s¢�. !wnployeaq IPibe snb comtrac s Kaye employeC;ffiay met Isovib thehr �ad�whether or rot those eRW=bave I PobcY�. I m/r ter p i fiat is pmvi'ding wokmf CoArtSfian . i/r�o»na7ion. f MY ,0elmv fa nhepolky mrdfiob site I Insurance Company Name: 77 o ry % • ..........eemi; .. j Policy#Or.Self-ins.Lin#: w c ovR Rao i 9 Fxpration Date; O 2d, 0201/ I Job Site Address:_ Attach a copy of the workers'compensation Polley declaration Failure to secure coverage rearmed end P� Crly/Sta�/Z (Showing the policy number and expiration i er Sec4ion ZSA ofMGL c 152 can lead to the imposition of criminal date), fine up to$I,500.00 and/or one-year iatprisonme�as well as civil penalties ofa in the farm j of up to$250.00 a day against the violator. Be advised il�ta Of STOP WORK ORDER and a fine copy ofihis InvesEigat OM of the DU for insurance verification copy may be ftwarded to the Office of /do hem t» �. - y 4-er ofp4ary that the v�t1011pRbO is true a&d c*rrect. S "f/ G e#: ojkw use only. Do not write in this �m+eg m be eompieted by city 0rtmim offidd City as town: PermhVeense# Issuing Authority(ekrcle one): s I..Board of Bean 2. f>.Other I3r�d»g Department 3.G9ty/Iown Cleric 4•Electxical Inspector 5.Phrmb'mg Inspector. Coact fin' Moe i ' I t t { TOWN.OF BARNSTABLE•BUILDING PERMIT APPLICATION Map L94/2 Parcel %7 Permit# Health Division - Date Issued Conservation D' 's' - Fee ` ® Tax Collector Treasurer r Planning Dept. f Date Definitive Plan Approved by Planning Board E . Historic-OKH Preservation/Hyannis ,,Project Street Address G1 fa 44e; '/V Village n is 19 ,Owner Address Telephone Permit Request S Q Square feet: 1 st floor:existing proposed 2nd floor: existing proposed Total new Estimated Project Cost c9®©C7 Zoning District Flood Plain t Groundwater Overlay Y . Construction Type - Lot Size Grandfathered:- Q Yes 0 No' If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ,Q Multi-Family(#units) 'Age of Existing Structure Historic House: ❑Yes O No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl 0 Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new r Number of Bedrooms: existing new , Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Ga`s Q Oil ❑Electric 0 Other Central Air: ❑Yes 0 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Q No Detached garage:O existing ❑new. size Pool:O existing Q new size Barn:O existing ❑new size Attached garage:Q existing ❑new size Shed:O existing 0 new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded El Commercial D Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name �� �M��"'�-��`�" Telephone Number Address r� I i-t9 2✓-1-c� C I License# Home Improvement Contractor# °;�36 Worker's Compensation# l�•L"/ 511 ,, a 6/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0 r SIGNATURE DATE (6 9 FOR OFFICIAL USE ONLY t; - r I - PERMIT•NO. ._ r _ DAT_E.ISSUED - - MAP/PARCEL NO «x +ADDRESS , �z- `! c ti `� VILLAGE � r OWNER ;- DATE OF INSPECTIO : FOUNDATION FRAME t'• er - _ h , INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: - ROUGH FINAL s; FINAL BUILDING`- DATE CLOSED OUT ` f ; r• f., 3 ASSOCIATION PLAN NO. y ; j. r 4 ,• ' dpWE • The Town of Barnstable I Department of HealtliSafety and Environmental Services N,os Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION t MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost Address of Work: 0'`t �✓� I�{"7 ��/� S Owner's Name: /g/ l�—��/Q��✓� Date of Application: 16 `7 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner RA/515� p�-� 4 �s Dat Contractor Name Registration No. OR Date Owner's Name g1onms:Affidav I he Commonweaun oj inussucnuseuy Department of Industrial Accidents oxce 911five$918988S 600 Washington Sheet Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: location- city vhcme# 0 1 am a homeowner performing all work myself itq C3 I am a sole p *et and have no one ridn am an employer Providing workers'compensation for my employees woddng on this job. .......... ....... .. . ... ... ... ........ ........ ... .............. ....... .......... ............................... ........ ........... ...... .... ........ .. .......... ................. ....................I.". . .......... ........................ .............. MIM.-� ................... ... .. .......... .......... ........... ............. . ................. . ...... ......... ................ d .. .........- ......................... ....... . ..... ... .. ...... .................... ... ......... .... .. ... ... ....... TI Mam a rsole proprietor,general contractor,or homeowner(circle on; who have the following ComppnSopnVolices: ........ ............ ...... ................ ...... ... .... ... ............ . ......... ........ . .................. ..................... ........... ......................... ............................................... .. . . ........... ........................................... ..... .... ..... ... . ........ ................ . . . ....... ..... ..... ............ ... ....................... . ............. ... coniianv nam .. ............ ... .. ... cites .. ... ....... . .... ........... ....... .... .............................. g . I ............ 130��ipxpxzxn 4 i�� .. ...................... ....... ... ..... . .. ...... ... m :n-- ............ ..................... .................... . ... ....................... . ..... .... address. ... .. ....... I.....,..................... ... .. ... ci ..... .............. ....... .. .. . .... . . ....... ...... ......... ... ........ . .... " . ....M X........ I ............. ------------ ...... . .. .................. ...... .. ................... ... ........ ......................... .. .......... . ........... .... .......... ........................ .. ........................................ ..................... .... ..................I Fanure to secure coverage as required—der Section 25A of MGL 152 cats lead to the imposition of erhtthtal pettaWes of a fine up to S1,500.00 and/or one years'Imprisomund as WeR as civil penanies in the form of a STOP WORK ORDER and a fine of S100-00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verificadom I do hereby c rude he iris and of perjury that the information provided above is&w.and correct s�goattlreDate Print namePhane# /(/M- - ---------------- --------------------------------------------- -------- 0 flidal we only do not write in this area to be completed by city or town official city or town. permitfficense# Building Depot' only do 'fldsarm'o C3 iD C32 0 response is bre C acid use j or town: Licensing Board (CO3 checkff immediate is required Oselectmen's OfMce . if C3Erw&Department contact tac no'. _0 ontact person: phone#-1 arand 9195 Information and Instructions c Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contra n 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 section 25 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns / 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 penmit/license number which will be used as a reference number. The affidavits may be retuned in- the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would lice to thank you in advance for you 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 Commonwealth Of Massachusetts Department of Industrial Accidents Ottice of Invesugatlons 600 Washington Street .Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 s + HOME IMPROVEMENT CONTRACTORS REGISTRATION t 7 f ,'Board of Building Regulations and Standards One Ashburton Place - .Room 1301 i€ t Boston , Massachusetts 02108We T " f HOME IMPROVEMENT CONTRACTOR s Registration 112536 Expiration 04/06l01 y -`--- Type - DBA �. _ HOME IMPROVEMENT CONTRACTOR - Registration 112536 FRASER CONSTRUCTION co f Type - DBA DEAN C . FRASER Expiration 04/06/01 . 71 TARRAGON CIR COTUI.T MA 02635 FRASER CONSTRUCTION co DEAN C. FRASER 1 TARRAGON CIR ADMINISTRATOR T.IT MA 02635