HomeMy WebLinkAboutBLD-19-002696 Buildin
.011:YgkAO TOWN OF YARMOUTH (508) 3 82231 ext 1261 BUILDING
2
p4_ y PERMIT NO (BLD-19-002696 ICI PERMIT
es)..siefi ISSUE DATE ;11106/2018 JOB WEATHER CARD
.. APPLICANT ;JONATHAN WHIPPLE 1 PERMIT TO : Repair
IAT(LOCATION) 19 NAUTICAL LN,SOUTH YARMOUTH,MA 02664 1 ZONING DISTRICT I 1 Bldg.Type: 'Residential II
SUBDIVISION MAP BLOCK LOT 1077.60 BUILDING IS TO BE: CONST TYPE 1 USE GROUP
REMARKS Insulate attic and weatherization CONTRACTOR
LICENSE I
I.___ 1
AREA(SQ FT) 1493,360,5601 EST COST($) 13940.35-� PERMIT FEE($) 35.00
OWNER ,SKORDAS DEMETRE JAMES
_ BUILDING DEPT BY
ADDRESS ;SKORDAS MARIA,9 NAUTICAL LANE
SOUTH YARMOUTH iMA 02664 1 _ PHONE
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE
APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE
OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM
MINIMUM INSPECTIONS REQUIRED FOR ALL APPROVED PLANS MUST BE RETAINED ON WHERE APPLICABLE SEPARATE
CONSTRUCTION WORK: 1)FOUNDATIONS OR JOB AND THIS CARD KEPT POSTED UNTIL PERMITS ARE REQUIRED FOR
FOOTINGS.2)PRIOR TO COVERING STRUCTURAL FINAL INSPECTION HAS BEEN MADE.WHERE ELECTRICAL PLUMBING/GAS
MEMBERS(READY FOR LATH OR FINISH COVERING) A CERTIFICATE OF OCCUPANCY IS AND MECHANICAL
3)FINAL INSPECTION BEFORE OCCUPANCY 4) REQUIRED,SUCH BUILDING SHALL NOT BE INSTALLATIONS.
REFER TO DETAILED INSPECTION SCHEDULE OCCUPIED UNTIL FINAL INSPECTION HAS
BEEN MADE.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTIONS APPROVALS
OTHER:
WORK SHALL NOT PROCEED PERMIT WILL BECOME NULL AND VOID IF INPSECTIONS INDICATED ON THIS CARD
UNTIL THE INSPECTOR HAS CONSTRUCTION WORK IS NOT STARTED WITHIN SIX CAN BE ARRANGED FOR BY TELEPHONE
APPROVED THE VARIOUS MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED OR WRITTEN NOTIFICATION.
STAGES OF CONSTRUCTION AROVF
`dassacnuserts :start-en s*P heli: Seery
Board of 3u:d ng Regula^oas anc Sta,oarts
Cens CS-078683
sot ra
JONATHAN N WHIPPLE y
14 LYNDALE AVE
WEBSTER MA 01570 � •
.I -
Zcnnissioner 12/04/2018
Office of Consumer Affairs a Business Regulation
HOME IMPROVEMENT CONTRACTOR
TYPE:tic
Registration Expiration
192399 07105!2020
AIR TIGHT INSULATORS LLC
JONATHAN WHIPPLE
14 LYNDALE AVE.
WEBSTER.MA 01570 Undersecretary
r a
AC R AIRTIGH-01 MVAUGHAM{
CERTIFICATE OF LIABILITY INSURANCE DA'7`0"07/03!/201 2016"'
B
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: U the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endomed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on
folder this certificate does not Confer rights to the certificate In lieu of such endorsntent(s).
PRODUCER c
Rogers 8 Gra IncuranceAle . . .�... •_- ..... _ .. .____....,. .._..._
434 Rte 134 y Agency,Inc.IncI P"N, 8 8i 64156
South Dennis,MA 02660 • i b 4._ _ -..._. »_... Vic: Y{ _—. .__...
r�'r�tlailOr09e(Siray.COm—
1 thsoREIREJ APFD!RDDA COVERAGE_ .._,_.I Fat-
-
Ar:•
--....._...—...,.__._....._...._..__.....__ __. insurance Com of n1
INSURED ...._._...._...�.INSURER_A$Selective lhsu...�.._..__...__....___._..—�n_Y South Carolina �, 259.._.—._..
1INSURER s:Selective Insurance Company of the Southeast 39926
Air Tight Insulators,LLC (nwREae:
14 Lyndale Ave. 11 .
Webster,MA 01570 1.n,wta ._----. -._.—.._.__.—._��..—..,1....._......._._.,.—
!INSURER P•
COVERAG CER FICATE NUMBER' REVISI•N NUMB R:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
._EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSRmrm. _ .....__.CONDITIONS _._...._—
LA IX T'PE OFMSURANCE POLICY NUMBER T rcc MXICY ETP : UMRE
COMMERCIAL GENERAL w arn, I ,
CI Ants LLADE ,X1 OCCUR } I EACH Or.CURRENCE ..t 1.500,000
L.... . iS 2336538 I 1 ;DAAiric£ o MN] 500,000
� t 061142016;Otilid@0/9l PREMISE As,u,+„m(n).. t -__.. ,...__
I I ' 'y 15,000
;MED EXP(RT aRPonoIf__,i
•c.AGGREGATE OMIT APPIJ S PER: 1 ! LPERSOHA4,6 RE INJURY,__ f 1 ODO OOD
CDT
a oDD otic
d{ PR 4i J LOC I i ' i GENERAL AGGREGATE _.Tt 3 OOO,D00
OTHER.. 1 I PRODUCT$.:COMWOp_AGG I S .._.
B IaU70MOBILE l.lABa/TY I COMBINED SINGLE LIMIT i$ 1,000,000
;ANY AUTO __ - 2 _.__. ...._
1 IE++sWmU ... I
AUTOS EY X'�EvuBD ;A�10666700 I OS1G22016 051022019(soDILY wiunr tPel_yMsml. 18
HULIN...4 Mall?
UICSy� Ep I i KEW(Pee
X i AUTOS ONLY f X AUipg pN1.a,Y I i por O � AMAAGEomOnMlAi_ ....
r I 4 I I ,...�
�5
A r- I UMBRELLA OAS ! X I EACH QCCIRREHCE 1 000.000
1 excess Lae I I anus e , i8 2336535 -__}5 _...
aCCJR O6J142019,AA GATE i 1,000,000
� 061'142018
I DED I (RETENTIONS 1 •.-r __... _...,. .
e
1 V1oRxERs COMPENEATIoN ,
IANO EMPLOYERS`!nude ' [ 1 �_.ETALUIE I LER.'
�/[Mg�R YIN; T — _._...�..
(FILER bNH{EXCLUDED? L'I,N/At I } I CEJ-gAGi ACCE)ENT.__ IS
'N de,at.ower i j ELOISEnsj E.Mag Eq-f .�...... ...._....._.
'DESSCRIPTION Of OPERATIONS Q•Ib.Y ! ; ! 1 r__.___.
I E.L.DISEASE•POLICY LtMR f
I , •
I
DESCRIPTION OF OPERATIONS I LOCATION S I VENICL.EB(ACORD 101 Additonni Removes Schedule. be attached If more u dl
PLEASE NOTE THAT THE WORKERS COMPENSATION CERTIFICATE WILL FOLLOW SHORTLY UNDER SEPARATE COVER.AS IT IS BEING ISSUED
DIRECTLY BY THE INSURANCE COMPANY"
"'ADDITIONAL INSURED AS RESPECTS COMMERCIAL GENERAL LIABILITY(PER WRITTEN CONTRACT):CAPE LIGHT COMPACT RE'
CERTIFICATE HOLDER _CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
CAPE LIGHT COMPACT JPE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
WHITES PATH,UNIT 4 ACCORDANCE WITH THE PODGY PROVISIONS.
SOUTH YARMOUTH,MA 02664
AUTHORIZED REPRESENTATIVE
ACORD 25(2016/03) 7 ~—
• 91985,2015ACORD CORPORATION. AU rights reserved.
The ACORD name and logo are registered narks of ACORD
• .A
The Commonwealth of Massachusefts
Aa t Department of Industrial Accidents
maser
@eatta Jo, 1 Congress Street,Suite 100
4- Boston,MA 02114-2017
ira,' www.mass.gov/dia
an
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): flit Tai i'1" ' 1n5Q-VdorS '
Address: t3'7 \John VtrJ-enle b1v4
.City/State/Zip: mem Q7edRrd a m ti- Phone#: l'?7Li) 95/g7
Are you an employer?Cheek the appropriate hoe: Type of project(required): •
i.ak am a employer with I L) employees(full and/or part-time).* 7. 0 New construction
2.0 I am a sole proprietor or pamwnhip and have no employees working for me in $, 0 Remodeling
any capacity.[No workers'camp.insurance required.]
3.0 i am a homeowner doing all work myself.(No workers'comp.insurance required.]
9. 0 Demolition
• 10❑Building addition
4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. 1 will
ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions
proprietors with no employees. 12.❑Plumbing repairs or additions
5.0 lam a general contractor and!have hired the sub-contractors listed on the attached sheet 13.❑Roof repairs
These sub-contractors have employees and have workers'comp.insurance.: r,,,Ge
•
6.0 We area corporation and its officers have exercised their right of exemption per MCL c. 14.[Other mil V 1U7/DYI
152,1 1(4),and we have no employees.[No workers'comp.insurance required.] .
*Any applicant that checks box NI must also fill out the section below showing their workers'compensation policy information.
?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'romp.policy number.
I am an employer that is providing workers'compensation Insurance for my employees. Below Is the policy and job site
information. r
Insurance Company Name: Aim inwhiQ ( 1 nag I'n Pitt- Co
Policy#orSelf-ins.Lic.0:/t ryDD7b.')/07I8-aOI7/9 Expiration Date: Op
rta//ya.O; t
Job Site Address: q Ab Jiro La vie— City/State ip:s5p[ttyl'/Qrrii/ \li-Ih ran &lag
Attach a copy of the workers'compensation policy declaration page(showing the policy number add 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 S'fOP 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 DTA for insurance
coverage verification. •
• I do hereby ter 1 y under the pains and pen alt! ofperjury that the information provided above Is true and correct.
Sienature: /tinO Date: /I /02'2(}/
Phone#: l7N &a r-134,1 (/ •
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#:
RISE
ENGINEERING'
OWNER AUTHORIZATION FORM
t, Fotios Skordas
(Owner's Name)
owner of the property located at:
9 Nautical Lane ,
(Property Address)
South Yarmouth, MA 02664
Air
Address)
hereby authorize AIr Ti - 1►(StC '� LL-C
(Subcontractor)
an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building
permit and to perform work on my property.This form is only valid with a signed contract.
^T `<✓
,f
S5-10.53L
Owner's Signature
Vggll
Date
RISE Engineering, a Division of Thielsch Engineering,Inc.
5 Dupont Avenue I South Yarmouth, MA 02664 I 508-568-1926
www.RISEengineering.com
k.
RISE RISE Engineering
RISE S Dupont Avenue,South Yarmouth,MA 02884 CONTRACT - YYZ
• ENGINEERING'
508.568.1926 X4197 FAX 508•558.1933
Page 2
PROGRAM TNS CONTRACT IS ENUREDPSC BETWEEN RISE -
CLC-HES ENGINEERING ANOTM CUSTOMER FOR WORK SS
RL]CM BLO BELOW
•
CUSTOMER Pnu& OATS CLIENit WORM 00DtA
FOTIOS SKORDAS (508)394-2612 06/08/2018 256070 07502
ELNW_E WNW UIuPIO VALET
9 Nautical Lane 9 Nautical Lane
MLAVCt Lr,Y,WS BAL:+IL L`TIV,SIA TE Zvi
South Yarmouth,MA 02664 South Yarmouth,MA 02664
DESCRIPTION QTY COST INCENTIVE TOTAL
AIR SEALING 16 $1,280.00 $1,280.00
Provide labor and materials to seal areas of your home against
wasteful,excess air leakage.Materials to be used to seal your home •
can include caulks,foams and other products. Primary areas for s• ealing include air leakage to attics,basements,attached garages •
• and other unheated areas(windows are not generally addressed.) A
reduction in cubic feet per minute(cfm)of air infiltration will occur,but
the actual number of dm is not guaranteed.
• At the completion of the weatherization work,and at no additional cost
• 10 the homeowner,a final blower door ander combustion safety •
analysis will be conducted by the sub-contractor.
•
•
•
• Total: $3,940.35
Program Incentive: $3,275.26
• Customer Total: $665.09
•
�.' WE AGREE MEREST TO FURNISH SERVICES•COMPLETE W ACCOROANCE WITH ABOVE SPECIFICATIONS.FOR THE EGM OF •
RARSIx Hundred Sixty-Five&09/100 Dollars $665.09
UPON RECE TOr YOU!RISE ENONEERINO ENOICE,CUBIOMnI AOREEB TO A£MNAMWMT DOE WF SWERESI OcTR EASE CNAROEB WNTMT ONAM
UNPAW B.4ARC ]BW E REV R RvgiIANI RSORIWIER ON OD4WMEELIONIYOV RLCISWN,BGILENWIM.ANO CONIMACTOR RLOKIMICIL
•
,_ ice/ _ ,� � U$ ,�.. ✓y/►
2.
Nom
t:TNi • Got YBFMi1aAWN eros SNOT[1EeDIED W1EiW - DAuaLCCFITANCE c
... V •
1\\
30 wet. ACCEPTANCE Of CONTMCI.THE Aa3VE PRICES SPECWC*UONSAND COPIOTnd ARE
MIWIACTORY TO US ANO ARF NEREMYACCEPIEB YOU ANLAUTNWRLCM TO DO TNM WORK
AS SPECIFIED.PAYMENT MAL BE MADE AB OMTUNED ABOVE
•
•
RISE Engineering f 1 p f �+ �lt�
RISE5 Dupont Avenue,South Yarmouth,MA 02664 CONTRACT Y�Z
608-568-1928 X-8197 FAX 508-568-1833
Page 1
PROGRAM THS CUflACI 3 ENTERED INTO EE1wEEN MSE
CLC-HES u triLNiinmw CVUUOMEN FOR WORK AE
Cs11.1044CA Writ LIME CW,t" wII,c Oitatk
FOTIOS SKORDAS (508)394-2612 06/08/2018 256070 07502
iEN"42 bI&1LT
10A1 RRltr
9 Nautical Lane 9 Nautical Lane
KRYKf cov.sr*a.Li ELLtMt3 o. .STATLLIP
South Yarmouth,MA 02664 South Yarmouth,MA 02664
DESCRIPTION QTY COST INCENTIVE TOTAL
STORAGE-KNEEWALLS °
Homeowner is responsible for the removal of the stored items F?(initials)
blocking the installation of weatherization work in the kneewall areas. { _
Removal must occur prior to the scheduled work start.
ATTIC DAMMING-R-38 FIBERGLASS 80 $196.80 $147.60 $49.20
Provide labor end materials to install a 12"layer of R-38 unlaced
fiberglass batts for damming purposes.
ATTIC FLAT-8"OPEN R-30 CELLULOSE 700 $1.008.00 $756.00 $252.00
Provide labor and materials to install an 8"layer of R-30 Class
Cellulose to open attic space. •
KNEEWALL FLOOR-10"DENSE R-32 CELLULOSE 360 $777.60 $583.20 $194.40
Provide labor and materials to install a 10"layer of dense packed R-
32 Class I Cellulose to the kneewall floor.
ATTIC HATCH:SEAL&INSULATE 1 $60.00 $45.00 $15.00
Provide labor and materials to insulate the back of an attic hatch with
2"rigid insulation board.Weatherstrip the perimeter.
ATTIC DOOR:INSULATE&WS 2 $220.00 $165.00 $55.00
Provide labor and materials to insulate the back of the attic door with
2"rigid insulation board and seal the door's edge with
weatherstripping to restrict air leakage.
VENTILATION CHUTES 80 $279.20 $209.40 $69.80
Provide labor and materials to install ventilation chutes in the rafter •
bays to maintain air flow.
VENT BATH FAN THRU ROOF 4" - 1 $118.75 $89.06 $29.69
Provide labor and materials to install an insulated exhaust hose with
roof mounted flapper vent to exhaust existing bathroom fan(s). •
Stip 2 u 2o,a