HomeMy WebLinkAboutBLD-19-002912 e Y•t TOWN OF YARMOUTH Building Department •�
_0''- '' O (508)390-2231 ext.1261 � `�\� BUILDING
OPERMIT NO :BLD-19-002912 PERMIT
�tw,.�; _-T "" " JOB WEATHER CARD
cti.,, ,,Sp ISSUE DATE '11/20/2018
APPLICANT ,kenneth I kostka PERMIT TO : Repair
IAT(LOCATION) 122 KENCOMSETT CIR,YARMOUTH,MA 02675 I ZONING DISTRICT ( j Bldg.Type: 'Residential -J I
SUBDIVISION MAP BLOCK LOT 125.43 j BUILDING IS TO BE: CONST TYPE USE GROUP
REMARKS Removing wood siding/trim and replacing with wood siding/trim I CONTRACTOR
LIKE FOR LIKELICENSE
I
AREA(SQ FT) [702,056 520.; EST COST($) 36000 00_! JFERMIT FEE($) 150.00 I
OWNER HUDSON JOHN ri J BUILDING DEP
ADDRESS HUDSON MEREDITH A,P 0 BOX 253___z_ 1 -_
DENNIS rMA 0263SM253 _ ' _ PHONE �_, � _
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY MANY 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 ARnvr
KenKLK@hotmail.com : LICENSED AND INSURED
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APP4fE ?+
ail NOV 2 0 2018
November 20, 2018 1dV YARN/1UUTH
OLD KING'S HIGHWAY
Jack Hudson
22 Kencomsett Circle
Yarmouth, Ma
Contract
Jobsite: 22 Kencomsett Circle
Job: Siding
KLK will do the following:
1. Strip all Siding/Clapboard
2. Replace all Siding/Clapboard
A. Front will be Clapboard—Same as on home
B. Side and Rear is Maibec Painted Shingles—Same as on home
(Total SC1 Ft 1800) •
KLK will Remove all Debris from Jobsite
Total Price: $36,000.00
; Kenneth Kostka I Jack Hudson Date
Carpentry• Remodeling• Sitework • Sewer and Water• Demo and Dumpsters
Hydroseeding• Complete Landscaping
' 318 Manley Street, Suite 1 • West Bridgewater,MA 02379•Tel:(508)584-7632• Fax:(508)588-1720 1
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EP CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODrYYYY)
08/27/2018
MS 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 pollcy(Ies)must have ADDITIONAL INSURED provisions or 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 LONTAC1 N.Del Sole
NAME:
Morse Insurance Agency,Inc. (1EN.C,No Eat): (508)238-0056 INC.No): (508)230.8357
285 Washington Street t'MAIIESA chuckdelsoloI morseins.com
ADDRINSURER(S)AFFORDING COVERAGE NAIC e
North Easton MA 02356 INSURER A: Acadia Insurance Company 31325 -
INSURED INSURER B: Associated Employers Ins,Company
K L K ENTERPRISES,INC. INSURER CI
318 MANLEY STREET INSURER D:
INSURER!:
WEST BRIDGEWATER MA 02379 INSURER V:
COVERAGES CERTIFICATE NUMBER: 2018-19 Master REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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.
ILTN TYPE OF INSURANCE ADOLBV0R POLICY EFF POLICY EXP
/NSD WVD POLICY NUMBER (MMIDD/YYYY) (MMIDOMYY'Y) LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1.000.000
DAMAGE1O REN(ED 300.000
CLAIMS-MADE X OCCUR PREMISES(Fe occurrence) 5
MED EXP(Any one prawn) $ 5,000
—
A CPA5218971.13 08/18/2018 08/18/2019 PERSONAL INJURY s 1,000,000
OENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 _
XPOLICY❑PRP 0 LOC PRODUCTS••COMP/OP AGO _ S 2.000,000 _
OTHER
GLEXP s
Alf`. AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT S 1,000,000
IEA accident
ANY AUTO BODILY INJURY ear person) $
,q OWNED X SCHEDULED MM5218975-13 08/18/2018 08/18/2019 BODILY INJURY Wm accident) $
AUTOS ONLY IRED v AUTOS
x AUTOS ONLY X AUTOS ONLY (Per rodent)
DAMAGE.. a
4 5
UMBRELLA UAB OCCUR EACH OCCURRENCE - S
EXCESS Lida CLAMS-MADE AGGREGATE _ S _
DED RETENTION I I I
WORKERSCOMPENSATION Xi;Min I I ER
AND EMPLOYERS'LABILITY �I S 500,000
B ANY PROPRIETOR EXCLUDED?
IE%ECUfIVE Y0 N/A WC-5005017702'2018A 08/18/2018 081782019 FL EACH ACCIDENT
OFFICERAIEMBER
(Maedalry M NH)
Et DISEASE•EA EMPLOYEE S 5°0'000
B yes.denote Miner 500.000
DESCRIPTION OF OPERATIONS helmE.L.DISEASE•POLICY LIAR r
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional Rondo Schedule,may be attached N mon specs M required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE'
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
Town of Easton ACCORDANCE WITH THE POLICY PROVISIONS.
h 136 Elm Street
AUTHORIZED REPRESENTATIVE
INorth Easton MA 02358 0/41 .�
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121.11e .
C 1988.201SACORD CORPORATION. All rights reserved.
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Commonwealth of Mastachuserts
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Division of Professional Licensure •
Board of Building Regulations and Standaras
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CS.093646 Excess 01154020
KENNETH L KOSTKA.
20 ALLEN ROADq
NORTH EASTON MA 02354 •'
Commissioner V^"'
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Comr onweaeh of Massachusetts
171 Division of Professional Licensure
Hots-Ong EngArwer
HE-078966 Expires 01115,2019
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KENNETH L KOSTKA ir..7 7 )<
20 ALLEN ROAD , r`'
NORTH EASTONMA O2,811 rtv:
Commissioner Celt
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Office or Consumer Mins it Butkus,Rspu4noe•:
:r „j •• HOME IMPROVEMENT CONTRACTOR
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K.LK Enterprises,Int.-4
Kenneth KosM
318 Manley St
W est BAOgewater,MA-112379
Undersecretary
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