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HomeMy WebLinkAboutBLD-19-003678 QVVitR.17, r�� 3s6 thrice Use Only OZw H Y9 C �/ l� IJ - lPemC! �-/� ce l —1 4- •�4 DEC1 p t �'�V�" DEC 18 2018 _1 jAmount Permit expires 180 days from ILP, (('_ ,Ji issue date BUcKik� RTMLNT eLb-lci-Cb3W7 • EXP gS BUltI I GTPERNIIT APPLICATION TOWN OF YARMOUTH q /q7 /C5 _1 Yarmouth Building Department 1146 Route 28 South Yarmouth,MA 02664 (\�~ `(508)398-2231 Ext. 12 1n`� // CONSTRUCTION ADDRESS: 3Oo l N ��jt (�1D 'oAb, �l.J1CK 5 ( L�' ASSESSOR'S INFORMATION: Map: Parcel: OWNER NAME �PRRESENT ADDRESS .,� R I(-E.0 TEL # CONTRACTOR: .� F` tva Cr 1 N;.- L� nil u i Ass. LtM O L'6?'Ut MA CA 7S NAME MAILING ADDRESS TELA SSC C.0 CI Lj bL il l Residential ❑Commercial Est Cost of Construction$$300 Home Improvement Contractor Lie.# 1P-4:15 9 5-7 Construction Supervisor Lie. 6019 l b7 Workman's Compensation Insurance: (check one) 0 I am the homeowner 0 I am the sole proprietor ® I have Worker's Compensation Insurance 7Insurance Company Name: ( - r.1 .+ Worker's Comp.Policyl562 P�gOSs1 ` `it WORK TO BE PERFORMED Tent _ Duration (Fire Retardant Certificate attached?) Wood Stove Siding: #of Squares Replacement windows:# Replacement doors: # Roofing: #of Squares /7 ( 7)Remove existing*(max.2 layers) Insulation Old Kings Highway/HistoricnnDiist� ( )(Reeeplacing like for like Pool fencing *The debris will be disposed of at 1140- " '( t 5 �? Location of Facility • I declare under penalties of perjury that the statements herein contained are true and correct to the best of my knowledge and belief I understand that any false answer(s) will be just cause for deni _ tion of my license and . . .-- ution under MGL Ch.268,Section 1. ( I p Applicant's Signaturr -S. L Date: /2 / g t /g Owuen Signature(or attachment)) �� /ia/ ., W/ (0 Mp4/Date: /2 .1137g �j,' Approved By: /�'�� �' /2 �. 7O' Date: B i -atial(or designee) 91 ADDRESS: Zoning District Historical District ❑ Yes 0 No Flood Plain Zone: ❑ Yes ❑ No • Water Resource Protection District Within 100 ft.of Wetlands: 0 Yes 0 No 0 Yes 0 No 9 4 - s=pa ' t jETPalrp VzDay°2Ft$!'E q If y -L Calm'1:13P.l �I• TCag203M • mcfriaitzl.w.epirtippieffueoggiUtzursMirtZRZZAWarPir*C11.SIE nab• an PTSlIiIiGAERT - m I[Sll 4-7 - tg�3ID BOILS��� d° $fix$ Kt 212Ku a=` a' 8 i•: :n sr-t74-7 e3° ai& _ dg4nse sal` - = ccas=+�-i1DThri$9 1-472P lagraFila‘ �'H�08 .1 Farms Th3aVsti"' Pgri iii°7> •al-9 - Sib 5 s er cif: _-...5— - • • remsa ,�g�..,..x . +sag �m pa �A �: nia [ nODnAsz:Fattes]-saartosina • . - ZT "a 4 F=Ytr)I� t3� - -- sit3Z,� spm Ellur t rar 57i"" - `.3a '. t}t DZ Ws . -..9-tal -j mss .21 — � . .2=I! 4 L 1 licgomPooastet 0 -q a3 C3a �7 a1_ _—. :�_ ttt $latalsilD41�•� 1- 202i3ZZ9.i .f':..� 2yZ. .tj. v r . • cm-t . y - - VafJ nag nitas - .uses € ; • Tnagsztingfr� . - _ • • P_?-2e Wpo rloonealh olg/gaoac/uet2 W.`j Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration .. 1f Type: Individual jr Registration: 128957 OLIVER KELLY ; Expiration: 06/13/2019 8 RHINE RD b ` YARMOUTHPORT,MA 02675 1 / • i'a • Update Address and return card. Mark reason for change. SCA 1 O 20M-05/11 n Addroae nounmaml rl omnlnvmant 0 L.net Card _ Thr 9;U)/mo fit',gtuad reidaµ^..\ Office of Consumer Affairs a Business Regulation s,,?___ r,, HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only �'� ^ TYPE:Individual before the expiration date. H found return to: Registration Expiration Office of Consumer Affairs and Business Regulation • =meq 128957 06/13/2019 10 Park Plaza-Suite 5170 �..-, R KELLY Boston;MA 02118 -- % , s„� f . �° OLIVER M.KELLY , ._:.-.�.w-1 I� -9 . YARMOUTHPORT,MA 02675' -� Not valid without signature t y Undersecretar ._ • Commonwealth of Massachusetts 17 Division of Professional Licensure • Board of Building Regulations and Standards Construction Supervisor Specialty •i CSSL-099167 Expires:09/28/2019 -1 - „ ,, 7 OLIVER M KELLY •-?. 1 8 RHINE ROAD ./ YARMOUTH PORT MA 02675 '` • . . /� le- fik i Commissioner V'”` 4 le"r Acorn:.® CERTIFICATE OF LIABILITY INSURANCE DAT ( iDDDryta 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(les)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 NAME: Linda Sullivan DOWLING&O'NEIL INSURANCE AGENCY vPHONE NN /uo.Ern: (508)775-1620 (per.No): E-MAIL ADDRESS: ISull)Van©doIns.COm 973 IYANNOUGH RD INSURER(S)AFFORDING COVERAGE RAC* HYANNIS MA 02601 INSURER A: ACE AMERICAN INSURANCE CO 22667 INSURED INSURER B: KELLY ROOFING INC INSURER C: INSURER D: 8 RHINE RD INSURER E• : YARMOUTHPORT MA 02675 INSURER F: COVERAGES CERTIFICATE NUMBER: 316737 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. NOTVNTHSTANDING ANY REQUIREMENT,TERM OR CONDmON 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. ISR MICK SODA OLICY EFF POLICY EXP TR TYPE OF INSURANCE INS) wvD POLICY NUMBER onsv H /YYn (MIWDDVYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S I CLAIMS MADE OCCUR DAMAGE TO RENTED PREMISES(Ea commence) S MED EXP(Any one person) S _ N/A PERSONAL&ADV INJURY $ GENT.AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S _ POLICY El jE El LOC PRODUCTS-COMP/OP AGG S OTHER: S AUTOMOBILELUABILTY COMBINED SINGLE LIMIT S (Ea strident) ANY AUTO BODILY INJURY(Per person) S - �OTOS OWNED —AUTOS N/A BODILY INJURY(Per accident) S NONONNED PROPERTY DAMAGE S _ HIRED AUTOS AUTOS (Per acddentl S UMBRELLA UAB OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE N/A AGGREGATE S _ DED RETENTIONS S WORKERS COMPENSATION X STRTUTE OTH- ER AND EMPLOYERS'LIABILITY YIN AA OFFICER/MEMBER � n WA WA 6S62UB8H08580918 05/10/2018 05/10/2019 EL EACH ACCIDENT $ 500,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 x descdbe under DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT S 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached N more space la required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization Is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of Insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the Issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at wwwmass.govfwdAvorkers-compensationnnvestigationsf. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN David Bernstein Builders ACCORDANCE WITH THE POLICY PROVISIONS. 139 Nantucket Drive AUTHOR®REPRESENTATIVE Chatham MA 02633 n„,,t CL5 Sc- Daniel M.Cretyley,CPCU,Vice President-Residual Market-WCRIBMA ®1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD KELLY ROOFING PH. 508 509 4640 8 Rhine Road MA C.S.L.#099167 Yarmouthport MA H.I.C.R. #128957 MA 02675 December 14'2018 Proposal submitted to Management of 300 Buck Island Road West Yarmouth MA. We propose to supply all materials and labor required to remove and replace the existing asphalt roof on Building 5 Units H & I at the address above. Protect all walls,Windows, shrubs, plants etc. during roof strip. All debris to be removed to town transfer. 8"White Aluminum Drip Edge to be installed on all eaves. Ice and Water damage protection membrane to be installed on first Six feet of all eaves, in all valley areas and around all protrusions. Remainder of roof deck to be covered with synthetic underlayment. Install limited lifetime warranty Architect style Shingles, color to be Birchwood, Light Gray All shingles to be storm nailed (6) Replace plumbing vent pipe boots with new. Repair/Replace all flashings as necessary. Install Certainteed filtered Shingle Vent ridge vent with hand na Icd caps. Complete Clean up off all areas including all gutters and all nails after project complete At a total cost of$5900 Payment Schedule; Balance upon Completion Proposal Submitted by:Oliver Kelly Proposal accepted by: Date. / /2018 This proposal is valid for 45 days from date above, please call to verify thereafter. . Vision Government Solutions Page 1 of 3 300 BUCK ISLAND RD UNIT SI Location 300 BUCK ISLAND RD UNIT Mblu 47/97/C5I// SI Acct# 6796 Owner SILVER GORDON H TRS Assessment $214,500 PID 6796 Building Count 1 Current Value Assessment Valuation Year Improvements Land Total 2019 $214,500 $0 $214,500 Owner of Record Owner SILVER GORDON H TRS Sale Price $100 SILVER BARBARA TRS Certificate Care Of Book&Page D1138434 Address 300 BUCK ISLAND RD UNIT 51 Sale Date 04/21/2010 WEST YARMOUTH, MA 02673 Instrument IF Qualified U Ownership History Ownership History Owner Sale Price Certificate Book&Page Instrument Sale Date SILVER GORDON H TRS $100 D1138434 1F 04/21/2010 SILVER GORDON H CO-TRS $100 D1015317 1F 10/07/2005 SILVER GORDON $100 D1011138 1F 08/25/2005 SILVER BARBARA LIFE EST $0 D800076 1F 05/15/2000 SILVER GORDON H $0 Building Information Building 1 :Section 1 Year Built: 1973 Building Photo Living Area: 1,260 Replacement Cost: $252,325 Building Percent 85 Good: Replacement Cost Less Depreciation: $214,500 Building Attributes Field Description http://gis.vgsi.eom/YarmouthMA/Parcel.aspx?pid=6796 12/18/2018 • Vision Government Solutions Page 2 of 3 STYLE Condominium Building Photo MODEL Res Condo Stories: 2 Stories Grade Average Occupancy 1 Interior Wall 1: Drywall/Sheet Interior Wall 2: Interior Floor 1 Carpet Interior Floor 2 Heat Fuel: Gas (http://images.vgsLcom/photos2/YarmouthMAPhotos//\00\03 Heat Type: Forced Air-Duc \43/36.)pg) AC Type: Central Building Layout Ttl Bedrms: 2 Bedrooms 3AS16201 RI Bathrrns: 1 Full US16401 RI Half Bths: 2 JBM13101 Xtra Fixtres 31011401 Total Rooms: WDKI/01 Bath Style: Average I0M(3101 Kitchen Style: Modem Grade Below Average Stories: 2 Residential Units: 127 Exterior Wail 1: Wood on Sheath - (http://images.vgsi.tom/photos2/YarmouthMAPhotos//Sketches/1 Exterior Wall 2: Wood Shingle Building Sub-Areas(sq ft) Legend Roof Structure Gable/Hip Gross Living Code Description Roof Cover Asph/F GIs/Cmp Area Area Cmrcl Units: 0 FUS Upper Story,Finished 640 640 Res/Com Units: 0 BAS First Floor 620 620 Section#: 0 FBM Basement,Finished 310 0 Parking Spaces 0 PTO Patio 140 0 Section Style: 0 UBM Basement,Unfinished 310 0 Foundation WDK Deck,Wood 70 0 Security: 2,090 1,260 Cmplx Cnd Xtra Field 1: Remodel Ext: Super r.*=..+r•nn-+ r*x»»n+rn.•- .a m e...;n +�+^,n...�.: ...eTe^+�r+.«-n vn+v..,-.n.:.s....F A Extra Features Extra Features Legend No Data for Extra Features http://gis.vgsi.com/YarmouthMA/Parcel.aspx?pid=6796 12/18/2018 • Vision Government Solutions Page 3 of 3 • Land Land Use Land Line Valuation Use Code 1021 Size(Acres) 0 Description CONDO NL MDL-05 Frontage 0 Zone Depth 0 Neighborhood 0040 Assessed Value $0 Alt Land Appr No Category Outbuildings Outbuildings Legend No Data for Outbuildings Valuation History Assessment Valuation Year Improvements Land Total 2019 $214,500 $0 $214,500 2018 $183,500 $0 $183,500 2017 $183,500 $0 $183,500 Cc)2018 Vision Government Solutions,Inc.All rights reserved. http://gis.vgsi.com/YarmouthMA/Parcel.aspx?pid=6796 12/18/2018