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Home My WebLink AboutBld-20-01868 .' O Permit# O l• v PiAmount 5 � �4 .:or 2 c� Permit expires 180 days from ` D—ka issue date EXPRESS BUILDING PERMIT APPLICAT ONE C E I V E D TOWN OF YARMOUTH Yarmouth Building Department LOCI 07 2019 1146 Route 28 _ South Yarmouth, MA 02664 aui � 464i4 (508) 398-2231 Ext. 1261 6y ' — -- CONSTRUCTION ADDRESS: C i 6"c-O a.cL As'Q. AJe.S 7 1 y i/YL O w L L ASSESSOR'S INFORMATION: `� Q / Map: ) y�Parcel: OWNER: J. SGI,& e. &ell /i//7 — 3 -37r/ G NAME PRESENT ADDRESS TEL. # CONTRACTOR: Armen -90- C 7 Se. 'Sfree A ' 4' s''o 3 7-7 Spa Lr p NAME MAILING ADDRESS /./,‹ Qn•�r,S NA TEL.# Q Residential 0 Commerciallci Est.Cost of Construction$ �/i 7/-� Home Improvement Contractor Lie.# / O 3.2 £7 2 Construction Supervisor Lic.# `0 6( 67 ca Workman's Compensation Insurance: (check one) ❑ I am the homeowner C I am the sole proprietor I have Worker's Compensation Insurance Insurance Company Name: 'cr 48 e.//oQ PP o Tee 7 i as ri Worker's Comp.Policy# SO 0 S D/SD,q 4. 0/3 '4 WORK TO BE PERFORMED Tent Duration (Fire Retardant Certificate attached?) Wood Stove Siding: #of Squares Replacement windows:# Replacement doors: # \/Roofing: #of Squares / 7 ( aRemove existing*(max.2 layers) Insulation Old Kings Highway/Historic Dist. ( )Replacing like for like Pool fencing *The debris will be disposed of at: XI. ' ./Y/ 0 1.f 72% &OAF Location of Facility I declare under penalties of perjury the s: is 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 denial or rev.Mn of . and for prosecution under M.G.L.Ch.268,Section 1. Applicant's Signature: r r . Date: /° . ° 3. f3 Owners Signature(or attachment) Date: �* Approved By: 41� Date: / __--/ V/ Buildingj%ci 1-(r des' ee ED400L ADDRESS: Zoning District: Historical District: Yes No Flood Plain Zone: Yes I No Water Resource Protection District: Within 100 ft.of Wetlands: Yes No Yes No Apr Massachusetts Department of Public.Safety V. Board of Building Regulations and Standards -License: CSSL-106102 Construction Supervisor Specialty ARMEN SAFARYAN 67 SEA STREET APT A4 HYANNIS MA 02601 • • • . '2r 4 'a — Expiration: Commissioner 10/02/2020 V? i P Ata Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Individual ARMEN SAFARYAN Registration: 183202 D/B/A COREY AND COREY Expiration: 09/13/2021 67 SEA ST APT A4 HYANNIS,MA 02601 Update Address and Return Card. SCA 1 0 20M-05/17 elm Wxlmmanweaid ol'Q'laswc/ivae Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:individual before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 183202 09/13/2021 1000 Washington Street -S 710 ARMEN SAFARYAN Boston,MA 02118 DB/A COREY AND COREY (4). ARMEN SAFARYAN 67 SEA ST APT A4 411 - HYANNIS,MA 02601 Undersecretary Not valid ignature T.. The Commonwealth of Massachusetts Department of Industrial Accidents = 1 Congress Sheet;Suite 100 Boston,MA 02114-2017 www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information j/ Please Print Legibly Name(Business/Organization/Individual): f!!':zit a� 5 j Address: 6 ts� --��fi^ ' �f 7� .`�J�� i City/State/Zip: Al �z 2n L S (A, Phone#: _�0 7 7. 4f� 0 Are you an employer?Check the appropriate box: ..�• Type of project(required): 1. I am a employer with ..t. employees(full and/or part-time).* 7. New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in any capacity.[No workers'comp.insurance required.] g Remodeling 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work insurance or on my p perty. I will ro 10 Q Building addition ensure that all contractors either have workers'compensation are sole 11.0 Electrical repairs or additions proprietors with no employees. 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12.0 Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance? 13. Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.El Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *My 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: r -65,,/4 ` I'L' C(f,`0 Y) Policy#or Self-ins.Lic.#: - '5 O 0 el C"4 4./0 xp 3 • ,y0 �V y Expiration Date: oC Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and 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 STOP 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 DIA for insurance coverage verification. I do hereby ce nde tth• us and penalties of pedury that the information provided above is true and correct. Si. atut Iyc.Il J(� ' Date: d .3. /-5 Phone#: 446, ' 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#: / 7 '4�RD CERTIFICATE OF LIABILITY INSURANCE 9/13/( 019 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 Ashley Paiva Eastern Insurance Group LLC PHONE WO �): (800)333-7234 No). 233 West Central St A'MA :apaiva@easterninsurance.com INSURER(S)AFFORDING COVERAGE NAIL• Natick MA 01760 INSURENAArbella Protection Ins. Co. 41360 INSURED INSURER B Associated Employers Insurance Armen Safaryan, DBA: Corey and Corey INSURER C: 67 Sea Street uNSURERD: Unit A4 INSURER E: Hyannis MA 02601 INSURER F: COVERAGES CERTIFICATE NUMBER:2019-20 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.UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. *MR SUBR LTR TYPE OF INSURANCE AINSDL WVD POLICY NUMBER S POLICY EXP UtBTS X COMMERCIAL GENERAL LABILITY EACH OCCURRENCE S 1,000,000 NTED A CLAIMS-MADE X OCCUR PREMISES(EaEoccurrence) $ 100,000 9520046441 9/18/2019 9/18/2020 HIED ExP(Am,one ) S 5,000 PERSONAL BADVINJURY $ 1,000,000 GENL AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICYI IJ I ILOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: S AUTOMOBILE LABILITY COMBINED SINGLE UMIT $ tEa enderd) —ANY AUTO — BODILY INJURY(Per person) $ ALL—AUTOS OWNED AUTOSU=D BODILY INJURY(Per accident) S — HIRED AUTOS A O ED PROPERTY DAMAGE S (Per accident) $ UMBRELLA"AB OCCUR EACH OCCURRENCE S EXCESS LAB CLAIMS-MADE AGGREGATE S DEB RETENTIONS WORKERS COMPENSATION S AND EMPLOYERS'LIABILITY Y/N PER ER ANY OFFICER/MME BEER/PEXXCLUDED? CUTiVE I N 1 N/A E.L EACH ACCIDENT S 1,000,000 B If y InNuH TtCC50050150912019)► 9/18/2019 9/18/2020 El DISEASE-EA EMPLOYEES 1,000,000 ,descnbe DESCRIPTION OF OPERATIONS below EL DISEASE-POUCY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached I more space Is required) CERTIFICATE HOLDER CANCEL LATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Display Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZE REPRESENTATIVE John Koegel/APAIVA 01988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 r9n+annn ( COREYCOREY " The Roofers " 67 SEA STREET APT#A4, HYANNIS MA 02601 PHONE 1-508 -775-0240 CERTAINTEED LANDMARK LIFETIME - ALGAE RESISTANT ARCHITECTURAL STYLE August 13,2019 RE - ROOFING PROPOSAL ISABELLE BELL 61 BROADWAY EM: igb2@aol.com WEST YARMOUTH,MA Tel: 203-434-9716 COREY& COREY hereby proposes to perform the following services in a neat and professional manner and in accordance with the manufacturer's specifications and local building codes. Remove and Haul Away All of the Old Asphalt Roofing Shingles(One Layer)from the Entire House.Re Nail All The Existing Sheathing as needed. Supply and Install CERTAINTEED LANDMARK AR: LIFETIME WARRANTY, 10 YEAR SURE START PROTECTION, CLASS A FIRE RATED, COPPER/CERAMIC STONES for a FULL 10 YEAR WARRANTY AGAINST ALGAE CONTAMINENT,235 POUND,EXTRA HEAVY WEIGHT, 130 MPH WIND WARRANTY,CATEGORY III HURRICANE.STORM/HURICANE NAILED (6 NAILS PER SHINGLE). MULTI-LAYERED,LAMINATED ARCHITECTFRAL STYLE,FpER LASS BASED ASPHALT SHINGLES. COLOR: 17 o p e :$f a G' . Supply and Install 8"WHITE ALUMINUM/HICK'S VENTED DRIP EDGE on All of the Eaves. Supply and Install 8"WHITE ALUMINUM DRIP EDGE on All of the Rake Boards. Supply and Install CERTAINTEED WINTER-GUARD (Ice& Water Shield)WATERPROOF UNDERLAYMENT SYSTEM on Roof Eaves&Valleys Under the Step Flashings,on the Skylights and Chimneys. Supply and Install CERTAINTEED'S"ROOF RUNNER"SYNTHETIC ROOFING PAPER Supply and Install AIR VENT SHINGLE VENT II RIME VENT on the Entire Ridge. Supply and Install NEW ALUMINUM& NEOPRENE SOIL PIPE FLASHINGS PAINTING IS NOT INCLUDED IN THIS PROPOSAL Clean and Remove Debris from work area after job is completed. TOTAL PROJECT INVESTMENT -------- $7,975.00 f/ COREY & COREY " The Roofers " ADDITIONAL RECOMMENDED WORK: Supply and Install AZEK(1X8 AND 1X3 MEMBERS)RAKE BOARDS ON THE ENTIRE HOUSE, REPLACING ALL THE RAKE BOARDS $900.00 REMOVE THE FRONT POP OUT DORMER,DO ALL THE NECESSARY CARPENTRY TO MAKE IT LOOK LIKE ONE CONTINUOUS ROOF SECTION-----------------$1,000.00 REPLACE THE FRONT 6%"METAL VENT PIPE ABOVE THE ROOF $75.00 POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards,Plywood Sheathing,Missing Metal Flashing,Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra:Materials Plus Labor at the Rate of$60.00 per Hour(For Each Laborer Involved). EACH SHEET OF PLYWOOD (IF ANY)WILL BE REPLACED AT THE RATE OF $65.00 PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORK SCHEDULE:All the Roof Work is Scheduled for Completion Within 90 Days of Acceptance and the Deposits Received are Non-Refundable After a Three Day Cooling Off Period from the Date of Signing. Please Make Checks Payable to: COREY & COREY COREY & COREY Warranties the Shingles and Labor for 10 years. CERTAINTEED Warranties the shingles and labor 100% for the First 10 Years and the Shingles your LIFETIME if the shingles becomes defective. CERTAINTEED Warranties the Shingles up to a CATEGORY III HURRICANE-130 MPH WIND WARRANTY. CERTAINTEED Warranties the Shingles to be Algae Resistant for a Full 10 Years. COREY & COREY carries Workman's Compensation and Public Liability Insurance on the above work DATE OF ACCEPTANCE: :,9 ` C l(ps- �1 g ACCEPTED BY: SUBMI ITED BY: V64)/(.-- ISABELL BELL ARMEN SAFARYAN HOME° R COREY& COREY HIC# 183202 CSSL# 106102