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HomeMy WebLinkAboutbld-20-4247 (_ i -/3 4 ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department of r 1146 Route 28,South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 fe '�� Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling ¢..- .-_— J RFCEIV - This Section For Official Use Only ., Q Buildin PermitNumber:BO-�0.to 90r77 Date Appli -Kt �} � i Building Official(Print Name) 90ILDlW Signature 8v1ZA RTN ENT SECTION 1:SITE INFORMATION _-"""(— 1.1 Pro erty Ad/dress: 1.2 Assessors Ma &Parcel Nummybers `-' L. D�() 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40.§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public CI Private 0 Zone: _ Outside Flood Zone? Municipal El On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP 2.1 Owner'of Record: kiz•.sue.✓ /resatc,.14 Name(Print) LiCity,S ate,ZIP S vZ 4,7,1,%3s7 P/ ,,.z,,i( A-'. 5-11t-aS0.?4,// rn, 2.r;xis/co� +cr r �- No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ I Repairs(s) ❑ Alteration(s)-19. Addition 0 Demolition 0 Accessory Bldg.0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: R wreeid -/v i.i c/u<< ,z- ev,4/ vc 4// l ce,,,J, t34.(( 60,2xk, ciAP ` .`,.-, n 4 \rrS'1"^S 6. . ✓%,9h,4-7/,drrci ,hSt.4 vv 74, Code? , iZ 1 I4 e L ''s 11'-z GP- /,s *;17/ .vt. -44: 4%..}re--°—5.4. tie.,-14-trs SECTION 4:ESTIMATED CONSTRUCTION COSTS. .. — _ Estimated Costs: E, G_ E , Item Official Use Only ., ... __ (Labor and Materials) 1.Building $ / , orc, 1. Building Permit Fee:S_j_ _t:.L Indicate how -e i,i de ie ined 2.Electrical $ ��U N Standard City/Town Application Fee ) t L3 ❑Total Project Cost3(Item 6)x multiplier -W . _., i 3.Plumbing $ ` LX.) 2. Other Fees: $ — 5 •' ` A R Ni t °y 4.Mechanical (HVAC) $ List " F__- 5.Mechanical (Fire $ Suppression) Total All Fees:$ Check No. Check Amount Cash Amount___, 6.Total Project Cost: $ „,,.: cc) CI paid in Full Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) S / 9 f License Number Expiration Date Name of CSL Holder / /_n��o f/ /�e List CSL Type(see below) M No.and Street�t Type Description fir[_ . j� !� C -� �I Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering • WS Window and Siding SF Solid Fuel Burning Appliances 5-e5 0V 6,,/4,j i '/c4f US c I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) / i6 HIC Registration Number HIC Com Name or HICRegistrant Name Expiration Date 5 / No.and Street S� ' 8c` - -O 2.s c 2 5'�� I5'442 Email address City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE A}111IAVIT c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes No Cl SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WREN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize (A-) '<<� I l/k . to act on my behalf,in all matters relative to work authorized by this building permit application. 9`G CDC..- 3 Print Owner's Name(Electronic Signature) Date • SECTION 7b: OWNERi OR AU'I'liORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in th's a lic 'on is true d accurate to the best of my knowledge and understanding. Print Owner's or Authorized Agent's Name onic Signature) Date NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. I42A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.aov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" The Commonwealth of Massachusetts '' l. Department of Industrial Accidents i 1 1 1 Congress Street,Suite 100 • ', ? Boston,MA 02114-2017 —4 www mass gov/dia 'Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WTIH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual): L.... E:'• Address: y • City/State/Zip: ^r't .rV t.L Jv:�L Phone#: Are you so employer?Check the appropriate box: Type of project(required): j,e:1'sill'a employer with I�"' employees(full and/or part-time).* 7. ❑New construction 2.1=I I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition • 3.0I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10[J Building addition 4.0 I am a homeowner and will be hiring contactors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.[J Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.0 I am a general contactor and I have hired the sub-contractors listed on the attached sheet 13.n Roof repairs These sub-contractors have employees and have workers'comp.insurance? 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] °Any applicant that checks box#1 must also till out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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: • J'.i ✓ ' ',- -," Policy#or Self-ins.Liicyc.#: L L.. 5 3/ 3 C-ct' - Expiration Date: W • Job Site Address: 9 to 4A ' D a ,4_ City/State/Zip: s y'l' -�' 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 S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fate of up to S250.00 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 certify under the pain4Ai pel-tarries of pk rJury that the information provided above is true and correct. Sir mature: Date: Phone#: 57) y747 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.CityfTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Phone#: Contact Person: §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-22311 ext.-1261 Fax 508-398-0836 Office of the Building Commissioner BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Ch. 40, §54 and 780 CMR- Section 105.3.1. #4. I hereby certify that the debris resulting from the proposed work/demolition to be conducted at ff-t-to i4( Sfr ~ Work Address f� Is to be disposed of oat the following location: ' X`7'(-2471-) Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150 -3 Signature of Application Date Permit No. • , a4' 4 _.• ` _, _.�._Y 9 � CAPE&ISLAND KITCHEN AND BATH REMODELING INC. 99 State Road, Route 3A Sagaznore Beach, MA 02562 Phone:(508) 888-4762 Fax:(508) 833- 1442 Date: 9-13-19 Contract To: Kristen Ranney 82 Indian Memorial Drive S. Yarmouth, Ma. 508-280-2661 Mizkris2014@yahoo.com Cape& Island Kitchen &Bath Remodeling Inc. will provide the following renovations as per plans provided. Included are as follows with respective allowances. p ded. Plumbing: Provide all rough and finish plumbing as required by code and new plans provided. o Remove all existing plumbing fixtures in bathroom. o Remove existing section of baseboard heat. Replace with new 4'section under window. o Supply and install new pedestal or other.Allowance: $350.00 0 Supply and install new faucet. Allowance: $300.00 o Supply an install new toilet.Allowance: $400.00 © Supply and install new shower mixing valve, spray head on slide. Slide bar will hold the main shower head. o Supply and install new fiberglass shower stall. Allowance: $700.00 Electrical: Provide all rough and finish electrical as required by code and new plans provided. 0 Supply and install [1]fan/light combo in shower. o Install owner supplied wall sconce. o Provide GFI receptacle as required. O No upgrades to service panel. Flooring: © Supply and install vinyl floating floor. m.. o Material allowance: $4.50 per sq. ft. • General: • • Provide all necessary • Provide small trash container on site. %+ o Provide proper home protection and dust • Complete gut of existing bathroom. • Replace existing bathroom window with new to match others, • Insulate exterior wall. • Blue board and plaster bathroom walls and ceiling. • Tile above fiberglass surround to ceilng. • Prep flooring for new vinyl flooring. • Replace trim on door and window. © Install new base board moldings on top of flooring. o Install owner supplied mirror and towel bars ect. e Supply and install new shower doors.Abbey Glass.Allowance: $1,500.00 Not included: • No painting. Total job: $22,629.00 Payment schedule: • Deposit required upon signing contract: $5,000.00 V� r U Payment due upon completion of demolition and prep. $10,000.00 o Payment due upon completion of plastering: $5,000.00 Final balance due upon completion of work: $2,629.00 We propose to furnish material and labor in accordancewith the above specifications for the sum .w_.� TOTAL OF$22,629.00 of In the event that it is necessary to pursue any legal action to collect any outstanding balance the customer shall be responsible for the total balance plus all legal costs. ACCEPTANCE OF PROPOSALT SIGNATURE ' ' •'. '• t/1= �-—' " ,.. DATE U'I I Michael Heinrichs Project Manager C#774-208-2362 ® CERTIFICATE OF LIABILITY INSURANCE DATE(IIIMIDDIYYYY) 06/28/2019 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 POUCIES 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 lean ADDITIONAL INSURED,the poilcy(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 FAME Linda Sullivan DOWLING &O'NEIL INSURANCE AGENCY PHONE,. ): (508)775-1620 I Fax wc.Nor. ADDREss: Isulhvan@doins.com 973 IYANNOUGH RD NSURER(S)AFFORDING COVERAGE NAM# HYANNIS MA 02601 INSURER A: LM INS CORP 33600 INSURED INSURER B: CAPE & ISLANDS KITCHEN& BATH REMODELING INC NsuRERc: DBA C&I KITCHENS INC INSURERD: 99 STATE ROAD ROUTE 3A INSURER E: SAGAMORE BEACH MA 02562 INSURER F: COVERAGES CERTIFICATE NUMBER: 419929 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 ADDL SUER POUCY EFF POUCY EXP LTR TYPE OF INSURANCE INSD WVD POUCY NUMBER (MMIDDIYYYYI (MMMID/YYYY) LIMITS COMMERCIAL GENERAL LIABLrrY EACH OCCURRENCE $ CLAIMS MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ _ N/A PERSONAL&ADV NJURY $ GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ nPRO- POLICY 1 1 JECT n LOC PRODUCTS-COMP/OP AGO $ OTHER: $ AUTOMOBILE LIABLnY (Ea pEDD SINGLE LIMIT $ ANYAUTO BODLY INJURY(Per person) $ ALL OWNED SCHEDULED _ AUTOS AUTOS N/A BODLY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS _ AUTOS (Per accident) UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS IJAB CLAIMS4MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X PER W- AND EMPLOYERS'LIABILITY Y/NANYP STATUTE ER A OFFICEWMEMBEREXCLUDED4 c�TNE Lin NIA NIA WC531S369904029 07/03/2019 07/03/2020 EL.EACH ACCIDENT $ 500,000 (Mandatory in NH) EL.DISEASE-EA EMPLOYEE $ 500,000 It yea describe under DESCRIPTION OF OPERATIONS belox EL.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached H more space Is 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 www.mass.gavilwdlworkers-compensatiorYnvestigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Yarmouth ACCORDANCE WITH THE POLICY PROVISIONS. 1146 Route 28 AUTHORIZED REPRESENTATIVE South Yarmouth MA 02664 ._ Daniel M.Cr y,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 c//e fear too oroeaS o ^'lla.ttackaae//� Office of Consumer Affaird&Business Regulation Registration valid for individual use only HOME IMPROVEMENTCONTRACTOR before the expiration date. if found return to: TYPE:Supplement Card Office of Consumer Affairs and Business Regulat Re160266on 07/gx 6/20 0 1Q00 Washington Street-Suite 710 j• 160266 07/06/2020 Boston,MA 0219,3 .,-• �' CAPE&ISLANDS KITCHEN&BATH REMODELING,INC. j �:% � t i r L , }/; ____ WILLIAM SCHMITZ 99 STATE ROAD Not valid without SnatUre SAGAMORE BEACH,MA 02562 undersecretary ____.7 ! .k °r" ieuolssiwwo0 !, 9£9Z0 VW H.LfOWlVJ 1SV3 3fll lO 13AVMVO 99 Z1IWH3S 1 WV111IM I.Z0ZI60I60 aaaid* I.LS9L0-S0 JostnJadnSuoLpnilsuo0 spaepueis pue suoueinbaa bulplmg to limos amsueon leuoissaloid to uolsIAlo suasnuoesseNN io u3ieemuowwo3 Sears, Tim From: bill@capekitchens.com Sent: Wednesday, February 12, 2020 7:36 AM To: Sears, Tim Subject: RE: 82 Indian Memorial Attachments: Ranney revised.pdf 1, r'" 6- ®'n +pn a .ch menu or tel 0 ti are h r® s from akn sends myo ono'' fon t fs safe Call the sender to e ' da re e ise delete thus email NII�b Ih4 p Good Morning Tim, I am attaching a revised drawing for the proposed bathroom project at 82 Indian Memorial.We have altered the plan to be a neo angle shower and I believe this will eleviate the issue with toilet. Please let me know if this will suffice. Best, William Schmitz Project Manager Cape& Island Kitchens 99 State Rd.Sagamore Beach, Ma.02562 508-815-1636 Office direct 508-274-0314 Cell From:Sears,Tim<tsears@yarmouth.ma.us> Sent:Thursday, February 6, 2020 4:17 PM To: 'Bill Schmitz'<bill@capekitchens.com> Subject:82 Indian Memorial Bill, I have reviewed your application for 82 Indian Memorial, and it appears that the clearance in front of the toilet does not meet the required 21" Please update your plan and submit for review Thank you Timothy Sears CBO Building Inspector Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsears@yarmouth.ma.us 1 424" X . , ..1.„ ? 4 31 ,+" — /1 ......_-___ saYY_ _I i -- t-ke.vey Reit VI fev3evr-t N ' 7-.12.- )\ -+a\-- ' — N —— , / 1 N / / , I COMPETE GUTOF BATH .5-1V ,i ( ' / / NEW TOILET: ALLOWANCE: $400.00 L'D -----1:-' .7- \\, • z N NEW PEDESTAL SINK: ALLOWANCE: $350.00 il w ' .;. —I ..7 I CUSTOM TILE SHOWER. WALL TILE: $8.00 PER SQ.I - --.2 I FLOOR TILE: $8.00 PER SQ. ' L , . 1 SHOWER FLOOR: $20.00 PER SQ. CD 1 0 SHOWER DOOR ALLOWANCE: $1,500.00 . . ,.......-- :=-...----...., 1 , REPLACEMENT WINDOW: \ NE-0 1/41 36 INSULATE EXTERIOR AND INTERIOR WALL. il 1 C7)) 14-74e36— i'd BLUE BOARD AND PLASTER. DUROCK SHOWER & WATER PROOF. 0) if a- ' ' 1 ) . ' 1 HARDI BACKER FLOOR AND TILE. . -/ 36' ''s I RECESSED SHAMPOO NICHE , ,..,.._ 2' - - — NN REPLACE TRIM I BATH. : I SHOWER VALVES AND TRIM, ALLOWANCE: $750.00 : I e' 1 38,___-_4 NO PAINTING il 24' I NO MIRROR OR.FIXTURES. TOWEL BARS ECT. 11VN OF lfGiTH REVIEWED FC',1 r.liir,c;;No AND Z:C.",NI:.0 CODE COMPLI- 4 •- 111.1.11111.111111 ' ANCE. ERRORS Ok Ci 1 :ISS:ONS DO NOT RELIEVE rid:. L glitCO Irr)y k ' ti.- APPLICI.NT FROM THE RESPONSIBILI1Y OF"AS BUILT" COMPLIANCE NN — , _____ DATE: IN— I 3 ' k 0 BUILDI FICIAL All dimensions_size designations 20 9n„:3, This is an original design and must Designed: 9/11/2019 given are subject to verification on TECH NO LOGVE Via not be released or copied unless Printed: 9/11/2019 job site and adjustment to fit job applicable fee has been paid or job conditions, order placed. kristen Ranney bath All Drawing#: 1 Scale : 0 1/2" 1' _ _