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HomeMy WebLinkAbout22-EB033 24 Marsh Side Drive ApprovedRECEW' EXPRESS BUILDING PERMIT APPLICA MAR 2 2 2022 TOWN OF YARMOUTH Yarmouth Building Department YA- MOU l r 1146 Route 28 OLD KING'S HIGHWAY South Yarmouth, MA 02664 (50.8) 398-2231 Ext. 1261 CONSTRUCTION ADDRESS: a -� 6 a -r -h ! cL —De- 1 ve— , L ASSESSOR'S INFORMATION: Office Use Only Permit# Amount irr0— Pennit expires 180 days from issue date WROVED MAR 2 2 2022 YARMOUTH ^� Map: Parcel: OWNER: t'G�� L! ��# 4aAs%Ns � (� - 34 NAME PRESENT ADDRESS TEL. # CONTRACTOR: RO-Se. C01\4JrUCh6w 3 tt7! rr Y�'1c3�\�4� Sd�" NAME MAILING ADDRESS t TEL # �— Residential © Commercial Est. Cost of Construction $_ I S (OQ Home Improvement Contractor Lic. # Construction Supervisor Lic. # GS Qq b p Workman's Compensation Insurance: (check one) ❑ 1 am the homeowner 11 1 am the sole proprietor Al have Worker's Compensation Insurance ` 4 Insurance Compatty Mame: I Pree- �fYl�(i CA.— Worker's Comp. Policy (.o `j b .�u � IJrn t ?4I R326 'Fent Jl Duration Siding: # of Squares WORK TO BE PERFORMED (Fire Retardant Certificate attached?) Replacement windows: # Roofing: # of Squares_ a 3 _ (❑) Remove existing* (max. 2 layers) Old Kings Highway/Historic Dist. ([3 Replacing like for like Wood Stove Replacement doors: # Insulation Pool fencing 'The debris will be disposed of at: A + i.acation of Facility I declare under penalties of petjury that it:e statements herein contained are true and correct to die best of my knowledge and belief. I understand that any false ansuer(s) will be just cause for denial,,PPv of my license an r prosecution under M.G.L. Ch. 268, Section 1. Applicant's Signature: Date: ` Owners Signature for atinchmen) - G.4C.cC.�_� pate: Approved By: _ RU'lding Official {or designee) EMAIL ADDRESS: Date: Zoning District: I-iistorical District: Yes No Flood Plain Zone: Yes .= No Water Resource Protection District: Within 100 ft. of Wetlands: Yes No Yes No Sherman, Lisa From: RICHARD GEGENWARTH <r.gegenwarth@comcast.net> Sent: Tuesday, March 22, 2022 10:22 AM To: Sherman, Lisa Subject: Re: 22-EB033 24 Marsh Side Drive Attention!: This email originates outside of the organization. Do not open attachments or click links unless you are sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure. Otherwise delete this email. Appears to be like for like. I approve. Richard On 03/22/2022 10:01 AM Sherman, Lisa <lsherman@yarmouth.ma.us> wrote: APPROVED Hi Richard, Request to replace the roof at 24 Marsh Side Drive. Landmark Lifetime Weathered Wood. Please let me know if you need any additional information. Thanks Richard, Lisa Lisa Sherman Office Administrator Old Kings Highway Committee/Yarmouth Historical Commission Town of Yarmouth 508-398-2231, ext. 1292 MAR 2 2 2022 YARMOUTH RECEIVED MAR 2 2 "2Fraser Construction Company KINGS HIGI WAY - 31 Bowdoin Rd. Mashpee, MA 02649 Email: off ce'OUrasercce.com H1C4 194747 Inc Website: ,,vwxv.Fraserccc.com Phone: 508-428-2292 CS4097668 PARTIAL RE -ROOFING PROPOSAL Date 2/23/22 Sales Representative Mike Gunn Name Patricia Kenned Email kennedvp ccmcast.net Phone 508-362-5027 Job Address 24 Marshside Dr. Yarmouth ort,MA. F Act;R CONSTRUCTION COMPANY, INC hereby proposes to perform the following services in a neat, professional manner in accordance with the manufacturer's specifications and local building code. Description of Work: CertainTeed Shingle Option APPROVED MAR 2 2 2022 YARMOUTH OLD KING'S HIGHWAY * All above shingles quoted with CertainTeed 50 year non prorated 4 -Star warranty. Pricing includes back areas not currently Landmark shingle, and front small window roof. Shingle Selection: Landmark Lifetime Calor. weathered wood Xnitiai:_ Job will be completed brj Aprit 22� 2022, weather permittir� �' 0-5:s Good Shiji&Ies Landmark Alpe Resistant 10ears Wind Warranty 130 MPH Weight/square 240 lbs Shin le design Two -Piece Color Palate Standard Valle Closed cut Investment 1$15,695 APPROVED MAR 2 2 2022 YARMOUTH OLD KING'S HIGHWAY * All above shingles quoted with CertainTeed 50 year non prorated 4 -Star warranty. Pricing includes back areas not currently Landmark shingle, and front small window roof. Shingle Selection: Landmark Lifetime Calor. weathered wood Xnitiai:_ Job will be completed brj Aprit 22� 2022, weather permittir� �' 0-5:s panels, and reinstall the plywood to local building code. This will be charge a� a rate of $150.00 per sheet of plywood. Initial Possible Extra - Any rotted or otherwise deteriorated trim boards or other carpentry needing replacement will be done and charged for as an extra at the rate of $95.00 per hour, plus 30% mark-up materials. L W -,.SEK CONSTRUCTION COMPANY, INC guarantees the pricing on this contract for a maximum of 15 days after the date on the proposal. If this proposal is not accepted within 15 clays, this proposal will be revised to reflect the current market pricing on materials. PtiSER CONSTRUCTION COMPANY, INC guarantees the labor for LIFETIME of roof. F RASER CONSTRUCTION COMPANY, INC guarantees the shingles against Blow -Offs for 1 ► years. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry necessary insurance upon the above work. We, if not accepted within fifteen days may withdraw this proposal. Work Permit - I f, x� (Sign Name) give Fraser Construction permission to pull a work permit for the " ork at -2 V j4mr .fi j/ b., ����'N���� (Address) and to use any pictures taken of the work performed on our website and social media accounts. t: RASER CONSTRUCTION COMPANY INC:: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: �J Lvo IQ � Homeowner Fraser Construction Company, Inc MAR 2 2 2427 HOW APPROVED! MAR 2 2 2022 1`Ah1j0u'fid ��� 0713 working together. The Integrity Roof System is designed to provide optimum performance--rio matter how bad the weather conditions are. AAs recommended by CertainTeedf Clean & Remove -- Debris from work area daily. RECEIVED MAR 2 2 2027 [OPROVED MAR 2 2 2022 Y, RMOUTH Commonwealth ar MassachusettS Division of Professional Licensure Board of Buiid►ng Regulations and Standards Construtti6�lSt?pervisnr CS -097M E�tpires: 06107(2023 DEAN C FRASER 20 FAITH'S WAY EAST FALMOUTH MA On% Commissioner RECEIVED MAR 2 2 2022 Y AhWikjU i ; . <iNG'S HirHWAY APPROVED MAR 2 2 2022 YARMOU-i h µ: Lne v -um unweetftn fJf iviussucnusetds Department of Industrial Accidents RF-RFlr7 ce aflnvestigations APp V � Lafayette City Center G Y ' Boston +iA 42111-1754 MAR _MAR 2 2 :i2 ZAvenree de Lafayette, , . 2022 www mass.gou/dia v r1J0,O i I 7 V6'€irl�ers' Compensation insurance Affidavit: SetilderslColl><tractors/Electrici ���la HWAY � 1 licaii'tInformation Please Print T.ptril,ii `�---- Name (Business/OrganizadowlndividtW): Fraser Construction Inc Address:31 Bowdoin Rd Mashpee MA 02649 1'hotte ,�,:5084282292 Are you an employer? Check the appropriate box: I , ❑■ 1 am a employer with 10 4. ❑ I am a general contractor and 1 employees (full and/or part-time).* have hired the sub -contractors 2. ❑ 1 am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity, employees and have workers' [No workers' comp. insurance comp. insurance.+ required_] 5. [J We are a corporation and its 3. ❑ 1 ara a homeowner doing all work officers have exercised their myself. [No workers' comp, right of exemption per MGL insurance required.]` c. 152, §1(4), and we have no emplovees. [No workers' insurance required.] Type of project (required): 6. ❑ New construction ?. ❑ Remodeling 8. ❑ Demolition 9_ ❑ Building addition 10.0 Electrical repairs or additions 11.0 Plumbing repairs or additions 12_❑ Roof repairs 13_0 Other �- — Any applicant that checks box 1=1 must also fill out the section below showing their workcrs' compensation policy information. 14otrteown�n who Submit chis affidavit indicating they arc 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 mployees. IF the suh-contractors haveempioyees, they tnu;t provide :heir workers' comp. police nutnher. am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site nfornration. nsurance Company Name: A CE Anef lea s 6 'olicy # or Self -ins, Lic. #: 6s6 2 u5 hnl 741 932 0 - Expiration Date: 09/26/2022 ob Site Address. _ — ___ City/State/Zip- __ kttach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). -ailuro to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine up to S 1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORT: ORDER and a fine tf up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of nvestigations of the DIA for insurance coverage verification. do hereby tcertif F under the pains rend penalties of perjut3 that the information provided above is true and correct. V. 5084282292 Official use only. Do not write in this area, to be completed by city or town gffrciaL Cita- or Town: PermitUcense # Issuing Authority (check one): 1❑Board of Health 20 Building Department 30City/Town Clerk 4.❑ Electrical Inspector 51alumbing Inspector 6.[]Other Contact Person: Phone #: 017387 C:HuE3B' c �: 16 MAR 2 2 2022 r kiruui �v l f . OW KfiffG'S KGHWAY I, INSURER: ACE AMERICAN INSURANCE COMpANy A STOCK COMPANY 1. INSURED: FRASER CONSTRUCTION COMPANY INC 31 BOWDOIN ROAD MASHPEE MA 02649 VDAC WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 o1 ( A) POLICY NUMBER: (6S62UB-5N17419-3-21) RENEWAL OF (6S62UB-5NI7419-3-20) NCCI CO CODE: 12165 PRODUCER: BEARINGSTAR INSURANCIE 315 NORWOOD PARK 5 STE 103MA ,pp����� NORWOOD 02062 MAR 2 2 2022 Insured is A CORPORATION i YA131V0U i H jLQHIGHVV Other work places and identification numbers are shown in the schedule(s) attached. O~�NG S�� 2. The policy period is from 09-26-21 to 09-26-22 12:01 A.M. at the insured's mailing address. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s) listed here: MA item 3.A. The limits of our liability under Part Two are: B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in Bodily Injury by Accident. $ 1000000 Each Accident Bodily Injury by Disease: $ 1000000 Policy Limit Bodily Injury by Disease: $ 1000000 Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06B D. This policy includes these endorsements and schedules: SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All required information is subject to verification and change by audit to be made ANNUALLY. DATE OF ISSUE: 09-02-21 WC OFFICE: RMD CHUBS24M ST ASSIGN: MA PRODUCER: BEARINGSTAR INSURANCE 79WDX