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HomeMy WebLinkAboutBLD-23-003939 , ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department 1146 Route 28, South Yarmouth,MA 02664-4492 f 508-398-2231 ext. 1261 Fax 508-398-0836 ��W Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish ! a One-or Two-Family Dwelling JA N 18 20 3 This Section For Official Use Only Cl ,5 oie 3 Building Permit Number: A-3- 3qv Date Appli . / oU'LUINUuhPARTMENT 1 -/flt,N COCS c \ - 0- a3 Building Official(Print Name) ignature Date SECTION 1:SITE INFORMATION 1.1 Property Ad r n ► 1.2 Assessors Map&Parcel Numbers 1.l 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 0 Private 0 Zone: — Outside Flood Zone? Check if yes❑ Municipal 0 On site disposal system 0 yTeoleculSECTION 2: PROPERTY OWNERSHIP' 2. oy_er bY1 A). YO/ifY1441`' nikill 19- -t$1 3 Name(Print) City,State,ZIP ;0 i)�rtirri (41- vir• 7�l wtl� tose conk No.and Street Telephone I Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(ch ck all that apply) New Construction 0 Existing Building it Owner-Occupied Ad Repairs WO Alteration(s) 0 1 Addition 0 1 Demolition © Accessory Bldg. 0 Number of Units Other 0 Specify: Brief D crip 'on roposed ork2: • rs r� ' t ,bJ3) UUW u )J7 ' 5 / (tOnd flax! uuctta pc,{ wd it ovder, SECTION 4: ESTIMATED CONSTRUCTION COSTS. • Item Estimated Costs: Official Use Only (Labor and Materials) I.Building $ 1 (e. ?I— 1. Building Permit Fee:S 15 D Indicate how fee is determined: 2.Electrical $ 13 Standard City/Town Application Fee ❑Total Project Cost;;/OI e 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ C *. D3 ,5�® 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire Suppression) $ Total All Fees:$ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ 1 S �> 0 Paid in Full Outstanding Balance Due: 1)$ SECTION 5: CONSTRUCTION SERVICES 5.1 Co )ruct;.gn Supervisor License(CSL) 1 Q�J,Y1nofs l f�t7�3 s e a J l/�1 Name of CSL Ho License Number Expiration Date (O(4 0 k 1('e List CSL Type(see below) I .ifed jStreet �( Type I Description d"1r�l�'` IlL D� b U I Unrestricted Buildings up to 35,000 cu.t� City/To ,State,ZIP R Restricted 1&2 Family Dwelling ) /� ' �1 Masonry se/r c n Tp,. RC Roofing Covering qaev4 /�J� WS WindowandSiding l . (0 �' ti d V SF Solid Fuel Bursting AppI liances Telephone Insulation Email address i D Demolition . 5.2 Registered Home Improvement Contractor(HIC) ro 5g1 S HIy6m e o gistrant Name HIC Registration Number Expiration Date 10 arOrefth, reskek, o U t/l ‘) I • q 33'Li 1,01) Email address City/Town, State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.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 AP No SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT34.1, I,as Owner of the subject property,hereby authorize Cb n 4 QrS to act on my behalf,in all matters relative ito work authorized by this building permit application. gi tk 5,6 Utter I . I 0 , 3 Print Owner's Name tronic Signature) Date • SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this plication is true and accurate to the best of my knowledge and understanding. 1 nnar5 Print Owner's or Authorized Agent's Name(Electronic 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. 142A 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.gov/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" §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-223f* 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 0 9 / Y1N P%./ Work ddress Is to be dis osed of oat the location: k931) StIV (Pleunoil‘f p following Said disposal site shall be a licensed solid waste facility as defied by M.G.L. Ch. 111, §150A. &vvtt,\, 1 . 10v .)-5 Si) .tune of Application Date Permit No. Page 1 of 11 CT Reg#0605216 MA Reg#146589 RI Reg 42b463 HOME SOLUTIONS 26 Cedar St Woburn, MA 01801 i300-242-9974 Federal ID # 20-2625129 Luxury Contract Customer Information Rosemary & Raymond Cataloni (508) 771-1397 0 Date: 12/13/2022 20 Pilgrim Rd willrie33@gmail.com Rep: Joshua Moss West Yarmouth MA 02673 Office# 800-242-9974 Location Agreement NEWPRO hereby agrees that it will, for the consideration hereinafter mentioned, furnish all labor and material necessary to install the goods purchased by Owner in accordance with the terms described on the following pages of this agreement (collectively, this "Agreement") at the premises located at: 20 Pilgrim Rd West Yarmouth MA 02673 Low Barrier Details Package: Low Barrier Shower Base (Acrylic/Spray Foam) Wall Color: White Size - Drain: 60" x 32" x 1 1/2" - Left Wall Style: Smooth Base Color: White Walls To Ceiling: Yes Ramp: NO Customer acknowledges that they are aware that the "Low Barrier Shower" will have a threshold that is 1" to 1 1/2" above the bathroom floor. (This variable is due to the variations of existing conditions/finished floor thickness in bathroom.) There is an optional ramp that is 60" long x 8" wide that can be installed to taper the entry to the shower." By initialing, I acknowledge that I have read, understand and agree to the above conditions. Fixtures Align 3.7"Shower Trim&Valve QTY 1 Chrome Moen 18" Grab Bar QTY 1 Chrome Liquid Accents 24" Grab Bar QTY 1 Chrome Liquid Accents Accessories Single Tier Corner Shelf Smooth QTY 2 White Labor Remove Cast Iron or Steel Tub QTY 1 Tub will NOT be removed in one piece Page 2 of 11 Sliding Glass Door Details 5'P►atinum Riviera Euro Series (Semi-Frameless) Door Height: 75 3/4" Finish: Chrome Glass: Rain 5/16" w/C-10 EZ-Clean Coating Handles: Towel Bar with Pull Knob Installation & Promotion Details Newpro will remove any demoed or installation debris from the property in relation to this contract. All promotions were applied at the time of purchase and can not be combined with any future offers. Discounts Senior Discount Applied Veteran Discount Applied Payment Total Price: $15,622 Deposit: $0 Due Upon Completion: $15,622 Payment Method: Finance Estimated Start&Completion Estimated Start: 14 to 16 weeks Estimated Completion: 2 to 5 days Customer understands they will be contacted to set a firm installation date once all product is received. State MA Year Home was Built 1970 LSWP NO This space intentionally left blank Renovate Right Pamphlet Receipt Page 3 of 11 Rosemary& Raymond Cataloni 20 Pilgrim Rd West Yarmouth MA 02673 Your family's health and safety is our top priority! I hereby acknowledge receipt of the pamphlet, "Renovate Right." This pamphlet informs me of the potential risk of lead hazard exposure from renovation activity to be performed in my home. I confirm that I have received this pamphlet before any work began on my home. Rosemary&Raymond Cataloni 12/13/2022 Date Residential Exem.tion Clearance Form ENVIRONMENTAL PROTECTION AGENCY RENOVATION, REPAIR, AND PAINTING RULE Rosemary& Raymond Cataloni 20 Pilgrim Rd West Yarmouth MA 02673 The type and scope of the planned remodeling project is described further herein. On behalf of Newpro, the undersigned individual hereby states that the following exemption from the Renovation, Repair, and Painting Rule is applicable to the planned remodeling project: Work Performed on Paint-Free Surface. To exempt the work area as paint-free, BOTH of the following must be completed: On behalf of Newpro, the undersigned individual has personally examined the specific areas upon which the remodeling work will be performed, as well as any adjacent or adjoining areas (interior and exterior)that are expected to be impacted by the remodeling work. Upon such examination the undersigned has determined that there is no painted surface that will be disturbed, damaged, or otherwise affected or impacted by the planned remodeling project; AND By initialing after this line, the undersigned states that to the best of his and/or her knowledge, the areas upon which the planned remodeling project will be performed do not appear to contain any painted surfaces that will be disturbed, damaged, or otherwise affected or impacted by the planned remodeling project. Customer Initials NEWPRO Representative: I certify under penalty of law that the above information is true and complete to the best of my knowledge as of the date first written above. Joshua Moss 12/13/2022 Date This space intentionally ICsF,i Page 1 of 16 CREATE A 5 STAR EXPERIENCE FOR EVERY CUSTOMER ASK FOR A REVIEWmul WRNS HOME SOLUTIONS Luxury Work Order Customer Information Rosemary & Raymond Cataloni (508) 771-1397 0 Date: 12/13/2022 20 Pilgrim Rd willrye33@gmail.com Rep: Joshua Moss West Yarmouth MA 02673 Rep# 800-242-9974 Bathroom 1 of 1 Details Tub drain has a drop down ceiling and 6 ft from the stack Customer doesn't want a permit if we don't want to pull Package Includes Selected Base, 3 Walls, 1 Corner Trim, 3 Wall Repair, and Floor Repair if needed Low Barrier Measurements Package Low Barrier Shower Base (Acrylic/Spray Foam) Wall Color White Base Size - Drain 60" x 32" x 1 1/2" - Left Wall Style Smooth Base Color White Walls to Ceiling - Room Height Yes- 91 Opening Length x Existing Base Width 60" x 32" Left Side Wall Width 34 Ramp: NO Left Surround Width 34 Right Side Wall Width 60 Right Surround Width 34 Fixtures Align 3.7" Shower Trim&Valve QTY 1 Chrome Moen TRM-M-2192-C 18" Grab Bar QTY 1 Chrome Liquid Accents LAGB-18-C 24" Grab Bar QTY 1 Chrome Liquid Accents LAGB-24-C Accessories Single Tier Corner Shelf Smooth QTY 2 White CC-ST W This space intentionally left blank Page 2 of 16 Labor Remove Cast Iron or Steel Tub QTY 1 Tub will NOT be removed in one piece Slidin Glass Door Details 5' Platinum Riviera Euro Series (Semi-Frameless) Door Height: 75 3/4" Finish: Chrome Glass: Rain 5/16" w/C-10 EZ-Clean Coating Handles: Towel Bar with Pull Knob Installation Instructions Left Wall Valve - Shower Fixture - 2 Corner Shelves Back Wall 24" Grab Bar Right Wall 18" Grab Bar Pre-install Checklist Variance Required NO Property Type Single Family Parking Options Street - Small Driveway Fixture Install Shower Head Only Curtain Rod or Glass Doors to be Installed Glass Door Bath Location 1st Floor Existing Base Type Cast Iron /Steel Existing Walls Tile Is there access behind wet wall or below base? YES Both Ceiling Panel/Soffit NO Window Within Wet Area NO Wainscoting /Accessories NO Second Full Bath NO Additional Items to be Installed None Are there any existing problems with the plumbing? NO This space intentionally left blank Page 13 of 16 Ima!e: 1.11 . ,.. . / 1 . i) ',* , 4 . ...,, . _ - . .... ,...." .... -t , ' ) . .,., ... I ! ............... .... -. ' i;.•‘' ' : .# ` ....•.*. ..................,_ eiiiI.MIMMMIIIMIMMgil ... WINMEINMI I -,• " .., .- -. mmwmmmwmm= ..__....,...,.._..„..,_,,,„,,„,._.......__...._*„. , , ., ,i. , . ,....i, , / . , „.. - ii-- -t- - .., ittr 4---,- ( - ........_..........,,...._. ---T 0,,,,), •„f() k k/oAil 12 CUrl 1 il i I ' 4 31., . ) ) i V 1 ! \, i ( 1 Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston,Massachusetts 02113 Home Improvement Contractor Registration • Type: Supplement Card Na'/PRO OPERATING.ILO_ Registrar ocx 146589 26 CEDAR ST_ E:ciratiors MAW= WOBURN,MA 01801 Update Adder and Rerpm Cara off-.cc of ConsomvArwm E Burinez Rerotahao HOME.I87PROVEMENr CONTRACTOR Regiscatfon valid for individual use only t'PE 9mOn Ieffent'Cord beforethe expiration date_If found return to: RPaistratio ._ .Hon Oilier or Cone umorArmirs and'Business Regulation 146588 05f0172023 1000 Washington area-Suite710 rPRO OPT W7i:19.LLC Boston,81A 8 I 71 �J/ n14p Si_ �i�--- iUP.N.essi 01801 Undersecretaryf j � without signature /. • • • Commonwealth of Mai jr Division of Occupational L. .,tore Board of Building Regulations and Standards tt: . C0nsttu tottS ervisor • CS-110763 - - 84pires:05/05/2024 • JEFFREY CC3�VNORS -. 64 OLD FlELIa.RD • :.' SOUTH 13ERI19JCK ME 0390E . y Lttrdl'>>,r t 'JA r ..� "'� Commissioner Wit f;_ Ufr7t_..ta_ f� J �� Page 1 of 1 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �� 11/23/2022 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 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 CONTACT John Beam Willis Towers Watson Northeast, Inc. NAME: c/o 26 CenturyBlvd PHONE 1-877-945-7378 (NC.No.EMI: FAX No): 1-888-467-2378 -MAIL P.O. Box 305191 A certificates@willis.corn ADDRESS: Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: North Pointe Insurance Company 27740 INSURED INSURER B: Praetorian Insurance Company 37257 NewPro Operating LLC 26 Cedar Street INSURER C: Starr Indemnity & Liability Company 38318 Woburn, MA 01801 INSURER D: General Casualty Company of Wisconsin 24414 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:W26742300 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 ADM SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE {MD WVD POLICY NUMBER (MM/DDJYYYY) (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILJTY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED 1,000,000 PREMISES(Ea occurrence) $ A MED EXP(Any one person) $ 20,000 171000062 11/23/2022 11/23/2023 PERSONAL BADVINJURY $ 2,000,000 GENII_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 PRO- JECT X LOC PRODUCTS-COMP/OP AGG $ 4,000,000 POLICY OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED 161000714 11/23/2022 11/23/2023 BODILY INJURY(Peraccident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) X UMBRELLA LIAB X OCCUR $ C EACH OCCURRENCE $ 5,000,000 EXCESSLIAB CLAIMS-MADE 1000579769221 11/23/2022 11/23/2023 AGGREGATE $ 5,000,000 DED RETENTION$ $ WORKERS COMPENSATION X _ AND EMPLOYERS'LIABILITY Y/N I STATUTE I ERH D ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 1,000,000 OFFICER/MEMBEREXCLUDED? N/A 152000498 11/23/2022 11/23/2023 $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 D Building CFE1386721 11/23/2022 11/23/2023 Blanket Limit $26,273,652 Business Personal Prop Blanket Limit $32,049,560 Business Income & Extra Blanket Limit $17,008,332 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: HomeRenew Group Holdings, L.P. acquired NewPro Operating, LLC, NewPro Plumbing, LLC and they are now under HomeRenew Group Holdings, L.P. Insurance Program, effective 05/10/2022. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Evidence of Coverage 4,04;4af -- ---- -- •--•----. ©1988-2016 ACORD CORPORATION. All rights reserved. `��� LCpu.uncut uj irutustrtut itccuter s 1. '` Office of Investigations i maw I. Lafayette City Center 1lmays''i. t 2 Avenue de Lafayette, Boston, MA 02111-1750 ~0 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): NEWPRO OPERATING LLC Address:26 CEDAR STREET City/State/Zip:WOBURN, MA 01801 Phone#:781 - 933 - 4100 Are you an employer? Check the appropriate box: contractor and I Type of project(required): 1.0 20 4.I am a employer with ❑ I am a general employees (full and/or part-time).* have hired the sub-contractors 6 New construction 2.ElI am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have 8, 'Demolition working for me in any capacity. employees and have workers' 9. Buildingaddition [No workers' comp.insurance comp.insurance.l required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] _ *Any 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: GENERAL CASUALTY COMPANY OF WISCONSIN Policy#or Self-ins. Lic. #:152000448 Expiration Date: 11 - 23 - 2023 Job Site Address: 2() rd,,c'i r - 14 City/State/Zip:( Yo,( V 7)ttyi k _Mi'� Attach a copy of the workers' kompensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cent ' under h :ns and penalties of perjury that the information provided above is true and correct Signature: Date: J ' IP' ) 3 Phone#: 7 3 - 4100 Official use only. Do not write in this area, to be completed by city or town official City or Town: _Permit/License # Issuing Authority(check one): 10Board of Health 2❑Building Department 31:City/Town Clerk 4.0 Electrical Inspector 5alumbing Inspector 6.0Other Contact Person: Phone#: • 1 1