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HomeMy WebLinkAboutBLDX-23-3989 (2) /71 Ost...Y4,0 �, Office Use Only Permit# Amount 54, Ob ,44 Permit expires 180 days from issue date 6 L-d X -073 39S9 EXPRESS BUILDING PERMIT APPLIC E I V p TOWN OF YARMOUTH Yarmouth Building Department 1146 Route 28 MAY ]. 2 2023 South Yarmouth, MA 02664 - (508) 398-2231 Ext. 1261 BUILDING DEPARTMENT CONSTRUCTION ADDRESS: 1 DQ OI r 1Z ASSESSOR'S INFORMATION: Map: Parcel: OWNER: )r1tCk I.10-ys 1 Iecrr.1tr Go yarn0vfk w 5 . 3/0 4 ' /55 NAME PRESENT ADDRESS TEL. # CONTRACTOR:1-119 f61)( OPItaRit i' f5A e0 X/'„,t✓)l ) PcL (0oJ urn , (k, 1 6` "0/ -ILO " NAME MAILING ADDRESS TEL.# Residential 0 Commercial Est.Cost of Construction$ 3(i'G Lf Home Improvement Contractor Lic.# j q7 7 Construction Supervisor Lic.# 0 0-7 S Workman's Compensation Insurance: (check one) ❑ I am the homeowner 0 I am the sole proprietor have Worker's Compensation Insurance /' Insurance Company Name: dt ,1, }-S(j. .d 1 l O\ (S Worker's Comp.Policy# S6 1) Bo 0 WORK TO BE PERFORMED Tent 0 Duration (Fire Retardant Certificate attached?) Wood Stove Siding: #of Squares Replacement windows: # Replacement doors: # Roofing: #of Squares (0)Remove existing* (max.2 layers) Insulation n nOld Kings Highway/Historic Dist. 0)Replacing like for like Pool fencing n tC)A-GJOS G oe(k& etv L f7�0 !J I- The debris will be disposed ofa: 1 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 denial or revocati n of my license�se�and for prosecution under M.G.L.Ch.268,Section 1. 111 Applicant's Signature: Q�44eAit���v' Date: Q5 ,(1,23 Owners Signature(or attachment) atf. Date: J' 7`23 Approved By: Date: Building Official(or designee) EMAIL ADDRESS: ativi/J'win I -sPr v iaS fie , &L)tit_ Zoning District: Historical District: ii Yes -- No Flood Plain Zone: L Yes No Water Resource Protection District: Within 100 ft.of Wetlands: Yes -' No Li Yes ❑ No 1 N (�UMMUNVVLAL 1 I-1 Ui- MA66AUt 1U6t 116 Office of Consumer Afffl and Business Regulation , 1000 Washing - Suite 710 Bosto s a 118 Home im rov �s cmts rreegistratian ,n. °. •- -11 ="''�I Type' Supplement Card (7 �4--f � Mien: 197574 L&P BOSTON OPERATING, INC .,. _ 1 ;= on: 0110212024 DB/A WINDOW WORLD OF BOSTON -,�: z.�. -'r*�-�:Ma.,," 15A CUMMINGS PARK •n—t -a' Rt jt WOBURN,MA 01801 _ - .; 7§ : ,� .;me; , .. \frN v,.axF,r J%yj W"- Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSE:TS Office of Consumer Affairs.&Business Regulation Registration valid for individual use only before the HOME 1MPROVEM NTCONTRAGTOR expiration date. lf found return to: TYRE.L-Seipp e -ard Office of Consumer Affairs and Business Regulation i Raaistra o - -t iratlon 1000 Washington Street -Suite 710 g7 = Boston,MA 02118 L&P BOSTON OPERATING J IC Tr = D/BIA WINDOW WOI Ox BOSTk3t - MANNY VASCONCEL �4srt 15A CUMMINGS PAF fOt ,,,K�y 4 WOBURN,MA 01801 ,, =. ...... -p- 4__- Undersecretary- of valid without signature • • f Commonwealth or Massachusetts Vp is of Occupational Licensure Board of Building Regulations and Standards Const[ n qipervisor CS-090758 � lres: 10/21/2O24 MANUEL D VASCONCELOS 74 HOYT AVENUE =; LOWELL MA'',T1852 1 of- ti c ��VLCV,13:3 J Commissioner C tax K P/fynr41, GATE(MM/DEVYYYY) ACcPRa� CERTIFICATE OF LIABILITY INSURANCE 03/31/23 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((es)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 NAME: M.P.Roberts Insurance Agency inc. ia1 .Extl: 978-683-8073 NE (A/C,No): 978-683-3147 522 Chickering Rd E-MAIL North Andover,MA 01845 ADDRESS: mike@mprobertsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: WESTERN WORLD INS COMPANY INSURED INSURER B: MERCHANTS INS COMPANY L&P BOSTON OPERATING,INC INSURER C: ASSOCIATED EMPLOYERS DBA WINDOW WORLD OF BOSTON INSURERD: NAUTILUS 15A CUMMINGS PARK WOBURN,MA 01801 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. TYPE OF INSURANCE AWL s'UBR POLICY EFF POLICY EXP INSD WVD POLICY NUMBER (MM1Dn1YYYY) (MWDINYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE n OCCUR PREMISES(Ea occurrence} $ 100,000 MED EXP(Any one person) $ 5,000 A y NPP8735101 04/05/23 04/05/24 PERSONAL&ADVINJURY $ 1,000,000 GEM_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY 'Jr LOC PRODUCTS-COMP/OP AGO $ 1,000,000 _ OTHER: AUTOMOBILE LIABILITY COMBINED accident) ANY LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B — OWNED X SCHEDULED MCA1002569 04/05/23 04/05/24 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE _ AUTOS ONLY AUTOS ONLY (Per accident) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 D EXCESS LIAB CLAIMS-MADE AN083990 04/05/23 04/05/24 AGGREGATE $ 5,000,000 DED RETENTION$ $ WORKERS COMPENSATION XI S ATUTE I OTH- ER AND EMPLOYERS'LIABILITY C ANY OFFICER/MEMBER�EXCLUDED7 ECU7IVE YNN N f A 5018609 04/05/23 04105124 E.L.EACH ACCIDENT 1,000,000 $ (Mandatmy In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under J DESCRIPTION OF OPERATIONS below El,DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may he attached If more space Is required) POLICIES APPLY TO: 15A&24 CUMMINGS PARK AND OUTSIDE AREA WOBURN MA 01801 295 OLD OAK ST PEMBROKE MA 02359 1000 BOSTON TURKPIKE#514 SHREWSBURY MA 325 NEW BOSTON ST#2 WOBURN,MA 01801 655 IYANNOUGH RD HYANNIS MA 02601 Cummings Properties,LLC and Anderson Estates,LLC ARE LISTED AS Al CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN CUMMINGS PROPERTIES LLC ACCORDANCE WITH THE POLICY PROVISIONS. 200 WEST CUMMINGS PARK ' WOBURN,MA 01801 AUTHORIZED REP E`NTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts ;1— /. Department of Industrial Accidents 1 Congress Street,Suite 100 4e Boston,MA 02114-2017 www.mass.gov/dia41 Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information P Please Print Legibly ��r�£tt Name (Business/Organization/Individual): U5!0h Dp..fx tr 3/f e,C `� (� 1,�DO Address: 1 5 A CuityLly,iyNcls r 0�-1/1� ! City/State/Zip:10p4U rn t alc, 01101 Phone#: i to . -I 39- tiqK Are you an employer?Check the appropriatebox: Type of project(required): 1.®I am a employer with a V employees(full and/or part-time).* 7. ❑New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 3.0I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. Demolition 10 0 Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.Q Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.0 Roof repairs These sub-contractors have employees and have workers'comp.insurance 6.❑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 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. A'SSO ,,� 1Insurance Company Name: 0, AiTh Cox, etoy $ 6Policy#or Self-ins.Lic.#: V I j1(QV 9 1 Expiration Date: OLF 0 5✓r Oc LI Job Site Address: b....Q.4)N., 1/Le r`{ City/State/Zip: y(,(i1/i '4 L NA, , 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 certify under the pains dpenalties of perjury that the information provided above is true andcorrect. Signature Date: , S' t7't/� Phone#: 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#: Wo Window World of Boston Offices&Showrooms MA HIC Registration l��pit� k� / Number: ;9 s q' U 15A Cummings Park U 295 Old Oak Street Cl 1000 Boston Turnpike U 655 lyanough Rd. federal ID M Woburn,MA 01801 Pembroke,MA 02359 Shrewsbury,MA 01545 Christmas Tree Promenade 82-4898432 (781)932.4805 (781)826-6281 (508)845-6676 Hyannis,MA 02601 www.WindowWoridof8oston.com (508)257.7022 Customer; Brad Hays Phone(h) Install Address: 7 Deon Terr. West Yarmouth,MA 02673 Phone(c) 508-369-3159 City: West Yarmouth State:MA Zip 02673 E-mail Brad.haysma@gmail.corn WINDOW WORLD GLASS OPTIONS 1000 Series Single-hung All-Weld $299 2000 Series DH All-Weld $309 4 SolarZone llFactor.27 or Lower $379 1516 4 4000 Series DH All-Weld $419 1676 Triple Pane $469 _6000 Series DH All-Weld $459 _ WINDOW OPTIONS 2 the Slider{0-83 UI) $619 Full Screens $39 2 Lite Slider(84-130 UI) $759 Colonial Grids (Contoured/Flat)109/79 $ _3 Lite Slider on,'a,vat nor.Is,ire $989 Picture I Fixed Lite (0-83 UI) $579 _ Prairie Grids 89/119 $ Picture/Fixed Lite (84.130 UI) $799 Simulated Divided Lite $249 Awning $509 1 Tempered DH Sash(BSO)(TSO) $169 169 Casement Plus$49(DH Sash Rail)$559 Obscure Glass(BSO)(iSO) $79 2 Lite Casement $909 Orlel Style(40/60 or 60/40) $79 3 Lite Casement on,re Ina on,in,Ire $1509 Foam Enhanced Frame $59 Bay Window-Soffit Mount/INS Seat $3809 _ Bow Window-Soffit Mount I INS Seat$3909 _ Garden Window $4329 MISCELLANEOUS Bay,Bow,Garden Oversize (+109 UI)$1979 Custom Exterior Aluminum Cladding(Two-Bend) Beige/Almond $69 4 ❑Textured$110 311 Smooth$110 $110 440 Wood Grain interior(Series 4000/6000 only)$149 Facing Color Glacier White {Light Oak!Dark Oak!Cherry!Fox Wood Multi-Bend Cladding $30 Rich Maple) Install Interior/Exterior Slops $79 Designer Color Exterior $299 Install Interior/Exterior Casing Starts At $119 Speciality Window $ Repair Sill,Jamb or replace sill nosing $89 Window Color White / White Full Sub-Sill(Single)replacement $189 inside outside Insulate Weight Boxes $25 NON CUSTOM DOORS Mull to Form Multi Unit $99 Vinyl Rolling Patio Door 56.or 6h. $2079 Mullion Removal $50 Vinyl Rolling Patio Door 8R, $2279 Add to base price for Custom Belding Patio Door$1559 Metal Window Removal $89 Vinyl Rolling Patio Door 9ft. $2969 _ New Construction Platinum Installation $789 Custom Exterior Cladding $330 New Const.Ext Retro Fit/Removal $429 SolarZone $469 _ Roof for Bay/Bow Windows $750 Grids Patio Door $289 Removal of Existing Bay/Bow $299 Woodgraln Interiors $539 Exterior Designer Colors $799 Bay/Bow Conversion Ext.Retro Fit $499 Interior Casing 21. 3" $319 (New Siding Will Not Match) Handleset Options While $14g Interior Blinds(six loot only) $999 PRE 1978 BUILT HOMES(RAP SAFE RENOVATIO N _ $ MY HOME WAS BUILT IN THE YEAR 1986 Initial $ _ If Customer cancels after three (3)business days,Window Door Color WHITE / WHITE World shall be entitled to a cancelation fee equal to 33%percent Inside oruside of the contract price as reimbursement for the expenses associated with a custom made order.Initial i5C N Customer declines exterior wrap and understands painting and/or repair may be r Ltjred Initial ' Customer declines grids on Aa windows/doors Initial 17L piscutimetCastenteriS responsible kw Ihe folovang in connection tail%contract Paining,Staining,Alarm System disconnect/reconnect Bolding Permit leash „_,,, excess of S50.00,Homeowner and a Condo Association Appaval,lislaic District Popover.Gay of Boston parklg a sldewak Pernit fees h connection slur hstslaion.Initial TXr• NO EXTRA WORK IF NOT IN WRITING! Customer agrees to the terms of payment as follows: Extra Labor&Materials $ -636.00 Site Set Up,Permit,Disposal&Delivery Fees $ 499.00 Total Amount $ 3,664.00 Ck# 7171 Custom Order Deposit 33% $ 1,209.00 Project Start Payment 33% $ 1,209.00 Balance Due Day of Intallation $ 1,246.00 Amount Financed $ 0.00 Window World of Boston anticipates starting ihis work on 5-7 wks and being substantially completed In 1-2 days.Security interest Yes No X Any deposit required in advance of the start of tho work SHALL NOT exceed 33 1/3%of the total contract price or the actual cost of any material or equipment of a special order or custom made nature,which must be ordered In advance of the start of Ste work to assure that the project will proceed on schedule.No final payment shall be demanded cute the contract Is completed to the satisfaction of both parties. AA home improvement contractors and subcontractors shall be registered and that any Inquires about a contract or subcontractor relating to a registration should be directed to:Office of Consumer Attains and Business Regulation,Ten Park Plaza,Suite 5170 Briton,MA 02116.Phone:(6171973-8700 No work shall begin prior to the sIgniag of the contract and transmittal to the sooner el a copy of such connect. Window World of Boston under provision of Chapter 142A of the general laws Is required to apply for and obtain all consbuctlon-related paints.Window World of Boston shall not be deemed responsible for delays in the work described In this agreement caused by regulatory,permit granting agencies,authorities or Individuals. Natice:It the PURCHASER(S)obtains his awn construction related penults for the work described under this agreement or deals with unregistered contractors, the PURCHASER(S)Is hereby advised Thal In the event of a dispute,ludgerneet and nonpayment,the PURCHASER(S)will not be entitled to make a claim or collection from the guaranty land established by chapter 142A,M.G.L. You the buyer may cancel this transaction al any time prior to midnight of the third business day after the dale of this transaction. Notice of cancellation must be hi willing postmarked no later than midnight of the following third business day. IHIS IS A CUSTOM ORDER NOT FOR RESALEI I This Window World°Franchise Is hdee endemty owned and operated by L.&P Boston Operating,Inc under license from Window World,Inc. Lothar(Lou)Glein 41111(141-6> Tel.(7741627-8702 4r25R023 /!1/Vl! Owns:Do not sign If there are any blank spaces. Dale 4126/T027 Design Consrxlant:Do not sign II there are any blank spaces, Oats Owner:Do not sign N there are any blank spaces. Date —. -' 1 ! m �; - - - . -..��J..l ! v J''! ti7 1% L jr,. 1 MCI Iiilaritiikat i't 7! ' _ liti Wind Vint Td Door_ --0 , a,.y t - 1ti5g ::arfUsr3Erurc.Iv.firs' f • �Ft1►1(1;€7Lr@!b Yids ?wed fat:r•3- 7o w (1r4";arear,XCP+7wIsrITeat2111„lmm;17 1/3 t i3 7a r t:`:,t "g1'wa` n'_'hu ?radces>T57 3d Ming=•rQ rt4scan'n r:rf mtacao ERG*. P _.^er- .P.ttll..:i,ICE Rva i iNGS { 1..i<, apar (t.L3.r14P' Solar Heat C.i' iip�aef iciant•1 "0 } O.. AQDITTGrtlil1.. 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