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HomeMy WebLinkAboutBLD-22-006766 e.oliatot / / OS'.x�R'� RECEIVED Office Use Only �4 o rEO22 CS) Amount 3670, ""` �" _ Permit expires 180 days from BUILDING DEPARTMENT issue date sy_ EXPRESS BUILDING PERMIT APPLICATION ez OO6746. TOWN OF YARMOUTH Yarmouth Building Department � I` I n 1146 Route 28 ( ' South Yarmouth, MA 02664 ; 5 Q&-3(DD l `i y I (5088))398-2231 Ext. 1261 CONSTRUCTION ADDRESS:_._3 �( f' U ZJ-e I tic( (ati p(rd---i. ty)-L ,() ASSESSOR'S INFORMATION: ll Map: 1 Li 0" Parcel: OWNER: 1 U AA(I 1, 14k_ 1` z)a es 1 -A, ( yGirmS► pik+1 NA 62Li NAME PRESENT ADDRESS TEI. d CONTRACTOR: �r/X-01 � 3(oCj--550— I —1 S NAILING ADDRESS _ _..__ TEL i~ 1°.� inseam ,�-�11624,� L idential ❑Commercial Est.Cost of Construction i 22. , (3v Home Improvement Contractor Lic.# t 031 S Construction Supervisor Lir.# C.5 -DO(A9 K 3 Workman's Compensation Insurance: (check one) ❑ I am the homeowner 0 I am the sole proprietor 19 I have Worker's Compensation Insurance �v Insurance Company Name: A ►1411 IAAA.A 1kt ___.. Worker's Comp.Policy# e_C SCLj 01(p-7 4-1d-b,2-2-, WORK TO BE PERFORMED Tent Duration (Fire Retardant Certificate attached?) Wood Stove Siding: #of Squares Replacement windows:# Replacement doors: # 2 Roofing: #of Squares ( )Remove existing*(max.2 layers) Insulation I l Old Kings Highway/Historic Dist. )C}J Replacing like for like Pool fencing *The debris will be disposed of at jCtf)Y 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 revocation of y license and for prosecution under M.G.I..Ch.268,Section 1. Applicant's Signature: Date: S \S) Owners Signature(or attachment) C. Date. ri/ `" Approved By: _IYetc. Building Official(or ign EMAIL ADDKESS. Zoning District: historical District: o Y N es No Flood Plain Zone: Yes No Water Resource Protection District: Within 100 II.of Wetlands: Yes No.,,` Yes No Removal of existing doors and windows often revealsas well as areas that may Contractor will not be responsible for or may not be previously stained or painted. As noted, painting or staining these areas. n _Contractor will nt assume responsibility for removal, re-attachments, or re-hardware g of drapery rods, window shades, blinds and/or mini blinds, and correspon in HOMEOWNER: DO NOTBLANK SIGN THIS CONTRACT IF THERE ARE ANY SPACES Tinkle Home Improvement to I/we accept this contract in its entirety andl/e w©rk h oob performed on this job (i.e. act on my behalf in all matters relative to h permits, applications etc.) if necessary. 5)l i 1Ll-f r�,f E. -4 w. Date Contractorprinkle-ia Date Homeowner Signature ration#103757 Srad Sgn R• _' . s g The Commonwealth of Massachusetts e _w Department of Industrial Accidents _g- to I. 1 Congress Street,Suite 100 °°q Boston,MA 02114-2017 '. f www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/organization/Individual): SPRINKLE HOME IMPROVEMENT, INC. Address: 199 Barnstable Rd. City/State/Zip: Hyannis, MA 02601 Phone#: 508 775-1778 Are you an employer?Check the appropriate box: Type of project(required): LID I am a employer with 5 _employees(full and/or part-time).* J. 0 New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. El Remodeling any capacity.[No workers'comp.insurance required.] 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. El 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 MO Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ]3.❑ROOF repairs These sub-contractors have employees and have workers'comp.insurance.$ 14.1✓ Other 3 sliders/resurface • rf►y -e 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. N fot r 1 t 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. 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: A.I.M.Mutual Policy#or Self-ins.Lic.#:WCC50050167472022A Expiration Date: 1/1/2023 Job Site Address:32 Forest Gate City/State/Zip:Yarmouthport, 02675 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 ains and penalties of perjury that the information provided above is true and correct. Signature: ' Date: S I Si( -.)--- Phone#: 508 775-1778 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#: Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construttthil+%upervisor CS-006643r Expires: 10/08/2023 BRAD K SPRMIKLE , , 199 BARNSTABLE RD.;,• - HYANNIS MA.*2901 Commissioner 4ik f. < \k) _ \ ! lic )� . i $\ . $i% \%( ©<�§ } z§j 2 mpJ K■< I ¥ « , �2 : � 2 vt kf 2b K \ \ § n w \ 2268 \ 2 /a \ » . . \ Ld {2 al| cg' g§ � SI ,$ O. \ / a ° 33 n , 7 / $ - i $ $ ■ I cv �� / ---""0"'1 SPRIN-1 OP ID: JA A.C-C;ORGr CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 05/05/2022 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 508-775-6060 NQAEACT Kelley A.Sullivan Bryden&Sullivan Ins Agency PHONE 508-775-6060 FAX (A/C,No)508-790-1414 88 Falmouth Road (A/C,No,Ext): Hyannis,MA 02601 ADDRESS:I Kelley A.Sullivan INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:NGM Insurance Company 14788 SNSIJR D INSURER B:Associated Employers Insurance prinkSle Home Improvement Inc. 199 Bamstable Rd INSURER C: Hyannis,MA 02601 INSURER D: 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. INSR TYPE OF INSURANCE DDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LTR INSD WVD (MM(DDIYYYYI (MM/DDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR MPT2640X 07/01/2021 07/01/2022 DAMAGETORENTED 100,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 -- PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X I POLICY I JECT 1 I LOC PRODUCTS-COMP/OP AGG '$ 2,000,000 OTHER: Emp Ben. $ none COMBINED SINGLE LIMIT 1,000,000 A AUTOMOBILE LIABILITY (Ea accident) $ ANY AUTO M1T2640X 07/27/2021 07/27/2022 BODILY INJURY(Per person) $ AUTOED S ONLY X AUTOSULED BODILY INJURY(Per accident) $ X HIRED X NON-AWNED PROPERTYDAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB I CLAIMS-MADE CUT264OX 07/01/2021 07/01/2022 AGGREGATE $ 1,000,000 DED X RETENTION$ 10000 $ B WOKERS OT - AND EMPLOYERS'LIABILITY X STATUTE ERH ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WCC50050167472021A 01/01/2022 01/01/2023 500,000 E.L.EACH ACCIDENT $ O FICER/IAIM EXCLUDED? N/A 500,000 ( andatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION TOWN-02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN OF YARMOUTH ACCORDANCE WITH THE POLICY PROVISIONS. 1146 ROUTE 28 S.YARMOUTH, MA 02664 AUTHORIZED REPRESENTATIVE Kelley A.Sullivan I ACORD 25(2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Sherman, Lisa From: RICHARD GEGENWARTH <r.gegenwarth@comcast.net> Sent: Friday, May 6,2022 9:40 AM To: Sherman, Lisa Subject: Re:22-EB057 32 Forest Gate 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. This should look good after completed. I approve. The guidelines from Kings Way are very usefull. Richard On 05/06/2022 8:40 AM Sherman, Lisa<lsherman@yarmouth.ma.us>wrote: Hi Richard, i MAY 0 Request to replace sliders and the deck at 32 Forest Gate. L • 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 1)--'66)57 Sherman, Lisa From: Selin Nacar-Sprinkle Home Improvement <sprink@comcast.net> Sent: Thursday, May 5, 2022 3:52 PM To: Sherman, Lisa Subject: Milka, 32 Forest Gate,Yarmouthport Attachments: Milka Deck.pdf; Milka - Sliders.pdf;Gravel Path.docx;IMG_2733.jpg; IMQ1330.jpg; IMG_1335jpg; IMG_1331jpg;IMG_1333.jpg 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. Hello, The sliders are white and the deck and railings are Gravel Path (light gray). I attached another picture of the color for you as well. Also, I attached picture of the condo. Nothing is changing in regards to shape,size or location...same footprint as the understructure will remain for the deck and the sliders will go into the spots where removed from. Hope the pictures help. Please let me know what else I can do. 1 g Thank you again, M4Y 0 .6 20) Sekik. Sprinkle Home Improvement OLD Kffilr' 4 199 Barnstable Rd. Hyannis, MA 02601 508 775-1778 Ext. 10 MAY -0 6 2-0?2 :„RRJ 1 IS 0'51 110klf°1:4144****".444441iftritAPROVEMENT drik SINCE 1141 i A i OPRINKLE 199 Barnstable Road Hyannis,MA 02601(508)775-1778 Fax(508)775-1350 Email—sprinkivromeastmet Website address:www.sprinktehtmie.cont November 15, 2021 Re: 32 Forest Gate Yarmouthport, MA 02664 Dear Mr. Milka, Listed below is the replacement for your patio door using a white vinyl Harvey "Classic"style patio door. Sliders • Remove and dispose of two 2-paneled sliding glass doors. • Supply and install two 2-paneled white vinyl Harvey Gliding Patio Doors, one in the basement and one in the kitchen. • New doors will be Energy Star Rated with flush mounted deadbolts, Seacoast hardware, white powder-coat locksets and sliding screens. • Installation includes all necessary flashing, insulation and caulking as well as composite exterior trim and colonial pine interior trim. • Painting is not included and will be the homeowner's responsibility. 4.- ' 1 ,-, , ,• .. ,- - - ‘. :, 06--, ./- ", 1 '`, ' NO- ' ''' fitiVAIitt#0t.:UNIPCi Oa& - I IiI7IFPI/IF' ' 1 !_qi,:i,),,,KING5J-liGt MAY ' if 14 , , , :i ,'," ,.., 1 , , im ,• go vE ili. 1 -'i MAY () 6 ?Ole'. = ° Thank you, Sptiniite .liesne grttptavement eb°5-'-7 .27.-- RECEIVED M 0 6 IAPpRovE*: MAY t) 6 _oLD15,1N(2's . . Tao &IF esk, "106, :0'11 . , •• •" •- • 1 ., , ,. -;•!;" , 37"e. MA I f' , e°$"d;k,4i , 4) ii. o [.i a i p.I " E 3 .mot .fib. yj :: 1 7 I ' I �g , 9 tBB! { ,.. 4 : HOW SWROVENENT Ank MICE 1$0 kg \I OPR1INKLE 199 Barnstable Road Ilyannis,MA 02601(508)775-1778 Fax(508)775-1350 Email—sprink itcomeastriet Websfte address:wnvv.sprinkichoine.coni November 15, 2021 'a e: Re: 32 Forest Gate r Yarmouthport, MA 02664 6 e02 OL)KINGS HI Hv, Dear Mr. Milka, Listed below is the replacement for your deck. Decking • Remove and dispose of decking from rear deck, side deck and side landing. • Supply and install new Trex Transcend 5/4" X 6" decking using the Concealed Fastening System. Color: Gravel Path • Replace railing to both decks with Azek composite railing. 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' S=^ w 4 22' ilk t M h KINGS WAY CONDOMINIUM TRUST \'_ II 6 207/ ARCHMECTURAL and GROUNDS STANDARDS AND GUIDELINES 1 c Asa P t °. ° i 1) t , sga L DECK REHABILITATION POLIO In accordance with Section 7(Rights and Obligations Appurtenant to Units)of the Master Deed, maintenance,repair and replacement of decks and stoops are the responsibility of the unit owner. By definition,decks and stoops shall include deck planking,support systems,railings,stairs, platforms and privacy screens.To ensure aesthetic uniformity in the appearance of Kings Way homes,specifications below must be followed when working on any deck or stoop.Proposed deviations require Trustees'prior approval.Please inform property management before any work is performed on your deck so to ensure you have an understanding of the rules and regulations. Non-compliance with these specifications shall be subject to fines andtor revisions to bring the structure into compliance. DECK RE-FINISHING:Surface treatment for wood decks,front and side steps,and railings is recommended to prolong the life span of the deck.Meticulous maintenance and regular coating cycles can increase deck service life from a normal 8-12 years to 20 Years or more.There are five steps that should be followed when treating or staining your deck: 1) Wash the decking and railings with a fungicide and let the fungicide sit for 24 to 48 hours. This will help remove and prevent any fungus,mold and mildew that is existing or may exist in the future. 2) Pressure wash the decking and railings to remove the fungicide wash and any other material that may adversely affect the deck. You can rent a pressure washer,but if you are inexperienced in pressure washing it is advised you have a professional company wash the deck for you. 3) The decking and railings should be sanded lightly if needed.By sanding the deck it will help expose newer wood fibers,which will help to accept the stain as well as remove most rough surfaces and splinters. 4) If you decide to keep your deck natural,applying a wood preservative water seal(without color)such as Thompson Water Seal.This will help seal your wood deck and prolong the life span of the wood. 5) If you would like to stain the deck you have two options to use;Benjamin Moore's Arborcoat Silver Gray#623-70*and Benjamin Moore's Arborcoat Translucent Stain 326-10*.There is a Benjamin Moore store(Hubbard Paint)in Dennis. CONSTRUCTION: Replacement decks,front and side steps,and railings shall be similar to the original in all respects,except that planking may vary according to the type of material.Design plans and specifications for decks not previously constructed must be submitted to the Property Manager and Architectural Modification Committee(AMC)to review for compliance with the Massachusetts State Building Code and for Trustees' approval. The route for moving construction material to and from the work site should be discussed with the Property Manager to plan ways to avoid infringement on neighbors' area of use or Golf Club Property. Please refer to the Property Manager for wood dimensions for decking and railings. LUMBER:Use ACG pressure treated wood,Wolmanized Natural Select wood or any similar non-arsenic pressure treated wood.Mahogany may also be used. 22 7 COMPOSITE:Only Tres Transcend decking decking colors are Gravel Path or � and railing material are. approved for use.The, Path if using Gravel Path decking and �'The railingand baluster colors should be Gravel � RopeSwing if using Rope Swing decking. %HARED STRUCTURES:When deck components . . gam,railings, privacyscreens, (support columns,stringers, ns,'etc.)are common to two or more units,it incumbent upon the interested unit owners to reach agreement on the need for repairs or replacement and their of the cost If agreement cannot be reached,the issue must be appropriate Board portion Trustees;the Board, as brought before the Board of actingarbiters,will render a resolution that will be binding upon all parties.Manager. Residents in Fairway Homes should discuss questions on deck repairs with the Property POWER WASHING: If you live in a Carriage House or Fairway Home you MUST notify the home owners below your unit before the washing begins because dirty pow power washing may end up on your neighbor'swater and debris from the windows,decks and:fimuture. Any deviation from the preceding policy mast be annrave d wrttin Property Manager,and/or Kings Way Condominium T� �"If written received the unit will be;fined bythes), If written permission is not association. I have read and understand the rules and them: regulations of the deck policy and will abide by Signature: Date: (Homeowner) Print Name: Unit* Er-) FWE-CEIVED (t41trLt a '. " LD HIGHWAY .., 0 Kktte:3'm APPENDIX"B"—PET REGISTRATION FORM 8 • 42 0