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HomeMy WebLinkAboutBLD-23-000259 C r l�ke ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department . '"'y . 1146 Route 28,South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwellin 'g IV ED This Section For Official Use Only Building Permit Number: fj)- L W ! Date Appli 2022 ll JUL 15 Building Offtcial(Print Name) ignature QINtI DEPARTMENT SECTION 1:SITE INFORMATION by 1 I I srn.*" "`''t""°' 1.2 Assessors Map&Parcel Numbers 6 Dauphine Drive 1.1 a Is this an accepted street?yes_ y_ nc 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? — Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Ownert of Record: _ Nicholas Callahan _ Yarmouth Port MA 02675 Nanic lrinu) City,State,ZIP &Dauphine Drive i XV.CLLl\,J1.1 V41 Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building ! )er-Occupied Q Repairs(s) Alt ration(s) Q 1 Addition 0 x Demolition ❑ Accessory Bldg.G ivuutber of Units Other ❑ Specify: Brief Description of Proposed Work'`: k'_-L'p _ ','5Z ft; t F hill' SECTION 4:ESTIMATED CONSTRUCTION COSTS. • Estimated Costs: Item Official Use Only 1.BuiIding $ 1 1 5(1(1 1. Building Permit Fee:$�y"II Indicate how fee is determined: ?.Electrical $ IDStandard City/Town Application Fee 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ • 4.Mechanical (HVAC) $ List: l .3li2/,- '79 5.Mechanical (Fire . . Suppression) $ Total All Fees:$ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ 0 Paid in Full 0 Outstanding Balance Due: 11.500 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) Robert J CS-102910 8/5/2022 License Number Expiration Date Name of CSL Holder 15 Bates List CSL Type(see below) r No.and Street Type Description Winthrop Nla L` Unrestricted(Buildin s up to 35,000 cu.ft.) City/Town,State,ZIP R Restricted 1&2 Family Dwelling NI j Masonry RC ( Roofing Covering WS Window and Siding 617-561-13 SF Solid Fuel Burning Appliances ob@corollaroofing.c f I insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) Corolla 0 109275 09/08/2022 HIC Company Name or HIC Registrant Name HIC Regist ation Number Expiration Date 15 Bates iv/1—a�i/ -y�� Bob@corollaroofing.c No.and Street Winthrop Ma 617-561-133 Email address City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT @'LG.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 ❑ No ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize Corolla to act on my behalf,in all matters relative to work authorized by this building permit application. Nicholas 7/14/2022 Print Owner's Name(Electronic 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 application is true and accurate to the best of my knowledge and understanding. Nicholas 7/14/2022 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.nov/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" 4. The Commonwealth of Massachusetts t _ Department of Industrial Accidents `' �- Office of Investigations t Lafayette City Center .; 2 Avenue de Lafayette, Boston,MA 02111-1750 r "`^ '' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):Corolla Contracting ,INC. Address:15 Bates ave City/State/Zip:Winthrop Ma 02152 Phone#:6175611333 Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with 30 4. 0 I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction listed on the attached sheet. 7. El Remodeling 2.El I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. # 9. ❑ Building addition required.] 5. 0 We are a corporation and its 10.❑ Electrical repairs or additions officers have exercised their 11.❑ Plumbing repairs or additions 3.❑ I am a homeowner doing all work 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:Acadia Insurance Company Policy#or Self-ins. Lic. #:WCA 5517975-10 Expiration Date:6/23/2023 Job Site Address: io Q,U ')U.{v..a_ t'; -- City/State/Zip:Vafilvz5fil per" Ai 02-675— Attach a copy of the workers' compensation 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 certify un er the aims and penalties of perjury that the information provided yabove is true and correct. / Signature: Date: %/21'2-Z Phone#: i�( '7 v-6, / /3 3. 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 20 Building Department 30City/Town Clerk 4.0 Electrical Inspector 5Elumbing Inspector 6.0Other Contact Person: Phone#: §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 6 Dauphine Yarmouth Work Address Is to be disposed of oat the following location: YariVul-4 7:34(J-''1 Dc- 1/ Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. 7/14/2022 Signature of Appli ation Date Permit No. k . s a /�� co C agƒ 2 k J9k d $ 0 ] « ■ 2 C a Wit ■ co / \$ k 0� � C4 c ® � � k7al2 cm ! 2. - m -E 0 x ) k\ 7 \/ƒf •2 | ® 0) 0 7a0 f $ o � 2 % 2 2 \k��/ 4. C . & .c 0 ; . c. 2 . § 2 ii to § § )R �. 2 §f\F2E /.o } L. - Q IHI 1Ea!a6,)'.- ° E I ! E40 0 / /0 0 °0 2 ■© . 2 C p1= $ f 9 1 cz c 'IDI 2 co§i 8 • 0> .2 e z 02 0 �®§ 0 | at It $,. 2 § -.If_ Ere 8< § � \N/ o2 �f §k\ J■ o R 7m | °2 `f® | a9 \ 222 I E § /<� | 0 o21 0 X4» Construction Supervisor Unrestricted -Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. ROBERT J COROLl 15 BATES AVENUE WINTHROP MA 02152 Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.gov/dpl COMMERCIAL & RESIDENTIAL COROLLA ROOFING SPECIALISTS Customer Satisfaction Is Our First Priority ROOFING 15 BATES AVENUE FA (617) 566 WINTHROP. MA 02152 FAX:( 17)561-172 -472 WWW.COROLLA ROOF ING.COM SALESeCOROLLAROOFING.COM Nicholas&Tiffany Callahan REVISED 6/30/2022 6 Dauphine Drive Hand Deliver Yarmouthport,MA 02675 Subj: Roof Replacement 6 Dauphine Drive—Yarmouthport,MA 02675 Corolla Contracting,Inc.proposes to furnish all labor,materials,&equipment necessary to perform the following scope of work at the above subject location: 1) At the Main Shingle Roof,front and rear shingle roof sections,rip and remove existing shingles & flashings down to wood deck substrate 2) Replace any damaged or rotted wood deck at a unit cost of$4.50/LF. Re-secure any loose deck boards. If existing roof deck is plywood,replacement is $140.00/Sheet. 3) Furnish&install new 8"white aluminum drip edge at all outside perimeters 4) Furnish& install Ice&Water Shield 3 Ft. @ eaves,3 Ft. @ the valleys 5) Furnish&Install new Synthetic underlayment over the remainder of the wood deck. 6) Furnish&Install new Certainteed 30 Year Lifetime Architectural Style shingles. Re-Flash One (1)Chimney,which will include new step flashings and lead counter flashings, and Two(2) Plumbing Vents 7) Furnish&Install new ridge vent at the peak 8) Clean up and properly dispose of all debris caused by our work 10) Proposal includes Contractor's Five(5)Year Warranty on Workmanship. All materials are guaranteed to be as specified and the above work to be completed in a substantial workmanlike manner for the Lump Sum Price of Eleven Thousand Five Hundred Dollars ($11,500.00). With payments to be made as follows: 50%Upon Mobilization&50%Upon Completion,30 Days from invoice. Note: Roofing operations may cause dust/debris to enter attic space&Owner precautions should be taken Note: Existing gutters, leaf guards,&downspouts are to remain in place and are not included in this proposal Note: Disposal of existing roof is by Owner Respectfully Submitted: Robert J. Corolla Jr., President ACCEPTANCE OF PROPOSAL ized Signature Date 4,N11111.0rNnall COMMERCIAL & RESIDENTIAL .41111111 ROOFING SPECIALISTS COROLLA Custom Customer Satisfaction Is Our First Priority 15 BATES AVENUE ROOFING WWWCOROLL ROOFWGCOM SALES) 3 FAX:(617) 61-1336 COROLLAROOFING.COM Nicholas& Tiffany Callahan REVISED 6/30/2022 6 Dauphine Drive Hand Deliver Yarmouthport,MA 02675 Subj: Roof Replacement 6 Dauphine Drive—Yarmouthport,MA 02675 Corolla Contracting,Inc.proposes to furnish all labor,materials,&equipment necessary to perform the following scope of work at the above subject location: 1) At the Main Shingle Roof, front and rear shingle roof sections,rip and remove existing shingles &flashings down to wood deck substrate 2) Replace any damaged or rotted wood deck at a unit cost of$4.50/LF. Re-secure any loose deck boards. If existing roof deck is plywood,replacement is$140.00/Sheet. 3) Furnish& install new 8"white aluminum drip edge at all outside perimeters 4) Furnish& install Ice& Water Shield 3 Ft. @ eaves,3 Ft. @ the valleys 5) Furnish&Install new Synthetic underlayment over the remainder of the wood deck. 6) Furnish& Install new Certainteed 30 Year Lifetime Architectural Style shingles.Re-Flash One (1)Chimney,which will include new step flashings and lead counter flashings,and Two(2) Plumbing Vents 7) Furnish&Install new ridge vent at the peak 8) Clean up and properly dispose of aq debris caused by our work 10) Proposal includes Contractor's Five(5)Year Wars czar=ty oa Workmanship. All materials are guaranteed to be as specified and the above work to be completed in a substantial workmanlike manner for the Lump Sum Price of Eleven Thousand Five Hundred Dollars ($11,500.00). With payments to be made as follows: 50%Upon Mobilization& 50%Upon Completion, 30 Days from invoice. Note: Roofing operations may cause dust/debris to enter attic space& Owner precautions should be taken Note: Existing gutters, leaf guards,&downspouts are to remain in place and are not included in this proposal Note: Disposal of existing roof is by Owner Respectfully Submitted: Robert J. Corolla Jr.,President (310c vocyc ACCEPTANCE OF PROPOSAL se fJ � ) k-V) ,Aj.�) /9G/. 'zed Signature Date Levi it)•3 Olt O (-)