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Home My WebLink AboutBLD-23-000841 pa ernizz \-. RE E , VF ® O E & TWO FAMILY 2in-ile:—.BDUILDt ING PERMIT AU1 6 2022 Town of Yarmou ment ,•',i;f---r ____ 1146 Route 28,South Yarmouth,MA 02664-4492 G DEPARTMENT- 508-398-2231 east. 1261 Fax 508-398-0836 !Alit BUILDI sl --- — -- Massachusetts State Building Code,780 CMR By Building Permit Application To Construct, Repair, Renovate Or Demolish ,% a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: BC D-,93-OOCk t1 I Date Applied: Building Official(Print Name) Signa re Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 1.1 a Is this an accepted street?yes k, no Map h{umber 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 I Provided Required Provided Required Provided 1 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public ElPrivate❑ Zone: _ Outside Flood Zone? Municipal El On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: y.t; _=„,..1. 1--e.-..eikl.,Av wn z PR-Y-4,. Gc3.)/,4' -tre-, Name(Print) City,State,ZIP No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 I Existing Building 0 I Owner-Occupied ❑ I Repairs(s) ❑ Alteration(s) l I Addition 0 Demolition ❑ Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: R.-- .LAC. �1r�C,/: ��— tee- �ny‘.., �.�-- `, . : 13 c,rz.zz>• Co zA tr('`z r{c .S'+J.-/ ki et... _ INA J4<z, ✓/9'^r4• ' . 4 F/002-^/ /d'i 14..:4el•t44 = iZ4--t oV 2 -, t?- a tar Y CA+b=..-si's . co.,.,R 4 Zs. ^re-14 s>i.4rH --/ Pi -.ti.e� SECTION 4:ESTIMATED CONSTRUCTION COSTS. • C Item Estimated Costs: Official Use Only (Labor and Materials) . 1.Building $ -- 1. Building Permit Fee:$ (50 Indicate how fee is determined: Electrical $ 5; S_ V Standard City/Town Application Fee 2. C< - 0 Total Project Costa it m 6)x multiplier x 3.Plumbing $ i� & . 2. Other Fees: $ (67„)..c), 3.5 ,b V 4.Mechanical (HVAC) $ List: v 5.Mechanical (Fire $ • �4`� r( ,) ' `� Suppression) Total All Fees:$ ' ' Check No. Check Amount: Cash Amount:/ 6.Total Project Cost: $ .t�j 9 77 CI Paid in Full ICI Outstanding Balance Due: I I¶ • SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) OW J?-/ 23 , License Number Expiration Date Name of CSL Holder / List CSL Type(see below) No.and Street ! Type Description e � U t �- -u5 / U ) I Unrestricted(Buildings up to 35,000 Cu.ft.) City/Town,State,ZIP b - R Restricted 1&2 Family Dwelling hi Masonry RC I Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances co a7t/-D.3/4/ bdf'J�_ ` td. I Insulation Telephone Email address D I Demolition 5.2 Registered Home Improvement Contractor(HIC) 1(�, a _475 ,7 ' `r a J S HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name /, �v��/CeCetf1G'; 4 No.and Street .�A-6 CQf � , Atq 6a37,� �- _ ,7C� Email address City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.in.§ 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 U SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN • OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PER HT I,as Owner of the subject property,hereby authorize 4?), to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Norte(Electronic Signature) Date • SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under pains and penalties of perjury that all of the information contained in this application is true and accurate e best of m owledge and understanding. Print Owner's or Authorized Agent's Name(Electronic Sign Date NOTES: 1. 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.sov/oca Information on the Construction Supervisor License can be found at www.mass.aov/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" s The Commonwealth of Massachusetts fig '` l Department o—�� P f lntlrrstrial.Accidents �ee1' ,... 1 Congress Street,Suite 100 fro--''� Boston,MA 02114-2017 A"+r �'y`Y www.mass.gov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. A Iicant Information Name (Business/Organizaticn/IndividuaI) s� �= i Please Print Leath! Address: City/State/Zip: 5.- `„,, r - -. 14,1- Phone hone#: <"7.) -- � _4/�, Are you an employer?Check the appropriate box: Type of project(required): 1.0 i am a employer with employees(full and/or part-time).* ? I am a sole proprietor or partnership and have no employees working for me in ❑New construction ❑ • any capacity.[No workers'comp.insurance required.] 8. ❑ Remodeling 3.0 I am a homeowner doing all work myself (No workers'comp.insurance required.)t 9. ❑Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will I Q ❑ ensure that all contractors either have workers'compensation insurance or are sole Building addition proprietors with no employees, 1 l.❑Electrical repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ;2'El Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.t I. .❑Roof repairs 6.0 We are a corporation and its of.*.racers have exercised their right of exemption per rMIGL c. ❑ 152,§1(4),and we have no employees.(No workers'comp.insurance required.) I Other *Any applicant that the ks box R 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 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 re outside onumbers must submit a new affidavit indicating such. I am an employer that is providing workers'compensation insurancefor my employees_ Below is the policy and job site information. Insurance Company Name: 1--,/I/' ,/ , .-7 Policy#or Self-ins.Lic.#: � ' _�-� Expiration Date: 4:` / 0..� -� , �, ;� Job Site Address: _' Attach a � t. S t1 City/State/Zip: py 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 upto$1 5 and/or one-year imprisonment,a. well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a dayagainst 00.00 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 and penalties Of perjury that the information provided above is true and correct -------- -------- Signature: Date: lob Phone 7: r 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): I.Board of Health 2.Building Department 3.City/Town CIerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: —''— Phone : §TOWN OF YA . OUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-223). 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 �; CZ P9-*-1 Work Address Is to be disposed of oat the following location: ►-�i S` S� Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §15 A Signature of Application Date Permit No. ® DATE(MM/DD/YYYY)AC"� CERTIFICATE OF LIABILITY INSURANCE 06/29/2022 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 NAME: Linda Sullivan THE HILB GROUP OF NEW ENGLAND LLC (NC No.Ext): (508)957-4239 FAX (NC, ADDRESS: Sullivan@doins.com 120 Turnpike Rd INSURER(S)AFFORDING COVERAGE NAIC# Southborough MA 01772 INSURERA: LM INS CORP 33600 INSURED INSURER B: CAPE & ISLANDS KITCHEN & BATH REMODELING INC INSURER C: DBA C&I KITCHENS INC INSURERD: 99 STATE ROAD ROUTE 3A INSURER E: SAGAMORE BEACH MA 02562 INSURER F: COVERAGES CERTIFICATE NUMBER: 790029 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. LTRIN TYPE OF INSURANCE INSD VD POLICY NUMBER /Y L SWR POLICY EFF POLICY EXP (MMIDDYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO-JECT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY _ AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STATUTE OERH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBEREXCLUDED? N/A N/A N/A WC531S369904022 07/03/2022 07/03/2023 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only. Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/Iwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION 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 AUTHORIZED REPRESENTATIVE South Yarmouth MA 02664 ,. Daniel M.Cro✓v y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD fue;aaoesaapun , Z99Z,0 VII'HOVB33bOWVOVS .' 0)--"J V./0'1 7Y ' ;.k OVO2i 31 d1S 66 U f ,' E ZIIWHOS WVIIIIM 'ONI'ON11300W321 F41V9 SONVISI'8 3dV0 tZOZ/90/L0 ° 99Z091. uoipmidx3 uol;va;sl6ab paeO WawalddnS':3dAl • 21O10V211NO3 1N3W3AO2idWI 3WOH uogein6eN sseulsne g sJle}pv Jewnsuo0;o a3111O S113SDHOVSSVW d0 H1.1V3MNOWWOO 3Hl {® Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Cons01jif}406 i 'tsor CS-076571 spires:09/09/2023 WILLIAM L sCHMITZ }p • 66 CARAVEL DR HATCHVILLE MA 0253R O O Commissioner ca btnauk, "•-• CAPE & ISLAND KITCHEN AND BATH REMODELING INC. 99 State Road, Route 3A Sagamore Beach, MA 02562 Li 1 rwie Phone: (508) 888-4762 Fax: (508) 833- 1442 Contract Date: 1-25-22 To: Karen & Nancy Loughlin 7 Dunster Path W. Yarmouth, Ma. 508-280-2810 Karen.loughlin@comcast.net Cape & Island Kitchens & Bath Remodeling Inc. will provide the following renovations as per plans provided. Included in this proposal are as follows with respective allowances: Plumbing: • Provide all rough and finish plumbing for kitchen and bath. • Supply and install [1] toilet. Allowance: $400.00 • Supply and install [1]vanity faucet. Allowance: $300.00 • Supply and install shower valve, trim and hand held spray. Allowance: $750.00 • Supply and install [1] acrylic shower base. Allowance: $600.00 • No kitchen faucet allowance carried. • Provide toe space heater in kitchen and shorten heat where necessary. • Replace section of heat in bathroom. • Relocate gas range. • Provide all new water supply lines in cabinets. • Provide new shut off valves and pvc trap and drains • Please make plumbing fixture selections from either Snow& Jones or Fergusons. Just provide me with specs and model#s. I will order al fixtures. Electrical: • Provide all rough and finish electrical for kitchen and bath. • Supply and install a total of[5] recessed ceiling lights @ $250.00 per light installed. • Lighting o dimmer switches. • Supply and install fan/light combo in bathroom. • Install owner supplied sconce light over vanity. • Install all owner supplied appliances. • Provide receptacles as required by code. • This proposal does not include any upgrades to existing service panel. Must be reviewed by electrician. • This proposal does not include any other electrical in other rooms at this time. To be added to proposal Page 1 of 3 CAPE & ISLAND KITCHEN AND BATH REMODELING INC. 99 State Road, Route 3A Sagamore Beach, MA 02562 upon review. Tile: • Backsplash: Supply and install tile splash in kitchen. • Splash allowance: $8.00 per sq. ft. • Bathroom floor tile. $8.00 per sq. ft. • Shower wall tile. $8.00 per sq. ft. • Must select all grout. • Please make tile selections from either Bellew Tile or Best Tile. Kitchen Flooring: • Remove existing flooring. • Supply and install proper thickness underlayment for as smooth as posible transition between rooms. • Supply and install Armstrong Rigid Type Flooring. • Flooring material allowance: $6.00 per sq. ft. Padding if required would be extra. TBD General: • Provide all necessary permits. • Provide trash container on site. • Bathroom is a complete gut. • Remove and disconnect all appliances. • Remove all cabinets and tops. • Remove wall board and tile from in back of cabinets. ? • Replace insulation where necessary. • Provide wall board repairs where necessary in kitchen. • Leave existing ceiling. • Blue board and plaster bathroom complete. • Supply and install Durock or Go Board to shower walls and prep for tile. • Supply and install recessed shampoo niche. • Install owner supplied misc fixtures in bath. Paper holder etc. Mirror to be determined. • Replace interior trim in bathroom. • Replace trim on kitchen window and base board moldings in kitchen. • Install all owner supplied appliances. • Vent hood or micro through exterior wall. Total job: $49,971.00 Not included: • Additional electrical requests. • Painting • Shower door Page 2 of 3 CAPE & ISLAND KITCHEN AND BATH REMODELING INC. 99 State Road, Route 3A Sagamore Beach, MA 02562 • Cabinets and tops • Towel bars and mirror. • Appliances Total job: $49,971.00 • Deposit required upon signing remodel contract: $5,000.00 • Payment due upon completion of demo and prep: $10,000.00 • Payment due upon rough inspections and start of blue board. $20,000.00 • Payment due upon waterproofing of shower: $10,000.00 • Final payment due upon completion of work: $4,971.0 We propose to furnish material and labor in accordance with the above specifications for the sum of TOTAL OF$49,971.00 All material is guaranteed to be specified. Any unforeseen shall be discussed with owner prior to execution (i.e. house out of level, bringing any non-obvious work up to code, or faulty wiring,framing, insulation in walls). All work to be completed in a workmanlike manner according to standard practices.Any alterations or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate.All agreements contingent upon strikes, accidents,delays or damages beyond our control(including weather). Owner to carry fire,tornado, and other necessary insurance. Our workers are fully covered by Workers Compensation Insurance."Covid Awareness Clause"Due to the uncertainty of material costs and availability, Cape&Island Kitchens/Remodel, reserves the right to alter pricing to contract to accommodate"Todays Pricing"whether it is"More or Less"from original contract. In the event that it is necessary to pursue any legal action to collect any outstanding balance the customer shall be responsible for the total balance plus all legal costs. ACCEPTANCE OF PROPOSAL: SIGNATURE A, DATE / /zz Michael Heinrichs Page 3 of 3 73 /11---------------0 -0 Z IT 1 .n -0 rr.1 , , ,,,, 31"--1 1 r) I. _„_, .-..., ,1 ".... 9-' ro -'::, ;:*-•:: (-:-:' ? ,i( 31"------/--1 30"- -.;4: -347 -. 1 i I CD l,%, -....) 1.72 -7-' • 77 1 1 :C k --5..... (-2-- 72 .-,.,Z, . — r= --, ,,b -•- p_.i iT. r-- 7.- ) I . --"., (.,, ltfi W3030 .....tt-__.;: - W3030 : H:_.-- •_ 01\ :-..; .,.) - . _.• , 0 1.....1 711, 67 `,.:_ii-; ,--: ;:., ' , B30 1 OR B 301 DR_ y_.2 r.1,5 -- 1 1 1 — . , ,, 5 i i EX-1_1/2" UTTER BOX ,- co ; •P, - 3 -, . ) i . , i . • 1 4 , 7 \ i 1 ... I 1 ' / 1 ' ......c.411-..--- -.>. 1 • / \ ; 1 ..,. Cf3 • Cr r r) '6'04>4 23- .1-, . . - 0 0 .. i , 1 0 0' ! , C I X. .. „.„,,, i -4. 0. th CD Ct. . . 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