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HomeMy WebLinkAboutBLD-23-000836 . pa 8/214/ RECEIVED OT1E & TWO FAMILY ONLY- BUILDING PERMIT AUG 15 2022 Town of Yarmouth Building Department r 1146 Route 28,South Yarmouth,MA 02664-4492 ;: 508-398-2231 ext. 1261 Fax 508-398-0836 ; BUILDING DEPARTMENT Massachusetts State Building Code,780 CMR = e ' ey. ' g Permit Application To Construct, Repair, Renovate Or Demolish „:: a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: ,131.b-23- *3y0 Date Applied: i)fr% iZ'V S _.,...... "-:".*-d- ' ''' 11-14. Building Official(Print Name) gnature Date SECTION 1:SITE INFORMATION . 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 13"2- 21. 64 1.1 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 1 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: Zone: _ Outside Flood Zone? Public 0 Private 0 Check if yes❑ Municipal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'ofecord: T-e 5oil )e// d r r 4L, 72 ri 024;'iS` Name{Print) ,State,ZIP /5.L tit. 6. 4 1-71- 23ld-732.7 3.-+/viitooce f-awo :. ;-, No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 [ Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 1 Number of Units Other 0 Specify: Brief Description of Proposed Work'-: !'e'/Jv" c trC $kf 7/(..r r4,4alye /i 4 Piro/4'�K e /ei ewe,c4 51t.e,ed4Ari,.;, ./7 s. /...`/n'c'w dsjtr;c_v/J' 0 ,,a4e's�lir/o%�s'Y/0/.4 eerti' f2tr40✓P €ecI51.1-j ea-,'a '4s Cr reejpPeere.,ce c.�PF<, ,"e✓ei4161"'/ lr—,r..xc5At deerM o i e 4"11 ;1 r it i;34 niie,va 1/ +/I c'A.,, , �er�/4.ee iv/4 4, "mg,,3+ e // 5 h„ .2t' ,-�. c( fu+-.h+ inl4 i�-1+ SECTION 4: ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: Official Use Only (Labor and Materials) I.Building $ li er.), cn) 1. Building Permit Fee:$ 1 S n Indicate how fee is determined: 2.Electrical $ 0 Standard City/Town Application Fee 7 W.`12 0 Total Project Cost3(Item ltip er x 3.Plumbing $ 2. Other Fees: $ 1,-2,s. 4.Mechanical (HVAC) $ List: / 5.Mechanical (Fire ' Suppression) $ Total All Fees:$ 6kj 0 Check No. Check Amount: Cash Amount: ' 6.Total Project Cost: ell z,, 0 Paid in Full IN Outstanding Balance Due: "`� V SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 65-073K6` 6/2-/,e•"' Ta.ht e5 G ea.eg License Number Expiration Date Name of CSL Holder /O gree-4 W e4 n e List CSL Type(see below) t No.and Street Type Description MrwlG U ( Unrestricted(Buildings up to 35,000 Cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry • RC Roofing Covering Y� WS Window and Siding SF Solid Fuel Burning Appliances Ste'S-2`(-oof'& ;s 7vn,T1,re e? &• Goy I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) ,/ //o/z y �D by /fi P _I r�G HIC Registration Number Expi ation Date HIC Company Name or HIC$.egistrant Name 6 letet 7`er 'l • IAA, 0 lox�L�r.�Ce7`�.►. .coo•• No.and Street Email address /7.-es—n Cr dMR• G t 63 1 g•-S7 1(-00g( 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 No 0 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 %At 7✓ i .u, /;IC - to act on my behalf,in all matters relative to work authorized by this building permit application. 54 y e /1 q////Z 2 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. To-hi 2s Cra.t s Q I irlt... Print Owner's or Authorized Agent's Name(Electronic Signature) 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.eov/oca Information on the Construction Supervisor License can be found at www.mass.eov/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" Commonwealth of Massachusetts it Division of Occupational Licensure Board of Building Regulations and Standards CCHH-Lc CS-073445 �' tpires:06/21;2024 JAMES W CI3AtG' 160 GREAT VIES HARWICH M4 0 q ; - bIltd_Z3 n 1 • Construction Supervisor Unrestricted -Buildings of any use group which contain less than 35,0'00 cubic feet(991 cubic meters) of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this!ic nse Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT,CONTRACTOR TYPE:Corporation Registration Expiration 110124 10/05/2022 TOM TURCKETTA INC THOMAS L.TURCKETTA 65 RED TOP RD / BREWSTER.MA 02631 Undersecretary Registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 1000 Washington Street -Suite 710 Boston;MA 02118 Not valid without signature The Commonwealth of Massachusetts Minimum Fee:S100.00 William Francis Galvin ..,,,, . i.f', ,' at� Secretary of the Commonwealth,Corporations Division One Ashburton Place, 17th floor Boston,MA 02108-1512 , k <` Telephone:(617)727-9640 ,J Identification Number: 001220357 1.Exact name of the corporation:TOM TURCKETTA INC 2.Jurisdiction of Incorporation: State:MA Country: 3,4.Street address of the corporation registered office in the commonwealth and the name of the registered agent i1 at that office: Name: ELLEN TURCKETTA No.and Street; 65 RED TOP ROAD City or Town_ BREWSTER State:MA Zip: 02631 Country: USA 5.Street address of the corporation's principal office: No. and Street: 65 RED TOP ROAD City or Town: BREWSTER State:MA Zip: 02631 Country:USA 6.Provide the name and addresses of the corporation's board of directors and its president,treasurer,secretary, 1 ? and if different,its chief executive officer and chief financial officer. Title Individual Name Address(no PO Box) First,Middle,Last,Suffix Address,City or Town,State,Zip Code S PRESIDENT THOMAS L TURCKE I IA 65 RED TOP ROAD l BREWSTER,MA 02631 USA TREASURER • THOMAS LTURCKETTA 65 RED TOP ROAD BREWSTER,MA 02631 USA } SECRETARY o- THOMAS LTURCKETTA 65 RED TOP ROAD BREWSTER,MA 02631 USA 7' VICE PRESIDENT THOMAS L TURCKETTA 65 RED TOP ROAD BREWSTER,MA 02631 USA DIRECTOR JAMES CRAIG 40 PINCREST BCH DR EAST FALMOUTH,MA 02536 USA i I DIRECTOR ELLEN M TURCKETTA 65 RED TOP ROAD BREWSTER,MA 02631 USA 7.Briefly describe the business of the corporation: ti- HOME REMODELING AND RESTORATION 8,Capital stock of each class and series: 1 Par Value Per Share Total Authorized by Articles Total Issued , I Class of Stock Enter 0 if no Par of Organization or Amendments , and Outstanding I Num of Shares Total Par Value Num of Shares CNP $0.00000 1,000 60.00 1,000 9.Check here if the stock of the corporation is publicly traded: _ 10.Report is filed for fiscal year ending: 12/31/2019. §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 + 5-2- - 4=4 1 r ni v J-i w F.-4 Work Address Is to be disposed of oat the following location: Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. - ) ( nature o Application ` Date Permit No. • • ' • The Commonwealth of Massachusetts `1 1. Department of Industrial Accidents 1 Congress Street, Suite 100 { Boston, MA 02114-2017 ,,,,�•`'V 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): 7 sii.' 7'14LCli Address: S6 tf- /3`/ Peo/2)5 /4• o 66 vh/1 g City/State/Zip: Phone#: 5-e6-3SS(26 i Z_ Are you an employer?Check the appropriate box: Type of project (required): l.'/1 am a employer with e' employees(full and/or part-time).* 7. ❑New construction 2.D I am a sole proprietor or partnership and have no employees working for me in 8• modeling any capacity.[No workers'comp.insurance required.] 3.❑I am a homeowner doing all work myself. (No workers'comp. insurance required.]t 9. ❑ Demolition . am a homeowner and will be contractors to conduct all work on myl0 El Building addition d❑I hiring property. 3 will ensure that all contractors either have workers'compensation insurance or are sole 1 l.❑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. These sub-contractors have employees and have workers'comp.insurance.: I3.❑Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per rNIGL c. 14.❑Other 152,§I(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box mI must also fill out the section below showing their workers'compensation policy information. 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: �` ®C�tti ir5tjr�x nG4 C`ui,^re Policyh,.or Self-ins.Lic.is Expiration Date: 4-1 (zz:.3 Job Site Address: 7 5 L. (Zf . &4 City/State/Zip:1Ar/flas ) Por-1, 267) 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 certi under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: 5(i I ( 2 z— Phone#: SO 7 S t ''( " D C4 g 6, Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License r Issuing Authority(circle one): I.Board of Health 2, Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: T . IYVY`t7 A © DATE(MM/DD CERTIFICATE OF LIABILITY INSURANCE sWM/DO2 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 CONTACTNAME: AHT Insurance,A Baldwin Risk Partner PHONE HO No.ExU:800 648 4807 FAX No):781-447-7230 458 South Ave E-MAIL Whitman MA 02382 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# License#:CA#0658748 INSURER A:Union Insurance Company 25844 INSURED TOMTURC-01 INSURER B:Acadia Insurance Company 31325 Tom Turcketta, Inc.65 Red Top Road IN C:Westchester Surplus Lines Insu 10172 Brewster MA 02631 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1788527896 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, ADDL SUBR POLICY EFF POLICY EXP ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY CPA5269102-16 8/7/2022 8/7/2023 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $300,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: A AUTOMOBILE LIABILITY MAA5269118-16 8/7/2022 8/7/2023 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED y SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE X HIRED X NON-OWNED (Per accident) $ AUTOS ONLY AUTOS ONLY $ B X UMBRELLA LIAR X OCCUR CUA5269485-15 8/7/2022 8/7/2023 EACH OCCURRENCE $2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $2,000,000 DED RETENTION$ STATUTE $ P - g WORKERS COMPENSATION WCA 5269103-16 8/7/2022 8/7/2023 X TATUTE OTH ER AND EMPLOYERS'LIABILITY Y I N ANYPROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICERJMEMBEREXCLUDED? N NIA (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 1,000,000 C Pollution Liability G70965549 004 7/11/2022 7/11/2023 Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Andersen Corporation,its affiliates,agents,and employees is an Additional Insured for General Liability for Ongoing and Completed Operations per the terms and conditions of form CG0492(10/18)on a Primary and Non-Contributory basis per the terms and conditions of form CG0114(09/16)when required by written contract or agreement. Additional Insured applies for Automobile Liability on a Primary and Non-Contributory basis per the terms and conditions of form Al CA59(02/15)when required by written contract or agreement. Waiver of Subrogation applies for General Liability per the terms and conditions of form CG0492(10/18). See Attached... 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. AUTHORIZEDA EPRESENTATIVE diryid�S v. I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Agreement TOM TURCKETTA, INC. BUILDING AND REMODELING 65 RED TOP ROAD BREWSTER, MA 02631 508-385-3672 Itt tl.tomturckeu a.Ct)111 Email tom a;torturckctta.coin Construction Supervisor Home Improvement License #029893 Contractors Reg. #110124 Contract /Agreement Updated 2022 Page #1 of 4 Date August 10,2022 Jason Bell 508-238-9327 152 Main St. 6A Jaybell2005@yahoo.com Yarmouth Port MA 02675 Approximate start date between Aug. 24th to September 15`1t Estimated finish dates OF CONSTRUCTION WORK By Dec. 31 st Considering change orders, additional work, delivery problems, weather, or unforeseen conditions the contractor will make all efforts to meet the start and finish dates. For description of all work/See Attached Specifications & Estimates dated Aug. 10, 2022 This is the final details of the cost and description of work Agreed upon. I Thomas L. Turcketta propose to hereby furnish materials and labor — complete in the accordance with the Specifications & Estimates attached for the sum of $92,190.00 1 THE TOTAL AMOUNT OF THIS AGREEMENT FOR THE WORK AS SPECIFIED IS $92,190.00. CONTRACTOR'S DEPOSIT WILL BE$27,666.67.00 DOWN PAYMENT PRIOR TO THE ORDERING OF ANY MATERIALS. THE SECOND PAYMENT OF $27,666.67 WILL BE DUE ON THE DELIVERY OF THE MATERIALS. Two PAYMENTS OF$13,833.17 EACH PAYMENT WILL BE DUE ON REQUEST. A BALANCE OF$9190.00 WILL BE DUE ON COMPLETION. {Please read the following conditions} Hidden or Concealed Conditions: HIDDEN AND CONCEALED CONDITIONS ARE ANYTHING EXISTING UNDER ENTRY DOORS OR WINDOWS, UNDER ROOFING, BEHIND THE EXTERIOR TRIM,SIDING, ENTRY STEPS AND DECK LEDGERS. CONCEALED CONDITIONS ALSO EQUAL ANYTHING IN WALL CAVITIES, ABOVE CEILINGS, IN FLOORS OR CAVITIES INCLUDING UNDERGROUND. THERE IS CLEARLY NO WAY OF KNOWING EXACTLY WHAT WE WILL FIND IN THESE CASES UNTIL THE WORK HAS COMMENCED. • THIS AGREEMENT IS BASED SOLELY ON THE OBSERVATIONS THE CONTRACTOR WAS ABLE TO MAKE WITH THE STRUCTURE IN ITS CURRENT CONDITION AT THE TIME THIS AGREEMENT WAS MADE AND ESTIMATED. • ANY UNFORESEEN CONDITIONS TO THE HOUSE DUE TO PAST WATER INTRUSION, INSECT DAMAGE, INADEQUATE FRAMING, PAST REPAIRS, INADEQUATE INSULATION, OR VENTILATION, ETC. NEED TO BE REPAIRED WILL NEED TO BE CORRECTED OR MODIFIED BEFORE THE PROJECT IS CONTINUED. • IF ADDITIONAL CONCEALED CONDITIONS ARE DISCOVERED ONCE WORK HAS COMMENCED WHICH WERE NOT VISIBLE AT THE TIME THE ESTIMATE WAS GIVEN, THE CONTRACTOR WILL STOP WORK AND MAKE THE OWNERS AWARE OF THE UNFORESEEN CONCEALED CONDITIONS.THE CONTRACTOR AND OWNER CAN MAKE DECISIONS BASED ON THE FINDINGS AND EXECUTE AN ADDITIONAL WORK ORDER FOR ANY ADDITIONAL WORK BY WRITTEN,TEXTED,VERBAL, OR EMAILED APPROVAL. ANY OF THESE FORMS OF COMMUNICATION WILL BE ACCEPTED AS A VALID AGREEMENT. • WHEN WE LOOK AT A POTENTIAL PROJECT FOR ESTIMATING PURPOSES,WE DO NOT PROB FOR ROT OVERHEAD THAT CANNOT BE EVALUATED OR REACHED FROM THE GROUND LEVEL. IF CONCEALED CONDITIONS OR ROTTED TRIM IS FOUND DURING ONGOING WORK, THERE WILL BE AN EXTRA CHARGE OF $75.00 PER HOUR, PLUS 2 MATERIALS AND A 20% MARK UP ON BOTH THE HOURLY RATE AND MATERIALS. OTHER CONTRACTOR EXCLUSIONS UNLESS STATED IN OUR SPECIFICATIONS. SOME HOMEOWNER RESPONSIBILITIES. 1. THERE ARE NO INTERIOR PLASTER REPAIRS INCLUDED. IF PLASTER COMES LOOSE,CRACKS,OR FALLS DOWN BECAUSE OF PERFORMING EXTERIOR WORK.ANY REPAIRS IF NEEDED,WILL RESULT IN AN EXTRA COST. 2. WE WILL CLEAN THE WORK SITE BY SWEEPING, RAKING, OR VACUUMING ONLY THE AREAS OR ROOMS OF THE BUILDING WE OCCUPY WHILE WORKING. WE WILL ALSO SET UP DUST CONTAINMENT WHEN NEEDED. 3. WE WILL NOT BE RESPONSIBLE FOR ANY DAMAGE TO PLANTINGS OR LANDSCAPING CLOSE TO THE BUILDINGS AREAS WHILE WORKING. ANY TYING BACK,CUTTING OR TRIMMING OF PLANTINGS NEEDED SHALL BE THE RESPONSIBILITY OF THE HOMEOWNER. 4. THE CONTRACTOR WILL NOT BE HELD ACCOUNTABLE FOR ANY ELECTRICAL, PLUMBING,PAINTING OR OTHER TRADE WORK OUTSIDE OF THE WORK WE SPECIFIED! 5. THE HOMEOWNER IS TO PROVIDE OR ACCOMMODATE US WITH ADEQUATE PARKING WITHIN A REASONABLE DISTANCE OF 50 YARDS TO THE LOCATION OF THE LOCATION OF THE WORK BEING PERFORMED FOR TWO JOBSITE TRAILERS LEFT ON SITE. ALSO, DAILY PARKING FOR THREE VEHICLES. USE OF EXISTING WATER. WE WILL SUPPLY OUR OWN BOUSE HOUSE RESTROOM. 6. UNLESS WE HAVE STATED IN OUR ESTIMATE THAT WE ARE PROVIDING PAINTING,IT IS NOT INCLUDED AND IS THE COST OF THE AGREEMENT. 7. NO FLOOR FINISHING IS INCLUDED IN THE COST OF THE AGREEMENT. 8. WE HAVE A SIZABLE AMOUNT OF CUSTOM KNIVES TO MAKE MOLDINGS WHEN NEEDED,HOWEVER WE DO NOT OWN EVERY PROFILE FOR EACH PERIOD OF ARCHITECTURE COVERING 350 YEARS! THAT BEING SAID, IF YOU WANT US TO MATCH AN EXISTING MOLDING YOU WILL BE CHARGED$75.00 PER INCH FOR THE SET OF KNIVES,THE SHIPPING, MATERIALS USED TO MAKE THE MOLDING AND PRODUCTION OF THE MOLDING. ALL MATERIALS ARE GUARANTEED TO BE AS SPECIFIED UNLESS, A CHANGE IS REQUESTED BY THE OWNER OR IF MATERIALS BECOME UN-ATTAINABLE PRIOR TO THE PURCHASE OF THE SPECIFIED MATERIALS. ORDINARY MATERIALS SUCH AS WOOD PRODUCTS, FASTENERS, INSULATION OF SAME R-VALUES,CAULKING, PAINT PRIMER AND BUILDING PAPERS WILL BE USED AT THE CONTRACTOR'S DISCRETION. ANY CHANGES WILL BE IN WRITING BETWEEN THE CONTRACTOR AND THE HOMEOWNER NOTE: THAT EMAILS,TEXT MESSAGES OR PHONE CALLS GIVING PERMISSION TO MAKE CHANGES OR ADD ON EXTRA WORK WILL BE USED AS AN AGREEMENT UNTIL A WORK ORDER/AUTHORIZATION CAN BE COMPLETED AND SIGNED. 3 • THE CONTRACTOR WILL HAVE ALL NECESSARY& PROPER INSURANCES TO CONDUCT THE WORK CONTRACTED. ( CERTIFICATES ARE AVAILABLE Any deviation from this agreement on the homeowner's part including nonpayment within 5 working days of billing or payment request will call for a stoppage of work until the contractor is paid and matters are settled and agreed upon. This Agreement may be cancelled within 3 days. On this day of Contractor, Thomas L, Turcketta agrees to this contracted agreement. Acceptance of Contract/Agreement Sign and date below: Homeowner i n here x -. \ /11(1 Homeowner 2 ign here x Date Thomas L, Turcketta Owner & Contractor signed below: Thomas L, Turcketta x ..,r,-r Date The above named have entered into this Agreement as written and Specified in this document. 4 ONE or TWO FAMILY— BULDING PERMIT APPLICATION REGULATORY APPROVALS NOTICE Address of Proposed Work: /5Z iVW= 6 4 tevneI I?,r vi - Scope of Proposed Work: ' i ifr e-c- /a u6 ) , s: e . e Date: gr/7-2- Based Based on the scope of work described above,the applicant is required to obtain approval sign- offs from the following departments as checked-of below: Health Dept.—508-398-2231 ext. 1241 Conservation —508-398-2231 ext. 1288 W er Dept. —99 Buck Island Road, 508-771-7921 Old Kings HWY. Hist. Comm. —508-398-22631 ext. 1292 Engineering Dept. —508-398-2231 ext. 1250 Fire Dept. —Kevin Huck/Scott Smith, 96 Old Main Street, SY Note: Please call Fire Department for an appointment. 508-398-2212 Other Appropriate plans and/or application shall be provided to each departments checked-off above. Each of these regulatory authorities has their own requirements outside the jurisdiction of the Building Department. All applicable approvals shall be obtained prior to submitting a building permit application to the Building Dept. Thank you for your cooperation. Receipt Acknowl d ment: ? ,ill_7-- Applicant's Sign re at Rev. Jan. 2019 .• TOWN OF YARMOUTH • 0: -' k 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 Telephone (508)398-2231 Ext. 1292-Fax(508)398-0836 t , ,, OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE Arttm„,,J 1: 1 APPLICATION FOR 1 OLD KtND's Dloilvve,y _I CERTIFICATE OF EXEMPTION Application is hereby made for the issuance of a Certificate of Exemption under Sections 6 and 7 of Chapter 470 of Acts of 1973, as amended, for the proposed work as described below and on plans, drawings, or photographs accompanying this application. Type or print legibly: Address of proposed work: /5-42- fee. 6 .rf r‘,...,,,„4„,44 1,,,i i Map/Lot# /I,/ R. Owner(s): -714,415 9// Phone#:7 7 11-,43 '-7.I Z 7' All application must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: / if Z ill mtp:-4 :54. A(. 6 .47 94....c,n 4v/4/0,1, Year built: :tyre) Email:j Al 6 e../ 0-6517 ,,,, 4 az,,c „0,1 Preferred notification method: i.- Phone 4vmail -.--- --I' . Agent/Contractor: /o ii,,, i iI F:-4.44 4-. I el t- . Phone#: 5b 9*-5-4 41^ 60 5-45 Mailing Address: '3g ni 1, i lf ..-,e)n is of Email: L7,;0-i, e 171,o't 7://4•4471,t,. .„ 4904 , Preferred notification method: ge Phone Email Description of Proposed Work Additional pastes may be attached if necessary): A/0 4‘,...V,i f 1 gl,Ot4P:5:h,*n p 0 r el/If.<711 e.;la.4---1 4;el• 1.4le ne A.> e/44 4/4 4,-,il'iet.:141 / hie r s 4, ,'14.5. o r eiu,4.e cedar.r 54,09/01.(Ato;tilA otte,.., - l'r't AA,., Signed(Owner or agent): Date: '.... Owner/contractor/agent is aware that a permit may be required from the Building Department.(Check other departments,also.) ...• This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later. For Committee use only: Date: 0159.0 I Approved Approved with 064—E#1,,•'-i ril r4 itkis,,, e w,,,,, en)ed Amount dU"44 Reason for denial: Cash/CK#: 1)--S1'. v,'I'-,1 FRcvd by: --. • Date Signed: v 1151g, Signed: .--xe ,,ii?:c- CI all'?i I APPLICATION#: ,-2? 11 3 V5.2017