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HomeMy WebLinkAboutBLD-22-006969 ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department of r 1146 Route 28,South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 )s '.: Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only RECEIVED Building Permit Number: (2j1 3-2Z(-111 to? Date Applied- I)r.-• -. -") > JUN 012022 Building Official(Print Name) ignature Date SECTION 1:SITE INFORMATION BUILDING DEPARTMENT By. — • 1.1 Property A dress: 1.2 Assessors Map&Parcel Numbers 11 rt)E•PTUN L Y -el, /4o (0O .tfp 1.1 a Is this an accepted street?yes no Map Number Parcel Number , 1.3 Zoning Information: 1.4 Property Dimensions: LI 4 Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 9.3 ,Sq 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required I 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 Owner'of Record: Y/O/t t 4- Flo/ yv.f,vc. !✓IT/c?c /1i4 ©%Y 0 Name(Print) City,State,ZIP No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building❑ I Owner-Occupied ❑ f Repairs(s) ' Alteration(s) ❑ Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: J Brief Description of Proposed Work2: /aE/t1dpr A/bV /2f.140 = , " . A 1, ; ' 1 vi • . 0 Iwo G v s `';I;, Do .4 !7!_ .F41r:Vkc-2 a1Ui Mrf1i: o % • SECTION 4:ESTIMATED CONSTRUCTION COSTS AUG 19 2022 Estimated Costs: j p RTMEN`t_ Item Official Use ! LDING (Labor and Materials) a 1.Building $ __ --- 1. Building Permit Fee:$ . O In• i e is determined: Electrical $ 't Standard City/Town Application Fee 2. El Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ U torl C 6 31,S 1 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees:$ Check No. Check Amount Cash Am L, 1 6.Total Project Cost: $ 0 J p Paid in Full all Outstanding Balance Due: —" SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) r 7/ ir/ /�� License Number Expiration Date Name of CSL Holder P /1,�Y /� ' �+j j' List CSL Type(see below) V No.and Street e� � Type Description 44���11 C 'X/_ 3 U Unrestricted(Buildings up to 35,000 cu.ft) City/Town,State,ZIP l R Restricted 1&2 Family Dwelling lvl Masonry RC j Roofing Covering WS Window and Siding ��� �J 7 ' SF Solid Fuel Burning Appliances / c ci4/! seesc „' 6f1 I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) MO/ % 6/0�� 2— /1/<:: HIC Registration Number Expiration Date HIC Compaq.N e or HIC Registrant Name _ /� _N andStreetriwviz4" :e ia,/ J�1/� ✓ 5Tt'(�/.L`'e r`�C1°L c4rhp.✓40 .0 n�, 'I �/ n l 4y4 �� � fee fi ,.�S Email address 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 f 1 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 fad`` to act on my behalf,in all matters relative to work authorized by this building permit application. (1-44,/Je-i YObi4eCY 654, Ari-4040 zo17QA:�/ ,�/7,/ - 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 he best of my knowledge and understanding. $ - 0V?2, Print Owner's or Authorized Agent's Name(Electro ' 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.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" 5/rjd Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards ConstritiS ti rvisor CS-055571 ,Expires:09/17/2022 STEVEN M TESSIER s 18 DEE BEE CIR MIDDLEBOROfMA 02346 Commissioner (1,4 e. YErnifleL, . 0 n I (1) O 41 zxm Z U' 0m co x E > OFj9 mo 1rvp D m o � o �, mx3 Z = D o � oz j °: cnmD � 3p - lo5c , mzm z �; y —# 2 -IQ° 0ZZ t7m :; a) 0 � �� " c o N � a7DN : 0 d N O 33 CCD 2 = o a � m -` 0 Co 0 o CO O Cn oo * � m . �. m o -. k 0 , . ,,,, ,,. 0 fl) " tv zs. m O D3 3 x r=-r C - - 'Nr\ '* jocg < N Q Q. -a i.,rq•-• 5.b... ET ts) 5 N (D co O 'C3 Fr) -1 1 N 11 OWQ � C < - 0 t0 tQ O N fl3 N c 3 to o. R CD = (C co O .< tr< 2) iD cD •• a rn o c O. 0 c 0 O-o ct o y ___..co CD 7 to o 3 Q N m 0 ,.,,N C � 3 a C) tv z C2 i 3 1 . The Commonwealth of Massachusetts 4 ... . w Department of Industrial Accidents "Y Office of Investigations Lafayette City Center 2 Avenue de Lafayette, Boston,MA 02111-1750 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 0 e ea tl7 S fck. ..Z4/ , Address: ,;2/ 7 7-1'?©rr7 ° r2 ' ri (. 6'./ , City/State/Zip: //&i'17f5, 71' ? 6-32 )/ Phone#: .�2) ' -- 77/ -- .3 /,/ t Are you an employer?Check the appropriate box: Type of project(required): 1.[0 I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction l 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling 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. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.0 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. 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. n�} Insurance Company Name: 45 c-71 el--f 'C -If1G(4.45"Z e-- 0 i /i 2a55 / 7c.ii-Y 1 Ct J /i'L Policy#or Self-ins. Lic. #: VW'c/6106,o r J80,..A/a D2� Expiration Date: ////9 t2 49.3 Job Site Address: TV ,V2 .�' l 4/0 y!y'RJ g°',7,v City/State/Zip:_ 4 1I a? 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 certi Ander he pains and penalties of perjury that the information provided above is true and correct / Signature: Date: / f 9©o? cam. Phone#: 5- -7 / - 3/f® . 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 3.0City/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.0Other Contact Person: Phone#: A ® DATE(MMIDDIYYYY) CCPREP CERTIFICATE OF LIABILITY INSURANCE 01/19/2022 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 Tina Reeves NAME: Dowling&O'Neil Insurance Agency PHONE (800)640-1620 FAX (A/C,No,Ext): (A/C,No): 973 lyannough Road E-MAIL treeves@doins.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Hyannis MA 02601 INSURER A: Arbella Protection Insurance Company 41360 INSURED INSURER B: Associated Industries of Massachusetts Mutual Ins 33758 Oceanside,Inc. INSURER C: Colony Insurance Company 217 Thornton Drive INSURER D: INSURER E: Hyannis MA 02601 INSURER F: COVERAGES CERTIFICATE NUMBER: CL21122994904 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000000 DAMAGE TO RENTED 100,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A 8500066712 01/01/2022 01/01/2023 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT PRO LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ A OWNED X SCHEDULED 102006166606 01/01/2022 01/01/2023 BODILY INJURY(Per accident) $ _ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ Nye AUTOS ONLY X AUTOS ONLY (Per accident) $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE 462008968603 01/01/2022 01/01/2023 AGGREGATE $ 5,000,000 DED X RETENTION$ 10'000 $ WORKERS COMPENSATION X STATUTE EOTH AND EMPLOYERS'LIABILITY YIN 1,000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE N NIA VWC10060198022022 01/01/2022 01/01/2023 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ POLLUTION LIABILITY C CSP4223638 01/01/2021 01/01/2023 $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Job:Oceanside/Officelnsurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements.Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended thecoverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Oceanside Inc ACCORDANCE WITH THE POLICY PROVISIONS. 217 Thornton Drive AUTHORIZED REPRESENTATIVE Hyannis MA 02601 ` " s I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • ® DATE(MM/DD/YYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 01/19/2022 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 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 No, (A/C,No):_ DOWLING & O'NEIL INSURANCE AGENCY PHONE (A/C, Extf: (508)775-1620 FAx ADDRESS: Iullivan@doins.com 973 IYANNOUGH RD INSURER(S)AFFORDING COVERAGE NAIC# HYANNIS MA 02601 INSURERA: AIM MUTUAL INS CO 33758 INSURED INSURER 8: OCEANSIDE INC INSURER C: INSURER D: 217 THORNTON DRIVE INSURER E: HYANNIS MA 02601 INSURERF: COVERAGES CERTIFICATE NUMBER: 735684 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR: INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES( 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/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED j RETENTION$ $ WORKERS COMPENSATION PER 1OTH- AND EMPLOYERS'LIABILITY X STATUTE i ER YIN ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? N/A N/A N/A VWC10060198022022A 01/01/2022 01/01/2023 (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 ( N/A DESCRIPTION OF OPERATIONS/LOCATIONS I 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 Oceanside Inc ACCORDANCE WITH THE POLICY PROVISIONS. 217 Thornton Drive AUTHORIZED REPRESENTATIVE Hyannis MA 02601 Daniel M.Crowyey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-22311 ext.-I261 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 ? / e/a7 / ei l\,) Work Address Is to be disposed of oat the following location: Aft'/ 6e`O /9 a/ E 9- 9 " S<y z v /''- J,1 5kvscti.�� j 47/7,, �:I,}-J , Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. --- / d-- 2,7,7(9--..2, Signa e of Application Date Permit No. < M / /- -ears, Tim From: Sears, Tim Sent: Thursday, June 9, 2022 1:21 PM To: 'steve.t@oceansideinc.com' Subject: 81 Neptune Ln Attachments: work in flood zone packet.PDF Steve, 1 I have reviewed your application for water damage repairs and this property is in a flood zone. I have attached a packet for you to review, please complete and return the cost worksheet along with the contractors & owners affidavits signed and notarized. The final affidavit will be required upon final inspection. Thank you .-Ithv S, n r, mailt.o:tsears@i?jrnouth.ma.us 1 • C4 - Tuic-us ono 00 creanside2 Restoration Fire • Water • Soot •Mold 217 Thornton Drive,Hyannis,MA o2601 p.508-7713ll0/F.774-470-2211 DATE: 3/24/2022 PROPOSAL SUBMITTED TO: JOB NUMBER:20210795 Florence Young Job Site: 21 Belmore Rd 81 Neptune Lane Natick,Ma 01760 S Yarmouth,Ma WE HEREBY PROPOSE TO FURNISH ANY MATERIAL(LISTED BELOW)AND LABOR, COMPLETE AS PROVIDED FOR IN THE SPECIFICATIONS BELOW.ALL MATERIAL IS WARRANTED TO BE FREE OF DEFECTS,AS SPECIFIED AND TO BE WITHIN ACCEPTABLE CONTEMPORARY QUALITY STANDARDS. ALL WORK IS TO BE COMPLETED IN A WORKMANSHIP-LIKE MANNER,ACCORDING TO STANDARD PRACTICES. MATERIAL COVERED UNDER THIS AGREEMENT AND DELIVERED TO THE JOB SITE ARE THE PROPERTY OF THE BUILDING OWNER UNLESS OTHER ARRANGEMENTS ARE MADE IN ADVANCE. OUR WORKERS ARE FULLY COVERED BY WORKERS' COMPENSATION LIABILITY INSURANCE. THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACCEPTED WITHIN TWENTY-ONE(21)DAYS.THIS PROPOSAL SUPERSEDES ANY AND ALL PREVIOUS OFFERS OR ESTIMATES TO PERFORM THIS WORK. NOTHING STATED IN THIS PROPOSAL IS MEANT TO IMPLY THAT THE COST OF COLLECTION OR DISPOSAL OF ANY HAZARDOUS WASTE IS INCLUDED IN THE CONTRACT PRICE. INFRASTRUCTURE COSTS (E.G. HEATING FUEL,ELECTRICITY, PLOWING,ETC.)REMAIN THE RESPONSIBILITY OF THE OWNER AS A PART OF THIS AGREEMENT. WE HEREBY PROPOSE TO FURNISH MATERIAL(AS LISTED BELOW)AND LABOR- COMPLETE IN ACCORDANCE WITH SPECIFICATIONS BELOW,FOR THE SUM OF: S58,302.38 Fifty Eight Thousand,Three Hundred Two AND 38/100 DOLLARS PLEASE INITIAL HERE ACCEPTING ALL TERMS AND CONDITIONS SET FORTH ABOVE:x PAYMENT TO BE MADE AS FOLLOWS: $10,000.00 Deposit upon signing,prior to commencement $15,000.00 Payable upon 30% completion $15,000.00 Payable upon 60% completion $15,000,00 Payable upon 90%completion $ 3,302.38 Payable upon substantial completion A FINANCE CHARGE WILL BE ADDED TO ALL ACCOUNTS THAT ARE PAST DUE ACCORDING TO THE TERMS OF THE PAYMENT SCHEDULE. THE RATE IS 1 1/2%PER MONTH COMPOUNDED MONTHLY(ANNUAL PERCENTAGE 19.56%). THERE WILL BE'A$25.00 CHARGE FOR ANY CHECKS RETURNED TO US UNPAID. THE CUSTOMER AGREES TO PAY ALL REASONABLE COI.7.F,CTTON COSTS INCLUDING ATTORNEY FEES. Proposed work: Crawlspace-Stairway Walls-Ceiling • Replace Drywall &Blend To Existing Finish • Paint Door/Window Trims • Paint Walls&Ceiling • Replace Casing • Paint Door Slab Kitchen • Remove Acoustic Popcorn Ceiling Texture a Texture Ceiling • Paint Ceiling • Paint Walls • Detach&Reset Window Drapery and Blinds • Detach&Reset Light Fixture Family Room • Replace Ceiling Furring Strip • Replace Drywall Ceiling • Remove Acoustic Popcorn Ceiling Texture • Tape Drywall Joints • Texture Ceiling • Paint Ceiling • Replace, Stain&Finish Crown Molding • Replace Drywall Walls • Paint Walls • Replace Casing • Stain&Finish Door/Window Trims • Stain&Finish Door Slabs PLEASE INITIAL HERE ACCEPTING ALL TERMS AND CONDITIONS SET FORTH ABOVE:x Y • Detach&Reset Window Drapery Hardware • Stain&Finish Bookcase • Detach&Reset Baseboard Heat • Replace, Stain&Finish Baseboard • Re-nail Subfloor • Replace Underlayment • Replace Copper Wiring, Box and Switch • Replace Ceiling Fan/Light • Replace, Sand&Finish Oak Flooring Back Hall • Remove Acoustic Popcorn Ceiling Texture • Texture Ceiling • Paint Ceiling • Paint Walls • Detach& Reset Door Bell/Chime • Detach&Reset Door Hinges& Slab • Replace Door Lockset • Replace Casing • Stain &Finish Door/Window Trims • Stain&Finish Door Slabs • Detach&Reset Double Bi Fold Doors • Stain&Finish Door Trims • Stain & Finish Bi Fold Door Slabs • Detach& Reset Baseboard Heat • Replace,Stain&Finish Baseboard • Re-nail Subfloor • Replace Underlayment • Replace, Sand&Finish Oak Flooring • Replace Copper Wiring, Box and Switch • Detach&Reset Smoke Detector ▪ Detach&Reset Light Fixture try/Foyer • Replace Ceiling Furring Strip • eplace Drywall Ceiling • Remove Acoustic Popcorn Ceiling Texture • Texture Ceiling • Paint Ceiling • Replace Drywall Walls • Paint Walls • Replace Solid Pine Doors(2) • Replace Casing • Detach&Reset Door Hinges, Slab, &Lockset • Paint Door/Window Trims • Paint Door Slabs PLEASE INITIAL HERE ACCEPTING ALL TERMS AND CONDITIONS SET FORTH ABOVE:x ♦ f • Carpenter-Eliminate Doors and Redo Casing/Trim in Doorway to Family Room • Detach&Reset Baseboard Heat • Replace &Paint Baseboard • Remove Slate Floor Covering • Re-nail Subfloor • Remove&Replace Underlayment • Detach&Reset Smoke Detector • Detach&Reset Light Fixture • Replace. Sand&Finish Oak Flooring Living Room • Remove Acoustic Popcorn Ceiling Texture • Texture Ceiling • Paint Ceiling • Paint Walls • Detach&Reset Window Drapery and Blinds • Paint Door/Window Opening • Replace, Stain &Finish Baseboard • Replace, Sand&Finish Oak Flooring Stairs • Paint Walls • Paint Stair Skirt/Apron • Detach&Reset Balustrade • Detach&Reset Handrail • Replace Stair Treads&Risers • Sand&Finish Steps/Risers Coat Closet • Replace, Sand&Finish Oak Flooring 2'Level Hallway • Replace Drywall Walls • Paint Walls • Replace Interior Door(I) • Replace Casing • Detach&Reset Door Lockset • Paint Door/Window Trims • Paint Door Slabs(incl Bi-Folds) • Replace&Paint Baseboard • Re-nail Subfloor • Remove&Replace Underlayment • Detach&Reset Outlet/Switch • Replace, Sand&Finish Oak Flooring PLEASE INITIAL HERE ACCEPTING ALL TERMS AND CONDITIONS SET FORTH ABOVE:x - • Bathroom • Replace Drywall Walls • Remove Remaining Wallpaper(incl tub area) • Scrape Walls/Prep for Paint(incl tub area) • Paint Ceiling(incl tub area) • Paint Walls(incl tub area) • Replace Interior Door(1) • Replace Casing • Detach&Reset Door Lockset • Paint Door/Window Trim • Paint Door Slab • Replace Vanity • Replace Laminate Counter Top w Backsplash • Remove&Replace Cabinet Knob/Pull • Detach&Reset Baseboard Heat • Replace&Paint Baseboard • Re-nail Subfloor • Install Cement Board Underlayment • Replace Tile Flooring • Re-grout Tile Floor • Seal Tile • Plumber-Install Angle Stop Valve and Supply Lines,etc • Replace Toilet Flange • Replace/Install Toilet • Replace/Install Sink • Replace Bathtub&Fiberglass Surround • Detach&Reset Toilet Paper Holder,Towel Bar, Shower Curtain Rod Back Bedroom • Replace Drywall Walls(as needed) • Paint Walls • Replace Casing • Detach&Reset Bi-Fold Door Slabs • Paint Door/Window Trims • Paint Door Slabs(Bi-Folds) • Replace&Paint Baseboard • Re-nail Subfloor • Remove&Replace Underlayment • Replace Carpet&Pad(Material Allowance$2.50 sq ft) Large Bedroom • Detach&Reset Door Hinges&Locksets • Paint Door/Window Trims • Detach&Reset Bi Fold Doors • Paint Door Slabs(incl Bi-Folds) • Paint Wood Window PLEASE INITIAL HERE ACCEPTING ALL TERMS AND CONDITIONS SET FORTH ABOVE:x 1" .* p • Detach&Reset Window Blinds and Drapery • Detach&Reset Baseboard Heat • Replace&Paint Baseboard • Re-nail Subfloor • Remove&Replace Underlayment • Replace Carpet&Pad(Material Allowance$2.50 sq ft) General • Permits&Fees • Temporary Job Site Toilet • Ongoing&Post Construction Cleaning • Content&Dwelling Protection • Meg Check Electrical Circuits • Dumpster/Disposal • Job Site Storage Container(incl 2 mo) • Packing&Moving Contents to Storage and then Resetting Authorized by: - ..C-1''_ Oceanside,Inc.(y wrier Operations Manager Signature) Estimator's Signatwre: '``s�^ ` -" Print ACCEPTANCE OF PROPOSAL-the above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified. Payment will be made as outlined above. DATE OF ACCEPTANCE: — c 7— .201. OWNER/AGENT SIGNATURE: �f . cam- _ cr, .g ..y OWNER/AGENT SIGNATURE DATE SIGNED PROPOSAL RCVD BY OCEANSIDE: FOR OFFICE USE ONLY PATE DEPOSIT RCVD BY OCEANSIDE: FOR OFFICE USE ONLY PLEASE INITIAL HERE ACCEPTING ALL TERMS AND CONDITIONS SET FORTH ABOVE:x ceansi estoration Fire • water • Soot•Mold 217 Thornton Drive,Hyannis,MA o2601 p.508-771-3110/f.774-470-2211 CHANGE ORDER Number: 1 DATE: 7/7/2022 NAME:Florence Young JOB#: 20210795 ADDRESS: 81 Neptune Lane-S Yarmouth Furnish all materials and labor as follows: Kitchen • Replace(2)OutletslWiring and(2)Recessed Light Fixtures Family Room • Paint Bookcase to Left of Fireplace and Paint Baseboard Heat Covers Entry/Foyer • Paint Baseboard Heat Covers Living Room • Replace,Stain&Finish Baseboard Stairs • Remove&Replace Balustrade,Newel Post,Handrail • Remove Stair Treads and Risers 2"d Level Bathroom • Replace Vanity and Solid Surface Counter Top • Remove&Replace Fiberglass Tub Surround and Grab Bar Small Bedroom • Patch Drywall(as required) • Paint Ceiling&Walls (continued next page) K:1Customers12021120210795 Younglco 22-07-07 chg order#1 draft.doc NOTE: This Change Order becomes part of and in conformance with the existing Contract and therefore INCREASES the total. We hereby agree to make the change(s)specified above/attached for the following amount: Amount of this change order : $12,661.70 Previous Contract Amount : S58.302.38 Revised Contract Amount : $70,964.08 *Payment of 50%of change order amount above,due upon signing *Balance will be billed upon completion Date: 7/7/2022 Oceanside Authorized Signature: Date: Estimator Signature: ff' ACCEPTED-The above prices and specifications of this Change Order are satisfactory and are hereby accepted. All work to be performed under same terms and conditions as specified in original Contract unless otherwise stipulated. Date: I ° Homeowner/Auth.Agent Signature: JIS K:\Customers\2021\20210795 Young\co 22-07-07 chg order#1 draft.doc Substantial Improvement Worksheet for Floodplain Construction (for reconstruction,rehabilitation,addition,or other improvements, and repair of damage from any cause) Property Owner: S h0/1/ Y1UI) Address: f / A1E . Pro/v.t Lii) Permit No.: Location: Description of improvements: /:i/r±-L,(7 r 4iR S i2 i _ Mthicet ue of st e t LY(rnsrappraisal or adjusted, ssesse;i ipl Imf rovement,or iarrsa before tthe damage r ,'not tncludwnc land s $ 4,D '' ement s ai ftbe �" b udete ude 'fi cude nteer3abocand donated sup : Ratio;,Ratio :":.CAostoff rovem (or cost o — r � � If ratio is 50 percent or greater(Substantial Improvement),entire structure including the existing building must be elevated to the base flood elevation(BFE)and all other aspects brought into compliance. Important Notes: 1. Review cost estimates to ensure that all appropriate costs are included or excluded. 2. If a residential pre-FIRM building is determined to be substantially improved,it must be elevated to or above the BFE. If a non-residential pre-FIRM building is substantially improved,it must be elevated or dry floodproofed to the BFE. 3. Proposals to repair damage from any cause must be analyzed using the formula shown above. 4. Any proposed improvements or repairs to a post-FIRM building must be evaluated to ensure that the improvements or repairs comply with floodplain management regulations and to ensure that the improvements or repairs do not alter any aspect of the building that would make it non-compliant. 5. Alterations to and repairs of designated historic structures may be granted a variance or be exempt under the substantial improvement definition)provided the work will not preclude continued designation as a"historic structure." 6. Any costs associated with directly correcting health,sanitary,and safety code violations may be excluded from the cost of improvement. The violation must have been officially cited prior to submission of the permit application. Determination completed by: 52l//1.1 Date: 640/g6 a 2 4 ' .• 7 4.0 `im: TOWN OF YARMOUTH frc' '!c1 BUILDING DEPARTMENT to,VV".�,n-^f n, 7 1146 Route 28,South Yarmouth,MA 02664 -"; Telephone 508-398-2231 ext. 1261 Fax 508-398-0836 Owner's Affidavit: Substantial Improvement or Repair of Substantial Damage Property Address: f f 4JJ v!r1/4 L,fa;) Parcel ID Number: ) C'c / Owner's Name: / 1•.1;'-'`/ Yi.6 /=/-1/' C;,C ,,-r; Owner's Address/Phone: %' AC`������ 47,/:, fll,t/ke a!< (71/%10 4)d P-"1 ` j 3 Contractor: 0 i J/.Lc ./A /j/ 1//f/'.t f'C 75/jZ Contractor's License Number: C,S Vic-"'/ fro(: /0U/2/ Date of contractor's Estimate: 5/ -y7.047`-.2 I hereby attest that the description included in the permit application for work on the existing building all improvements, rehabilitation, remodeling, repairs, additions, and other forms of improvement. I further attest that I requested the above-identified contractor to prepare a cost estimate for all of the work, including the contractor's overhead and profit. I acknowledge that if, during the course of construction, I decided to add more work or to modify the work described, that the Town of Yarmouth will re-evaluate its comparison of the cost of work to the market value of the building to determine if the work is substantial improvement. Such re- evaluation may require revision of the permit and may subject the property to additional requirements. I also understand that I am subject to enforcement action and/or fines if inspection of the property reveals that I have or authorized repairs or improvements that were not included in the description of work, and the cost estimate for that work that were basis for issuance of a permit. Owner's Signature: X.,Peteal c.__ )7 . ,.wi,_ Date: 7- / F 02 Notarized: c,.-,.....„-r--\_---\r, PC::::,,CL- __,X, L. ERIN F. PARKER I Notary Public COMMMyONmmTHisOsFioMAnSSAEx CpHirUeSsETTS � January 13, 2023 it ' TOWN OF YARMOUTH ,°‘ BUILDING DEPARTMENT 1446 Route 28, South Yarmouth, MA 02664 Telephone 508-398-2231 ext. 1261 Fax 508-398-0836 Contractor's Affidavit: Substantial improvement or Repair of Substantial Damage Property Address: LTV Parcel ID Number: 'j�f Owner's Name: S'alli Y Yei 41J6 AN/9 /s/! }; ypojU Contractor: 61619/�5/iQ / t1i4) '551k Contractor's License Number: '--07.S / A/ /c y)-/ -72 Date of Contractor's Estimate: V0,15/0-c)a- I hereby attest that I have personally inspected the building located at the above-referenced address by the nature and extent of the work requested by the owner, including all improvements, rehabilitation, remodeling, repairs, additions, and any other form of improvement. At the request of the owner, I have prepared a cost estimate for all of the improvement work requested by the owner and the cost estimate includes, at a minimum, the cost elements identified by the Town of Yarmouth that are appropriate for the nature of the work. If the work is repair of damage, I have prepared a cost estimate to repair the building to its pre-damage condition. I acknowledge that if, during the course of construction, the owner requests more work or modification of the work described in the application,that a revised cost estimate must be provided to the Town of Yarmouth, which will re-evaluate its comparison of the cost of work to the market value of the building to determine if the work is substantial improvement. Such re- evaluation may require revision of the permit and may require revision of the permit and may subject the property to additional requirements. I also understand that I am subject to enforcement action and/or fines if inspection of the property reveals that I have made or authorized repairs or improvements that if inspection of the property reveals that I have made or authorized repairs or improvements that were not included in the description of work and the cost estimate for that work that were basis for issuance of a permit. Contractor's Signature Date: cF1/40 a �- Notarized: -. 14 !?i 1' m w N /� o k r Ai 0 VD r JCD 'z . ) D —E1"—+ t C cn ♦ �T ''t G N ' •i �r� O N T N.p -•31 -),r-1-4,prr—1 a --•r i n! l / .— ■ J ,0 3', /' ?; �? w ''''' 44 6§9"----i ill E tv 1 It — r 1 VII.1 go 11-1 co %- o Cs. `'fit I. o Icn o d n V. .— . 13' 1" j-'‘ 1 3 y m iV" tb.) ,..*:', r IZ .1=. -4 1 (i RI 1(7' 2- ;elf 1 iv1 14' 1" r t 11 I t' Roo ram\ Nal I ^ � \ t o� 0 ir �U n 1 @ 0 0 g co/ u, i 3 c m _ w Il I 8' 8„ -T E t .p Z c O` N 0 C t, —4 r4 p / ,( , .....__ N 1' �� R CS- C7 v, q U fr h t 0. N., N '. 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