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HomeMy WebLinkAboutBLD-23-000881 RECEIVED ce Use Onl og:YqR /-5 -03- a 0 ' `. Perron# o H. AUG 16 2022 Amount 50'AA wwn ~ s BUILDING DEPARTMENT ---��� Permit expires 180 days from issue date EXPRESS BUILDING PERMIT APPLICATION TOWN OF YARMOUTH Yarmouth Building Department 1146 Route 28 South Yarmouth, MA 02664 (508) 398-2231 Ext. 1261 CONSTRUCTION ADDRESS: 24 Union St ASSESSOR'S INFORMATION: Map: 124 Parcel: 127 OWNER: Steve Seserman 24 Union st 508529-8701 N PRESENT ADDRESS TEL,. # ar innane CONTRACTOR: Cape Associates PO Box 1858 508-237-0585 NAME MAILING ADDRESS TEL.# ❑Residential ❑Commercial Est.Cost of Construction S $6,400.00 Home Improvement Contractor Lie.#1 001 1 0 Construction Supervisor Lie.#0266655 Workman's Compensation Insurance: (check one) 0 I am the homeowner 0 I am the sole proprietor 0 1 have Worker's Compensation Insurance Insurance Company Name: New Hampshire Employers Worker's Comp.Policy#ECC600--40009182022A WORK TO BE PERFORMED Tent Li Duration (Fire Retardant Certificate attached?) Wood Stove Siding: #of Squares Replacement windows: #6 Replacement doors: # Roofing: #of Squares (Ti)Remove existing*(max.2 layers) Insulation F1 l Old Kings Highway/Historic Dist. O Replacing like for like Pool fencing *The debris will be disposed of at: Rayber rd Orleans Daniels Location of Facility I declare under penalties of perjury that the statements herein contained are true and correct to the best of my knowledge and belief. I understand that any false answer(s) Neill be just cause for denial or revocation of my license and for prosecution under M.G.L.Ch.268,Section 1. Applicants Signature: /lLi ��r- Date: 8/1 2/22 Owners Signature(or attachment) see attachme �f/' Date:$/12/22 Approved By: : Date: Building Official(or designee) EMAIL ADDRESS: mkin - pp@capeassociates.com Zoning District: Historical District: x Yes No Flood Plain Zone: Yes x No Water Resource Protection District: Within 100 ft.of Wetlands: Yes x No Yes x No 8/11/2022 Dear Sir, I Steve Seserman hereby authorize Mark P. Kinnane(Cape Associates Inc.) to act on my behalf and to make changes in specifications or the plans contained in this application, and in any other applications or board approvals in order to comply with Building department regulations, and act on my behalf to obtain a building permit ur of owner of record 8/11/22 The Commonwealth of Massachusetts �`, J,,It91Department of Industrial Accidents �� l� 1 Congress Street, Suite 100 Boston, MA 02114-2017 a,M _,,,s> 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):Cape Associates Address: PO Box 1858 City/State/Zip: North Eastham, MA 02651 Phone#: 508-255-1770 Are you an employer?Check the appropriate box: Type of project(required): 1.®✓ I am a employer with 125 employees(full and/or part-time).* 7. ❑New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.] 9. ['Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 El Building addition ensure that all contractors either have workers'compensation insurance or are sole 1 1.❑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.$ 13.0Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per NIGL c. 14.ID Other 152,ti 1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 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. lithe 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: New Hampshire Employers Insurance Company Policy#or Self-ins. Lic. #: ECC-600-4000918-2022A Expiration Date: 1/1/2023 Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: i%/ti /l‘,y�` � Date: 8/12/22 Phone#:508-255-1770 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Item gly Operation Location Unit Price Ext.Price 200 2 AA A RO Size=30 118"x 56 7/8" Unit Size=29 5/8"x 56 7/8" TW2446,Unit,400 Series Double-Hung,Equal Sash,Installation Flange,White Exterior Frame,White Exterior Sash/Panel,Pine w/White-Painted Interior Frame,Pine w/White-Painted Interior Sash/Panel,AA,Dual Pane Low-E4 Standard Argon Fill Full Divided Light(FDL)Standard Grille Alignment,3 Wide,2 High,Colonial Pattern,White,Pine w/White,3/4"Grille Bar,Stainless „ , Glass/Grille Spacer,Traditional,1 Sash Locks White(Factory Applied),WhiteJamb Liner,White,Full Screen,Aluminum Insect Screen 1:400 Series Double-Hung,TW2446 Full Screen Aluminum White PN:1610123 Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area(Sq.Ft) Comments: Al 0.3 0.28 NO Al 25.8750 24.2500 4.37000 Item Q Operation Location Unit Price Ext.Price 300 1 AA RO Size=30118"x 40 7/8" Unit Size=29 5/8"x 40 7/8" TW2432,Unit,400 Series Double-Hung,Equal Sash,Installation Flange,White Exterior Frame,White Exterior Sash/Panel,Pine w/White-Painted Interior Frame,Pine w/White-Painted Interior Sash/Panel,AA,Dual Pane Low-E4 Standard Argon Fill Full Divided Light(FDL)Standard Grille Alignment,3 Wide,2 High,Colonial Pattern,White,Pine w/White,3/4"Grille Bar,Stainless --_ — Glass/Grille Spacer,Traditional,1 Sash Locks White(Factory Applied),WhiteJamb Liner,White,Full Screen,Aluminum Insect Screen 1:400 Series Double-Hung,TW2432 Full Screen Aluminum White PN:1610120 Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area(Sq.Ft) Comments: Al 0.3 0.28 NO Al 25.8750 15.7500 2.84000 Quote#:2548904 Print Date: 7/1/2022 6:08:08 PM UTC All Images Viewed from Exterior Page 2 of 4 Item Qt,! Operation Location Unit Price Ext.Price 400 2 AA RO Size=30 118"x 40 7/8" Unit Size=29 518"x 40 7/8" TW2432,Unit,400 Series Double-Hung,Equal Sash,Installation Flange,White Exterior Frame,White Exterior Sash/Panel,Pine white-Painted Interior Frame,Pine w/White-Painted Interior Sash/Panel,AA,Dual Pane Low-E4 Standard Argon Fill Stainless Glass/Grille Spacer,Traditional,1 Sash Locks White(Factory Applied),WhiteJamb Liner,White,Full Screen,Aluminum 25 325 Insect Screen 1:400 Series Double-Hung,TW2432 Full Screen Aluminum White PN:1610120 Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area(Sq.Ft) Comments: Al 0.3 0.31 NO Al 25.8750 15.7500 2.84000 Item Qty Operation Location Unit Price Ext.Price • 500 1 Active-Passive None Assigned RO Size=36"x 42" Unit Size=35114"x 41 1/4" D G336,Unit,400 Series Gliding XX,White Exterior Frame,Pine w/White-Painted Interior Frame,Pine w/White-Painted Interior Sash/Panel,Active-Passive,Dual Pane Low-E4 Standard Argon Fill Stainless Glass/Grille Spacer,Metro,White,White,Full Screen,Aluminum 3535 .. Hardware:GW Metro White PN:1765206 Insect Screen 1:400 Series Gliding XX,G336 Full Screen Aluminum White PN:1763610 Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area(Sq.Ft) Comments: Al 0.3 0.29 NO Al 14.2810 36.1250 3.58000 CUSTOMER SIGNATURE 7/daAi DATE 7/5/22 Quote#: 2548904 Print Date: 7/1/2022 6:08:08 PM UTC All Images Viewed from Exterior Page 3 of 4 • sxvP"19u 009 W_ V I 3 q=_` 3 a 3 n f Y 1 g'f 3 i. _ -• '• p S c I. v• Y c c V III . Ills 4��,u q��� it l', ' g_I1 —1V -I N I_ old I" III'"-T�i. ICI U I I o rvt, -- �� mI L�,I o-L-�� I � ;I e-, r8 1� ;Rs1 ��n I � II m �� ,� I-�Ia Y 4 rv�11 111 v ol_ 1 'I I� dl—@ I l EL.,l � = a ill JII = �o �I I� r, Ind —� I _ _ Q.I , II's 'I e .140419,6 s 41 I. "65_1' (6r B91 ', T— , (9G6) I r s,-Is -E. 9 \, a m_I T— 0515 E.gem -- ^r ` ,I Q Z "- f .;:6E "� R -_ = .99s) tvrl I eau I 1 (615) ' I (9zsti j `__L e r _-_ o _N II11--=i l _ s _ .[i-.I .0'�E 9,E I .0"9 .03 _`21.7-i t v- m 19905..101. - _ £¢ 595)' ',9 81 I 1(99I1 1 .. 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DJ — V., 4- • - . ••,- , _. 4/ Co) kr 4 I „,. 4'- ,4 4 IRO 0.)0 Lt.)—, . a g ...„ *mu Q. ,!. . - — - , '. gr.t. 4 - or..N) (f) - lz,„ •,,_,-. 111,, -, ftia.... 110 'f Co ,4, ,. 40. : _ ,,• : _ ....., , . '44 ..:'-. .,-.,t,,-.1-!, ffittiii - 4 ,. , ,„,-,„ pi$:, , 4, '',.Z. Cfl . #., , . . . . ACG'RD® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 12/29/2021 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 RogersGray, Inc.-Kingston Branch PHONE FAX 63 Smith Lane INC.No,Exfl: 508-746-3311 (A/c,No):877-816-2156 Kingston MA 02364 ADDRESS: mail@rogersgray.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Arbella Protection Insurance Company,Inc. 41360 INSURED CAPEASS-01 INSURER B:New Hampshire Employers Insurance Company 11104 Cape Associates, Inc. P. O. Box 1858 INSURER C: North Eastham MA 02651 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:912481527 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 IADDLISUBR; POLICY EFF I POLICY EXP LTR INSD WVD POLICY NUMBER (MM/DO/YYYYI (MM/DDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY 8500066794 1/1/2022 1/1/2023 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $300,000 MED EXP(Any one person) $15,000 PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $2,000,000 I POLICY X JECT n LOC I PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A i AUTOMOBILE LIABILITY 1020060911 1/1/2022 1 1/1/2023 COMBINED SINGLE LIMIT $1,000,000 ,(Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED x SCHEDULED BODILY INJURY(Per accident)�$ AUTOS ONLY AUTOS X HIRED x NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ A X UMBRELLA LIAB X OCCUR 4620089160 1/1/2022 1/1/2023 I EACH OCCURRENCE $7,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $7,000,000 DED X RETENTION$in OfD I $ B WORKERS COMPENSATION ECC-600-4000918-2022A 1/1/2022 i 1/1/2023 X PER OTH- AND EMPLOYERS'LIABILITY Y/N I STATUTE I ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000 OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $500,000 I I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 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. Main Street 1146 Route 28 AUTHORIZED REPRESENTATIVE South Yarmouth MA 02664 --- USA J / ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD r s3'rk I[ i } • € ,t 4a t 1. = ill iti k } t d� 16ttf1P�� ILJI Att Tk � 'C.':F ER. L '{! 1. ' ', ,-, ,,,'.-:.`k...*:.;,'-- .,V,,. i-.1-:„..,' ,,:'--„.' , - i ',. - :- 1 i:-,,,. '-.::'-,'...., -' € 1 1 . - ,.,, 1.i li i 3 In:'. I—I I I iii I I I I I 1 I I I it- ' ' J � A . t i , _ a � ^ ... "kl —. 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'1. n',, , ='''''' - ,... * n,• -,2-ot i ' '14* ,,. e 41111';'*1 < Y h � € `,} f ,i z * '' 1 Item Qyt Operation Location Unit Price Ext.Price - '' 200 2 AA ,11 RO Size=30 1/8"x 56 718" Unit Size=29 5/8"x 56 7/8" TW2446,Unit,400 Series Double-Hung,Equal Sash,Installation Flange,White Exterior Frame,White Exterior Sash/Panel,Pine w/White-Painted Interior Frame,Pine w/White-Painted Interior Sash/Panel,AA,Dual Pane Low-E4 Standard Argon Fill Full Divided Light(FDL)Standard Grille Alignment,3 Wide,2 High,Colonial Pattern,White,Pine w/White,3/4"Grille Bar,Stainless ,,�;__ Glass/Grille Spacer,Traditional,1 Sash Locks White(Factory Applied),WhiteJamb Liner,White,Full Screen,Aluminum • Insect Screen 1:400 Series Double-Hung,TW2446 Full Screen Aluminum White PN:1610123 Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area(Sq.Ft) Comments: --------------- ------------------------------------------- — Al 0.3 0.28 NO Al 25.8750 24.2500 4.37000 Item Qty Operation Location Unit Price Ext.Price 300 1 AA B RO Size=30 1/8"x 40 718" Unit Size=29 5/8"x 40 7/8" TW2432,Unit,400 Series Double-Hung,Equal Sash,Installation Flange,White Exterior Frame,White Exterior Sash/Panel,Pine w/White-Painted Interior Frame,Pine w/White-Painted Interior Sash/Panel,AA,Dual Pane Low-E4 Standard Argon Fill Full Divided Light(FDL)Standard Grille Alignment,3 Wide,2 High,Colonial Pattern,White,Pine w/White,3/4"Grille Bar,Stainless ,,. 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( ---49 1012 t00. 955 992 B90 90. m Z __ ROADw j�'3 R „4-- _ _79 zo 'BWEST +ooe YARMOUTH I+own� 0 1 UH _ .iS _ '_ _ \-, ai Cape Associates, Inc CUSTOM BUILDERS EST. 1971 PROPERTY MANAGEMENT I SERVICES I PAINTING August 15, 2022 Town of Yarmouth Yarmouth Building Dept. & Historic District Committee 1146 Route 28 South Yarmouth, MA 02664-4451 RE: Express Building Permit Application—24 Union St., Yarmouth To Whom it may concern: Attached you will find an express permit application for proposed project located at the above location. Please do not hesitate to contact me should you require further information. Thank you. Christine Bezio Christine Bezio Executive &Administrative Assistant 345 Massasoit Road I Eastham, MA 02642 Cape Associates, Inc Office: 508.255.1770 I Direct: 774.316.4707 cbezio(a�capeassociates.com CUSTOM BUILDERS Follow US EST. 1971 on Facebook & Instagram I capeassociates.com Enclosed: 24 Union Street, Yarmouth Express_Sesserman CC: Mark Kinnane COMMITMENT II QUALITY II INTEGRITY Cape Associates,Inc. • PO Box 1858 • North Eastham,MA 02651 • 508.255.177(1 • wwwCapeAssociates.com 203 Willow Street,Suite B • Yarmouthport,MA 02675 • 508.362.9770 782 Main Street • Chatham,MA 02633 • 508.945.1010 8/11/2022 Dear Sir, I Steve Seserman hereby authorize Mark P. Kinnane(Cape Associates Inc.) to act on my behalf and to make changes in specifications or the plans contained in this application, and in any other applications or board approvals in order to comply with Building department regulations, and act on my behalf to obtain a building permit ur of owner of record 8/11/22 • _y_ ,IN TOWN OF YARMOUTH RECEI rr 1146 ROUTE 28,SOUTH YARMOUTH, MA 02664-4451 Telephone(508)398-2231 Ext. 1292—Fax(508)398-0836 AUG 1 5 2020LD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE rARWIOUTh OLD KING'S HIGHWAY ' APPLICATION FOR �( � �� si manaimaiimmii I 1 Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts of 1973 as . amended,for proposed work as described below&on plans,drawings, photographs, &other supplemental info accompanying this application.PLEASE SUBMIT(6)COPIES OF SPEC SHEET(S),ELEVATIONS, PHOTOS,&SUPPLEMENTAL INFORMATION. Check All Categories That Apply: Indicate type of Building: Commercial x Residential 1)Exterior Building Construction: New Building Addition Alterations Reroof Garage Shed —Solar Panels Other: New Windows 2) Exterior Painting: ___Siding Shutters _Doors _Trim Other: _ 3)Signs/Billboards: New Sign Change to Existing Sign 4)Miscellaneous Structures: Fence Wall Flagpole Pool Other: Type or print legibly: Please note:All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. 24 Unr„n S` 282581009 Address of proposed work: Map/Lot# Steve S sermari Owner(s): Phone#: 508633"3270 24 Union st Yarmouth MA Mailing address: Year built: 1980 Email: stevere`eSernlartemc.cn111 Preferred notification method: US Mall x Email Agent/contractor: Cape Associates Inc Mark Ft '' : 508-255-1770 Phone#: Mailing Address: PO Box 1858 N Eastham Email inkinnane@capeassociates.com notification method: US Mail Y' Email Description of Proposed Work: We propose to replace 2 windows on the front of the house 1window on the right side with 6 over 6 applied grills with spacer bars to match existing They will be trimmed with 1 x4 casing and a Historic sill Additionally we will replace 3 windows on the rear of the house matching the existing Signed(Owner or agent): i��/ltyGota.ot� 8+11+z2 Date: > Owner/contractor/agent is aware that a permit is required from the Building Department.(Check other departments,also.) If application is approved,approval is subject to a 10-day appeal period required by the Act. > This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later. All new construction will be subject to inspection by OKH.OKH-approved plans MUST be available on-site for framing&final inspections, For Committee use only: j/ Approved Approved with_ modifications Denied (� Reason for denial: Date: x+ , 1^,72- _ Amount'TI t�'"l___- �PR�0 1;;0 A,i Signed: '17 a/Q� Cash/CK#: I V (� '7 AUG 5 2021. I Revd by: `'AFii11Ui r Ti t i OLD KJNG'S HIGHWAY Date Signed: 7 17)- _ 3/2015 1 APPLICATION#: 'Cr7O99