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Home My WebLink AboutBLD-23-000430 Treatment plant 60 Admiralty Heights pTC.Y. 1 Office Use Only 4' 0 PennitiiiWgBBi-- 0 _ i Amount 9,0 ri d E•P,• Permit expires ISO days from issued:6---- EXPRESS BUILDING PERMIT APPLICATION TOWN OF YARMOUTH JUL 26 ZOZ Z 7 • ,.. _ Yarmouth Building Department • Q l�'1.DIrJ�UEPaRTIyENr 1146 Route 28 _ South Yarmouth. MA 02664 (508) 398-2231 Ext. 1261 � eo• -%r-- ,Q, r.,ir'A-. CONSTRUCTION ADDRESS: ` 3k 4 ASSESSOR'S INFORMATION: Conk ,� ` _ Parcel: / OWNER: J [ F•iUYSk PRESENTki,/. . DRECi� C . '')# N'It7 l 6 NAME •J J CONTRACTOR: V VA, �.,.).`6—� D 1 PA ��' �� NAME MAIL DRESS TEL.# I I/:57 ❑Residential 0 Commercial Est.Cost of Construction$ SZ l e Home Improvement Contractor Lie.# 1 CATti \ Construction Supervisor Lie.# CS'ICHI 1 Workman's Compensation Insurance: (check one) 0 I am the homeowner 0 I am the sole proprietor / have Worker's Compensation Insurance Insurance Company Name: F\I _ Worker's Comp.Policy#\J ( 11 7n l8 ot WORK TO BE PERFORMED Tent ► t Duration (Fire Retardant Certificate attached?) Wood Stove El Siding: #of Squares S" Replacement windows:# Replacement doors: # Roofing: of Squares (❑)Remove existing*(max.2 layers) Insulation 11 Old Kings Highway/Historic Dist. Replacing like for like Pool fencing I *The debris Will be dis sad of at: tiii 04—(Al 6A VMAL---"5\--(/), Location of Facility I declare under penalties of perjury th t th atemcnts herein contained are true and correct to the best of my Imowledge and belief. I understand that any false answer(s) will be just cause for denial or rev i my license and for prosecution under M.G.L.Ch.268,Section 1. Applicant's Signature: Date: / e.(,!171... Owners Signature(or attachment) Date: 7 z5/z. ? Approved By: ,A v _'''9 Date: 7 -IA Building Official(or desig EMAIL ADDRESS: Zoning District: Historical District: C Yes C No Flood Plain Zone: L. Yes C No Water Resource Protection District: Within 100 ft.of Wetlands: C Yes C No C Yes C No , The Commonwealth of Massachusetts I L Department of Industrial Accidents =e= 1 Congress Street, Suite 100 Y _ ��I-to_ Boston, MA 02114-2017 % _ ' www mass.aov/dia *.rF° b Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):: f‘,, e-c. Address: ,O L,..,c c City/State/Zip: nwt.,.t i f t' Phone#: CU$ '5Cin"-AISA Are you an employer?Check the appropriate box: Type of project(required): 1. m a employer with a employees(full and/or part-time).* 7. ❑New construction 2.01 am a sole proprietor or partnership and have no employees working for me in 8. 0 Remodeling any capacity.[No workers'comp.insurance required.] 3.0i am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 10 ❑Building addition 4.0I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.01 am a general contractor and I have hired the sub-contractors listed on the attached sheet 13.[i Roof repairs These sub-contractors have employees and have workers'comp.insurance.* 6.❑VJe are a corporation and its officers have exercised their right of exemption per MGL c. 14.Deither 5 ork‘"3 152,§I(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. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: L-r..._CCCOSO\7 uS G Expiration Date: 1Z17;L Job Site Address: (j 6 111 f✓1 Y4 \ A 4), City/State/Zip: ( 'C-C-v 1 r`"1,P> Attach a copy of the workers' compensan policy declaration page(showing the olic number and ex iraA\114, date). policy P 1 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 ctitfunci the 'ns and penalties of perjury that the information provided above i true and correct. Signature ��l 7 2/(o —aDate: Phone#: 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#: Commonwealth of Massachusetts 95 Division of Professional Licensure Board of Building Regulations and Standards Cons t% pstrvisor i CS-075281 :,> u4-" ipires:03/12/2023 TODD J CANTARA ''', ;, 10 ECHO RDr ,. , WEST YARMO�JTIf'MA`t 0�73 `j Commissioner daeG '. Y&rn ham., THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPEFindividual Office of Consumer Affairs and Business Regulation Registration ?- Expiration 1000 Washington Street •Suite 710 159211 _Y_04/09/2024 Boston,MA 02118 TODD CANTARA ° DIB/A CANTARA HOME ::-.,7---:- .,4 SO I _, _s :7_, :0„., TODD CANTARA i 10 ECHO RD. r* 'a l'. k W.YARMOUTH,MA 026`R;,,x. Undersecretary Not valid without signature Sherman, Lisa From: RICHARD GEGENWARTH <r gegenwarth@comcast.net> Sent: Monday,July 25, 2022 5:44 PM To: Sherman, Lisa Subject: Re:22-EB085 60 Admiralty Heights Attention!:This email originates outside of the organization. Do not open attachments or click links unless you are sure this email is from a known sender and you know the content is safe.Call the sender to verify if unsure. Otherwise delete this email. That would be a big improvement. I approve of the change from wood shingles to CertainTeed vinyl. Richard On 07/25/2022 2:14 PM Sherman, Lisa<Isherman@yarmouth.mu wrote: JUL 2 5 022 Hi Richard, yAnmou OLD KING'S HIGHWAY Request from King's Way for CertainTeed vinyl clapboard for the treatment plant at King's Way condos. The building is separate from the main condo area near the golf maintenance building. FRECEIVED JUL 26 2022 If you recall, in May the contractor asked the question if this type of siding 05tFlefG DEPARTMENT be acceptable; since they had requested this type of siding for another project about a year ago, you said it would be OK for this building. Please let me know if you need any additional information. Thanks Richard, Lisa 0 k,5 ;;P- '''''' r''''''' ' ''''' t 7, .',:7'1' :„.,.,::;,,..,„,,„:,-,,„:0,15,,gmm„...„,:::::::::::„-:,...:,:.:::„,::::„:,..::,,,,-„,„,„.„,„,„„„.0,, [ RECEiVED 4# ,.A. La, [..?:. ,,, !:- .., :::'," " %. / '/, , •IetlAWANIf4" �: \'gay , < � '�:<� OtA ,.n k0 i , �:, s aiN',S:y'/'` JU1I au''''j;', vAtift.;,41441414iv''','r''s,f;F'E✓ ^";o-.rr x'�>€fir . z'/�.-.�:,_ ,y; i � ^� e:?i.^;i ,7<,:y,,,; � Irv-r ,:;! \, ,,.«j,,;,' �/�y,�^'' .�„:, '„fin�r' r r�2J�%' +tre�.�•}, fix,",S�a,�' 5:. .,r r5 fig. .<: ,,h„ :.may,�'`� :.t .. M rr Sherman, Lisa From: todd cantara <tcantara1@yahoo.corn› Sent: Monday, July 25, 2022 1:43 PM To: Sherman, Lisa Cc: Michael Maniates Subject: Fw:60 Admiralty heights. Kings way yarmouthport..treatment plant Attention!:This email originates outside of the organization. Do not open attachments or click links unless you are sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure. Otherwise delete this email. .„„ PP : jJ Todd Cantara Cantara Home Solutions 10 Echo Road West Yarmouth, MA 02673 ,e 508 367-1151 phone 508 534-9266 fax Forwarded Message From: todd cantara<tcantara1 ,7 yahoo.com> To: Isherman re yamouth.ma.us<Isherman •,yamouth.ma.us› Cc: Michael Maniates <maintenance.kwc@barkanmanagementcom› Sent: Monday,July 25, 2022 at 01:02:47 PM EDT Subject: 60 Admiralty heights. Kings way yarmouthport., treatment plant