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HomeMy WebLinkAboutBLDR-23-12961 &TWO FAMILY ONLY-BUILDING PERMIT RECEIVED Town of Yarmouth Building Department (F7-_-,i, 1146 Route 28,South Yarmouth,MA 02664-4492 508-398-2231 ext.1261 Fax 508-398-0836 OCT 16 2023 Massachusetts State Building Code,780 CMR OCT Buil in Permit Application To Construct,Repair,Renovate Or Demolish BUILDINGDEPARTMENT aOne-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: (3 (ol Date Applied: ' )' _�' 1 1^1 ACS .f� J J�q Building Official(Print Name) Signabire Date SECTION I:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 21 TURTLE COVE RD 59 - Add text here 1.1 a Is this an accepted street?yes X no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: RESIDENTIAL SINGLE FAMILY 18,731 35 Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard \PD Required Provided Required Provided Required Provided 15 35 15 1 45 15 105 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 iSi Private — ifyesffi Municipal El On site disposal system 0 CheckSECTION 2: PROPERTY OWNERSBIP' 2.1 Owner'of Record: MICHAEL GRADY SOUTH YARMOUTH,MA 02664 Name(Print) City,State,ZIP 21 TURTLE COVE RD 703-395-4471 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction Cl Existing Building CI Owner-Occupied ❑ I Repairs(s)Ilt Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg.0 Number of Units Other 0 Specify: Brief Description of Proposed Work': SHINGLE REPLACEMENT,DOG HOUSE REPAIR SECTION 4:ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: Official Use Only (Labor and Materials)I.Building $ 16,200 I. Building Permit Fee:$I TO Indicate how fee is determined: 2.Electrical $ ❑Standard City/TownApplication Fee 0 Total Project Cost' Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ (' 4.Mechanical(HVAC) $ List �S 5.Mechanical(Fire $ Suppression) Total All Flies:$ Check No. Check Amount Cash Amount 6.Total Project Cost: S 16,200 0 Paid in Full D Outstanding Balance Due: IIO Pa 3/.tVL ONE or TWO FAMILY— BULDING PERMIT APPLICATION REGULATORY APPROVALS NOTICE Address of Proposed Work: 21 TURTLE COVE BD SOUTH YARMOUTH, MA 09664 Scope of Proposed Work: SHINGLE REPLACEMENT,DOG HOUSE REPAIR Date: 10/13/2023 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 Water 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 Ackn ledgement: 10/13/2023 Applicant's Signature Date Rev. Jan. 2019 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-114980 06/06/2024 KAYQUE RODRIGUES License Number Expiration Date Name of CSL Holder 71 WRIGHT AVE List CSL Type(see below) U No.and Street Type Description MEDFORD/MA/02155 U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP R Restricted l&2 Family Dwelling Ivl Masonry RC ' Roofing Covering • WS Window and Siding 617-388 7788 SF Solid Fuel Burning Appliances catenaprojects@gmail.com Insulation Telephone Emaii address D I Demolition 5.2 Registered Home Improvement Contractor(HIC) KAYQUE RODRIGUES/CATENA COMPANY 200358 12/21/2024 HIC Company Name or HIC Registrant Name HIC Registration Number Expiration Date 71 WRIGHT AVE catenaprojects@gmail.com No.and Street Email address MEDFORD/MA/02155 617-388-7788 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 X 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 KAYQUE RODRIGUES to act on my behalf,in all matters relative to work authorized by this building permit application. 10/13/2023 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. KAYQUE RODRIGUES 10/13/2023 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.gov/oca Information on the Construction Supervisor License can be found at www.mass.z.ov/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" • *"\ The Commonwealth of Massachusetts • l }_, Department of Industrial Accidents — l' = 1 Congress Street, Suite 100 I Boston, MA 02114-2017 \:,,,,'�•`'yw www.mass.go v/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): KAYQUE RODRIGUES/CATENA COMPANY Address: 71 WRIGHT AVE • City/State/Zip: MEDFORD/MA/02155 Phone #: 617-388-7788 Are you an employer?Check the appropriate box: Type of project(required): l.❑I am a employer with employees(full and/or part-time).* 7. 0 New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in any capacity.[No workers'comp. insurance required.] 8. Remodeling 3.❑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 10 ❑ Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 1.2.❑Plumbing repairs or additions 5.111 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.: 13.0 Roof repairs 5.0 We are a corporation and its officers have exercised their right of exemption per biGL c. 14.❑Other I52,§l(4),and we have no employees.(No workers'comp,insurance required.] *Any applicant that checks box//I must also ill 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. Insurance Company Name: WORLD INSURANCE ASSSOCIATES LLC Policy#or Self-ins. Lic.#: CAWC446408 Expiration Date: 02/28/2024 Job Site Address: 21 TURTLE COVE RD City/State/Zip: SOUTH YARMOUTH/MA/02664 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under ivIGL c. 152, §25A is a criminal violation punishable by a fine up to 31,500.00 andor 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 tc the Office of Investigations of the DU for insurance coverage verification. 1 do hereby certify an r the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: 10/13/2023 Phone 617-388-7788 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): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other - Contact Person: Phone#: Are CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/11/23 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 NAME:CONTACT JIM HINDMAN WORLD INSURANCE ASSSOCIATES LLC PHONE IC Extl: 508-771-8381 (AIC,No): 508-771 0663 34 Main Street MAIL West Yarmouth,MA 02673 ADDRESS: schlegelinsurance@gmail.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: NGM INSURED INSURER B: LM INSURANCE CO CAPE CODDER HOME IMPROVEMENT INSURER C: NGM INC 114 BAYVIEW STREET INSURER D WEST YARMOUTH,MA 02673 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER JMM/DDIYYYY) (MWDDIYYYY)_ LIMITS _ X EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO REN CLAIMS-MADE X OCCUR PREMISES Ea occTED urrence) $ 500,000 MED EXP(Any one person) $ 10,000 A MPP6085M 03/22/23 03/22/24 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: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 300,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ 100,000 C OWNED SCHEDULED AUTOS ONLY AUTOS M1P6085M 12/29/22 12/29/23 BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) UMBRELLA LIAB `- OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY B OFFICERJMEMBER EXCLUDED?ECUTIVE N N/A CAWC446408 02/28/23 02/28/24 E.L.EACH ACCIDENT $ 100,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ 600,000 DESCRIPTION OF OPERATIONS I LOCATIONSI VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CORPORATE OFFICERS HAVE ELECTED TO BE COVERED UNDER THEIR WORKERS COMPENSATION POLICY CATENA COMPANY LISTED AS ADDITIONAL INSURED BY WRITTEN CONTRACT CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MICHAEL GRADY THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 21 TURTLE COVE RD ACCORDANCE WITH THE POLICY PROVISIONS. SOUTH YARMOUTH MA 02664 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD Bill To cope Coc Michael Grady 21 Turtle Cove Rd South Yarmouth, MA 02664 (703) 395-4471 Cape Codder Home Improvement Inc Payment terms Due upon receipt 207 lyannough Rd Invoice # 668 Hyannis, Ma 02601 Date 09/08/2023 Phone: (774) 207-7924 Email: info@capecodderhomeimprovement.com Web: capecodderhomeimp.com Description Total Shingle Replacement $7,300.00 Remove existing shingles. Install Tyvek. Install water proofing. Grade A Labor, material, and disposal. One Anderson window included (400 series) keep existing size no changes . Exterior trim and window seal included - Trim Replacement $1,200.00 Replace with Azek. Labor and material. No painting. Dog House $6,000.00 Remove existing bulkhead Labor and material. Page 1 of 3 Shingle outside Frame Gable style Roof Interior unfinished One door One window small Azek trims ) Stairs $3,800.00 Install 3 strings stairs and new pressure treated boards. Labor and material. Subtotal $18,300.00 Discount $1,100.00 Total $17,200.00 Payment Summary 09/29/2023 - Cash $1,000.00 Paid Total $1,000.00 Remaining Amount $16,200.00 Page 2 of 3 By signing this document, the customer agrees to the services and conditions outlined in this document. Payment Terms: 50% deposit payment. 50% payment when the job is done. Please note that: Any modifications that the customer wants to do when our crew is working at the job site must be through the office or the owner of the company, not talking to the crew. Any material leftover will be kept by Cape Codder Home Improvement, unless if the material is provided by the customer or both parties have agreed that the home owner can keep the materials. If there is any fee or extra charge to the customer to keep the material it must be discussed prior. If necessary water or power, for lights and machines at the job site, the client must provide those resources. This estimate or invoice is only valid for 30 days if not signed and a deposit is done. Therefore, no job will be started if the contract is not signed and the 50% deposit is not done. Deposits are nonrefundable. Client further agrees to the following conditions: To pay assessed interest of 1 .5% per month after the job is done and was not paid in full, and will be responsible for any and all fees and costs associated with the collection of delinquent accounts including all attorneys fees. Note: a Mechanics Lien will be placed on properties associated with delinquent accounts. ' :_ a �h a i Signed on: 09/08/2023 Michael Grady Page 3 of 3 THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration 44)^i _ Type: Individual Registration: 200358 KAYQUE RODRIGUES Expiration: 12/21/2024 71 WRIGHT AVENUE ":. MEDFORD, MA 02155 Update Address and Return Card. 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: TYPE: Individual Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 200358 12/21/2024 Boston,MA 02118 KAYQUE RODRIGUES KAYQUE RODRIGUES 71 WRIGHT AVENUE y� �( f %;c,c1!6solz" MEDFORD, MA 02155 Undersecretary N alid without signature r . , Commonwealth of Massachusetts 111 Division of Professional Licensure Board of Building Regulations and Standards Construction Supervisor CS- 114980 Expires: 06/06/2024 KAYQUE S RODRIGUES 71 WRIGHT AVE MEDFORD MA 02155 44110.1100** Commissioner