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HomeMy WebLinkAbout0148 MARCHANT'S MILL WAY —b-lcZ,rchc'-'�Int t Iq -76 Application number.. ' ® P; �5 a3 �•e ee............................................... .................. UMSTARM v MASS APR 3 0 2019 Building Inspectors Initials........ :.......................... i639. rMA I)� BA ITS, _AB Lkate Issued...................`��.;. Map/Parcel.........`{. ............ ...................... TOWN OF BARNSTABLE _ EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: I g 8 h kkC.HA K)TS TAI LL W hY H YP NK/I S P08,11 M A- NUMBER STREET VILLAGE Owner's Name: S CoTT S N I T14 Phone Number 7 7 Email Address: an h h o(4&1 u f2 Cell Phone Number ,t Project cost$ 1 Ll (7 Check one Residential Commercial t/ OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK 0 Siding Q.Windows(no header change)# Insulation/Weatherization D Doors(no header change)# Commercial Doors require an inspector's review LL'Roof(not applying more than I layer of shingles) Construction Debris will be going to � , f CONTRACTOR'S INFORMATION Contractor's name A R M W S a F p R YN Home Improvement Contractors Registration(if applicable)# $ 3 2 D 2 (attach copy) Construction Supervisor's License# L 10 2 (attach copy) Email of Contractor Cp t apd w t f • m Phone number D$ 77 KZ D o ALL PROPERTIES THAT HAVE STRU TUR S OVE 7S YEARS OLD OR IF THE SUBJECT PROPERTY IS/N A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X , X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one:this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s)of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date PLICANT'S SIGNATURE Si afore Date p All permit applications are sub ct to a builling official's approval prior to issuance. I lee Office of Consumer 'is and Busine ss ess RegulationOne Ast bd on PtaCe-Suite 1301 Boston, ''. ac.husetts 02108 Home Improve ; nt-corrtractor Registration Type: IndIVidUal ARMEN SAFARYAN Registration: 183202 67 SEA ST APT A4 r- Expiration: 09/13/2019 HYANNIS, MA 02601 115 20M-W17 > Update Address and n t1 m Card. J//RG"I/!!/IIIt/llLtedYl�0�7�1L330di!!ef!!rl-i- �. �` --__-__-....`—_-�__...- - •. . Mice of consumerAitairs&Susiness Requftftn 4 HOME IMPROVEMEtqT CONTRACTOR ROftWon valid for individual use only TYPE'Indaridual bi fore the expiration date. it found return to: Re�istraHori9 NCO Of Consumer AfFairs and lksku Regulation :09/13i2819 i 1 Park P1Hza-SuRe st R�fEt(�'[ --= B n,MA 02118 ARMEN SAFA DM/A CORE'6gU*-p`COQE1(= ARMEN SAFARYA�t_ 67 SEA ST APT`4, HYANNIS,MA 0260i:='' / lJndeisecretarY r Not valid without gn re r, f MassachuS. Department of Public-Safety E q' Board ofi`.Buil=ing Regulations and Standards -License: 106102 - Construction Supra "tsars pecialty - t ARMEN SAFARI 87 SEA STREET`• /14 HYANAn MA 02`01 6 I . p _ Comniissi;•re r Expiration: 101OV2020 3 's S 3 ,acoR CERTIFICATE OF LIABILITY INSURANCE °ATE(MM DIYM 09/13/2018 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 Ashley Paiva NAME: Eastern Insurance Group PHONE (508)997-6061 FAX (508)990 2731 C No Exl: A/C No 439 State Rd. E-MAIL apaiva@easterninsurance.com ADDRESS: P.O.BOX 79398 INSURER(S)AFFORDING COVERAGE NAIC# North Dartmouth MA 02747 INSURER A: Arbella Protection Insurance 41360 INSURED INSURER B: Armen Safaryan INSURER C: DBA:Corey and Corey INSURER D: 67 Sea Street Unit A4 INSURER E: Hyannis MA 02601 INSURER F: COVERAGES CERTIFICATE NUMBER: 2018-2019 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 POLICY EFF POLICY EXP LIMA LTR INSD POLICYNUMBER MMMD MMIDD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ©OCCUR _ PREMISEESSI aoccurrence _ $ 100,000 MED EXP(Any one person) $ 5,000 A 952004644104 09/18/2018 09/18/2019 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY a JECT PRO- ❑LOC PRODUCTS-COMPIOP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO - BODILY INJURY(Per person) $ OWNED F SCAUT OSHEDULED AUTOS ONLY BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE E-L.FACHACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? El NIA 952004644104 09/18/2018 09/18/2019 (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 $ 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 Display Purposes Only ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www massgov/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):ARMEN SAFARYAN Address:67 SEA ST APT.A4 City/State/Zip:HYANNIS, MA 02601 Phone#:(508)776 2900 Are yqu an employer?Check t e appropriate box: Type of project(required): am a employer with employees(full and/or part-time).' 7. ❑New construction 2.M I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.a I am a homeowner doing all work myself.[No workers'comp.insurance required.]t Q4.0 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 I L Q Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ROOFrCp repairs These sub-contractors have employees and have workers'comp.insurance.[ 6.[]We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§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. 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: Policy#or Self-ins.Lic.#: Expiration Date: 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 unde e p i n penalties of perjury that the information provided above is true and correct Si ature: Date: Phone#:(508)776 2900 Official use only. Do not write in this area,to be completed by city or town official ' City or Town: Permit/License# z 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#: "' O EI' & COREY k 66 T a Roofers 66 67 SEA STREET I PT#A4, HYANNIS MA 02601 'HONE -500 -775-0240 CERTAI TEED LIFETIME ALGAE. RESISTANT . ARCHITECTURAL STYLE RE - ROOFING PROPOSAL March 21, 2019 MARCHANT MILL HOUSE INC T • PATRICK SWANSON 148 MARCHANT'S MILL WAY EM: pats@hyannisportclub.com HYANNIS PORT,MA Teel: 774-238-6636 COREY & COREY hereby proposes to erform the following services in a neat and professional manner and in accordance with the manufacturer s specifications and local building codes. Remove and Haul Away All of the Old Asph alt Roofing Shingles (One Layer)from the Whole House. Re Nail All Plywood Sheathing as needed. Supply and Install CERTAINTEED LANDMARK AR: LIFETIME WARRANTY, 10 YEAR SURE START PROTECTIONN, CLASS A FIRE RATED,COPPER/CERAMIC STONES for a FULL 111 YEAR WARRANTY AGAINST ALGAE CONTAMINENT,235 OUND,EXTRA HEAVY WEIGHT, 130 MPH WIND WARRANTY,CATEG. RY III HURRICANE, STORM/HURICANE NAILED 6 NAILS PER SHINGLE MULTI-LAYERED,LAMINATED ARCHITECTURAL S 'KYLE,FIBERGLASS BASED ASPHALT SHINGLES. COLOR: PEWTER D Supply and Install 8"WHITE ALUMINU ` CK'S VENTED DRIP EDGE on All of the Eaves. Supply and Install 8"WHITE ALUMINUI 4 DRIP EDGE on All of the Rake Boards. Supply and Install CERTAINTEED WIN DER-GUARD (Ice & Water Shield)WATERPROOF UNDERLAYMENT SY 3TEM on Roof Eaves & Valleys Under the Step Flashings,on the Skylights and Chimneys. Supply and Install CERTAINTEED'S"R(OF RUNNER" SYNTHETIC ROOFING PAPER Supply and Install AIR VENT SHINGLE ITNT H RIDGE VENT on the Entire Ridge. Supply and Install ALUMINUM& NEOP II NE SOIL PIPE FLASHINGS Clean and Remove Debris from work area aft r job is completed. TOTAL INVEST ENT ------------- $14 750.00 CORE 'V & COREY the Roofers " OPTIONAL ADDITIONAL WORK: Supply and Install ALL NEW VELUX VEN JING M04 SKYLIGHT WITH THE FLASHING KIT AND FACTORY INSTALLED SOLAR POWERED WHITE BLINDS-------$29250.00 POSSIBLE EXTRA CARPENTRY: An Rated or Otherwise Y 4 Deteriorated Trim Boards,Plywood Sheathing,Missing Metal Flashing, Side Wa ling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Mat-rials Plus Labor at the Rate of$ 60.00 per Hour(For Each Laborer Involved). PAYMENT SCHEDULE: A Deposit of On Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Imme 'ately Upon Completion. WORK SCHEDULE: All Roof Work is Scheduled for Completion Within 90 Days of Acceptance and Deposits Received are Non-Refundable After a Three Day Cooling Off Period from the Date of signing. Please `ake Checks Payable to: r CO Y & COREY COREY & COREY Warranties the , gles and Labor for 5 years. CERTAINTEED Warranties the shingles and I bor 100% for the First 10 Years and the Shingles your LIFETIME if the shingles becomes defective. CERTAINTEED Warranties the Shingles up t a CATEGORY III IHWUIWU CANE-130 MPH WIND WARRANTY. CERTAINTEED Warranties the Shingles to b ;Algae Resistant for a Full 10 Years._ CO Y & COREY carries Workman's Compensation and Public Liability Insurance on the above work DATE OF ACC TANCE: 03 11 ACCEPTED B SUBMITTED BY: i ARMEN SAFARYAN AUT D PERSON COREY & COREY i HIC # 183202 , CSSL# 106102 {