HomeMy WebLinkAbout0180 OLD COLONY ROAD �g Old Colony
Town of Barnstable Building
• Post This Ca'rd'So';That rt is Visible From.the Street �Approved�Plans Must lie Retained on°Job andsthis Card Must be Kept �
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Posted Until Final Inspection Has-:,Been .���� �FY 3�� ;a ,° �4��,�i dm�� ,�r�Y , - Permit
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►�° 'Where a�Certifcate of,OccupancRequired,'asuch Buildmg,shall;Not be�O copied until a.Fi�nal Inspection hasCieen made,
Permit No. B-18-2033 Applicant Name: JASON BRUCE STANDISH Approvals
Date Issued: 07/06/2018 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/06/2019 Foundation:
Location: 180 OLD COLONY ROAD,HYANNIS Map/Lot: 325-038 Zoning District: RB Sheathing:
Owner on Record: SMITH,WILLIAM G TR ,- Contractor Name: ,JASON B STANDISH Framing: 1
ti k
Address: ' 180 OLD COLONY ROAD Contractor_License C5=104056 2
HYANNIS, MA 02601 - Est Project Cost: $8,000.00
J�p Chimney:
Description: re-roof -dump trailer, Permit Fee: $40.80
I a Insulation:
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Project Review Req: Fee Paid:` $40.80
� qfi
T �,,"��, � �� � Date: 7/6/2018 Final:
'
k Plumbing/Gas
, T17 u ding Official
im Rough Plumbing:
This permit shall be deemed abandoned and invalid unless the work authonzed by this permit-is commenced within six months after issuance. Final Plumbing:
All work authorized by this permit shall conform to the approved application and theapproved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structuresshall be in compliance with the local zoning by laws and codes. Rough Gas:
This permit shalt be displayed in a location clearly visible from access street or-road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. Final Gas:
,a/
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are p ovided on this permit. Electrical
Minimum of Five Call Inspections Required for All Construction Work:
a
1.Foundation or Footing
r t Service:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is,mstalled ,_ ,� .=�"` Rough:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation
7.Final Inspection before Occupancy Low Voltage Rough:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final:
Work shall not proceed until the Inspector has approved the various stages of construction. Health
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final:
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
Final'
Town of Barnstable B ldl g
. �p _ ui n
Post:Thls Card So That4it is Ulsible From,the Street A"proved Plans Must be Retained on Job and this Card Must be Kept h
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A1AS9„ ,. f P •_ P., Yxi PJ 10;4yf nil I 1``', "'S yP;i t �lD�f" .,.r' ,�iIy�TiiuWL diYldJ �nj��(,li i �' ;�wui'irn ilLWo'M i�o d Jl lkllii(2Umr "mn: �i NuyUN Yrh
Posted Until Final ln, ection Hos.,Occn Made N,; hermit
° Where a Cetificate�of Occupancy, s Requ�red;'such Building shall No be Occup ed,until a Final Inspection has Been made
Permit No. B-18-2033 Applicant Name: JASON BRUCE STANDISH Approvals
Date Issued: 07/06/2018 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/06/2019 Foundation:
Location: 180 OLD COLONY ROAD,HYANNIS Map/Lot 325-038 Zoning District: RB Sheathing:
Owner on Record: SMITH,WILLIAM G TR Contractor Name; JASON B STANDISH Framing: 1
Address: 180 OLD COLONY ROAD " Contractor License CS`-104056 2
HYANN(S, MA 02601 -� w_. .x�.. Est Project Cost: $8,000.00
,.. -Project Chimney:
Description: re-roof -dump trailer Permit Fee: $40.80
Insulation:
e Pd�
Project Review Req: Fe al $40.80 Final:
{ Date.,r"',.. r-
Plumbing/Gas
Bui 1ng Official
Rough Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this pe rmit is commenced"within six months after issuance. Final Plumbing:
All work authorized by this permit shall conform to the approved application and the approved construction documents for which°this permit has been granted.
All construction,alterations and changes of use of any building and structures"shall lie in compliance with the local zoning by laws and codes. Rough Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. Final Gas:
The Certificate of Occupancy will not be issued until all applicable signatures'by the Building and Fire Officials are provided on this permit. Electrical
Minimum of Five Call Inspections Required for All Construction Work:
1.Foundation or Footing A' Service:
2.Sheathing Inspection -
3.All Fireplaces must be inspected at the throat level before firest flue I rnng isnst Rough:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation
7.Final Inspection before Occupancy Low Voltage Rough:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final:
Work shall not proceed until the Inspector has approved the various stages of construction. Health
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final:_
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
- 3
Application number.......12.................a.D......3.......
DateIssued...................................................................
MAM
Building Inspectors Initials.......................................
Ok
It ICI Mild 3
Map/Parcel.............. ......... ..............0...................
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PROS RUNPI(MINI Ut 6AMS(ABU
JUN 25 2018 • TOWN OF BARNSTABLE
TO BARNSTABLE EXPEDITED PERMIT APPLICATION:
MOF
ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY INFORMATION '
.Address of Project: 0
nid 621OV4
NUMBER STREET VILLAGE
Owner's Name: JU e w, ISCE <Phone Number <Email Address: Cell Phone Number
Project cost $ QQ Check one Residential Commercial
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
E3 Siding ED Windows (no header change)# ED Insulation/Weatherization
f7 Doors (no header change)# Commercial Doors require an inspector's review
�of(not applying more than I layer of shingles)
Construction Debris will,be going to Lv,
CONTRACTOR'S INFORMATION
Contractor's name CVI\ tL
Home Improvement Contractors Registration(if applicable) # (attach copy)
Construction Supervisor's License# (attach copy)
Email of Contractor ye,,6o41\-1Y Phone number
ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN
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.
Check one: this event is a: for profit non-profit event
P P
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
APPLICANT'S SIGNATURE
Signature Date o�
All permit applacations are subject to a building official's approval prior to issuance.
c4
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): c® -
Address: 6e, Or
City/State/Zip: i G' _30 Phone#: MU
d
Are you employer?Check thJ appropriate box: Type of project(required):
I. am a employer with 4.,❑ I am a general contractor and I
6. ❑New construction
employees(full and/or part-time).*. have hired the sub-contractors
'
2.El am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g, ❑Demolition.
workingfor me in an capacity. employees and have workers'
Y P tY• $ 9. ❑Building addition
[No workers' comp.insurance comp.insurance.
required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑,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.❑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.
$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.
ti
Insurance Company Name:
Policy#or Self-ins.Lic.#: ` �%e/1 r s3 '7 Expiration Date:
Job Site Address: Q OW ,o i JCity/State/Zip:
Attach a copy of the workers' compensation policy decla tion page(showing the policy num er 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 certify unZdere pains and penalties of perjury that the information provided above is true and correct
Si ature: Date:
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#:
Information and Instructions
f,
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment.be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to cant'workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
Tel #617-727-4900 ext 406 or 1-877-MASSAFE
Revised 4-24-07 Fax##617-727-7749
www.mm.gov/dia
r
133 RR _
50 Grove Street, Plympton, MA 02367
781-570-9273
Roofing Proposal
This contract,dated May 30, 2018 is by and between the homeowner and contractor.
Homeowner: William &Terry Smith
r
180 Old Colony Rd
Hyannis, MA _P
Contractor:JBS ROOFING LLC
1.General
a. This contract is for the following work and materials to be performed by JBS Roofing.
a. On the homeowner's property address above the project is to strip and.replace all house roofs
2.Liability
a. JBS Roofing is.fully insured with liability and workers compensation.
b. JBS Roofing has an unrestricted building license number 104056 and home
improvement license number 164092.
C. During this roofing project the shingles will be installed to manufacturer specifications
-and-to meet the Massachusetts State Building Code 9th edition.
3.Work to be Performed
This project is generally described as follows:
a. Hang tarps to protect house and landscape
b. Strip off all existing roofs and dispose of debris in dumpsters provided by JBS
C. Inspect roof decking and replace any rotted or damage wood (plywood will be installed
at$65 per sheet and installed boards at$6 per foot)
d. ; Re-nail loose roof deckingx`
e. Provide and install CertainTeed Wintergaurd Ice and water shield underlayment on all
eaves at least 6-ft from the gutter so it is at least 2ft past the exterior wall.Wrap ice shield
around'all roof penetrations(chimneys,skylights, pipes,and cheek walls where there is step
flashing)
f. Provide and install Rhino Synthetic felt paper on entire roof deck
g. Provide and install 8-inch drip edge on all edges
h. " . Provide and install new pipe flanges for all pipes .
i. Provide and install new exhaust vents where needed
j. Provide and install ridge vent on entire length of ridges
-
k. Provide and install CertainTeed shadow ridge caps
I. Provide and install CertainTeed Landmark shingles
m. Clean grounds and rake free of nails and debris at the end of every day
Provide all permits
v: 4
5.Cost :house roof
CertainTeed Landmark shingles$5,900 ® 1 v C)`O
Back flat roof VV
• Rubber Roof$2,400 or • -
CertainTeed Flintastic roll roofing$1,800 0
Trim Replacement with PVC trim $15 per ft
._.
6.Warranty and Inspection
a. JBS Roofing will provide a 10-year workmanship warranty on all Work.
d. JBS Roofing will provide a full roof inspection'two years after the completion date; on
request, at no charge.
7.Terms
a. After you accept this proposal payment shall be as follows:
L50 percent deposit before start of work mailed with this signed,contract to JBS
Roofing at 50 Grove Street, Plympton, MA 02367
ii.Balance.due after completion of work
e. - After JBS Roofing receives your signed contract and your deposit we will contact you
about the choice of shingle color and the approximate start date of the job.
f. This proposal will be honored for 120 days.
Some dust or small debris is to be expected in your attic during the roof installation. We strongly recommend that
you move breakables and cover items as needed.'We are not responsible for cleaning-dust or debris or for
breakages. if your roof has a satellite dish'we are not responsible for any adjustments to the satellite dish after
installing the roof.
Thankyou
Jason Standish „
Acceptance of RroposaI:
J t
Homeowner:
JBS Roofing:
9.
A400& CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DDNYYY)
04/19/2018
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 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 CON7AC
NAME: Amy Kelly
HANNON-MURPHY INSURANCE ASSOCIATES INC �A/CNE 7s1 293-5500 _ ac No:
E-MAIL
-ADDRESS: amy@hannon-ryan.COm
PO BOX 457 INSURERS AFFORDING COVERAGE NAIC#
PEMBROKE MA 02359 INSURER A: ACADIA INS CO 31325
INSURED
INSURER B:.
JBS ROOFING LLC INSURERC:
INSURER D:
50 GROVE ST INSURER E:
PLYMPTON MA 02367 1
INSURERF:
COVERAGES CERTIFICATE NUMBER: 259247 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 TR- TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY XP.
POLICY NUMBER M/DD/riri MM/DD LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
CLAIMS-MADE OCCUR - DAMAGE Tb-R-ENTED
PREMISES Ea occurrence $
MED EXP(Any one person) S
N/A 'PERSONAL&ADV INJURY $
GEWL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY❑JEST 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) S
NON-OWNED PROPERTY DAMAGE $HIRED AUTOS Per aaitlent
$
UMBRELLA LIAB OCCUR EACHOCCURRENCE S
EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $
DED I I RETENTIONS $
WORKERS COMPENSATION �/ PER OTH-
AND EMPLOYERS'LIABILITY YIN /� STATUTE ER
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT S 100,000
A OFFICER/MEMBEREXCLUDED? NIA NIA NIA MAARP300752 01/09/2018 01/09/2019
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000
Use,describe under
DESCRIPTION OF OPERATIONSbelow E.L.DISEASE-POLICY LIMIT S 500,000
N/A 4
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORO 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
t; ,ylr Search tool at www.mass.gov/lwd/worker's-compensation/investigations/.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE,OESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED. IN
T*ni Of Marshfield ACCORDANCE WITH THE POLICY PROVISIONS.
870 Moraine St
AUTHORIZED REPRESENTATIVE
r
Marshfield MA 02050
Daniel M.Cro4vvy,CPCU,Vice President—Residual Market—WCRIBMA
O 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD25(2014101) The ACORD name and logo are registered marks of ACORD
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Office of Consumer Affairs&Business Regulation,
HOME IMPROVEMENT CONTRACTOR
rP, •TYPE:Individual
4' Reais_ t___nation _E i ati
r#164092 , 08/30/2019
JASON BRUCESTANDISH
{ ':.�
JASON STANDISH 5 :'7,
50 GROVE ST »;sal
PLYMOUTH,MA 02367 Undersecreta
' Commonweblifl of Massactidsetts
Division of Professional Licensure
Board of.,Buiiding Regulations and Standards
Oons3�tae�tit3�s'�SirYcsar
CS-10405E Expires: 06/18/20.19
JASON B STANDISH w
50 GROVE ST y
PLYMPTON MA.02367
SeOrr m'sSio►er _ -