Loading...
HomeMy WebLinkAbout0248 LAKE ELIZABETH DRIVE 41Von o ¢ r . r. W 40 S � : c . .. � • • :; .-.k. a ,�' v. ,. , : •i �• y v - 3" •G r �< v •a" s r Y• E vs - " y" x • a roY. a - Y .b • _ s _ v d 1 R e w,•} r� 4 k _ pp son �'.' a ,s•,,. - " e �fg,. - "�. ,M , , P � y.` n " a u. F >TMVG u i , r , tl � 4 � " „ a M �✓t W � 4W • o r L " O 00 x lot , E t 5 y a , ' f e d s a' , a c , E a, c , a , z " r " 'gy p c wit W ,p s v 4, oh '� '. `".❑ � p � .,.. , ,..•.,-� r r N -.. - ... ,� y c ` , f - r NS T r. 4` � w �r s o / � "s u x' a ,"yF'y�r .,� ".a. " c; �. "r�"� i.�.. _ ,a.• ti 'h".. _ d 4�`°" �4 c K �� '�, v � c Application ........ 00 Fee.............................................................................. 8 MAY 2 3 2011,9 Building Inspectors Initials..,.. ....z Date Issued..... 4.Ax.1 41111102 FOWN 1A 8AHIVS-IABLF ...... Map/Parcel....... �30 ................................ TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING[WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: 9 LAKE- Ct-1 Z 4 r3 C-rH C C-PAI'Cr P- z-L C- A NUMBER STREET VILLAGE Owner's Name: ftif k-T I N FR I G C- Phone Number S(7 7- 6 y3 0 Email Address:crou'i ville 3;ot--s(O kaillay.Wy- Cell Phone Number V r Project cost$ 41, S-0 (2 Check one Residential L-' 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 El Siding ED Windows (no header change)#_ED Insulation/Weatherization F I Doors(no header change)# Commercial Doors require an inspector's review �Roof(not applying more than I layer of shingles) Construction Debris will be going to �a-f /y/f CONTRACTOR'S INFORMATION Contractor's name'/4x#yC-N 3A-F46YAIV. Home Improvement Contractors Registration(if applicable)# /T 32-0 2 (attach copy) Construction Supervisor's License# o 6 0 Z. (attach copy) Email of Contractor Phone number -5-0 1 -7�d -2-Po ALL PROPERTIES THAT HAVE muiauhs 6VER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. . Town of Barnstable Building �Post�T.his CardSo�That�tYis.Visible�Fromzthe Street Approved Plans Must beRetamed on"�1.ob`�"and this,Card Must be�Ke t �AENSTAEtLE. • ,�,- � & � � � ^`Y r .� F'" � a- � '-' �.p l .x. PostedUntil Final Inspectn Has Been Made f "' � ° Where a Cert�ficatexof Occupancyas Required,such Budding shall Not.be Occupied untU a Final Inspection;has been�rna�de � Permit llil 1. Permit No. B-19-1740 Applicant Name: . Approvals Date Issued: 05/24/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/24/2019 Foundation: Location: 248 LAKE ELIZABETH DRIVE,CENTERVILLE Map/Lot 227 038 Zoning District: CBDCV Sheathing: Owner on Record: PRICE, MARTIN A&CAROL A :_ Contractor Name ° :ARMEN SAFARYAN DBA COREY Framing: 1 AND COREY Address: 18 WASHINGTON STREET 2 MILTON, MA 02186-5721 ContractorLi'cense 183202 ' Chimney: Description: roof Est Project Cost: $4,500.00 Insulation: ,Permit Fee: $35.00 Project Review Req: Fee Paid: $35.00 Final: .. ; Date:= 5/24/2019 Plumbing/Gas " Rough Plumbing: F � Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized bytes permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents fo6which this permit has been granted. All construction,alterations and changes of use of any building and structures "sliall be in compliance with the local zoning=by=laws and codes. Final 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. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by.the,Building ah'd Fir6�Officials�are rovi pded on this^permit. Service: Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing ,.. 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed priorto Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department \ Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 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 pm4:30pm.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 CAM and the Town of Barnstable. Signature Date PLICANT'S SIGNATURE Signature JDate • All permit applications are subject to a building official's approval prior to issuance. The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www massgov/dia «'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Anoticant Information Please Print Leeibty Name(Business/Organization/Individual):ARMEN SAFARYAN Address:67 SEA ST APT.A4 City/State/Zip:HYANNIS, MA 02601 Phone#:(508)776 2900 Are you an employer?Check the appropriate box: • Type of project(required): l.JJJ?!G a employer with I mployees(full and/or part-time).* 7. ❑New construction 2.❑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.[]I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑Building addition 4.❑I 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.E]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.W repairs These sub-contractors have employees and have workers'comp.insurance J 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 under e p n p al' s of Perjury that the information provided above is true and correct Si ature: Date: > a 8, J Phone#:(5 8)7762900 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#: A�® CERTIFICATE OF LIABILITY INSURANCE DATE9/13/2018 Y) 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 PHONN (508)997-6061 FAXWC. No: (508)990-2731 439 State Rd. E4ML s: apaiva@easteminsurance.com ADDRE P.O.BOX 79398 INSURER(S)AFFORDING COVERAGE NAIC If 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 TR TYPE OF INSURANCE INSDADUL WVD POLICY NUMBER MMIDDPOLICY EFF M POLICY DI YY LIMITS COMMERCIAL GENERAL LIABILITY - - EACH OCCURRENCE $r 1,000,000 DAMAGE TO RENTED CLAIMS-MADE ®OCCUR PREMISES lFaoccunenceI $ 100,000 MED EXP(Any one person) $ 5,000 A 952004644104 09/18/2018 09/18/2019 PERSONAL IADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑jEa LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO - BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per acddent H $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE - AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION - - PER OTH- _ AND EMPLOYERS'LIABILITY Y/N - STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE - E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? 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 I 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(2016103) The ACORD name and logo are registered marks of ACORD a, Office of Consumer; "rs and Business Regulation One Astb n Place-Suite 1301 Boston, M - achusetts 02108 Home Imp rov :Contractor Registration _ Type: Individual ARMEN SAFARYAN - - = Ragwrefiom 18M 67 SEA ST APT A4 __--- 6gsiral5on: 0911=619 HYANNIS, MA 02601 - -4 2CM- M7 - update Address ana rein card. OfRce of ConxanerAflafes 8 Business Ran HOME IMPROVEMEtir CONTRACTOR TYPE;Indleidusl J on valid for individual use wilyeOkWandate; Iffoundretumto: ons1 ;=='-= 09 urrterAffairsand Rg ubon-suResqEN SAAAR fAU_._' °- A 02116 1 - !B/A COFiEY4, ! 1ND COgEY MEN SAFAFnAN S _ ST APT=A4. ..;, ANNIS,MA 0280T5-_.. Undersl xelary Not valid without g re i Massachuses De a Board of8uitdln P anent Of Public ,sa* g Regulations end Standards License:CS -tOfi102 Cons:ruc'e�n " kit = aUPi I; isor SDecialy y ARMEN s �ARYu9N STSEA Ad > 'WANNiS MQ Comraissib4rer Expiration: 1010=020 a i 40REY & COREY 66 T� G6 he Roofers 67 SEA STREET'APT#A4, HYANNIS MA 02601 'HONE 1-505 -775-8240 CE T Y ' `1e LANDMARK LIF T E ® LRESISTANT ARC I ECT L STYLE RE - ROOFING PO OSAL April 16, 2019 MARTIN PRICE 248 LAKE ELIZABETH EM: craigvdlesons@yahoo.com } CENTERVILLE,MA Tel: 617-997-6430 COREY & COREY hereby proposes to perform 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 Asphalt Roofing Shingles (Both Layers)from the Rear Side of the House Only That Is.Over the Porch/Sunroom.Re Nail All Plywood Sheathing as needed. Supply and Install ALL NEW 3/4 CDX PLVWOOD ON THE ENTIRE RO OF SECTION Supply and Install CERTAINTEED LANDMARK AR: LIFETIME WARRANTY, 10 YEAR SURE START PROTECTION, CLASS A FIRE RATED, COPPER/CERAMIC STONES for a FULL 10 YEAR WARRANTY AGAINST ALGAE CONTAMINENT,235k POUND,EXTRA HEAVY WEIGHT, 130 MPH WIND WARRANTY,CATEGORY III HURRICANE STORM MURICANE NAILED (6 NAILS PER SHIN_LEh MULTI-LAYERED,LAMINATED ARCHITECTURAL S YLE,FIBERGLASS BASED ASPHALT SHINGLES. COLOR:Z'�lo Supply and Install CERTAINTEED WINtER-GUARD (Ice& Water Shield)WATERPROOF UNDERLAYMENT SYSTEM on the ENTIRE ROOF SECTION Supply and Install ALUMINUM& NEOPRENE SOIL PIPE FLASHINGS Supply and Install NEW RUBBER ROOFING MEMBRANE TOTTALV ADHERED over% " S RUCTODECK UNDERLAYMENT Held Down with Plates and Rubber Coated Screws on the Entire Shallow Pitched Roof Section Only Supply and Install .NEW RUBBER EDGEJAPE with CLEANER PRIMER on All of the Existing Rubber Roofing Seam and NEW C-6 WHITE ALUMINUM RAKE AND FASCIA AREAS. Clean and Remove Debris from work area after job is completed. ROOF INVESTMENT ------------- $49500.00 CA01'mOREY & CO- REY 66 i he Roofers 66 POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards ,Plywood Sheathing,Missing Metal Flashing,Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus Labor at the Rate of$60.00 per Hour(For Each Laborer Involved). PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORK SCHEDULE: All Roof Work is Scheduled for Completion Within 60 Days of Acceptance and Deposits Received are Non-Refundable After a Three Day Cooling Off Period from the Date of signing. Please P take Checks Payable to: COREY & COREY COREY & COREY Warranties the S ingles and Labor for 5 years. CERTAINTEED Warranties the shingles and labor 100% for the First 10 Years and the Shingles your LIFETIME if the shingles becomes defective. CERTAINTEED Warranties the Shingles up k o a CATEGORY III HURRRIICANE-130 MPH WIND WARRANTY. CERTAINTEED Warranties the Shingles to be Algae Resistant for a Full 10 Years. CO I, Y & COREY carries Workman s Compensation and Public Liability Insurance on the above work DATE OF ACCEPTANCE: -7. l ACCEPTED BY: SUBMITTED Y: MARTIN PRICE AO AFAR AN HOMEOWNER CO & COREY HIC # 183202 CSSL# 106102