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HomeMy WebLinkAbout0047 VINE AVENUE .. f �:. 't.,� �..�.a .��. - � y,.�, �`,, _ 7� n/��- x o ,� _ � - ,. ,, ,. O o - .. + ,. - i f. } - � ., °, -. �., .,. .. . �� .,. Town of Barnstable Building �. . Post This„Card So That,it is Visible From the Street=Approved Plans�Mus be Retained on Job and this Card Must be Kept L . i Miss ai p »., . t f Permit m ,ato �. to o p.. Y q 8 P p 1 e1 llilt Where a Ce as been made Until Final Ins ection Has Been Made' Inspection h � ateU° � Re wired su �IdmNotbeOtiu _ alln Permit No. B-18-954 Applicant Name: KENNETH PERRY Approvals Date Issued: 04/03/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/03/2018 Foundation: Location: 47 VINE AVENUE,CENTERVILLE Map/Lot: 226-030 Zoning District: CBDCV Sheathing: Owner on Record: GOROLL,ALLAN MD&WASSERMAN, 'Contractor Na PERRY Framing: 1 Address: 37 SUMMER ST `` �Contractoe License:. 187154 2 �R: WESTON, MA 02193 "' Est Project Cost: $25,000.00 Chimney: Description: reroof(stripping old shingles) Permit Fee: $127.50 Insulation: Project Review Req: i _ _ xFee Paid l $ 127.50 ..Date 4/3/2018 Final: a . 46Plumbing/Gas a are Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this 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�for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall 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 forpublic inspection for the entire duration of the work until the completion of the same. . Electrical z M� . The Certificate of Occupancy will not be issued until all applicable signatures ey the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: s 1.Foundation or Footing _ �, ��,:� Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection)' r 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: 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 p, Town of Barnstable *Permit U .q 5l' Building Department wee 6 nwnths from issue date Brian Fldrence,CBO ✓j 1639. �,�' Building Commissioner Mpl 200 Main Street,Hyannis,MA 0 .01,E www.town.banastable.ma.u ®�+ � � Office: 508-862-4038 ° �, �_790-6230 APRal&Ly EXPRESS PERMIT APPLICATION - Map/parcel Number 0 Not Valid without Red X-Press Imprint y rr ll �J //�� (� Property Address . I N)1 Y`.( A J Ct✓\�J Ir U�d Residential Value of Work$ (5 0 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address N N 1j e)R �. Contractor's Name I Telephone Number Home Improvement Contractor License#(if applicab e) Email: 1/n ��Q Construction Supervisor's License#(if applicable) ElWorkman's Compensation Insurance Check one: I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name . Workman's Comp.Policy# w U�_00 Copy of Insurance Compliance Certificate must accompany each permit. Permit Re est(check box) IMLRe-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to_�61t,a�S 5 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value _ _ (maximum.32)#of windows #of doors:: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the o j111:1111revem Contractors License&Construction Supervisors License is require . SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\9NNOKXYW\RESIDENTILONLYEXPRESS.doc 09/26/17 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Invesfigations 600 Washbigton Street Boston,MA 02111 wrvir?mass.gmldia Workers' Compensation Insurance Affidavit: Biilders/Contractors/Electricians/Plumbers Appficant Information Please Print Lezibly Name(Bosiness/Orga�nizatio f ): O Address_ 1 c► City/State/Zip: Phone#: y a l 4 Are you an employer?Check the appropriate boa: T project am a general contractor and I YPe ofjectr p ( e4��: 1.N I am a employer with_� 4_ ❑ I g 6. [:]New construction employees(full and/or past-time).* have hired the sub-contractors 2.❑ I am,a sole proprietor or partner- listed on the attached sheet_ 7- ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building,addition [No workers'comp.insurance comp.insurance_ 5_ ❑ ate are a corporation and its 10.❑Electrical repairs or additions I am a d.] officers have exercised their 11_ Plumbing airs or additions 3.❑ I am a homeowner doing all work ❑ g rep self esrequired.) o workers' right of exemption per MGL insuranced]i c. 152,§1(4),and we.have,no l2_❑Roof repairs employees_[No workers' 13.❑Other comp-insurance required.] ;Any applisa®t that checks box#1 must also fill out the section below sbowing their workers'compensation policy infonmtiotr_ Homeowners who submit this affidavit i&caring they are doing all work and then hire outside contractors mnst.submit a new aff dash imdicating such TContmaors that check this box must amcbed an additional street showing the nme of the sub-contractors and stage whether or not those entities have employees. If the sub-contractors base employees,they must provide their workers'comp.policy number- I am an employer that is providing workers'coiiWmsadoii insurance for my engdoj,ees. Below is thepolity and job site information. /1 Insurance Company Name: �. v d �N S-,(O 6 1 Policy#or Self-ins.Lic-#: Expiration Date.: 3 Job Site Address: City/State/Zip. AG Attach a copy of the workers'compensation policy declaration page(showing the policy number 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do Here #w6,under the pains and na -' of at the information prmided abmv is taste a c. ect Si tore: Date: I >U( Phone#: d Official nse only. Do not write in this area,to be completed by city or totwi official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ,}�� �e�parrvnwniuea,�C�C a�C/�cutaccc/aur�eCCi '�� _ �I�Y-Q� ^ - j �\ Office of Consumer Affairs&'Business Regulatio, p� -T� HOME IMPROVEMENT CONTRACTOR Registration valid for individual.use only TYPE: Individual before the expiration date. If found return to: Expiration_ R'egistration Office of Consumer Affairs and Business Regulation g• 10 Park Plaza-Suite 5170 _ 4; 03/06/2019 (�-� __,�-^ ;_N Boston,.MA 02116 KENNETH PER D/B/A KP REIVIQD 'LIIV � , KENNETH perry_, 19 Guridford Rd f` Centerville,MA 02632 Undersecretary i Not valid without signs ure L Commonwealth of Massachusetts t�( Division of Professional Licensure Board of Building Regulations and Standards Constr6lvrS$:prvisor CS-076820 `T ut_ I �Pires: 08/28/2019 ii KENNETH O PERRY: 19 GUILDFORDfROAD.'' 1�� CENTERVILLE NFA 02632 01, -jO Commissioner Construction Supervisor Unrestricted'-Buildings of any use group which contain less than 36,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State.Building Code is cause for revocation of this license. For information about this license /� Call(617)727-3200 or visit www.mass.gov/dpl Client#:9580 x y`�`` 2KPRE DATE(MMioDnYrr) '` ACORQ,r CERTIFICATE �F LIABILITY INSURANCE 02/092018 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,E4TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT'CONSTITUTE I CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:ff the certificate holder is an ADDITIONAL INSURED,the policyfies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terns 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 NAME: Dowling&O'Neil Insurance Agy P ONN Er<t:508 nr-1620 No,5087781218 973 Iyannough Road E-MAIL ADDRESS: P.O.BOX 1990 INSURER(S)AFFORDING COVERAGE NAIL i Hyannis,MA 02601 INSURER A:ft-WU IRS— y 32859 INSURED INSURER B:A--Empbyers I^su—C-M-y 11104 Kenneth Perry D/B/A INSURER C K.P.Remodeling&Construction INSURER D: 19 Guildford Road Centerville,MA 02632 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 CONTRACTOR 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 ADDL UB POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER M/D LIMITS A GENERAL LIABILITY PAC7129620 04/2017 03/04/2018 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PRAEAMSES F.. $5O CLAIMS-MADE FX-I OCCUR MED DIP(Any one person) $5 000 X BVPD Ded:500 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $1,000,000 POLICY SECT LOG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Fa accdent ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WCC50050054502017A M 3/2017 O6/13/201 8 X I We STATU OTH- AND EMPLOYERS'LIABILITYTORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L EACH ACCIDENT $500 000 OFFICER/MEMBEREXCLUDED? � N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $5OO OOO If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) `*Workers Comp Information** Voluntary Compensation ;Other States Coverage Proprietors/Partners/Executive Officers/Members Excluded: Kenneth Perry,Sole Proprietor (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Town of Falmouth,BldgDe SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 59 Town Hall Square Sq. ACCORDANCE WITH THE POLICY PROVISIONS. Falmouth,MA 02W AUTHORED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 2 The ACORD name and logo are registered marks of ACORD #S206199/M206198 LS1 I K.P. Remodeling guarantees the shingles against Blow-Offs for 15 years. Please not that all pricing is contingent upon current market,pricing. If contract is not accepted within 30 days of proposal, change in price may occur due to deviation in material price. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry necessary insurance upon the above work. WE, if not accepted within thirty days may withdraw this proposal. Additional work to Dormers: Strip all shingles and replace with Grade `B' or better white cedar shingles. All new trim with Azek Fix chimney lead. Add all new lead. Work Permit- I (Sign Name) give K.P. Remodeling the per fission t ull per ' for the wor ein ne at K (Address) K.P. Remodeling: Carries Workman's Compensation and General Liability Insurance on the above work, certificates available upon request. DATE OF ACCEPTANCE: ` TOTAL COST OF JOB: $25800.00 (7`� I � 4 01 pFTIM z Town of Barnstable *Permit# `7 Y p� Erptres 6 months from issue date Regulatory Services Fee ,_s v� 034. ,0$ Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 ®(' Office: 508-862-4038 F ' 2004 Fax: 508-790-6230. TOWN OF BARNSTA,Si_E EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Mapfparcel Number 22-(o 0 3 o Property Address 4-7 V I Iu-e VT� I_e_ MA S 2 Residential Value of Work ©d Minimum fee of.$25.00 for work under$6000.00 Owner's Name&Address E�D w 1r C) S1 �t7 v1 NAe, A,1 Cr-a ► v ( -e 02 Contractor's Name Telephone Numbe LQ 2 d ell b Home Improvement Contractor License#(if applicable) 2 Z 2 Construction Supervisor's License#(if applicable) CS D 7 6 g220 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner # Board of Building Regulations and Standards I have Worker's Compensation Insurance ° HOME IM-MOVEMENT CONTRACTOR Registration 332282 Insurance Company Name (�� 1�t . Ex{ rataota-11J27/2004 Type =SBA Workman's Comp.Policy# 1 /•-P 3 Copy of Insurance Compliance Certificate must be on file. K.P.REMODELII;tr3 _ KENNETH PERRY':.,. Permit Request(Check box) 19 GUILDFORD Centerville,MA 02632 Administrator ❑ Re-roof(stripping old shingles) All construction debris will be taken 41 ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this.permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Not Property Owner must sign Property Owner Letter of Permission. Home Improvement Contract i e is required. Signature Q:Forms:ex=uj P-evisc063004 Town of Barnstable Regulatory Services a i BAMST"BLE• a Thomas F.Geller,Director MAM �gE 3 e. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder rn I, as Owner of the subject property hereby authorize. r` to act on my behalf, in all matters relative to work authorized by this building permit application for: Lf y t I,-Ae b4 � f �� l �km oz- 3 2 (Address of job) �64 4- o Signature of Owner . Date r&wr A Z /ay Print Name Q:FORMS:OVVNERPERMIS SION