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0500 OCEAN STREET (27)
Soo ® c ear n S4-, Town of Barnstable "x*�' y•r �.r+iP..'�x`� ;w'€ ,'. �� � �; ... •+;. +rr 5. ..��•�ny, ' �.: s ��xn°"F�' �H' l Building s Post Th�s,Ca�dSo,T,hat�t-isV�s�b a Fromthe Street Approved?=Plans{Must,be<'Retamed on�Job andahis Ca=�d Must be Kept * 6A8B'$rArlLE:, ' Y x U sey , l�ssx< 3 PermithW Permit No. B-18-479 Applicant Name: ALEXANDER M RANNEY Approvals Date Issued: 03/12/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 09/12/2018 Foundation: Commercial Map/Lot 324 040-OCP Zoning District: RB Sheathing: Location: 500 UNIT 66 OCEAN STREET HYANNIS 2q" Contractor'Name .,ALEXANDER M RANNEY Framing: 1 Owner on Record: DEYOUNG,JOHN E&DOROTHY A ContractorLicense CS-088595 2 Address: 500 OCEAN ST-#66 "Est Project Cost: $ 12,000.00 Chimney: HYANNIS, MA 02601 i . Permit Fee: $209.20 Description: REMODEL BATHROOM_ � Y Insulation: Fee Paid:' $209.20 Project.Review Req: 3 Date 3/12/2018 Final: Plumbing/Gas Rough Plumbing: . M Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorzed by this permit is commenced within six rnonthsafter,issuance. h 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. Rough All construction,alterations and changes of use of any building and structures hall be in compliance with the local zoning'by law&and codes. This permit shall be displayed in a location clearly visible from access street o[{oadY€€and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. r Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Buildingsand Fire Officals areaprovided on this permit. Minimum of Five Call Inspections Required for All Construction Work } Service: 1.Foundation or Footing , 2.Sheathing InspectionQ _:>N Rough: 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 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health 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 All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT final: o�TME'+ BUILDING DEPT ���. �....! �. Application Number... ......... ............ ...... ...... FEB 2 8 2010 XASLPermit Fee........................................Otber Fee........................ 16"3 ► TOWN OF BARNSTA3_ Gj Total Fee Pai TOWN OF BARNSTABLE Permit Approval by........................... BUILDING PERART ................. :Q ..:. .Parcel.. APPLICATION Section 1 - Owner's Information and Project Location Project Address 5y c) Oc<Ad\i S'r . u wy- �6 Village Owners Name . .17oT1-1`� De Y6014 Owners Legal Address State City zip.. Owners Cell# o 5 7-7< — !0 6 . E-mail Section 2—Use of Structare Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet R'Single/Two Family Dwelling Section 3—Type of Permit ❑ New Construction ❑., Move/Relocate ❑ Accessory Structure ❑ Change'of use ❑ Demo/(entire structlue) ❑ Finish.Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ SprinklerSystem VRenov dition ❑ Retainingwall ❑ Solar ation Pool - ❑ Insulation Other—Specify Section 4-Work Description r T ACt undated-2/92019 '�.'ul ApplicationNumber.................................................... Section 5—Detail Cost of Proposed Construction 4 2� 0°0 Square Footage of Project y 0 gF, Age of Structure Dig Safe Number #Of Bedrooms Existing Total# Of Bedrooms(proposed) 110 MPH Wind Zo Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics Wiring ❑ Oil Tank Storage ❑ Smoke Detectors j Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply RPublic ❑ Private Sewage Disposal 2 Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes 0 No Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed ._ . Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Proud Member of National Association of Home Builders•Home Builders Association of Massachusetts•Home Builders&Remodelers Association of Cape Cod•Better Business Bureau info@thecapecodcarpenters.com Fax 508.428.7167 RENOVATIONS•ADDITIONS•CUSTOM HOMES TheCapeCodCarpenters.com January 29,2018 ESTIMATE Site: 500 Ocean Street(Unit 66),Hyannis;John&Dorothy DeYoung; 508-771-4961;jdeyoungl0@gmail.com Renovation of existing bathroom Work to include: 1. Provide design,floor,and detailed prescriptive frame plan for Town of Barnstable as needed $ 125.00 2. File(building/plumbing)permit with Town of Barnstable in accordance with MA State Building code 780 CMR, including inspections and plan review meetings ............................................ $ 200.00 3. Construction waste disposal costs ....................................................................... $ 250.00 4. Tape and plastic off,as possible,areas of home not under construction to minimize dust;maintain barriers throughout the project ................................................................................ $ 75.00 5. Tie off and disconnect existing plumbing as needed to begin renovation inspected by licensed professional............................................................................................... $ 250.00 6. Build temporary walls as needed for support;deconstruct&demo existing bathroom as needed.per.plans,including existing tub, toilet(saved to be reused),vanity,sink/faucet drain sets,bead board,tile floor and up to one layer of underlayment,two doors and glass door;dispose of construction waste ...... $ 1,150.00 7. Construct new rough frame as per plans and floor plans in accordance with MA State Building Code 780 CMR including new closet wall,pocket door frame,closet opening frame,half wall,(additional header framing and any subfloor is to be determined if necessary) ...................................... $ 1,150.00 8. Install new rough plumbing,including toilet,vanity sink,and bath tub(material allowance for prefabricated tub included$650.00) ...................................................................................... $ 2,750.00 Please note: installation of sound deadening insulation is to be determined and is not included at this time 9. Install new gypsum wallboard on all new construction bathroom walls in preparation for plaster................................................................................................... $ 400.00 10. Tape,corner bead, and plaster new gypsum wallboard and any repair spots in bathroom and minor patching in bedroom;blend into existing plastered walls and ceiling to painter-ready ............... $ 750.00 11. Install cement board in preparation for tiled surfaces, including bathroom floor and tub surround.................................................................................................... $ 400.00 12. Install customer supplied tile and grout in bathroom and`tub'surrouhd based on standard-pattOn using 12"x12"`tiles miiiiiiiuin fdr floor and 6"x9"tiles minimum for tub surround walls; including 55 sf of tub surround tile,23 if of bullnose tile,,and 52 sf of bathroom floor tile o Labor to install tile&grout tub surround .................................................... $ 1,550.00 o Labor to install tile&grout bathroom floor(including additional labor for thin set work on radiant floor heating) ................................................... ....... 13. Install one customer supplied pocket door(pocket door hardware allowance included$200.00); install door trim on both sides to match existing as closely as possible;install 5"standard speed base baseboard;all trim to be pine..................................................................................................... $ 1,175.00 14. Install new customer supplied,preassembled vanity unit and customer supplied closet built-in as per plans with supplied hardware;vanity and cabinet to be delivered and uncrated by the distributor while homeowner is available for inspection ............................................................................... $ 600.00 Template, supply and installation of vanity counter top/with sink and back splash to be done by homeowner's distributor 15. Install finish plumbing, including customer supplied sink,sink faucet& drain set,tub faucet/drain set,existing toilet .......:.....................................................................................$ 450.00 16.Prep and paint interior of recently installed sliding glass door .................................. No charge TOTAL LABOR & MATERIALS $12,025.00 +cost of painting if desired 1 .ate J,, NH . - t` • xa+rsao-o�cxy - RANNEY+RIMINGTON CUSTOM BUILDERS Proud Member of National Association of Home Builders•Home Builders Association of Massachusetts•Home Builders&Remodelers Association of Cape Cod•Better Business Bureau Option:Prep&painting work billed @$45/hour+materials initial if option chosen • Glass work(if needed)is not included in this estimate;we recommend: Clearview Glass, Brandon Gomes,owner, (401)533-0844,clearviewglass20l2@gmail.com Payment Schedule: Initial deposit requested to schedule work $2,500.00 RECEIVED Due upon receipt of permit&ordering materials $2,500.00 Due upon completion of rough plumbing $2,500.00 Due upon hanging of cement board $2,000.00 Due upon completion of tile work $ 1,500.00 Due upon completion $ 1,025.00 Please note-our standard contract: • This estimate is valid for 30 days. • No additional work is included in this estimate unless described in writing. • Deposits and payments are not refundable unless otherwise noted. • Contractor is not responsible for any damage to lawn or plantings around demolition area. • Contractor is not responsible for any damage to interior furnishings that may need to be moved to complete work. • All construction waste and replaced items(including cabinets,windows,doors&appliances)will be considered disposable unless other indicated by property owner. • Property owner is responsible for all costs associated with hazardous materials,lead,mercury storm water pollution discharge or costs associated with American Disabilities Act requirements if necessary. • Any repair,moving or installation of alarm system for security or fire/smoke is the responsibility of the property owner. • Customer is to supply all paint if any is being used(unless otherwise specified) • Property Owner agrees that Ranney&Rimington Custom Builders may display a small sign on the property during the duration of the work and one month after completion. • Property Owner is responsible for any and all engineering costs and site plan if necessary unless otherwise noted.Conservation,Zoning,and/or Historical costs necessary in association with obtaining any necessary permits unless otherwise noted. • All home improvement contractors and subcontractors shall be registered by the Director and any inquiries about a contractor or subcontractor relating to a registration should be directed to:Director,Home Improvement Contractor Registration,One Ashburton Place,Rm 1301,Boston,MA 02108 • The property owner has three-day cancellation rights of this contract under M.G.L.c.93,48;M.G.L c.140D,10 or M.G.L.c.255D,14 as applicable.After 3 days all deposit and special order payments are non- refundable. • All warranties and property owner's rights are under the provisions of 780 CMR 110.6 and M.G.L.c.142A • Any alteration or deviation from above specifications involving extra costs will become an extra charge over and above the estimate at$75.00 per hour plus materials.If cost of materials and already described labor costs changes,this estimate may increase no more than 15%without written notice. • It is the obligation of the home improvement contractor to obtain any and all necessary construction-related permits;in the event that the property owner secures their own construction-related permits or deals with unregistered contractors they will be excluded from the guaranty fund provisions of M.G.L.c.142A. Work will begin no later than six months from the issuance of any necessary permits and will be completed no later than two years from the issuance of necessary permits. •Property Owner's failure to make payments for work duly performed may result in a lien against the homeowner's property.Owner is responsible for any legal fees and court costs Ranney&Rimington may incur to collect the monies due on this estimate.The contractor and the property owner hereby mutually agree in advance that in the event the contractor has a dispute concerning this estimate,the contractor may submit such dispute to a private arbitration service which has been approved by the secretary of the office of consumer affairs and business regulations and the consumer shall be required to submit to such arbitration as provided in M.G.L.c.142A. • DO NOT SIGN THIS CONTRACT IF YOU HAVE NOT READ IT OR IF THERE ARE ANY BLANK SPACES 1129/18 1/29/2018 Ranney&Rimington Custom Building LLC Date Property Owner Date Home Improvement Contractor Registration#144752 2 Massachusetts Department of Public Sa ety Board of Building Regulations and Stand rds License: CS-088596 Construction Supervisor ALEXANDER M RANNEY 239 SCUDDER AVENUE HYANNIS MA 02601 ' r Expiraton: Commissioner 0411612 18 Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain less than 35,000 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. DPS Licensing information visit: WWW.MASS.GOV/DPS a , I r I .............. w...� ��e`i�inrxsixa>rruecrll�a ✓��a�aac�r�se Office of Consumer Affairs r Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only Type: LLC before the expiration date. if found return to: R°si3lstratWn Exalration Office of Consumer Affairs and Business Regulati n �4752 11/01/2018 10 Park Plata-Suite 5170 Boston,MA 02116 JRney+Ri, L lgt.0 der 15 Thankful LatIQ,: U Co uft,MA o2635` ' Undersecretary Not valid without signature r PATRRIM-01 TH AC CERTIFICATE OF LIABILITY INSURANCE TE(MMIDD/YYYY) 08118i2017 THIS CE TIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER.THIS CERTIFIC TE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED B THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER( ,AUTHORIZED REPRES NTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORT T: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed, If SUBR GATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certif Cate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER C ACT Rogers 8.G y Insurance Agency,Inc. PHONE ,-- —� FAX 434 Rte 134 MC Ni,�- FIA c,No:(l 77}616-2156 South Denn s,MA 02660 Imsso mail@rogersgray.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Main Street America Assurance Com an 29939 INSURED INSURER B: Ranney&Rimington Custom Building,LLC INSURERC: P.O.Box 816 INSURER D: Marstons Mills,MA 02648 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER' THIS IS T CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TH POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICI TE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TC ALL THE TERMS, EXCLUSICI 4S AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COI IMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE CLAIMS-MADE FK OCCUR MP076069 08/21/2017 08121/2018 DAMAGE TO RENTED c 800,000 PRE ISE _ MED EXP Ifiny oneperson) 10'000 _ PERSONAL&ADV IN IURY 1,000,000 GEN'L A GREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 PO ICY❑Pea D LOC PRODUCTS-COMPIOPAGG 2,000,000 I OT ER: I ALITONIC BILE LIABILITY COM6INED SINGLE LIMIT AN AUTO BODILY INJURY Perperson) OW ED SCHEDULED AU OS ONLY AUTOS BODILY D BODILY IN Per ecddent A� S ONLY AUTOS ONY Pe a�ldent SAGE UM RELLA LIAB OCCUR EACH OCCURRENCE EX ESS LL42 CLAIMS-MADE AGGREGATE DE I I RETENTION$ WORKS COMPENSATION PER OTH- AND EM OYERS'LIABILITY YIN ANY FICEO ECM EXCLUDED?ECUTIVE ❑ N/A E.L.EACH ACCIDENT _ and o n E.L.DISEASE-EA EMPLOYEE If yes,de 'be under DESCR P ION OF OPERATIONS below I E L.DI9 E-POLICY LIMIT DESCRIPTION F OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule may be attached If mores ace Is required) PLEASE OTE THE WORKERS COMPENSATION CERTIFICATE WILL FOLL6W SHORTLY UNDER SEPARATE COVER,AS IT IS BEING I SUED DIRECTLY BY THE INS RANCE COMPANY*** Certificate H Ider is an Additional Insured on General Liability on a primary&non-contributory basis when required by a wlritten.contract agremen., CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CA 4CELLED BEFORE For Information Only THE EXPIRATION DATE THEREOF, NOTICE WILL B DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �i�1 ACORD 25(2016/03) 01988-2015 ACORD CORPORATION. A 11 rights reserved. The ACORD name and logo are registered marks of ACORD A111.� �® CERTIFICATE OF LIABILITY INSURANCE DAas/o( M/DD1'�' 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 B11 THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER( ), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORT NTr If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the termi and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not co ifer rights to the certificat i holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: Tammy Home ROGER &GRAY INSURANCE AGENCY INC PHONE 508 760-5745 FAX No: MAIL DDR S: thome@rogersgray.com 434 ROUT 134 INSURERS AFFORDING COVERAGE NAIL# SOUTH DE NNIS MA 02660 INSURER A: HARTFORD UNDERWRITERS INS CO 30104 INSURED INSURER B RANNE & RIMINGTON CUSTOM BUILDING LLC INSURERC: INSURER D: PO BOX 8 6 INSURER E: MARSTON MILLS MA 02648 1 INSURERF: COVE RAG S CERTIFICATE NUMBER: 1T8614 REVISION NUMBER: THIS IS T CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THEPOLICY PERIOD INDICATE NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEC TO WHICH THIS CERTIFIC TE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSI NS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .ILSR TYPE OF INSURANCE DDL S BR POLICY NUMBER . POLICY DD EFF PYYYI OLICY EXP LIMITS CO MERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS-MADE OCCUR DA AGE 15t� TEEM D PRE SES Ea occurrence MED EXP(An one person N/A - PERSONAL&ADV INJURY GEN'L A GREGATE LIMIT APPLIES PER: GENERAL AGGREGATE PO ICY❑JECT PRO- ❑LOC PRODUCTS-COMP/OP AGG OT ER: AUTOM BILE LIABILITY COMBINED SINGLE LIMIT Ea accident _ AUTO BODILY INJURY(Per person) AALL OW OS NED AUTOSULED N/A BODILY INJURY(Per accident) HI AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accide t UMI IRELLA LIAR OCCUR EACH OCCURRENCE EX ESS LIAR HCLAIMS-MADE N/A AGGREGATE DE I RETENTION$ WORD COMPENSATION PER ETM AND EM OYERS'LIABIl1TY Y/N ANYPRO RIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 100,000 A OFFICE EMBEREXCLUDED9 N(A 'N/A N/A 6S60UB9F85778917 - 08/06/2017 08/06/2018 (Mond In NH) E.L.DISEASE-EA EMPLOYEE 100,000 ff yes,d be under DESCRI ION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 500,000 7 N/A DESCRIPTION F OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers' mpensation benefits Will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization s given to pay claims for t enefits to employees in states other than Massachusetts If the insured hires,or has hired those employees outside of MassachuE etts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above pol cy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coveralls Verification Search too at www.mass.govliwd/workers-compensabonrinvestigations/. CERTIFICA TE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICCES eE CANCELLED BEFOR9 THE EXPIRATION DATE THEREOF, NOTICE WILL B DELIVERED.IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Daniel M.Crote(tey,CPCU,Vice President—Residual Ma t—WCRIBMA 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD M-• iT�'Vif/ - Board of Trusim 500 Ocean-Street Hyannis.. AL4 02601 DATE c1 L9,d t nit Yachtsman Con&-sink tni Trust, 500 Ocean Street, Hyannis ,o the T own of Barnstable Building Commis!a�oner, The Board of Trustees for the Yachtsman Condominium Trust voted.and approved the ttached.proposal to be performed as is. delineated in the reque we received from the Unit wners. Contractor, !� C� 0 ____has been contracted by nit ovm to perform the work as defined hn the proposal. L 's letr serves as notice of the Board's vote a approve the proposal, which has been noted Minutes of the Board Meeting. Egli -..� `Jnder the Pains and Penalties 0 droury 'ChIs AJ- day of 20so � t CT Trustee —i card rof Trustees Yachtsman.Condominium.Trust 500 O St e- (c/o Manager's Office" yannis, MA 02601 ! � � � I I , _ I �fD � � � .. .� � :.._ :{ ¢I � � � � � , � 1 ' i i I ! � r� � � I ! � � � I � i I I � � III I I I � , � I I I � � � '��� I � I � I� � i The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 vi www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERNUTTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Ranney+ Rimington Custom Building, LLC Address: Box 816 City/State/Zip:Marstons Mills, MA 02648 phone#: (508)428-7147 Are you an employer?Check the appropriate box: Type of project(required): I.a I am a employer with 4 employees(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. 2f Remodeling I`�i, (0M 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 hiving 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.®Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.� p Roof 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. :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. Hartford Underwriters Insurance Company Insurance Company Name: Policy#or Self-ins.Lie.#: 6S60UB9F85778917 Expiration Date: 8/06/2018 Job Site Address: $00 w City/State/Zip: (-�^(/)�� � 67401 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 the pains and penalties ofperjury that the information provided above is true and correct Signature: Date: Phone#: (508)428-7147 Official use only. Do not write in this area,to be completed by city or town ofcial. City or Town: Permit/License# ity(circle one):Issuing Author 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Application Number........................... Section 9—.Construction Supervisor Name Telephone Number Address 23a SwMUL Aft City Yj±tk State A1'1'� Zip 02(o01 License Number 5 License Type -Expiration Date t . Contractors Email AW@.0F.0 9,ft c�W9W&U a^Cell# ( a g -1 33 - (a 9) 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.Attach a copy of your license: Signature Date - �l Section.10 Home Improvement Contractor Name "004 t RVAUG104 J161.0 Telephone Number_ , 4U - -7(4 7 Address -j k 916, City AA~ ow State IM } Zip 024 Lf S A Registration Number 15 Z Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors 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.Attach a copy of your IUC... Signature Date Section 11 -Home Owners License Exemption Home Owners 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 SIGNATURE p Signature Date !(o t Q Print Name t A D6. - Telephone Number (S4 733.4 L?3 E-mail permit to: �Cr-G��Cy�GPWI�tIS, Cy�M Section 12 —Department Sign-Offs Health Department ❑ Zoning.Board(if required) EI Historic District ❑ Site Plan Review(if required) ❑ Fire Department, Conservation- - ' - ❑ For commercial world please take your plans directly to the fire department for approval Section 13 —Owner's Authorization as Owner of the-subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner ° a Print Name ' I Last updated:2/92018 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel d �r� C P Applicationu 15 � Health Division Date Issued Q'"t S'�/ Conservation Division Application Fee $16ey Planning Dept. Permit Fee t" Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street /Address D erleLy Village Owner \o�)7,411 ple ezIldZe Address ��i�r ✓ Telephone8;�7/ Permit Request /1-9/! Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 6 b Construction Type L& tvl Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 2K Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 21�No On Old King's Highway: ❑Yes >�d No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 4 .r Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# r Current Use Proposed Use I ■ - - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name - - /�i/�� � ®!� Telephone Number J�5 e/,?Z f/ Address ,1t:4wL✓1e gJ License # /d d f e6a, 04� vX& Home Improvement Contractor# /�5� 5 4, Email Worker's Compensation #),,dze° eq /T6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �t h FOR OFFICIAL USE ONLY .Y APPLICATION# R � DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE t OWNER .4 DATE OF INSPECTION: FOUNDATION ' . FRAME f INSULATION FIREPLACE �y ELECTRICAL: ROUGH FINAL fi PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Town of Barnstable ,•- °4 Regulatory Services BUS& t Richard V.Scab,Director � 463 Building Division Tom Perry,Building Commissioner 200 Main Stieet,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 Us in- ABuilder I, ) U 1,\h F,• e t ,as Owner of the subject props y hereby authorize e; Iv to act on rhy behalf, in all matters relative to rk authorized by this building;permit application for. (Address of Job) Pool fences and alarms are the responsiblLy of the applicant. Pools are not to be filled or util wd before fence is installed and all final nspectio are performed and acceptecL S` nature of OAuer Signature of A.ppkant V��6Ul -- Print Name Print Narrtic Date. Q;FORMS:OU*\TRP}RJ,4)SSIONPMLS i i Yachtsman Condominium Trust € . Board of Trustees 500 Ocean Street Hyannis, KA 02601 DATE (9 C f RE: Unit �� Yachtsman Condominium Trust, 500 Ocean Street, Hyannis To the.Town of Barnstable Building Commissioner, The Board,of Trustees for the Yachtsman.Condominium Trust voted and approved the attached proposal to be performed as is delineated in the re urst a received from the Unit Owners. Contractor, ( �' Lt S,2 >ft-h J 3een contracted by the Unit Owner to perform the work as defined in the proposal. This letter serves as notice of the Board's vote to approve the proposal, which has been noted in the Minutes of the.Board Meeting. Signed Knderthe Pains and Penalties of Perjury this day of t) Q , 20�5. Sor ()ard v: B of Trus - s Yt ti�an Go�dominium i rust 50 . cean eet (c/o Manager's Office) Flyannis,.MA 02601 Enc./File Massachusetts .- Department.of Public—Safety. ..Board of Building Regulations and Standards Construction Super%isor• License: CS-100988 HENRY E CASSIID '- 8 SHED ROW WEST YARMOLPrH y . 0 Expiration Commissioner 11/11/2015 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 - Home Improvement Co%tractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2016 Tr# 259188 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE SO. YARMOUTH, MA 02664 `Update Address and return card.Mark reason for change. ' SCA 1 20M-05/11 Address Renewal Employment Lost Card {i \ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only UVOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistratlon: '153567 Type: Office of Consumer Affairs and Business Regulation xpiration:...:1-2/;15/2016 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE COD INSULATI0K,!NC HENRY CASSIDY 18 REARDON CIRCLE` 11007 `, SO..YARMOUTH,.MA 02664, Undersecretary N valid wi ut sign e ` The Commonwealth of Massachusetts Department of Industrial Accidents . - Office of Investigations 600 Washington Street f 4 Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information jj Please Print Leg,ibl Name (Business/Organization/Individual): b ,�y . Address: �� `����� t/� L146I& City/State/Zip: DO AA, 010W&, Phone #: W Imo' i��" Are you an employer? Check th appropriate box: �� 4. I am a eneral contractor and I Type of project (required): 1. I am a employer with '� ❑ g employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees - These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t required.] 5. We are a corporation and its 10.7 Electrical repairs or additions 3.El officers have exercised their I am a homeowner doing all work I l. Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] c. 152, §1(4), and we have no employees. [No workers' 13Y Othermu 10,hO6 comp. insurance required.] *Any applicant that checks box#I 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. '�a Insurance Company Name: ai Policy# or Self-ins. Lic. #: Expiration Date: �/ j Job Site Address:J_D o- Wl 4 , . 4/ -y City/State/Zip:_d ! Z G O/ 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 insurand. coverage verification. I do hereby certify d the pai an penalties of perjury that the information provided above is true and correct. Signature: L 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#: CAPECOD-27 BDELAWRENCE '4�Ro CERTIFICATE OF LIABILITY INSURANCE DATOrYYYY) 6130/230/2015 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(les)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 CONTACT NAME: Rogers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 A/c N ac No: ($77)816-2156 South Dennis,MA 02660 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A:Peerless Insurance Company-see LIBERTY MUTUAL INSURED INSURERB:ATLANTIC CHARTER INSURANCE GROUP Cape Cod Insulation,Inc. INSURER C: 18 Reardon Circle INSURER D: South Yarmouth,MA 02664 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 ADOLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSO WVQ POLICY NUMBER MM/DD/YYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE F3(1OCCUR CBP8263063 04/01/2015 04/01I2016 PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 MOTHER: 'L AGGREGATE LIMIT APPLIES.PER:PRO- ' GENERAL AGGREGATE $ 2,000,000 POLICY❑JECT LOC PRODUCTS-COMP/OP AGO $ 2,000,000 $ AUTOMOBILE LIABILITY o COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS l ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTION$ $ WORKERS COMPENSATION PERI I OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I ER B ANY PROPRIETORIPARTNER/EXECUTIVE WCE00431901 06/3012015 06/3012016 E.L.EACHACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES'(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation,Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 18 Reardon Circle ACCORDANCE WITH THE POLICY PROVISIONS, South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION, All rights reserved, ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD DAM �P FED 2$ 201� To\0 o t3� �15 4 � BUI(_DIIIG DEPT. FEB 2 8 2018 rowN OF c BQRIVvTABLE 8' NEW FAN $ 5._5„ �2'_7, - - 5,_5„NEW PREFABRICATED ---- - - TUB WITH TILE SUROUND �` � ��--- REUSE EXISTING TOILET 5'-5° 5'-5" r � / (] r' NEW RADIANT HEAT AND TILED FLOOR NEW BEAD BOARD --- -- --®-- ------- 0 ; W O ® NEW HALF WALL p WITH CHAIR RAIL O - - -5" - - CUSTOMER SUPPLIED BUILT-IN -- NEW VANITY, COUNTER TOP WITH FABRICATED SINK NEW POCKET DOOR t EXISTING BATHROOM LEGEND PROPOSED BATHROOM LEGEND ® TO BE REMOVED NEW WALUDOOR ® HALF WALL DRENOVATION OF BATHROOM FOR, CONTRACTOR NOTE SCALE. DRAWING NUMBER: Care - A ALL DIMENSIONS SHOWN ARE FOR REFERENCE ONLY THE PLANS SHOWN ARE THE SOLE PROPERTY F'[/^�\` • CONTRACTOR IS TO VERIFY IXISTING CONDITIONS THE DESIGNER AND CANNOT BE COPIED,AND DIMENSIONS IN THE FIELD PRIOR TO START OFREPRODUCED AND/OR ALTERED,USED FOR PERMIT D EYO U N G RESIDENCE WOE AND/OR FILING WITHOUT THE PAEYPRE55ICK WRI17EN GT 1/4 1 2.THE GENERAL CONTRACTOR SHALL BEAR SOLE CONSENT OF THE DESIGNER,PATRICK RIMINGTON. RESPONSIBILITY FOR MEAN5 AND METHOD5 OF CONSTRUCTION AND SAFETY ON THE JOB SITE. e s i //�� n 5 0 0 OCEAN 5T RE ET, ALL WORK SHALL CONFORM TO THE! STATE BUILDING CODE(LATEST EDITION)AND ALL OTHER APPLICABLE CODES. Approved for filing4.IF APPLICABLE,CONTRACTOR SHALL IDENTIFY ALL YY DATE: H YA N N 15, M A IXISTING LOAD BEARING ELEMENTS PRIORTO COMMENCING WORK AND SHALL DESIGN AND PROVIDE P.O. BOX 80G SHORING AS REQUIRED TO SUPPORT LOADS DURING 12/04/2017 CONSTRUCTION. MARSTONS MILLS, MA IN HENOTANY CREPANLLBS,EROUGHTT THE Patrick Rimington IN THE NOTES,SHALL BE BROUGHT TO THE ATTENTION OF THE DESIGNER PRIOR TO COMMENCEMENT OF 508-2 CJ QO-�O�^Y CON5TRUCTION. PROCEEDING WITH CONSTRUCTION CON5TITUTE5 ACCEPTANCE Of THE5E DOCUMENTS AND ANY DISCREPANCIES,ERRORS AND/OR OMISSIONS BECOME THE RESPONSIBILITY OF THE BUILDING CONTRACTOR. 4�.