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HomeMy WebLinkAbout0500 OCEAN STREET (34) 3�tW - a qo - 95c5 L� Town of Barnstable Building Post,Th�s Card So That it�s V�s�bleFrom the Street Approved;Plans MustbeRetamed on lob and„this CardIVlus beKept 6" -Posted�Until~Final Inspection HasBeen IVlad y� _ Permit R` a Certf ci ate'of Occ nc" is Re u red°'such Buldm ;'shall Not'beOccu ieduntil� Final.lns` ection hasY.been made , 1 ��jll�� �M Whee. .r_ _.. .. 4!pa Y_. .; � .. '. s.g.T. ..... Ma, . .. p.. ,: :. .,. ... s.. p..,,.. .�. :. ;. ....., , Permit NO. B-18-3344 Applicant Name: STEPHEN A SCHMALL Approvals Date Issued: 10/24/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 04/24/2019 Foundation: Commercial Map/Lot: 324-040-OCS Zoning District: RB Sheathing: Location: 500 UNIT 106 OCEAN STREET, HYANNIS ContractorNarne' STEPHEN A SCHMALL Framing: 1 Owner on Record: SHUR,IRIS B TRUSTEE Goritractor License CS.006553 2 Address: 26664 SEAGULL WAY A105 Est Pro ect Cost: $50,000.00 1 Chimney: MALIBU,CA 90265 Permit Fee: $555.00 Description: New Cabinets, Hardwood floors, remodel (3) Bathrooms, Paint unit Insulation: Fee Paid $555.00 interior, new split HVAC upgrade lighting fixtures and appliances '{, Final: ¢" Date 10/24/2018 Project Review Req: Plumbing/Gas zr Rough Plumbing: Building Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six�mo�nth�s afteri'ssuance• Final Gas: X.All work authorized by this permit shall conform to the approved applicatlon,'and the:approved construction documents,for which this permit has been granted. All construction,alterations and changes of use of any building and structuresshall be incompliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or4o-a'and shall be maintained openfor,public inspection for the entire duration of the Electrical work until the completion of the same. � �"�� Service: RWA Ji The Certificate of Occupancy will not be issued until all applicable sign atureD*the Building�,;$j�and Fire Officials are prowded"bn this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation Health 7.Final Inspection before Occupancy Final: 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. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: 2e < T4 ' ' Application ram.................. ........ .;........... .. i 4 NAMs P Few ✓. .._ _ ........OthetFee....................... TOW F=Paid...................».......................................... /...... TOWN OF BARNSTAB E ; - -Tr�- Approval by....'2 t —...............cam.... �� 1�� BUILDING PERAM APPLICATION Section 1—Ownees Information and Project Location Project Adtir m 500 OCEAN ST. UNIT I06 VMZge HYANNIS Owners Name SALAI-I ELDERINY AND IMAN M.F.ZADA Owners Legal Address 530 GROVE ST. NORWELL Stcite MA �p 02061 City . Owners Cell# 617-6I8-3626 F,Mail salahelderiny@msn.com Section 2--Use of Structure Use Grroup R ❑ Commercial Structure over 35,000 cubic feet Commercial Stavc m ier 35,000 cubic feet ❑ Single 1 Two Family Dwelling Section 3--'Pype of Permit ❑ New Constriction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire struct=) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alm' Rebuild ❑ Deck Apartment ❑ Spriukier System ❑ Addition ❑ Retaining wall ❑ Solar El Renovation ❑ Pool ❑ Insulation Other—Spey K1=,MODEL&UPGRADE EXISTING CONDO UNIT Section 4-Work Description NEW CABINETS,HARDWOOD FLOORS,REMODEL(3).BATHROOMS PAINT UNIT INTERIOR NEW SPLIT I-IVAC;SYSTEM UPGRADE LIGHTING FIxTT►RE.c &APPLIANCES T.Rid rmdatx!&-2/91201H Section 12—Department Sign-Offs Health Department ❑ Zoning Board Cif Wired} ❑ ffistonc District ❑ Szte PI=Review Cif req=d) ❑ Fire Department ❑ 7. Conservation ❑ For commercud work,please take your plans directly to the fire departntentfor apprm►aL Section 13--Owner's Authorization- L SALAH ELDER INY as Owner of the-subject property hereby authorize STEPHEN SCHVIALL to act on my beb A in all matters relative to work authorized by this building permit aPPlicafiian for: 500 OCEAN AVE.UNIT 106 j (Address of j ob) 'Ign�D er SALAH ELDERINY j Frint Name Loa undid:219018 ti Application.Number.................................................... Section 5--Detail Cost of Proposed ConstrvMdon $50.000.00 8qUare Footage of Project 1792 SF Age of Structure 15YRS Dig Safe Number N!A :9 Of Bedrooms Fisting 2 Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method [] MA Checklist[]WFCM Checklist ® Design Section 6—Project Specifics Q Wiring ❑ Oil Tank Storage 0 Smoke Detectors Plumbing D Gas -❑ Fire Suppression Heating System ❑ Masonry Chimney ❑Ad&relocate bedroom Water Supply O Public ❑ Private Sewage Disposal ® Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility. CAVOSSA DUMPSTGRS I am using a cizue ® Yes No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No SFCTION N/A Section 8—Zoning Information: Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage 4 of Dwelling Units(on site) Setbacks Front Yard Required Proposed Rear Yazd Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last uodabn&-2/92019 Application Number............................................ Section 9 W Consiraction Supervisor Name STEPI-HEN SCHMALL TelephonsNummber 508-939-1800 Address 464 STARBOARD LAME � , OSTERVILLE Stale MA 7�p 02655 License Number 0006553 License Type unrestricted Expiration Date 2/26/20 Contractors Fantail sclimall@comeast.net Cell# 508-939-1800 I understand nay responsfld ties under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the m,assac----I Building Code. I understand the construction inspection procedures,speck inspections and documentation 78 (MR Town ofBmnstable.Attach a corny of your license. Signature Date 10 J�j/ Section-10--Rome Ilmprovement Contractor Name STEPHEN SCHMALL TelephonaINTumber - 508-932-I800- Ad&ess 464 STARBOARD LANE ChV OSTERVILLL State MA `2�p 02655 RegistzationNumber 138031 ExpirafionDate RENEWED I understand my responsibilities under T he rules and regulations for Home Impanvemeat Contractors m accordance with 780 CMRthe Hussar S ronkdiag Code. 2 understand the construction inspection procedures,specific inspections and docrmmeatation y 0 CMIt and a Town of Bemstable.Attach a copy ofyour RIC... Signatme Date t© Section 11—Home Owners License Exemption Home Owners Name: SA 4-H'E-:airb.ERV IV Y tA.rr. F-6 K)A Telephone Number r79)65q—YY 0 j- ---CeU or WorkNumber Q-7 167 • 3&2,:Ca I understand my responsilr'kites' tmdcr the rules and regulations for Licensed Canstrodion Strpervisar�a accordance with 780 CMRtheb?assachus Bmldm' g Coda. I understandthe construe minspectimprocedaras,specific inspections and docnnrentatiort 780 the Town ofBanrstable. Signa xre Date O /1,0) APPLICANT SIGNATURE Signature I Date f° b i J I PrintName S'rEPHLNSCHMALL Telephone Number 508-939-1800 E-maij permit to: schmallCa omcast.nct T The Commonwealth ofMassachusefts Department of Indushzal Accidents Office oflnvestrgadons 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Butiders/Contractors/Electricians/Plumbers Auplicant Information Please Print Lelribiy Name(Business/Organimbon/Individual): Address: 41�_4 S'TAP_ '_b ��_ City/State/Zip: 5 c Phone#: SDb N-/960 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with- 4. ® I am a general contractor and I 6. ❑New contraction employees(fall.and/or part-time).* have hired the sub-contractors I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have S. Demolition employees and have workers' workitng for me in any capacity. 9. ❑Building addition [No workers'comp.insurance comp.insurance required..] 5. We a [j re a corporation and its I0.(]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.] *Arty applicant that checks box 111 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit tbis affidavit indicating they are doing all work and then hire outside contractors must submit a new affldavit indicating such. tConuactom 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. 1 am art employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: �I `� k t�1 L Ze — Policy#or Self-ins.Lic.#:C-L 2Z Expiration Date: (2 9 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 Section 25A of MGL e.I52 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 the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of for insurance coverage verification. I do hereby cart- e p ' enalt.__ ofyerjury that the information provided above is true and correct Si gnat": Date: /0..� l r 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#: R AC ® CERTIFICATE OF LIABILITY INSURANCE FBATE(MWOD)YYM 1 Y4E 06)20118 THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER-THIS CERTIFICATE DOES NOTAFFIRMATIVELY OR NEGATWELYAMEND,EXTEND ORALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE ACONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement. Astatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: PAUL SCHLEGEL Phoenix Iris LLC HONE e�_ 789-4363024 F 9 Wyman Street �yL ac,xo: 78t-436-5754 Stoughton,MA 02072 ADDRESS: Certificate@PhoenixlnsuranceLLC.com 1NSURER(S)AFFORDING COVERAGE NA1C a INSURE RA: Mount Vernon Fire Insurance co INSURED INSURf7tB: AmGUard YBC CONSTRUCTION INC INSURERC: 3 FULLER RD APT1 INSURER D' FOXBORO,MA 02MS INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBEit THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OFANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCEAFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS. EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. mw— L1R TYPE OF INSURANCE INSD POLICYNUMBER MIDDYEEF MMMOPollc YV LIMITS X COMMERCIAL GENERAL LIASMITY EACH OCCURRENCE S 1,000.000 CLIUMS44ADE Q OCCUR PREMISE�i ce S 100,000 MED E'XP On one paman S 5,000 A CL 2731842 06/13118 0611311.9 PERSONAL BADV INJURY S 1,000.00D R LAGGREGATEUMITAPPLIESPEit GENERALAGGREGATE S 2,o00.000 POUCY Q ECr r-1 LOC PRODUCTS-COMPIOPAGG S 2,000 DO0 OTHER. S AUTOMOBILELLASHJTY - COMBINEDSItNGL.ELIMIT' S a acrldaa ANYAUTO BODILY INJURY(Per pmon) S OWNED SCHEDULED BODILY INJURY(per aciidoM) S AUTOS ONLY AUTOS HIRED NON•OWHED ROPERTYDAMAGE S AUTOS ONLY AUTOS ONLY acrid 1 S UMBRELLAL" OCCUR EACHOLI.JRRQNCE S EXCESS LIAe HCLAM154ME AGGREGATE TE S DED I I RETENTIONS S WORKERS COMPENSATION YER OTH- AND EMPLOYERS'LIABILn YIN Y STATUTE ER RIFJE ANY PROPRIETOROORMECUTNEE.L.EACH ACCIDENT S 100,000 B OFFIC9WMEMBEREXCLUOED9 NIA 001074173 06119)18 06119119 wya�nna,awrylnNtfI E.LOISEASE-EAEMPLOY S 100,000 DESCRIPTION OOFOPERM'SONSbetmv E.L DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Addidaruil Remarks Schedule,may be aMched If more space is required) FOR JOBS NORMAL AND USUAL TO INSURED'S BUSINESS AS DESCRIBED ON INSURfED'S POLICIES. CERTIFICATE HOLDER CANCELLATION SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DEL TYr;RED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE OLIVIA ELLIS 019811-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards •Const� tit nSd rvisor i CS-006553 E'ires:02/26/2020 STEPHEN A SCHMALL 464 STARBOARD LN OSTERVILLE MAr02655 Commissioner t ACC o® CERTIFICATE OF LIABILITY INSURANCE DATE(AMIODIYWY) �.� 06120/18 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 UUMIAIA NAME: PAUL SCHLEGEL Phoenix Ins LLC PHONE No.Ext; 781-436-3024 a No): 781.4365754 9 Wyman Street E-MAIL Certificat PhoenixlnsuranceLLC.com Stoughton,MA 02072 ADDRESS: e@ INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Mount Vernon Fire Insurance co INSURED INSURER B: AmGuard YBC CONSTRUCTION INC INSURER C: 3 FULLER RD APT1 INSURER D: FOXBORO,MA 02035 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD EFF MML ICY EXP /DD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000.000 DAMAGE CLAIMS-MADE a OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any oneperson) $ 5,000 A CL 2731842 06/13/18 06►13119 PERSONAL SADV INJURY $ 1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000.000 POLICY❑JE7 LOC PRODUCTS-COMP/OPAGG $ 2,000.000 OTHER: $ AUTOMOBILE LIABILITY COEa accdeMBIN nt ED SINGLE LIMIT $ 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 accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ RED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETORIPARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 100,000 B OFFICER/MEMBER EXCLUDED? Q NIA 001074173 06119►18 06119►19 (Mandatory in NH) E:L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) FOR JOBS NORMAL AND USUAL TO INSURED'S BUSINESS AS DESCRIBED ON INSURED'S POLICIES. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE OLIVIA ELLIS ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACC>", CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06120/18 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 UUNIAINAME: PAUL SCHLEGEL Phoenix Ins LLC AHCONr o Exj: 781.4363024 1 aC No): 781.436-5764 9 Wyman Street ADDRESS: Certificate@PhoenixlnsuranceLLC.com Stoughton,MA 02072 INSURER(S)AFFORDING COVERAGE NAIC q INSURERA: Mount Vernon Fire Insurance Co INSURED INSURERB: AmGuard YBC CONSTRUCTION INC INSURERC: 3 FULLER RD APT1 INSURER D: FOXBORO,MA 02035 INSURER E s 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MIDD CY FF MMIDD EXP LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000.000 DAMAGE t5RENY€ 100,000 CLAIMS MADEFX OCCUR PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 5,000 A CL 2731842 06/13118 06113/19 PERSONAL&ADV INJURY $ 1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000.000 RPOLICY❑JEa LOC PRODUCTS-COMP/OPAGG $ 2,000.000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident S UMBRELLA LIAO OCCUR EACH OC(URRENCE $ HEXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER 'OTH- AND EMPLOYERS'LIABILI Y STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE Y I N E.L.EACH ACCIDENT $ 100,000 B OFFICERIMEMBER EXCLUDED? NIA 001074173 06119118 06M9/19 (Mandatory in NH) E.L.,DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) FOR JOBS NORMAL AND USUAL TO INSURED'S BUSINESS AS DESCRIBED ON INSURED'S POLICIES. _ Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards `Const`Akctibn ISdPprvisor CS-006553 Ea�t�pires:02/26/2020 CANCELLATION y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE STEPHEN A SCHMALL^I` ^. THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 464 STARBOARD LN , , _ � �,y '� OSTERVILLE MAr 02656 ` S`,(�L�l� AUTHORIZED REPRESENTATIVE ;{)/ cz' [� OLIVIA ELLIS Commissioner ©1988 2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) T e ACO�name nd logo are registered marks of ACORD Tavano Mechanical Systems,LLC TAVA N O 270 Communication Way Unit# 1 B Hyannis, MA 02601 beating & cooling (508) 932-5416 rodtavano@yahoo.com tavanomechanical.com ESTIMATE ADDRESS ESTIMATE# 1634 Clara and Stephen Mesonnero DATE 05/01/2018 464 Starboard In Osterville, Ma 02655 ACTIVITY OTY RATE AMOUNT Mini split 1 8,500.00 8,500.00 Installation of a dual zone Fujitsu ductless heat pump system for the first floor master and the living room . This system will be a 18000 btu with a 9000 btu floor unit and a 9000 btu high wall unit Boiler 1 9,800.00 9,800.00 Installation of a new Lockivar 199.000 btu gas fired boiler.. We will remove the existing boiler . Install a new PVC venting system. Install new boiler dress . A/C Install 1 5,000.00 5,000.00 Installation of a New Armstrong 3 ton R410a condensing unit and a new First co. cooling coil . Billing/Payment Schedule 1 0.00 0.00 Payment Schedule 1/2 down Progress payments to completion All material is guaranteed to be as specified. All work to be completed TOTAL $23,300.00 in a professional manor.We will warranty products that we install for 1 years time.The proposal may be withdrawn if not accepted within due date listed above.Financing available to Residential Homeowners upon credit approval. Accepted By Accepted Date We Thank You for Your Business. TOWN OF BARNSTABLE A PERMIT CHECKLIST a63q.�y6' Sign off hours for Health and Conservation are 8-9:30 a.m. and 3;30-4;30 p.m. A complete permit application includes filling all,sections 1-1 1. NEW STRUCTURES/REMODELING/RENOVATION/ADDITIONS ❑ Site Plan showing setbacks of proposed and existing structures ❑ Commercial—One complete set of full sized plans one reduced 11"x17"(plans may require a stamp by an architect or engineer). ❑ Residential - 5 Sets of floor plans no larger than 11"x 17" smoke/co detectors marked ❑ Worker's Comp. Affidavit and policy(if required) ❑ Res Check or COM check from the 2015 International Energy Cod Council (IECC) ❑Letter of fmancial Interest for new houses only (not required for rebuild after teardown) ❑ Performance bond made out for $4.00/foot of road frontage(new construction only) 2. DEMOLTION OF A BUILDING (NOT PARITIAL) ❑ Everything above plus shut off letters from following utility companies: ❑ Gas ❑ Electrical ❑ Water ❑ Sewer(if required) 3.-DECKS/PORCHES/GAZEEBOS/INSULATION/SOLAR/POOLS/SHEDS ❑ Site Plan showing proposed location spa ❑ Construction plans showing framing detail (if new framing), ❑ Pools—Barrier details, pool specs (engineers design) ❑ Workman's Comp Affidavit and policy (if required) FAMILY APARTMENTS ❑ Section 1 Plus: ❑ Family Apartments are subject to approval from the Building Commissioner. Agreement must be signed, notarized and recorded at the Registry of Deeds and returned to the Building Department. I, 44-0 P r u 1 -h 34. 15 � f ... 5 � t ... •. � _ti„-� w - - - _ -.W..�r via- ��, �(�\� �, � � !' `w � �1 U! 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' , l •mE,'w.a�7:taalx� *�^.+xa+ea+t�'r�: ess,s,�7c•. - "�� . yr , i i r N y A} a• uncovered heck ' u ncovered gC I A 16 2S 400 St 10 Is ISO Uvin�room 13 <9 �5 .r?i 1 1. 78s 1`01'al179S sf f,2- t L� step„ `' sat o i Ealing Area in xitchen t? h1a Oath � a2�trtatacn t Kitchen vlPsLL 1,Y 3rd level Bedroom Fir St Main Level :ncf fev. 4 _ _. .. .4 � x. e ♦� / � _ a � ` ! f n I, V �1fl�1S��4`� �C� r�`����. TOWS OF BARNSTABLE BUILDING PERMIT A.?PLICATION Map • ' Parcel Oa Application #` Health'Division BU11L®l1N��oEivision n Date Issued. Conservation Division OCT �1 �o'� Application Planning Dept. Tp Permit Fe NSTAWE Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis �CA AEr,L SST Project Street Address _5W a LEjg�) �" u w t T" 1 06:7 Villages Owner 1 (LIS �H y 2 Address a 5f9mE 'fl►% Telephone Permit Request l.L) 1 Aj D®c.J rL�Pt�1C �NT Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay y Project Valuation Z� 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ 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: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name fi M D wl fS 0 ftY Telephone Number S nt-3 G 7"r 7 E 7 Address 5 o-�> 9_o 0`s'(F (, ,A License # C S -- (4 9 Q Y I c�T SA ..S ..4%C1f vow A zS Home Improvement Contractor# 1-71 :7 7&oa Email -THo wi A S o,9c'T �fe y!gt4o6- co'-1 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO N FW P,Eb o6Z !D W AST-6 Mlet N66-FrytEp-JT Sp)(K15)wr CH SIGNATURE °_/k..- / -" DATE /O f 31 l FOR OFFICIAL USE ONLY r . t APFLICATION # DATE ISSUED '.F MAP/ PARCEL NO. i i ADDRESS VILLAGE - e OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ` ELECTRICAL: ROUGH FINAL F y i PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING r DATE CLOSED OUT ASSOCIATION PLAN NO. y ?'Fig Commomp►ealth gfMassadrusetfs Deepartmaut-&f1nd s&ia1Acf dew Offwe of�gatiem. 600 Wasibigion meet Bastin,MA 02111 Wcw1mre Cfmpensa:tian.Insu-ance davit; dErslCnntra-ctors/Mec ricians/Plumbers APPHcamt Infmmutia I Please Print 117TB(B � _ THr3 1 4ks 04L 1 Phoneme �;om-3(,-7 -7—[ J Are YOU an emplayer?.Check the appropriate b Izo T of project r Yl� F�'1 (required): I.❑ I a 1 with 4 am a gnat contractor and I ❑ loyees(andfor part time j.* have hired 1 a sub contmcbrs G. lei. oonst�cFror� 2. I am a sole propFietor orpartner- listed on the attached sheet. 7- deliug. ship and have no employees these sf>b-ca39ractors have 8- 0 Demoldion. working fornse in any employees and have wo&ers' 9..❑B.ui Eng addition LN4 Worlmrs,comp.ieavir=e C"P-Tn�l required-] 5. ❑ We are a corporation and its 10_❑Electrical repairs or adds ions 3.❑ I am homeowner doing all work officers have exRmsed their 1L❑Plnmbragrepairs or additions myself[No wosb='comp- rim of emempfion per M(M 13.❑Roofrepaiis insi anrerid.]l C.152, §I(4),andwehaveno employees.[Nowora!xs' 13-❑Other coop_insurance required-] •,dap appiftaud dint cbetltsbos id mast also fMootiha secdcmbeIowshmaiug dek v deu>compenPdnupeHcyinffi¢maauu_ I Ekimeauraets vim submit rhis affidavit i g they Rm doing old wait sad.lhen him outside rontira rsm ist submit a new affidaest irdiaraiuo sardt TCannactm3thatrhedtilisb=masta3farhedaaaddifi®alsimei showing the nameofthe and state-whe erornotthoseenfitksluree emPloyees.Ifthe ff)=-0 _.;—have employees,they=Stpmuidet1wft wadtEs'Comp.padirg number. I am au enipr flint is prctuiducg ivree$ers'cofnperasatian utsurartce for�t}�emlvlay�ees $etaav is fltepalicy and job�it� inforazatiam Irf_surartce Company Name: Pooficy or see-ins-Luc.t. 1.3 6 L2o f Job Safe Adds= GW 6 c CA1J ST ems•-r' 0 6 C41State12ap: t-t`f�r�nJ k S y�-t Attach a-copy of the warliers'compensahonpolicg declaration page(showing the policy ember and expiration date). Far-lum to secure coverage as requiredunder Section.25A of MM e.1572 can lead to the imposition of criminal penalties of a fine up to$I,SOQOD aindlor one-:r&irimprisostment,as we11 as civil penalties in the fiona of a STOP WORK ORDER and a fine of up is$250-00 a day against the violator. Be advised dot a copy of this statement maybe forwarded to the Office of Investigations ofthe DIA,for iasuraac4 coverage vrerifica#ioa. lido trar-Rlpp eefy herder the pains and aifs a,fgeefey tleatfhe irafaf�srafamrpraad abme i€true anrd arrrect Sit>rtature: Date: /0 3 b Phone a f cial=w only. Do ewt avrrite in dds mwit;trr be wmpietad by city artoff n qjoic&L City or Tavrn: Permi Ucense lisuing A ndwrity(curIee one): L Board of Health 1 Bwl4Fmg Dep tneeat 3.(ftyf Tana Clerk 4 Electrical Inspector S.Plunbing Inspector 6.Other Coact Person: Phone#- +s Information and Instructions , M&ssacIre#fs Geberal Laws c]lapfea 152 regones all employers 1n wide wozkeas'compensation for their employees. Purmamatto fhis starde,an employee'is defined ml .every person i a$f a service of another under any cmftact ofhae, r' express or implied,oral or wry." An wTkyer is defined as"an individual,parbet5hi;p,asmaiafion,anPDradon or ofh=legal eddy,or MY two or more of the foregoing engaged is a joint uprise,and inchidmg the legal represeatifives of a deceased employer,or the receiver or trastee of an individual,pue rSh5p,association or other legal eutty,employing employers. However fhe owner of a.dwelling house haviog not more,than fi ree apartments and.-who residwffierem,or the occupant oftbe - dweIIing house of ante=who employs pm=n s tD do mace,canstra-►;on or rr work.on such dwelling house urEen hemb shonotbecaase ofsach employment be deemedto be an employee_" or oa the grolmds ordmg app boi7 MGL chapter 152,§25C(6)also site t�s at'every state or local licensing cyshallwifihhOld the issuance or renewaI of a license or permit to operate a bus ness or to construct buildings in the commonwealth for any applicantwho has notproduced acceptable evidence of compliance tvifh the insur-an�coverage required" Additionally.MGL chapter 152,§25C(7)states-Telffimthe nor iy of its political subdrvisiaus shall enter into any contract for the perf aac6 ofpublic workuntil acceptable evidence of compliancewiffi file fil=aac. reTq eats of this chapter have been presented to the cnnhU�, aathoiay-" ' Applicants Please fin old the workers'compensation affidavit completely,by ch=lcing fb-e boxes that apply to your si ftmti an and,if, necessary,supply sub�ontrur(s)nm*s), address(es)and Pie n=ber(s) along with their cerEdlc e(s) of mmmmce_ Limited LiabilitY Companies(LLC)or L=ifedLiabilityPartnenbips(LIT)wifhno employees other than the mo=bers or partn=s,are not required to cagy vwoticros'compensation imsmmce. If an LLC or LLP does have employees,a policy is required. B5 advised that this affidavit may besubmitiedto the Depa-tmentof Industrial Accidents for conEmnation of m�n—ce coverage. Also be sure to sign and date the affidavit: The affidavit should be retrnned to ih e city or town that the application for the permit or license is being requested,not the Department of ; f hjdn�a1 Accidents. Should you have any questions regarding the law or ifyou are regm�ed fr7 obtain a worente =mp�aticm policy,please,call the Depa(meat at t a nnrnber listed below. Self-fim=d companies sb ouId enter ti�eir s elf-i sera ce license number on fire appropriate line. City or Town Officials Please be sure ihat the aidavit is complete and pried Ieglly. The Department has provided a space at the both= of the affidavit for you to fM Out in tb a event the Office of Inv�ga ons has to contact you regarding the applicant_ Please be sure tD fill in the peamit/license rnnnber which.will be used as a reference number. In-addition,an applicant fhat must submit multiple pemutlhccase applit atiem s m any given year,need.only submit one affidavit indicating cogent p olicy info=ation Cif necessary)and under`rJob Site A_d ess"tte applic�t should write"all Ioi lions II1 (city or town)-"A copy of the-affidavit that has been.officially stamped or madced by the chi'or town may be provided to the applicant as-proof a valid affidavit is on rile for ftdm permits or licenses A nevi affidavitmysf be f1lled out each year.Where a home owner or eiti=is obtaining a license or permit not related to any busmess or conuncacaal ventum (i-e_a dog license orpennit to bum leaves a .)saidperson is NOTreqofted In complete i3iis affidavit The Office of Investigations would hlce fD thank you in advance for your cooperation and should you have any questions, please do not hesifalzto givens a CRZ The Department's amass,telephone and fax TIg-,COMMMVMM of MassachMett. . Dqacbnent of lg� Aoaidenta face�X�fio� - �R4 B IA E 111 Ta#617-727-4900=t 4€6 or 1477 MASS-AM Fax 9 617 727 774 ' Revised 4-24--07 - W €, gc2lT�r "IF'..E JD A\JL Y �. CA,R]C IE 1\TR lY E & R. E M O D E L I N G 8/18/2016] 5o3 Rc. 6A Easc Sandwich, MA o,2337 Customer Iris Shur 500 Ocean St Unit 106 Hyannis, MA Description Qty Rate Total 2.200.00 2,200.00 Removal and replacement of double casement window and single casement window facing parking space,includes: -removal and disposal of existing -installation of new Andersen 400 Series C25 unit and C15 unit, Terratone exterior,pre-finished white interior,and insect screen -installation of new batt insulation around new unit -installation of interior trim to match existing -installation of white cedar siding on exterior to match existing -painting of interior trim PERMITTING,LABOR,MATERIALS,AND DEMOLITION DISPOSAL 750.00 750.00 Installation of 800 BTU AC unit in rear wall to the left of sliding door,includes: framing of opening installation of units -- installation of insulation surrounding unit -installation of interior trim -installation of exterior flashing installation of white cedar siding -painting of trim LABOR AND MATERIALS H _O S SIGNATURE /O Z� �6 COP —TOR SI/��1��TURE 1/ //�' /a��_ Total $2,950.00 r • ti C�c�ie�panvnwru�eaCC�o��%lGt�oac�icrteGt� �P License or registration valid for individual use only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation Registration::_;'17,.1782 Type: . r-�. 10 Park Plaza-Suite 5170 Expiration__4/24120-18 DBA Boston MA 02116 'j THOMAS DALY CARPENTRY ;. THOMAS DALY 503 ROUTE 6A ,4• �._:� EAST,-SANDWICH, MA 02537 Undersecretary � Not valid without signature a � Massachusetts Department of Public Safety � Board of Building Regulations and Standards License: CS-109941 Construction Supervisor - THOMAS DALY 503 ROUTE 6A to EAST SANDWICH MA 02537; Expiration: Commissioner 04/04/2020 Y. ( Thread Th:e ' lrn prove m& nt request for U,nit 106 has been approved with the foll owing stipulations. Windows must be at the Yachtsman standard : Anderson Perma-Shiield, Tera- Tone,, Crank out.. with screens on the inside. They must be the same size as current windows A-c must be same as in the bedroom as we talked .about end include a grey sleeve. About the: same �e`ght� a� Unit 112 so it keepsthe' Buildiming lines even. If your have an uestionsplease let u Yq s know. Have .a wond erful day, Sammantha� Landers Yachtsman Property Management Office SQ0-'Dgganimsheet �Y MA 02,60 lit ,. (5081 ) 775-, I�� S