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HomeMy WebLinkAbout0500 OCEAN STREET (49) /R 5 } i �I I I i I I I I f 4F114E ram, __ BUILDING D E P Application Number........ ......................................................... * an MASSsi'E' ' MAR 16 2020 Permit Fee......t. 0'90............Zoning District.—M. 1639. a TOWN OF BARNSTABLE TotalFee Paid ............................................................... ...... TOWN OF BARNSTABLE Permit Approval by... ................On... ........ ........... BUILDING PERMIT S — a�o Q Map. .....................................Parcel....V .............................. APPLICATION Section 1 — Owner's Information and Project Location Project Address✓5®0 LXSI 151- H��/Vr1X,?' 6111h-/29—Village Owners Name FO& ,(� /�//y� `�'°�g Owners Legal Address MAIL 2020 City State Zip Owners Cell # E-mail O✓e�J lv .4/�• ��� Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet El Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure)' ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Foundation Only Other—Specify 4! ,y sudOla 40ic° �L� Section 4 - Work Description z f` Last updated: 1/31/2020 Application Number!..i......... i Section 5 —Detail ` Cost of Proposed Construction Square Footagelof Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6 —Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ 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 ❑ 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 Last updated: 1/31/2020 , x t .. MM. t . IN p � a y n� ;* N Q „ Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Individual GABRIEL PANAfrE _ Registration: 192964 DB1A G&R HOME IMPROVEMENT -- ; Expiration: 08/30/2020 862 QUEEN ANNE RD '' HARWICH,MA 02645 z A r J SCA 1 A 2pM-p5/17 Update Address and Return Card. �/B Ii0/II//10/LU.•P.�C!/G O�✓��d1Y./,C/UG3E'tl- ._ _...-. Office of Consumer Affa6s 8 Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Individual before the expiration date. If found return to: Rea�stfration_ Expiration Office of Consumer Affairs and Business Regulation - 08/30/2020 1000 Washington Street-Suite 710 GABRIEL PANAi1'_E Boston,MA 02 D/B/A G&R HOMEJMPROVEMENT GABRIEL PANAi mG.`-..;-` 47 862'QUEEN ANNE'RDv=f ( � HARWICH,MA 02645 Undersecretary Ot valid i ut signature Commonwealth of Massachusetts x Division of Professional Licensure Board of Building Regulations and Standards Constristrf�S6rvisor CS-112592 i J154 ires: 01105/2022 ts.:. GABRIEL 1 PANAITE 862 QUEEN ANNE ROAD �g z HARWICH MA 0T,: Commissioner The Commonwealth of Massachuseft Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Q Please Print Legibly Name(Business/Organiza6m/Individual): Address: 96� 9f96� Ci /State/Zity p G��(G H �'� q� Phone#: ��/ ✓a�' �i 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 employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I 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.: required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 l.❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof sus incrrrance required.]1 C. 152,§1(4),and we have no �� j employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infiormation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors most submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify In the paws andpenaldes ofperjury that the information provided above is true and correct Signattue: Date: /06 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 M Information and Instructions Massachusetts General Laws chapter 152 req&ees all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to constrict buildings in the.commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the comber listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents O►ffice of Investigations 600 Washington Street 130skm,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www;maw.gov/dia TOWN OF BARNSTABLE PERMIT CHECKLIST Sign off hours for Health and Conservation are 8-9:30 am. and 3:30 4:" p.m, A camp pemM qplkadon Includes J lt#ng aU S"M 1-13 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"xl7"(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 financial 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: El Gas ❑ Electrical ❑ Water ❑ Sewer(if required) 3.-DECKS/PORCHES/GAZEEBOS/INSULATION/SOLAR/POOLS/SHEDS ❑ Site Plan showing proposed location ❑ 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. Application Number.......... Section 9— Construction Supervisor Name 'Pl�}`'& Telephone Number Address �(�'.2 Q���iSl �iGCity � iQf.�'//�/� State Zip License Number License Type O Z Expiration Date ®IZ4 S�_ 02 P Contractors Email ��7`��%AEG�4i✓?iP/�L pn 6WjL. F 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 78 R and the Town of Barnstable.Attach a copy of your license. Signature _~ Date Section 10— Home Improvement Contractor Name ��/�✓�/�� �Yf/73 Telephone Number 3 l�2 c9 Address9itylL/1&X/ State /yr} Zip C!!126� Registration Number l-/ Expiration Date (9c-?/ a, J©.45) 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 b 78 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date y 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 { Signature Print Name 64131fll L Telephone Number mac/ cor 05 �i E-mail permit to: /72F643P /0 (!g Last updated: 1 h l/2020 Section 12 — Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approvak 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 date Print Name t Last updated: 1/31/2020 A Town of BarnstableBuilding Post This CardSo That�t;is,1/is�ble,From the;Street;Approved,,Plans Must belie#arced on Job and this Car::d Must be Kept BpiLTSGLB • 1639,MAR - `c , , � . Permit Permit No. B-20-829 Applicant Name: GABRIEL I PANAITE Approvals Date issued: 03/19/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 09/19/2020 Foundation: Location: 500 BLDG 3A UNIT 125 OCEAN STREET, HYANNIS Map/Lot: 324-040 OBC Zoning District: RB Sheathing: Owner on Record: TOMONIQUE LLC as Q Contractor Narne'r GABRIEL I PANAITE Framing: 1 Address: 500 OCEAN ST, UNIT 125 y k Contractor License CS-112592 2 HYANNIS, MA 02601Est Project Cost: $0.00 Chimney : Description: 12X80 SLIDING DOOR REPLACEMENT Permit Fee: $ 160.00 Insulation: Project Review Re4� Replacing existing only is approved � � $ 160.00 �" Date 3/19/2020 Final: - 00, _ Zrdls��crn Plumbing/Gas k - Rough Plumbing: ry Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work auther¢ed'by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved appl cation`and the=approved construction documents for whichlt`his permit has been granted. Rough Gas: �;` ,. All construction,alterations and changes of use of any building and structures shall)be in compliance with the local zo ng:by laws and codes. This permit shall be displayed in a location clearly visible from access street or roadand shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. y- w Electrical The Certificate of Occupancy will not be issued until all applicable signsF77940 � lnn this"permit. Minimum of Five Call Inspections Required for All Construction Work Service: 1.Foundation or footing .""2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 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). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION O Ho(p Map Parcel plicatio # Health Division Date Issued 9 Conservation Division Application Fee 1'(426 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Oe_�n N+rxe Village Owne Address Telephone — '7 —7 Permit Request — � X) Maolk_) Rer)10 Ce-,MeA4 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation "I Oo� Construction Type Lot Size Grandfathered: ❑Yes. ❑ No If yes, attach$ppporting&scu tation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# ::nits) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King'slHighway ❑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 bathe): 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 n4—I c C Telephone Number 5-0 e 1r1� �(( Address �A� � � (�� License# 0 q knq:A Home Improvement Contractor# �-17(D Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 1 FOR OFFICIAL USE ONLY _ APPLICATION# DATE ISSUED MAP/PARCEL NO. E r s ADDRESS VILLAGE r OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. l; .A I. L Emergency Contractors LLC HOME IMPROVEMENT/RENOVATION.AGREEMENT This agreement made and entered into this 19th day of.August,2014,by and.between Emergency Contractors LLC,Fed lb #270657972, dome Improvement Contractor Registration#164370,362 Yarmouth Road,Hyannis,MA 0260:1 hereinafter referred to as'Contractor,and Ray Nelson,hereinafter referred to as HOwner'for work to be performed on the property at:500 Ocean Street—Unit#125,Hyannis,.MA 02601, This agreement is drafted pursuant to Massachusetts General laws Chapter 142A§2 and the provisions contained herein are intended to comply with the requirements of said statute. 1. In consideration of the mutual covenants contained herein,Contractor agrees to perform said work for Owner,according to the following Specifications and the Scope of'Work attached hereto as"Schedule A"together with any other documents incorporated herein by reference. 2. In consideration of Contractor's Services and Materials to be provided Owner shall pay to Contractor a Contract sum of$9,740,01 as set forth in the Payment Schedule Attached hereto as`Schedule B"subject to any Change Orders, In the event that any Change Order to this agreement shall reference a cost based upon"Time and Materials'",the owner shall pay the contractor,with respect to said change order the rate of fifty-five ($65.00)dollars per man hour plus a fee for overhead and profit of fifteen(15)percent of the cost of all materials related.to said change order. 3, Any changes.must be subject.to the order and direction of said Contractor and must be in writing in substantially similar form to the change order attached hereto. 4. Allowances. If there are allowances which.are set forth in this agreement.or its schedules,all items covered by such allowances shall be supplied for such amounts and by such persons or entities as Owner may direct,but the contractor shall not be required to employ or supervise persons or entities to-whom the contractor has reasonable objection,Unless otherwise provided in the contract documents_ a) Allowances shall cover the cost to Contractor of materials and equipment delivered at the site and all required taxes; b) Contractors costs for loading and handling at the site,labor,installation cost,overhead,profit and other expenses contemplated for any stated allowance amounts shall be included in the contract sum and not in the allowances: cj Whenever costs are more than or less than the stated allowances,the contract sum shall be adjusted accordingly by change order. In the event that said costs are more than the stated allowances,contractor shall be entitled to a 15%fee for overhead and profit on the increase of said allowances. d) Materials and equipment under an allowance shall be selected by the owner in sufflcient.time to avoid delay in the work.Any such delay resulting from Owner's failure to select said materials and equipment shall not be the responsibility of the Contractor and the completion date set forth hereunder shall be adjusted accordingly to reflect any such delay on the part of Owner. 5. Work Schedule. The parties hereby agree that the date of commencement of the Work shall be on or around September 15,2014.However, the parties further agree that Contractor's failure to commence work precisely on said date shall not be a material breach of this agreement provided that Contractor begins work within ten days of said commencement.date. In addition,.Owner hereby acknowledges that the commencement date is contingent upon appropriate weather conditions and if weather conditions are not appropriate to commence said work, the commencement date shall be delayed until appropriate weather conditions exist. Contractor agrees to achieve substantial completion of the work within 30 Calendar days of the actual commencement.of the work subject to any contingencies listed herein. Contractor shall not be held responsible for any delays.or termination of work which is caused by any discovery of environmental conditions not caused by Contractors actions,including but not limited due the discovery of any conditions implicating any wetlands or hazardous material laws. 6. Owner hereby warrants an.d represents that prior to the commencement date Owner is the lawful owner of the land and buildings thereon upon which Contractor shalt be commencing the work. 7. Contractor shall not be liable for any delay or nonperformance caused by Act of God,or any other contingency beyond its control. &. Owner is hereby notified that all contractors and subcontractors must be registered by the Administrator of'the;Board of Building Regulations, unless exempted therefrom,and that any inquiries about a contractor or subcontractor relating to.a registration should be directed.to:the Administrator. if e,^ 0vvner'�hereby notified of owner's three-day:cancellation rights tinder Massachusetts General Laws section of chapter ninety-three, section fourteen of chapter two hundred undfifty-five D.orsection ten of chapter one hundred and forty Das may be applicable. 10. Warranty. Contractor warrants to the owner that materials furnished under this agreement Will beof good quality and new unless otherwise required or permitted hy this agreement,and that the work will conform tp the requirements o/this agreement, |inaqpimdby Owner,Contractor shall furnish satisfactory evidence mu to the kind in quality uf materials and equipment, Contractor warrants that his work will be performed|no workmanlike manner and that he warranties said work for a period of 1 year from the date of substantial completion'nf this contract ur from the date of the fiou|inspection b*the building inspector,whichever|nearlier. With respect to any equipment installed by Contractor,Contractor agrees to deliver any manufacturer's warranties to Owner and Owner agrees to rely solely upon those warranties. Said warrantynotwithstanding.;Owner hereby ackiiawledges thal with respect to any.concrete structures,including foundations,small cracks normally appear after said material has xored and that said cracks are normal and,are not a result of defective workmanship or materials, Therefore,with respect to any such concrete structures,including but not limited to foundatimns,Contractor warrants for a period of one year, commencing nn the date of substantial completion or from the.date of the final inspiection by the building inspector,whi hever is earlier,that.said concrete structures shall be free from groundwater leaks.Leaks which.result from floods are specifically excluded from said warranty. With respect to any shingled roof provided by Contractor|o Owner,Contractor hereby warrants for a period o[one year that said roof shall be watertight for a period of one year commencing on the date which an occupancy permit is issued for the property or hnm the doteuf the final inspection by the building inspector,whichever ioearlier. Con tractor's warranty excludes remedy for damage m defect caused by abuse,neglect,modifications not executed by the contractor,improper orio»u0oieo(maintooanno.impmpo/uponsUom.o,normniwearandtearandnonna|umoQe, 11� Permits, Unless otherwise provided io the contract documents,the contractor shall secure and pay for the building permit and other permits and governmental fees,licenses and inspections necessary for proper executionand completion of the work which are customarily secured after execution o[the contract, |o the event that Owner secures any permits|n Owner's name,Owner shall bo excluded.by the guaranty fund provisions of Massachusetts General Laws Chapter 142A 12, Release of Liens. Contractor can provide a Release of Lien.from all major ouboonhoctomandxuppUors.upononmp|eUoonfthop jocL Bank type release form,if required,should be furnished to contractor by owner prior to beginning of contract work,which will baproperly filledout and be presented to him upon receipt ot final payment infull. Unless otherwise noted in this document,the.contract shall not imply that any lien m other security interest has been placed Vn your residence, 13. Utilities, Owners telephone,electric, water and heat tube made available for contractors and workmen's use during the progress o|the work, Owner is responsible for any new sn vice utility hookup fees required by local electrical utility company, - 14, K0sceltaneous. Owner further agrees and understands that the following items are included as part of the Agreement;(a)it is Own&s responsibility for identifying ho Contractor the correct property lines mr survey;0d Owner must provide Contractor usable facilities toconduct business such as,storage for materials,parking.for workels,keys and access to premises for deliveries and any other reasonable requirements of Contractor,(c)Contractor will match work to existing colors as closely as possible unless otherwise detailed in these documents;(d)Owner agrees to clear the work area of non related items such am furniture,furnishings,household items,etc. Failure to dpoo will necessitate Cnntruutorto make the work area accessible and will result|nuo extra charge at the rate nf$2S.0O per hour,plus equipment f applicable;(e` � Owner agrees�allow Con�gc�rbonm<opn�e�sign on the�boi�.�phm�8cmph�e job and use Owmo/aname�redvn�dnOand ' promotion purposes, 15, AJ|hume1mpmvoman1conhactomondnubconiradomsha||beregistaredandanyinqo|hooaboutacnotravtorVrnubmniracturre|uVn;kr registration should be directed��Director,Horne Improvement Contractor Registration,One Ashburton Place,Room 1301,Boston,MA 02108. 617'727'8008, (n Witness Whereof,the portinnhave hereunto set their hands the day and date first above written, DO NOT SIGN IF THERE ARE ANY BLANK SPACES [Customer! Date ergenoyCo�adn�.�� Date. ����Rnbm�Lnmhe.Opeabnns�unager | ' | You may cancel this.agreement if it has been signed,[byaprty thereto a1aplace other than an address of Contractor,which may beits main office or brannhfhmemf,provided you notify Contractor in.writing at his main office or branch by ordinary mail posted,by telegram sent or by delivery. not later than midnight of the third business day following the signing of this agreement; 3eathe attached notice ofcancellation form for an explanation n['his right,Signature uf Owner acknowledges receiptof attached right dcancellation. ' ^ Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.govIdia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Ledbly Name(Business/oTanizatioaflndividual): VY),<Z(AL4 C-k A 0 fA:b/-n Qjn Address: _77. f City/State/Zip: Phone#: C90 Are you an employer? heck the appro riate box: Type of project(required): 4. I am a general contractor and I I am a employer with ❑ 6. ❑New construction employees(full and/or part-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 g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp. insurance comp.insurrnceJ required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 11. Plumb' repairs or additions 3.❑ I am a homeowner doing all work ❑ � P 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.E] Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: JJ -, Policy#or Self-ins.Lic.#: Expiration Dater 31 C Job Site Address. City/State/Zip. MAL 1 Attach a copy of the workers' compensation policy declaration page(showing the policy num er and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification_ I do hereby c fy under 4he pains and penalizes of perjury that the information provided ab ve is true and co ect. Si afore: Date: Phone#: Of 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 S.Plumbing Inspector 6. Other Contact Person: Phone#: 29.07.2014 15:48:23 Guard Insurance Guard Insurance Group 4/5 •� DATE(MMIDDNYYY) A601ze CERTIFICATE OF LIABILITY INSURANCE 07/29/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: DOWLING&O'NEIL INS AGY PHONE FAX (A/C,No,Ext): (AJC,No): 973 Iyannough Road E-MAIL ADDRESS: P.O. Box 1990 Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE I NAICi INSURER A INSURED INSURER : AmGUARD Insurance Company. 42390 Emergency Contractors LLC INSURER C: 362 Yarmouth Road INSURER D: Hyannis, MA 02601 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. ADDL SUBft PDLICY EFF POLICY EXP ILTR TYPE OF INSURANCE S POLICYNUMBER MNUDDfYYYY MMIDDlYYYY LIMITS GENERAL LIABILITY I EACH OCCURRENCE S DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurronce S CLAIMS-MADE OCCUR MED EXP(Any one person) 5 i PERSONAL&ADV INJURY S GEN E RAL AGO RE GATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP;OP AGG 5 __ O. POLICY PR C LGC COMBINED S AUTOMOBILE LIABILITY Ea dorideotSINGLE LIMIT R ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED I BODILY INJURY(Per a deny S AUTOS AUTOS - - --------- NON-OWNED PRJPERTI'DAMAGE S 'IREDAUTOS AUTOS' iPcr accidcnti S i UMBRELLA LAB OCCUR EACHOCCURRENCE S EXCESS LWB CLAIMS MADE AGGREGATE S ' QED I RETENTIONS S WORKERS COMPENSATION WC STATUS OTH- �ANDEMPLOYERS'LIABILITY YIN T RY ITS Y` F ANY PROF'RIETORfpARTNER:EXECUTIVE; NIA I R2WC594145 03103l2014 03/03/2015 E.L.EACH ACCIDENT S B OFFICERT.IEMBER EXCLUDED? I Y E L DISEASE-EA EMPLOYEE (Mandatory in NH) S 111 Ves dreribe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT S i i DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES(Attach ACORD 101,Additional Romarks Schodule,if mom space is squired) Exclusions: Scott Gladish 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 ©1988-2010 ACORD CORPORATION. All rights reserved. . ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Thames F.Geiler;bire:Or 9 Division' Tom Perry,RuBdm g Commisgoner 200 t ff MACT2b 1 w. wn,barns;able.ma us . . Office: 508-862-4038 -F= 508-790-6230 Property e Must Complete and Si gn This Section, If us WgA Bi der as O­Wnez cj z'Mb ea-,=Op. bt*eJ7 2T. is zn=M=telat ce to work aufaonzed b7 i s budd z g , (Address of job) "Pool fe.nces.'and 'alanns are the responsibil g of tbe applicant. Pools are aot to be ERed or nfflized before fence is installed and alI final inspections are performed and.accepted. siz ri se of C3w.._er Si t-a:e of Applic t Pint N=e ! Z Mass ach a s ! .Department 2>; csa y / Sae w-84wUng Regulatonsa SGeGaws Lze m 403622 ROBE SJONf/ \ ~ \ 206 CEDRI< RD- CENTERVILLE MA 0��\ . ✓� �� , > © �/anon . 03M9115 Office of Consumer Affairs nd Business Regulation 10 Park Plaza - Suite 5170 Boston, .Massachusetts 0211.6 Home Improvement Contractor Registration Zn Reqistration: 164370 Type: Supplement Card EMERGENCY CONTRACTORS LLC Expiration: 1 0/1 1201 5 R. SCOTT JONES ...... 73 IYANNOUGH RD HYANNIS, MA 02601 Update Address and return card.Mark reason for ehanLe. Address Renewal Employment Lost.Card lJflice of Clonsamer;lffairs S 13uatness Re t�lauon License or registration valid for individui use oniv . a1pME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: V�Expiratjon: Office of Consumer Affairs and Business Regulation egistration: 164370 TYPe! 10 Park Plaza-Suite i 170 10i1l2015 Supplement ward Boston. 11A 02 t I6 EMERGENCY CONTRACTORS LLC R.SCOTT JONES 3 1YANNOUGH RD HiYANNIS,MA 02501 taderseerrtar�- Not a-a ad wi o rc The Yachtsman 50.0 (D-ue?n Sreet, Hyannis, MA 02601 Yachtsman Condominium Trust F Ck Boy 1283 Hyanv& PAA 0260-1283 ;50S)775-1515 R E-: Unit /2- 'achtsrn,,,tit Condorniniur 3 )0 ()cean Street, f fyannis Io at Awn of Barnstabl BOA, Com4i11n4mwo The 1%rd oFAustees Ar be Yachisn-l'an Condorninkni Trust voted and approv� d the ,,.ItLlched proposal io be perfornied as is Wneawd in the rqueg my e neceived Amn the Pit Own( r,,,. Fhis letwr serves as notice of dim Nwqc R) aPPrOve the proposal. which has been noted in 111C NfinUtCS of the Board Meeting, Sivned tinder the Thins and Penalties Of POOLITV this da� of Sri ................ Board of Frustees TTLISt 5.00 Occan. Street (c/o Minaper's I tyannis, N—LA 02601 MIA le TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION•" Map Parcel ' -�%tv #� 1 C SApplication Health Division Date Issued Conservation Division Application Fee Planning Dept: Permit Fee ' _ Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Add �f�O C2942 Sf_���j Village tl"���d11S Owner PC,T /V t bcc)A-2 Address i /k-e, Telephone '7 3 F)3 Permit Request I rt�� C - /� � ��l i, �� 1 ,0 J �,t w 6j�GLk'lol lii ✓c �/ ��l1/,10 F/3✓1a'c1Y1 ��1/I Pov 4-;, i' 1 �y i6 l�' eC. ♦ / I r 1��/Q�1�✓/� / kJ //`L/ � / 1'��A� (C. /�,✓ l�� , P. f ery"";ew ("i Square feet: 1 st floor: existing proposed 2nd floor: exis ng proposed Total new Zoning District Flood Plain Groundwater'Overlay Project Valuation L14W11 I Construction Type r,e Lot Size Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family =-0 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 -, r 11 Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove_: ❑Yes ❑ No r) Detached garage: ❑ existing U new size_Pool: ❑ existing ❑ new size _ Barn: 0-existing '0.nev .7 size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 5-0 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ a ,� Commercial ❑Yes ❑ No If yes, site plan review# s Current Use - Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name -ecrrli ;°p : 33 Telephone Number 7b9 Address %a ?e- YF',, � License # �- G �j�� --� ' Lka ( �.-J\ Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO / �v aedi"VL4. LA�lf "dli,­>i I- SIGNATURE- �� DATE i FOR OFFICIAL USE ONLY r t APPLICATION# s, '1 DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER r s DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of'Industrial Accidents a Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): 3 aIQbu,T-cc � Pro' Spec"Is-ts Address: BOX A4 Rot/9 a3n City/State/Zip: (��~ Phone#: S g Are you an employer?Check the appropriate box! Type of project(required): 1. I am a employer with 1O 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6 New construction 2.❑ I 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' [No workers' comp. insurance comp.insurance. 9. Building addition required.] 5. ❑ We are a corporation and its ME] Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractor;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. t � Insurance Company Name: r Policy#or Self-ins.Lic.#: '7 /0 A P 700 Expiration Date: _/,L/lh?nz!3 Job Site Address: .. 60 oc e City/State/Zip: dyel,/i lr Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required tinder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250,00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the.DIA for insurance coverage verification. I do hereby cer if un a the pains and penalties of perjury that the informatihn provided above is true and correct. Si ature: Date: Phone#: Official use only., Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector .6. Other Contact Person: Phone#: '3 mUL/12/2012/THU 01 : 05 PM Diaster Specialist FAX No, 5088882951 P, 001 RightFax N1-1 12/22/2011 7,19:42 AM PAGE 3/003 Fax Server + 3 i :. ISSUE DATE OWN I umom lyjyZ011 TH]e CIRTDPICATE SA JSSUED AS A SHATTER OF IPIPOISBIATIOPT ONLY ANp COhr8ZR6 NO]ilG3fiffi IIPON IIffi CEItTC1rCA HOMER TIQS CtR WICATS DOW NOT AT@TRATATIVPI Y Olt NEtlATJVGt Y AMJSND,R7CntdD oR AtTFR TT{E COVPRAGJ4 AFFORbED fHE POLICJ>9 DELOw,THf6 CEJI 0nCA'J'R 01r vJffiUllANCE DOF6 NOT CONS1TT07E A CONTRACt HETWLEN T1fE D48UWC7NlttntsR(6� CTt2ICRtIJE� REPRTMMATIV&O BRODD ANA CERTIPICATEHOLp7iR. IMPORTANT:H the cotttflcata holder le an ADDITIONAL INBURPo,the poltcypaa)must be endoreed,tf t1U131R00 710N IS WANED,subleet to ttie tetmS and condttions of the policy,certain policies MaY Tag1lte an endorsement.A statement On this cedt9Cate d eB not confer rights to the cedilla to holder In Neu of such endarsonleh S vxODUCER C NTACT ' OCEANSIDE INS GROUP NANF- 52 WEST MAIN ST[LaT We,No.S>�; ABM NQ: HYANNIS,MA 02601 $4"L ADDtcEoe; PROOUCHR CUSTOMER ID 19 INSURED TNS AFFORDING CONTRA KAIC# BENA$BY INC DAA I1V�UMR A ZURICR DISASTER SPECIALISTS INSURER P O BOX 480 PaURERC SANDWICH,MA 02563 INSURERS 11d5URE>L 7G fNSURERB COVERAGES CISIRTIFICATE NUMBER! REVISION NU SEA: THIS IS TO CSR Y T THS1,01ACM OF UR"ce LYsTPD BELOW HAVE BEEN IHSUHD TO M NO=NAM ADO F TIt880UC f nAM MCAT®. NOFrWnUSTANDDM ANV BEQtJ=Mfl,TZVN O&CONDTRON OF ANY COWMACT OR Omma 100CV64wT WPm MpECr TO CH TM CERTIFICATBMAYB6 ISSUED OR MAY YVATAIN,Tag DNWitANCE AFFORDED BY TEE POLICIES DE30019D);D=M 10 SUBJECrTO All THE Tt"a, CLUSIONS AND CONDDPJONS CF SUCII POT.1=,LaCTS SHOWN MAY HAVE RBDMW AV PAW CLAN& INSR IYP1S OP KN8UBIANCE ADDI $OIL 1'OLwV KtrwER POLICY EFP rolj=m 7 muTe G Dm WW I GENERAL LIABMITY. i EAOlaOCOLsABbNCE i AAbAAARTO[WNTED S 0 COMM=LU,QDMRALL A)3= Pi+ELaMS Okd accurmet IIy•�- IdHO.WENMtArutona I - Q OLAWS MADE LJ OOMM - arson FOMNALAADY I 0 � 'AOOJtHOA`t8 S� I OEN'L M6RD(PAYELn&r AN?=PF,' UCt COMP/OP T .: 0 PoLtOY 0 PRO)= 0 LOC AUTOMOTIRM WABILIT.Y COMB>NmsnvoLs S:„ . I J31An iaid'ea ' BODiLYINAMY :*.S�' i O ANY AUTO ipe, a' 0 ALL OWNED AUTOS -Q ee�euOAuo PRm f 'r'0 eramidmt .-.•-+ RREDALMS O NON-OWNDc ADToS 'el v 0 0 UMBRWJ-kLIAE 0OCCCR ` EapJOCCIDiRI3NCE S 0 EXCMLIAR 0CLA14&WDs AO0P50AR9 i • r 0 DmvCmlz S 0 RETSN aA 0 woJa[aats•coM>]CN9AxioN a A AND nOLOYMS T TABO rrY i NIA 9CA{IIl05tY YIN L¢.ffN ANYPROPRAYTORrDART91ERl 1,IIACHArzmFW 5500,000 „ NIA 6ZZlh1 A1021'100 01/01/12 Ol/OI/13 Exd UDEDi F-9� -EACH (bLQtDATORYJNMD S50A000 . I ,P01wy i Rvu,eostlMunaarl5E8®macaroP 1500,000 ODFRATrOTJ8helov U jWOFOPWT)bN&fC6CAT(0,N&VMCLEI CftwhA00RDID1,Ad t &morks>3dudule itmorotpeaal:roquke,p ifiFINfiV&kU'SMAWORKHRSCOMPb9�5A7I0NDOLTOYAAmReuufff®0[I RS'1ATF91NSItRANCRRPIDOR 7TAUiHOR17FS1ftBPAYE2fDR°UFBEt16FT7sFOHCIA1M5b1AU'gby 7fE1NSURP.O' I - E1,2LOYM IN 67ATF,B arFER TKAX MA WO AUTiR0=ATDW2 CWW-ro PAY CLAW FOR Br2TEFTta nt ANY 6rAT£0=1 m'L4Nmx IF THE mmtm JIE=01tym mm.ma'IAYm OMME . A!A'lWsP0t1CY[>ovBNVtP110VIDBCOY8A=AXVARYaiAYEdI'ft6R1C19W - - ntisezPraCasANYDR]ORCt'R[iT[CATEIagURI17071 UIER kmCTmGW0m=x cow COYERAOH s 00011AVAZI SHOULD ANY OF THE ABOVE DEBC LM POLICIES 86 CANCELLED BEFORE 'FHE EXPWIOK DATE TH9REff,N TICII WILL BE DELIVERED IN ACCORDANCE WITH TN6 POLICY PR VISION& ' 8rcary Ma.cl®aw , • Massachusetts-Qepartment of Public Safety Board of Building Regulations and Standards .Construction Supervisor License. CS-071402 t..rs n JOSHIJA L C01fiN - 1082 OLD SBAG CENTI�RYIF3LE �" 9:oj I I-WAX Expiration Commissioner 12/31/2013 F1Wm O �e o �umay/.'sa 4nB usinesdsReeogeufat4ti o 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improve?a ;Contractor Registration Registration: 108642 vv Type: Supplement Card Expiration: 8/20/2012 BENABBY INC/ DISASTER SPEC1'/ _1�5. JOSH COHEN 9 Jan-Sebastian Way V _=' = Sandwich, MA 02563 'j Update Address and return card.Mark reason for change. Address ❑ Renewal E] Employment Ej Lost Card PS-CA1 SOM-04/04-GIO1216 �l� -Piam�nzo�uuealr,� a���aalac�uaelta Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration r,;1 18.642 Type: 10 Park Plaza-Suite 5170 ExpiraCon; g%pt2} UV1212 Supplement Card Boston,MA 02116 BENABBY INC/-0[SASTEf S.PECMALIST JOSH COHEN Box 480 rz „ � �—,�, _ C.-✓ Sandwich,MA 02563"_==,'_= Undersecretary Not valid without signature =-� Disaster Specialists P.O.Box 480 Sandwich,MA 02563 508-888-1113 508-888-2951 (fax) info@disasterspecialists.com Client: Pat Nelson Home: (508)572-4383 Property: 500 Ocean St Unit 125 Hyannis,MA Operator Info: Operator: JCOHEN Type of Estimate: Date Entered: 6/11/2012 Date Assigned: 5/24/2012 Price List: CAPECODUD Labor Efficiency: New Construction Estimate: NELSONP This estimate includes only the items specifically listed. Disaster Specialists P.O.Box 480 Sandwich,MA 02563 508-888-1113 508-888-2951 (fax) info@disasterspecialists.com NELSONP Floor 2 Master Bedroom LxWxH 14'6" x 14'3"x 7' 6" 431.25 SF Walls 206.63 SF Ceiling 637.88 SF Walls&Ceiling 206.63 SF Floor 22.96 SY Flooring 57.50 LF Floor Perimeter 108.75 SF Long Wall 106.88 SF Short Wall 57.50 LF Ceil.Perimeter Subroom 1: Offset LxWxH 6'4"x Y x 7'6" 140.00 SF Walls 19.00 SF Ceiling 159.00 SF Walls&Ceiling 19.00 SF Floor 2.11 SY Flooring 18.67 LF Floor Perimeter 47.50 SF Long Wall 22.50 SF Short Wall 18.67 LF Ceil.Perimeter Subroom 2: Closet LxWxH Y 3"x 2'9"x 7'6" 90.00 SF Walls 8.94 SF Ceiling 98.94 SF Walls&Ceiling 8.94 SF Floor 0.99 SY Flooring 12.00 LF Floor Perimeter 24.38 SF Long Wall 20.63 SF Short Wall 12.00 LF Ceil.Perimeter DESCRIPTION QNTY Batt insulation- 6 1/4"-R19 160.00 SF drywall-hung,taped,floated,ready for paint 160.00 SF NOTES: Floor 1 NELSONP 7/12/2012 Page:2 s ter:%'-� Disaster Specialists P.O.Box 480 Sandwich,MA 02563 508-888-1113 508-888-2951 (fax) info@disasterspecialists.com Dining Room LxWxH 10'6"x 7'7"x 26' 940.33 SF Walls 79.63 SF Ceiling 1019.96 SF Walls&Ceiling 79.63 SF Floor 8.85 SY Flooring 36.17 LF Floor Perimeter 273.00 SF Long Wall 197.17 SF Short Wall 36.17 LF Ceil.Perimeter DESCRIPTION QNTY Drywall patch,ready for paint 1.00 EA NOTES: Living Room LxWxH 16'3"x 14' x 8' 484.00 SF Walls 227.50 SF Ceiling 711.50 SF Walls&Ceiling 227.50 SF Floor 25.28 SY Flooring 60.50 LF Floor Perimeter 130.00 SF Long Wall 112.00 SF Short Wall 60.50 LF Ceil.Perimeter Subroom 1: Closet LxWxH 4'x Y x 8' 112.00 SF Walls 12.00 SF Ceiling 124.00 SF Walls&Ceiling 12.00 SF Floor 1.33 SY Flooring 14.00 LF Floor Perimeter 32.00 SF Long Wall 24.00 SF Short Wall 14.00 LF Ceil.Perimeter DESCRIPTION QNTY Batt insulation- 6 1/4"-R19-ceiling 239.50 SF 1/2"drywall-hung,taped,floated,ready for paint-ceiling 239.50 SF Batt insulation- 6 1/4" -R19 149.00 SF NELSONP 7/12/2012 Page: 3 Disaster Specialists r�7 , P.O.Box 480 Sandwich,MA 02563 508-888-1113 508-888-2951 (fax) info@disasterspecialists.com CONTINUED-Living Room DESCRIPTION QNTY 1/2"drywall-hung,taped,floated,ready for paint-walls 149.00 SF NOTES: Grand Total Areas: 3,399.33 SF Walls 864.02 SF Ceiling 4,263.35 SF Walls and Ceiling 864.02 SF Floor 96.00 SY Flooring 325.67 LF Floor Perimeter 993.50 SF Long Wall 706.17 SF Short Wall 325.67 LF Ceil.Perimeter 0.00 Floor Area 0.00 Total Area 0.00 Interior Wall Area 0.00 Exterior Wall Area 0.00 Exterior Perimeter of Walls 0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length 0.00 Total Ridge Length 0.00 Total Hip Length NELSONP 7/12/2012 Page:4 3 I f k � y W ry s x vt toe. i. IIIl ___...__...._...._.._�.__....._......_........._.............. ... ......_......_....._..... ....._........... _ ................,..................................._....._..,......,..._.... .........._.._.......�.......................�.._.... 1 i F t` P r S-4 49 o ^n 4�4 i � 5 w4 t a � z v a /p s •� �TFIE r Town of Barnstable Regulatory Services - { saxMASS.. � Thomas F. Geiler,Director ��prf039. 6. Building Division Tom Perry,Building Commissioner 200 Main Streei,Hyannis,MA-02601 �k www.town.barnstable.ma.us Office: 508-862-4038 �fi ij Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized bythis building permit application for. (Address of jog) IF Signature of Owner D e Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION L 4. Town of Barnstable „ �pZHE Tp� . Regulatory Services " Thomas F. Geiler,Director •nxrternst.>;. P MASS. �A 019. A,� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us 'r Office; 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print. DATE: JOB LOCATION: number street village "HOMEOWNER name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fomilcerdfication for use in your coannunity. Q:\WPFILES\FORMS\homeexempt.DOC I -- ;1 Yachtsman Condominium Trust Acceptance 9f Trust A" roval The undersigned Owner[s] of Unit#125 of the Yachtsman Condominium Trust, 500 Ocean Street,Hyannis,Massachusetts,acknowledge[s] that the Trustees of the Yachtsman Condominium Trust have voted to approve the following proposal: Replacing of ceiling,walls and floor in the living room; replacement of wall and florr of master bedroom; repairs (including reposition and improvement)to electrical, telephone and cable outlets; replacement of air conditioning units in existing locations; repairs to back deck as is necessary to return to original state; replacement of heating unit(with any vent location placed so as not to face the courtyard area and to minimize any visual impact upon abutters). By acknowledging the Trustees'vote approving the proposal for Unit#125,the undersigned Owner[s] agree that: 1. The specifications provided to the Trustees for approval (copies of which are attached and incorporated hereto) on May 29, 2012,are the final specifications of the improvements. There shall be no additions or variations to the said specifications without the Trustees'prior written consent. 2. Approval by the Board in no way constitutes a waiver by the Board of the Trust's rights. Moreover,approval by the Board does not indicate that the Board accepts liability or responsibility for the actions of the owners. 3. Any contractors (and sub-contractors) hired to work on the proposal shall obtain the necessary approval and permits from the appropriate local authority or statutory body required under any law(including any statute,ordinance,by-law and/or regulation). Contractors and/or sub-contractors shall not commence, continue or complete any work without having the appropriate permits and approvals secured. Contractors and/or sub-contractors shall provide the Manager of the Yachtsman with copies of all approvals and,permits.. 4. Any work undertaken shall comply with all relevant local,county and state codes, by-laws,regulations and statutes. S. Any contractors (and sub-contractors)hired to work on the proposal shall maintain the appropriate liability insurance. Contractors and/or sub-contractors shall provide the Manager of the Yachtsman with copies of the relevant insurance binders. 6. Given the nature of the damage and the time of the incident,the Board understands that this project must occur after Memorial Day. The Board asks that you be sensitive to your neighbors and ask your contractor to work as quickly as is possible within reasonable working hours. No work shall occur during weekend days. -1- L Acceptance of Trust Approval Page 2 of 2 7. I/We assume(s) responsibility for any future costs associated with loss or damage related to the work. The undersigned Owner[s] of Unit#125 therefore accept the approval of the Trustees of the Yachtsman Condominium Trust subject to the above-noted conditions. Signed this 6474 day of .201_,A� _ Signature-Unit /Owner �lPie�fl�• /�.��5 Qom/ Print Name-Unit Owner Signature-Unit Owner Print Name-Unit Owner /,x ,�, — r ess a r, achtsman ondomin' m Trust Documents Attached: aoi-:2, Permits Received (Title and Date Received): l__