HomeMy WebLinkAboutBld-20-000200 1 .
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ONE & TWO FAMILY ONLY-BUILDING PERMIT
Town of Yarmouth Building Department
1146 Route 28, South Yarmouth,MA 02664-4492
508-398-2231 ext. 1261 Fax 508-398-0836 .......,.!.1:S.
Massachusetts State Building Code,780 CMR -1$
Building Permit Application To Construct, Repair, Renovate Or Demolish
a One-or Two-Family Dwelling
This Section Official Use nly
Building Pennit Number: u)-Ae, -ord ate App ' .
CltAkitko
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 PropertyAddress: 1.2 Assessott&Parcel Nun)13,- )
v I
- 1.1a Is this an accepted street?yes e•-•""no Map Number Parcel 1\lumber
1.3 Zoning Information: 1.4 Property Dimensions:
,- 'W-
:---.7_. Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
-.
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
•7 C2) Required Provided Required Provided Required Provided
fle C.,4 08,71.
6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: Outside Flood Zone?
Public 15"-- Private 0 Municipal 0 On site disposal system 15—
Check if yesi:i•--
SECTION 2: PROPERTYOWNERSHIP1
2it tt°7-71-1:f Ric2d4.41,I
Name( rint)J City,State,AV
II 41A1 11-i/0.1,. 1 #741
No.and Street ' Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied El Repairs(s) 'WI Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg.0 Number of Units Other 0 Specify:
Brief Decriptio9 of Proposed Work2: n f
-t fi STWi AI
ei as .4.,.../ fie, A_ .
L AA,'
•
SECTION 4:ESTIMATED CONSTRUCTION COSTS .
Estimated Costs: •- -
Item Official Use Only '
(Labor and Materials) •
1.Building $ t 7 /op , ‘,.. 1. Building Permit Fee:$1400 Indicate how fee is determined-
1 0 Standard CityrrownAPplication Fee
2.Electrical $
0 Total Project Cost3.4temAx multiplier . x •
3.Plumbing $ 2. Other Fees: $ -35"U . - *
4.Mechanical (HVAC) $ List
5.Mechanical (Fire I nt..4,100 .7.- q00: - -
$Suppression) Total All Fees:$
Check NO. Check Amount Cash Amount: _,...-
6.Total Project Cost: Si 2 /pa/ -zz, 0 Paid in Full GI Outstanding Balatce Due:
/
X..)----
'•, SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Su ervisor License(CSL) "
(3 22 j} Qtyi/L �f��r/�x�
,`/ LpwI 1,,, License Number Expiration Date
Name of CSL Holder v
„Cats t 11 / List CSL Type(see below)
No.and Street !�/ Type . Description
t1`yh!S f' G ZG'vI U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted 18c2 Family DwellingCity wn,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
S�`l igt 4 Laargf/its Al m4 is 1 Solid Fuel Burning Appliances
7 ! � 5 �' � I Insulation
Telephone Email address ' D Demolition
. 5.2 Registered Home Impr vemen Contract (HIC)
Mir"2-3 0/24,1_
HIC Registration Number Expiration Date
HI Companyy„Name or HIC Registrant Name
K --) /& S- Cersivile-00541.41 .1 -.1 0.4
1, Street
,5'-(rW t tit !w r L a j r4 . 77/L5 / Email address
City/Town,State,LIP i► " Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes E/ No 0
. SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ..
I,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.
Print Owner's Name(Electronic Signature) Date
SECTION 7b; OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
6??�� c�'a. e/z4/lf
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.eov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq.ft.) , Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
The Commonwealth of Massachusetts
_,c, l, tf1 Department of Industrial Accidents
e .:ill= 1 Congress Street, Suite 100
Boston, MA 02114-2017
Vr www.mass•aov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Leeibly
Name (Business/Organization/Individual): 43,71 61lis' 4/if ��V ✓�.
Address: (, e ea7 3 P.
City/State/Zip: 06'1 ZMt". 0'Z1K- Phone#: 1W. %7/
Are you an employer?Check the appropriate box: Type of project(required):
I. I aam a employer with y employees(full and/or part-time).* 7. 0 New construction
2.0 I am a sole proprietor or partnership and have no employees working for me in 8. aRemodeling
any capacity.[No workers'comp.insurance required.]
9. ❑Demolition
3.❑I am a homeowner doing all work myself[No workers'comp.insurance required.]t
10 Building addition
4.❑1 am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions
proprietors with no employees.
12.❑Plumbing repairs or additions
5.1=1 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.Q Roof repairs
These sub-contractors have employees and have workers'comp.insurance.t
6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.0 Other
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employee& Below is the policy and job site
information.
Insurance Company Name: g�
Policy#or Self-ins.Lic.#: 1e'/ i t/2 / g Expiration Date: 9A/1/
Job Site Address: C'f /fVt-r 7i ��d k 1 City/State/Zip:sv 00•...14/a
Attach a copy of the workers' com ensfation policy declaration page(showing the policy num6ef and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certify/ p r the ainalties of perjury that the information provided,albov is true and correct
Signature: � Date: 7 •gelif
Phone#: 'S' 'I 7?/ cS 9-41
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#:
TOWN OF YARMOUTH
BUILDING DEPARTMENT
1146 Route 28,South Yarmouth,MA 02664
�,t�-•� 508-398-2231 ext. 1261 Fax 508-398-0836
BUILDING DEPARTMENT
DEMOLITION DEBRIS DISPOSAL AFFIDAVIT
Pursuant to M.G.L. Chapter 40,Section 54 and 780 CMR, Chapter 1, Section 1113,
•
I hereby certify that the debris resulting from the proposed work/demolition to be
conducted at 11 y rt 2 7 dry rtv"L Gad!
Work Address
Is to be disposed of at the following location: G� ��►h�.f� s'`
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111, Section 150A,
Signature of Application Date
Permit No.
urnce oI consumer tiiiairs oc nusmess neguiauon - iviass.vuv ragc 1 ui L
Mass.gov
Office of Consumer
Affairs and
Business
OCABR
Regulation ( )
HIC Registration Complaints
Registration # 100023
Registrant WILLIAM W. CROSTON
Name WILLIAM CROSTON
Address 55 SUOMI RD
City, State Zip HYANNIS, MA 02601
Expiration Date 06/07/2020
Complaints Details
No complaints found for this registrant.
You can also view arbitration and Guaranty Fund history.
Back To Search
Site Policies Contact Us
https://services.oca.state.ma.us/hic/licdetails.aspx?txtSearchLN=100023 7/9/2018
BILL CROSTON BUILDING CONTRACTOR
BOX 138—OSTERVILLE, MA 02655—(508) 428-8657
1-800-924-1073
MA LIC. #014112 MA REG. #100023
hail October 13, 2018
•eurcti& Charlie Ferrante
14 Breezy Point Rd
South Yarmouth, Ma
413 531 1862
Re: Interior renovations
Proposal
We hereby submit specifications and estimates for supplying the labor and material to renovate the bedroom
and kitchen as detailed below.
Kitchen,
We will supply the labor and materials to construct two built in place pantry cabinets. One cabinet will be about
55 inches and the other cabinet about 30 inches wide by eighteen inches deep.
The cabinets will have a upper and lower section with a drawer between them and on the thirty inch cabinet a
open space with room for a microwave will be provided. The cabinets will be built as to the sketch provided
with adjustable shelfs and the doors will be raised panel style to match the new doors on the existing cabinets.
We will then supply new raised panel style doors for the existing cabinets with new hinges and cabinet knobs.
The existing cabinet frames and the new pantry cabinets will then be painted. We will then supply and install a
quartz countertop with a undermount stainless steel sink with a Moen or equal pull out head style kitchen faucet.
We will then supply and install a thirty inch stainless steel gas range to be customer selected.
The cost of the kitchen renovations as proposed will be 14,900.00
Sidewall
We will supply the labor and materials to strip off the existing shingles on the right side of the house. We will
then warp the wall in Typar house warp and install a pvc block under the electric meter. We will then
completely reshingle the side of the house using clear grade white cedar shingles installed at about 5 inches to
the weather.
The cost to sidewall the right side of the house as proposed will be 2,200.00
We Propose hereby to furnish material and labor complete in accordance with the above specifications for the sum of:
Seventeen thousand one hundred and no/100 17,100.00
A deposit of 1/3 will be due on acceptance, with the balance due on completion.
Bill Croston Building Contractor By Bill Croston
Acceptance of Proposal The above prices,specifications are satisfactory and are hereby accept d.You are authorized to do the work as
specified.Payment will be made as outlined above. / ' f
/'� ' /5 I ___..
Date of Acceptance �. / ,�C% �� Signature L � CZ? �� L1�
Client#: 13660 2CROSTONWI
• ACORD., CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDnmr►01/01/2019
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER CONTACT
E!
Dowling&O'Neil Insurance Agy NAMDl:508 775-1620 (A N,); 5087781218
973 lyannough Road k-MAIL
ADDRESS:
P.O.Box 1990 INSURER(S)AFFORDING COVERAGE NAIC a
Hyannis,MA 02601 INSURER A:IIOM'nuance Cp^Mny 14788
INSURED INSURER a:aseecierre amploy«s Pommes Company 11104
William W.Croston D/B/A
INSURER C:
William W.Croston Building Contractor
NSURER D:
P.O.Box 138
Oatervilie,MA 02655 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. UMITS SHOWN MAY HAVE BEEN OEM)
BY PAIDCLAIMS.L
TYPE OF INSURANCEADOLSUBR
WVDD POLICY NUMBER (MMIDD/YYYY) (MMID f ) LIMITS
A GENERAL LIABILITY MP039676 10/13/2018 10/13/2019 EACH OCCURRENCE $1,000,000
X COMMERCIAL GENERAL LIABILITY PREMISES(Earrcncel $500,000
CLAIMS-MADE X OCCUR MED EXP(My one person) $10,000
PERSONAL&ADV INJURY $1,000,000
GENERAL AGGREGATE $2,000,000
GEN'L IE
AGGREGATEGAy LIMIT APPLIESLI PER: PRODUCTS-COMP/OP AGG $2,000,000
7 POLICY I ^I ECT I ^ I LOG COMBINEm pD SINGLE LIMIT s
A AUTOMOBILE L AIIUTY M9039676 10/13/2018 10/13/2019(Ea a =1,000,000
ANY AUTO BODILY INJURY(Per person) $
ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $
AUTOS AUTOS
X HIRED AUTOS X AUTOS D (Per accident)DAMAGE $
AUTOS
$
A X "ORILLA Lus X OccuR CU039676 10/13/2018 10/13/2019 EACH OCCURRENCE s5,000,000
EXCESS UM CLAIMS-MADE AGGREGATE s5,000,000
DED X RETENTION$10000 $
B WORKERS COMPENSATION WCC50050193162018A 09/08/2018 09/08/2019 X 'TNiiRY LIMITS ER-
AND EMPLOYERS'LIAa1LTTY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000
OFFICER/MEMBER EXCLUDED? Y N/A
(may In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT :1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,It more space Is required)
"Workers Comp Information"
Proprietors/Partners/Executive Officers/Members Excluded:
William W.Croston,Sole Proprietor
Insurance coverage Is limited to the terms,conditions,exclusions,other limitations and endorsements.
Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the
coverage provided by the policy provisions.
CERTIFICATE HOLDER CANCELLATION
Mercantile Property Management SHOULD
HE U ANY TTIION"DATE THEREOF,ABOVE DESCRIBED NOTICE IEWILL S BE CBE DELIVERED INED NE
Corp ACCORDANCE WITH THE POLICY PROVISIONS.
P.O.Box 790
Buzzards Bay,MA 02532 AUTHORIZED REPRESENTATIVE
I
®1988.2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD
#3226648/M226647 RPSW1
•
Commonwealth of Massachusetts
Division of Professional Licensure
Board of Building Regulations and Standards
Constr ctibn'Sdpervisor
CS-014112 a E spires: 04/25/2020
WILLIAM W CROSTON JR
55 SUOMI RD
HYANNIS MA 02601
•
Commissioner V1"
•'
Sample Notice for Property Owners,Contractors,and Design Professionals
TO: Property Owners, Contractors,and Design Professionals
FROM: Mark Grylls
Town of Yarmouth,
Building Commissioner
SUBJECT': Notice for Work on Existing building in Special Flood Hazard Areas
Substantial Improvement/substantial Damage Worksheets
The community's floodplain management regulations and code specify that all new
buildings to be constructed in Special Flood Hazzard(SFHAs) (regulated floodplains)are
required to have their lowest floors elevated to or above the base flood elevation (BFT).
The regulations also specify that substantial improvement of existing buildings
(remodeling,rehabilitation,improvement,or addition) or building that have sustained
substantial damage must be brought into compliance with the requirements for new
construction. Please note that a building may be substantially damaged by any cause,
including fire,flood,high wind,seismic activity,land movement,or neglect. It is important
to note that all costs to repair a substantially damaged building to its pre-damage condition
must be identified.
There are several aspects that must be addressed to achieve compliance with the floodplain
management requirements. The requirements depend on several factors,including the
flood zone at your property. The most significant compliance requirement is that the
lowest floor,as defined in the regulation/code,must be elevated to or above the BFE.
Please plan to meet with this department to review your proposed project,to go over the
requirements,and to discuss how to bring your building into compliance.
Our regulations define these terms:
Substantial Damage means damage of any origin sustained by a structure whereby
cost of restoring the structure to it's before damaged condition would equal
exceed 50 percent of the market value of the structure before damage occurred.
Substantial Improvement means any reconstruction, rehabilitation, addition, or
other improvement of a structure,the cost of which equals or exceeds 50 percent of
the market value of the structure before the "start of construction" of the
improvement. This term includes structures that have incurred "substantial
damage," regardless of the actual repair work performed. The term does not,
however,include either:
k y.
� I
1
it .
ttl
Requirement for application for Permits for Substantial Improvements and
Repair of Substantial Damage
Please contact the Town of Yarmouth,building Department(508-398-2231 Ext. 1261) if you have
questions about the substantial improvement and substantial damage requirements. Your building may
have to be brought into compliance with the floodplain management requirements for new
construction.
Application for permits to work on exiting building that are located in special Flood Hazzard Areas must
include the following:
• Current photographs of the exterior(front, rear,sided)
• If your building has been damaged, include photographs of the interior and exterior; provide
pre-damage photos of the exterior, if available
• Detailed description of the proposed improvement(rehabilitation, remodeling, addition. etc.) or
repairs
• Cost estimate of the proposed improvement or the cost estimate to repair the damaged building
to its before-damage condition
• Elevation certificate or elevation survey
• You may submit a market value appraisal prepared by a licensed professional appraiser or we
will use the tax assessment value of the building
• Owner's affidavit(sign and dated)
• Contractor's affidavit(signed and dated)
Substantial Improvement Worksheet for Floodplain Construction
(for reconstruction,rehabilitation,addition,or other improvements,and repair of damage from any cause)
Property Owner: 414 dW l Zs 4 kci ' 44 rii^e t
Address: j ri I2 Z{/CGi L f d So V 4.4.,[
Permit No.:
Location: /L f 6 //v:r L el S,y�....l4d4
Description of improvements: �ry�,ry�, e l,.is , , tvis,,h "4J. £,,AIU g s•
sen#Meerk4 Value of.struc ure.ONLY Oarket appraisal or adus ed P
assessed afue,l3 l E improvement,or if damaged
laefore the>damage occurred raottraclvding►and value $ T f 9kw
Cost ;:
tual t the Apra'*(see+tams to inclncie�exctucle) $ i 7 ma '
**fnclude anteertaborand donated suppries**
o 4,, Cost of]mprovemejd(or Cost to Repalr3 tt�0 ZQ: Co %
lf�arket Val
If ratio is 50 percent or greater(Substantial Improvement),entire structure including the existing
building must be elevated to the base flood elevation(BFE)and all other aspects brought into compliance.
Important Notes:
1. Review cost estimates to ensure that all appropriate costs are included or excluded.
2. If a residential pre-FIRM building is determined to be substantially improved,it must be elevated to or above the BFE. If a
non-residential pre-FIRM building is substantially improved,it must be elevated or dry floodproofed to the BFE.
3. Proposals to repair damage from any cause must be analyzed using the formula shown above.
4. Any proposed improvements or repairs to a post-FIRM building must be evaluated to ensure that the improvements or
repairs comply with floodplain management regulations and to ensure that the improvements or repairs do not alter any
aspect of the building that would make it non-compliant.
5. Alterations to and repairs of designated historic structures may be granted a variance or be exempt under the substantial
improvement definition)provided the work will not preclude continued designation as a"historic structure."
6. Any costs associated with directly correcting health,sanitary,and safety code violations may be excluded from the cost of
improvement. The violation must have been officially cited prior to submission of the permit application.
Determination completed by: /<Pt
Date: A ,,, L * 20/f
Costs for Substantial Improvements and Repair of Substantial Damage
Included Costs
Items that must be included in the costs of improvement or costs to repair are those that are
directly associated with the building. The following list of costs that must be included is not in-
tended to be exhaustive,but characterizes the types of costs that must be included:
■ Materials and labor,including the estimated ■ Structural elements and exterior finishes
value of donated or discounted materials (cons.):
and owner or volunteered labor ■ Windows and exterior doors
■ Site preparation related to the improvement ■ Roofing, gutters,and downspouts
or repair (foundation excavation,filling in
basements) ■ Hardware
• Demolition and construction debris disposal ■ Attached decks and porches
■ Labor and other costs associated with ■ Interior finish elements,including:
demolishing,moving,or altering
building components to accommodate ■ Floor finishes (e.g., hardwood,ce-
improvements, additions, and making ramie,vinyl,linoleum,stone,and
repairs wall-to-wall carpet over subflooring)
• Costs associated with complying with any ■ Bathroom tiling and fixtures
other regulation or code requirement that
is triggered by the work,including costs ■ Wall finishes (e.g.,drywall, paint,stuc-
to comply with the requirements of the co,plaster,paneling,and marble)
Americans with Disabilities Act (ADA) M Built-in cabinets (e.g.,kitchen,utility,
■ Costs associated with elevating a structure to entertainment,storage, and bathroom)
an elevation that is lower than the BFE • Interior doors
■ Construction management and supervision
■ Interior finish carpentry
■ Contractor's overhead and profit
■ Sales taxes on materials ■ Built-in bookcases and furniture
IN Structural elements and exterior finishes, ■ Hardware
including: • Insulation
9I[ Foundations (e.g.,spread or continu- ■ Utility and service equipment,including:
ous foundation footings,perimeter walls,
chainwalls,pilings, columns,posts,etc.) ■ HVAC equipment
■ Monolithic or other types of concrete lff Plumbing fixtures and piping
slabs it Electrical wiring, outlets,and switches
IS Bearing walls,tie beams, trusses Light fixtures and ceiling fans
it Joists,beams,subflooring,framing,
ceilings U
Security systems
It Interior non-bearing walls ■ Built-in appliances
IS Exterior finishes (e.g.,brick,stucco,sid-
ing, ■ Central vacuum systems
painting, and trim) ■ Water filtration,conditioning,and re-
circulation systems
4 of 7 SAMPLE NOTICE FOR PROPERTY OWNERS, CONTRACTORS, AND DESIGN PROFESSIONALS
r
Excluded Costs
Items that can be excluded are those that are not directly associated with the building.The fol-
lowing list characterizes the types of costs that may be excluded:
• Glean-up and trash removal ■ Outside improvements,including
• Costs to temporarily stabilize a building so landscaping,irrigation,sidewalks, driveways,
that it is safe to enter to evaluate required fences,yard lights,swimming pools,
repairs pool enclosures,and detached accessory
structures (e.g.,garages,sheds. and gazebos)
I Costs to obtain or prepare plans and
specifications ■ Costs required for the minimum necessary
work to correct existing violations of health,
■ Land survey costs safety,and sanitary codes
■ Permit fees and inspection fees ■ Plug-in appliances such as washing
■ Carpeting and recarpeting installed over machines.dryers,and stoves
finished flooring such as wood or tiling
SAMPLE NOTICE FOR PROPERTY OWNERS, CONTRACTORS, AND DESIGN PROFESSIONALS 5 of 7
4
Qc TOWN OF YARMUUTH
17i76I BUILDING DEPARTMENT
14 nwnwcnseix/ 1146 Route 28, South Yarmouth,MA 02664
Telephone 508-398-2231 ext. 1261 Fax 508-398-0836
Owner's Affidavit: Substantial Improvement or Repair of Substantial Damage
Property Address: 17 /3 r'7z ii A„,,.it /7J J ,..0'e 'i
Parcel ID Number: If 2/ 03
Owner's Name: C44 '/?,f A 414 t1/7 z'- / 1i ct H rz t6 t `76S S S1- 4"'
Owner's Address/Phone:
Contractor: /317/ CoveASho &tat,' 6Nlnke-sk
Contractor's License Number: CS 0/9"/L
Date of contractor's Estimate: PG/It`3//i-
I hereby attest that_the description included in the permit application for work on the existing building all
improvements, rehabilitation, remodeling, repairs, additions, and other forms of improvement. I further
attest that I requested the above-identified contractor to prepare a cost estimate for all of the work, including
the contractor's overhead and profit. I acknowledge that if, during the course of construction, I decided to add
more work or to modify the work described, that the Town of Yarmouth will re-evaluate its comparison of the
cost of work to the market value of the building to determine if the work is substantial improvement. Such re-
evaluation may require revision of the permit and may subject the property to additional requirements.
I also understand that I am subject to enforcement action and/or fines if inspection of the property reveals
that I have or authorized repairs or improvements that were not included in the description of work, and the
cost estimate for that work that were basis for issuance of a permit.
Owner's Signature: �o%GL-
Date: �� '�G
Notarized:
4 .
„,- TOWN OF YARMOUTH
�' '° BUILDING DEPARTMENT
fir' 1q
� joiu
' c_ 1146 Route 28, South Yarmouth, MA 02664
`° .
Telephone 508-398-2231 ext. 1261 fax 508-398-0836
Contractor's Affidavit: Substantial Improvement or Repair of Substantial Damage
Property Address: I et 6 f"?1 Z oc(Pt ill Se.
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Parcel ID Number: -` 2/ I?J
Owner's Name: C....L ro A /2'.4,1 /7-4- 12-et oP,4kt It.
Contractor: 13,11 L'r*4 ksi /'3u ttieril C- 'n/4- J
CS
Contractor's License Number: 0/y/I'L
Date of Contractor's Estimate: /G/ t3 PP
I hereby attest that I have personally inspected the building located at the above-referenced address by the
nature and extent of the work requested by the owner, including all improvements, rehabilitation,
remodeling, repairs,additions, and any other form of improvement.
At the request of the owner, I have prepared a cost estimate for all of the improvement work requested by
the owner and the cost estimate includes, at a minimum,the cost elements identified by the Town of
Yarmouth that are appropriate for the nature of the work. If the work is repair of damage, I have prepared a
cost estimate to repair the building to its pre-damage condition. I acknowledge that if, during the course of
construction, the owner requests more work or modification of the work described in the application,that a
revised cost estimate must be provided to the Town of Yarmouth, which will re-evaluate its comparison of the
cost of work to the market value of the building to determine if the work is substantial improvement. Such re-
evaluation may require revision of the permit and may require revision of the permit and may subject the
property to additional requirements.
I also understand that I am subject to enforcement action and/or fines if inspection of the property reveals
that I have made or authorized repairs or improvements that if inspection of the property reveals that I have
made or authorized repairs or improvements that were not included in the description of work and the cost
estimate for that work that were basis for issu e of a permit.
Contractor's Signatureaii,
Date: / 3` n5
Notarized: / /
• Sears, Tim
From: Sears, Tim
Sent: Tuesday,July 16, 2019 4:17 PM
To: 'crostonconstruction@yahoo.com'
Subject: 14 Breezy Point Rd
Attachments: work in flood zone packet.PDF
Bill,
I have reviewed your application for 14 Breezy Point Rd, and this property is located in a FEMA flood zone. I have
attached a packet that needs to be reviewed and the affidavits notarized, and returned. We also will need the cost of
the plumbing and electrical included in the cost.
Thank you
Timothy Sears CBO
Building Inspector
Town of Yarmouth
508-398-2231 Ext. 1259
mailto:tsearsc varmouth.ma.us
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REVIEWED FO'',9I1P CINC AND ZCNI CODE COMPLI- /0 2 cit-
ANCE. ERRCRo OR C...'iSSIONS DO NOT RELIEVE THE
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