BLD-23-005773 T
1I
ONE & TWO FAMILY ON1LY- BUILDING PERMIT
R E C E I V I� Town of Yarmouth Building Department _
1146 Route 28, South Yarmouth,MA 02664-4492
508-398-2231 ext. 1261 Fax 508-398-0836 is
APR 18 2023 Massachusetts State Building Code, 780 CMR e
Bzz ldivg Permit Application To Construct, Repair, Renovate Or Demolish
BUILDING DEPARTMENT a One-or Two-Family Dwelling
By: —
This Sect' r Official Use Only
Building Permit Number: 12(.. -2 J 5 I / Date Applied:
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORtMATION
1.1 Proper Address: ( 1.2 Assessors Map&Parcel Numbers
V 1- cONNepv,RA tiny y/4 kis,at1 ill
1.1 a Is this an accepted street?yes no Map Number Parcel Number
0
✓ 1.3 Zo ing Information: 1.4 Property Dimensions:
33 co Ad M 1l pi id
Zoning District Proposed It Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public❑ Private 0 Zone: Outside Flood Zone?
_
Check if yes❑ Municipal 0 On site disposal system 0
SECTION 2: PROPERTY OWNERSHIP'
4Owner'of Record: 1
10 NUIVes CP.�-(-CAv1 I1Q. - M Q o2 6 3
ame(Pr t) City,State,ZIP
5 oti�. _
a y C iI RO 5roR-360 O4f6g /46;oKe;sNvN w es0h AAA,/.Co
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work2: e,V LAC,e t e, eck
to I- A M eil.t) V A AA W I I ti
N
FKAMC WI I) iiAvL. HAW 6S GuheRe YeeQa 1+1e, 7ta will he,7Ne EXAC4Jy Sv'1f size .
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 1. Building Permit Fee:$ 1Q0 Indicate how fee is determined:
2.Electrical $ 'l Standard City/Town Application Fee
0 Total Project Cost3(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $ I a) •O O CCPS'
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire
Suppression) $ Total All Fees:$
Check No. Check Amount: Cash Amount:
J 6.Total Project Cost: $ Lj 50 0 0 Paid in Full 11 Outstanding Balance Due: a
FA,i Dr-e 1 S (* n LA -c 3
• SECTION 5: CONSTRUCTION SERVICES
F5.1 Construction Supervisor License(CSL) C 5_J/7) 5S 0 /O /G204. 6
A(tc— )10 ! e.I S /Vu iv eS License Number Expiration Date
Name of CSL Holder
>71 0NCI C;( c AD List CSL Type(see below)
No.and Street r Type Description
4 e g V( I I e , /1 7 V' 0 )O`6 301
U Unrestricted(Buildings up to 35,000 cu.ft.)
City/Town,State,ZIP R Restricted 1&2 Family Dwelling
M Masonry
RC Roofing Covering
WS Window and Siding
2 �( SF Solid Fuel Burning Appliances
50%'3ho I
b /IU I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
✓ ix6110 Q L1 S HIC Registration Number Expiration Date
C
SC5 toNQy Name or hirF traryj((��l me
and treet ((,/ fit{{(( Email address
,eN-tekviIto -MA So% -3boreb8
City/Town, State,ZIP 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 0 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.
V (3io ge(S NvveS
Print Owner's Name(Electronic Signature) Date
• SECTION 7b: OWNER1 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.
sr-A6(0 Gs /Jv,i e S
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.gov/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
_� = L Department of Industrial Accidents
="0= 1 Congress Street, Suite 100
Boston, MA 02114-2017
No 5�•``•�~ www.mass.go v/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information
Please Print Legibly
•./ Name (Business/Organization/Individual): --R 6(ID Rko,‘ S !up N e S
✓ Address: .2 S Jo Al IZ.1
C1 I ji RD
City/State/Zip: Ce4e u
g ( � �8- MA Phone #: �17t
" 366 0 6(S\
Are you an employer?Check the appropriate box:
Type of project (required):
I.[I am a employer with employees(full and/or part-time).*
7. L— New construction
2.[I am a sole proprietor or partnership and have no employees working for me in
an capacity.[No workers'comp. insurance required.] 8. [ Remodeling •
3. am a homeowner doing all work myself. [No workers'comp. insurance required.]t 9. ❑ Demolition
411 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 [ Building addition
ensure that all contractors either have workers'compensation insurance or are sole
11.[ Electrical repairs or additions
proprietors with no employees.
5.0I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12. Plumbing repairs or additions
These sub-contractors have employees and have workers'comp. insurance.: 13•[Roof repairs
6.0 We are a corporation and its officers have exercised their right of exemption per NIGL c. 14.[11]Other
152,§I(4),and we have no employees. [No workers'comp. insurance required.]
*Any applicant that checks box 441 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 employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: 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 MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certify under the ains and penalties of perjury that the information provided above is true and correct.
,Signature:
Date:
Phone#: 50g - 3b 0 Di 6 &
Official use only. Do not write in this area, to be completed by city or town official.
City or Town: Permit/License f
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
1146 Route 28, South Yarmouth, MA 02664
508-398-2231 ext. 1261 Fax 508-398-0836
Office of the Building Commissioner
BUILDING DEPARTMENT
DEMOLITION DEBRIS DISPOSAL AFFIDAVIT
Pursuant to M.G. L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111/5
I hereby certify that the debris resulting from the proposed work/demolition to be
conducted at 33 (ON/NY fAA RP
Work Address
Is to be disposed of at the following IocationOlQJr/ OF /t M pv�h OpocAL f. cA
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111, Section 150A.
Signature of Applicant Date
Permit No.
4/24/23, 12:52 PM •
Mail-Sears,Tim-Outlook
31-33 Connemara
Sears, Tim <tsears@yarmouth.ma.us>
Mon 4/24/2023 12:52 PM
To:fabioreisnunes@hotmail.com <fabioreisnunes@hotmail.com>
Fabio,
I have reviewed your application and there are some items needed.
\1. Health Department sign off(under review)
L.Z. Conservation sign off
',3 Plans show 10" sonotubes 12" required
\J Plans show rim board bolted to support posts. The code requires direct bearing, see section R507
or deck construction guide
Please update your plans and submit for review along with other items.
This email is considered a written denial of your permit application per Section 105.3.1 of the
Massachusetts State Building Code. Section 105.3.2 states in part that "an application for a permit for
any proposed work shall be deemed to have been abandoned 180 days after the date of filing, unless
such application has been pursued in good faith"
You may appeal this denial to the Building Code Appeals Board in accordance with M.G.L. c. 143 §100,
within 45 days of this notice.
Timothy Sears CBO
Deputy Building Commissioner
Town of Yarmouth
508-398-2231 Ext. 1259
mailto:tsearsfyarmouth.ma.us
https://outlook.office.com/mail/sentitems/id/AAQkADE3MDQ5NWZmLTkOYzItNDIwNi1 iMDQxLWNkMGQyNmE4NzE5NAAQA16n52ex25JAt9F%2BNT... 1/1
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs & Business Regulation Registration valid for individual use only before the
HOME IMPROVEMENT CONTRACTOR expiration date. If found return to:
TYPE: Corporation Office of Consumer Affairs and Business Regulation
Registration Expiration 1000 Washington Street - Suite 710
180304 10/29/2024 Boston, MA 02118
VF DISTINCTIVE CARPENTRY CORP
.•c:smawoor 6. AP POP**
FABIO NUNES -
28 STONE CIFF RD
,'r ����"`ml Gt 1
CENTERVILLE, MA 02632 =' ,,
Undersecretary Not valid without signature
t vv.nnwnrrcmu1 vi m uuac1.w
r Division of Occupational Licensure
• Board of Building Re ulations and Standards
I i'
Cons ion rvisor
CS-117195 4 , 1cpires:08/08/2026
FABIO NETS DI l• 528 STONEY OLIFF ROAD
CENTERVILLt MA 02632 t
f 1 40
Commissioner dui2ea g. BlFimc
&33 CONNEMARA WAY
Location 31 &33 CONNEMARA WAY Mblu 39/ 17///
Acct# 5540 Owner NUNES FABIO D
Assessment $339,500 PID 5540
Building Count 1
rrent Value
Assessment
Valuation Year Improvements Land Total
23 $206,200 $133,300 $339,5C
'ner of Record
ner NUNES FABIO D Sale Price $340,000
GOMES ANDIARA Certificate
*e Of Book&Page 32344/85
cress 28 STONEY CLIFF RD Sale Date 10/01/2019
CENTERVILLE,MA 02632 Instrument 00
Qualified Q
'nership History
Ownership History
Owner Sale Price Certificate Book&Page Instrument Sale Date
INES FABIO D $340,000 32344/85 00 10/01/2019
ILVIA SCOTT E $208,100 23115/0342 1L 08/22/2008
.VA NESTOR R $149,500 13450/0302 00 12/27/2000
IEDERICK STEPHEN E $13,000 /0 1 N 08/05/1993
Ilding Information
luilding 1 : Section 1
'ear Built: 1970
.iving Area: 864
teplacement Cost: $274,994
luilding Percent Good: 75
teolacement Cost
;e Code 1040 Size(Acres) 0.36
ascription TWO FAMILY Frontage 0
me Depth 0
aighborhood 0045 Assessed Value $133,300
t Land Appr No
ategory
tbuildings
Outbuildings Legen
No Data for Outbuildings
uation History
Assessment
Valuation Year Improvements Land Total
23 $206,200 $133,300 1 $339,5C
22 $183,100 $121,100 $304,2C
21 $148,400 $121,100 $269,5C
(c)2023 Vision Government Solutions, Inc.All rights reserved
Field Description
Style: Duplex _ i
Model Residential t �°ire " ' .,t� ,�� ',
r :a ;
, 7 J f I K y 1 i k 4c
:111:71;
Grade Average
1
Stories 1 Story ` :z1\.........._.___._VLX ' , .d.° i " °::!"7:,,..0,VAt: a,s;_.'
xs7,,,,
Occupancy 2 ," r
Exterior Wall 1 Clapboard - -
Exterior Wall 2 Wood Shingle -
L,.
Roof Structure: Gable/Hip
Roof Cover Asph/F Gls/Cmp
(https://images.vg si.com/photos2/Yarm outh MAPhotos/A00\02\38\49.jp<
Interior Wall 1 Drywall/Sheet
Interior Wall 2 Building Layout
Interior Fir 1 Carpet At/11 '4. -o
Interior Fir 2
141 ® 094(
Heat Fuel Electric
Heat Type: Elect Basebrd
____ ,e
AC Type: None __
• sre
Total Bedrooms: 4 Bedrooms a a
Total Bthrms: 2 lw s...,,w,
Total Half Baths: 0 .••.,,,,_
_ ._._.... ...... _ ' 24
Total Xtra Fixtrs:
Total Rooms:
Bath Style: Average
36
KitchenStyle: Modern ............................_...__................— ..............................
(ParcelSketch.ashx?pid=5540&bid=5837)
Num Kitchens 00
.__ .. m__. ... .._ ....... .,.._ Building Sub-Areas(sq ft) 4gend
Cndtn
Num Park Code Description Gross Living
Area Area
Fireplaces BAS ` First Floor 864 864
Fndtn Cndtn SFB Base,Semi-Finished 864 0
Basement WDK Deck,Wood 236 0
1,964 864
ra Features
Extra Features ig n
No Data for Extra Features
id
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;70 WATER DEPARTMENT
'
0,"{°_`1 � 9} Buck 1i.iand Road�
ra WA Yarmouth.: Al\112671
�w:- it _ttla`! ine 7• ' 71-7921 ray. Otltl: ' "!'r=
BUILDING PERMIT APPLICATION FOR
WATER DEPARTMENT SIGN OFF
TRANSMITTAL FORM
BUILDING SITE LOCATION:31-J-J CU,UNe,t4 C, Ay )1/05/004
PROPOSED WORK: qL f LA C e i ect t._
APPLICANT: . j)e0 (lN )
ADDRESS: aC (8' ,-5102N Zyi (eNe
IQ V 1 .._
TELPHONE: 5° 3b° Of 6
RE'SIDEN] IAL AND OR C'OMMI RCIAL BUILDING
Water Uepanment: Dcterrnutc,Compliance of Water:lrailabiltt) and or existing location
l:ngincerinti Uepanment• Determines Compliance for Parking and Drainage
Conservation C'ommi si gin. Determines Compliance to Wetlands Act: r.e Ii lot(.)border any type of
wetlands.streams.ponds,rivers.occ.nt. bogs, hors. marshland. ETC...
I leal►h Department: Determines Compliance to State and Tort n Regulations,i.e.
requirements for Septage Disposal and other Public I lealth Activates
Fire Department: Determines Compliance to State and Town Requirements for Personal
Safety,Proper.) Protections,i.e.Smoke Detectors,Sprinkler Systems.etc
Icf
PLICANT SIGNATURE
1)1T .
OFFICE USE: COMMENTS ON PERNIIT APPROVAL OR DENIAL.
•
REVIEWS BY\WATER DIVISION(SIGNATURE) DATE
%SP
•
ci : A TOWN OF YARMOUTH
= = HEALTH DEPARTMENT
`` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 3 1 - 3 ) Cauitie m a g. yYt'°fi ou'
Pr posed Improvement: qe A Ce CN t �� Oeck , PEA) RA/4 C' ,fiecu SONblvhe5
-Hie /A'AAA e Ludt A Ad el!) IA- 4- -jh e woc,s e l,�l /ti )oJ �S / f054- uid !l ee
CMo�n 0 ,56tio4 (3t?beS '4)94 e c,ua 11 Have IIitics UJheae ,t/eec( -
i
Applicant: )5 10 NU/V CS Tel. No.: a�O - 3 6o 06F
Address: oC 5 .1'ON C I I FF gt o C eti-�e g v i I 1 �i Date Filed: ll- f
**If you would like e-mail notification of sign off please provide e-mail address: F i31 O g�i s A/um e S 6) o�M a 1 L• Cal
Owner Name: FA 6 (0 Jo u N e C
Owner Address: 02 U S N Z C /I Fr 49 (E? e.P(,) I/ Owner Tel.No.: 50$- D68%
RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
Please submit three (3) copies of plans, to include:
(1.) Site Plan showing existing buildings, water line location,
and septic system location;
(2.) Floor plan labeling ALL rooms within building
(all existing and proposed) —
Note:Floor plans not required for decks,sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: DATE: 5
PLEASE NOTE
COMMENTS/CONDITIONS:
4 n 1'L°
4 . t . a o 6 - ` +ja' I te k�,
A, • O 3r 27' µY o�.�'tR'
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as
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- 4 . / 2v6"
0'' ' 0 1.$11 'x �'
MAP NO: ,n
4,6,
LOT NO. : / 9 ADDRESS : 31533 cahh e rtt ``
OWNERS NAME : Iv-4 °Icir S, 7v/`ei
SEWAGE PERMIT NO. : NEW: REPAIR
T/,! 1
DATE ,$j : DATE INSTALLED :
INSTALLERS NAME : i S' Cilcvt_
INSTALLATION OF : 1 I l kS lbi&?'o-trj' Cc./j',
WATER TABLE : FINAL INSPECTION BY:
DRAWING OF TN4TAT.LATTnN nN RFVFRCF !TnW •
o. •Y1
4Conservation Office
o , y Town of Yarmouth bdirienzo(&.yarmouth.ma.us
�` Mrrl �, x Conservation Commission
Building Permit Sign-off Application
TO BE FILLED OUT BY BUILDING PERMIT APPLICANT:
Building Site Location: 3I "33 CovwLevv1oru .C}y
Map # 3? Lot(s) #
Property Owner: A � r✓V �tJ Date filed: L� 2 S 2 3
*Applicant: ! 1
Applicant Address: �� J G n. Z v I I r R
r C .nrt e V 1 L L e - �� 4 Dr��j
Email: I C:6I OKQi S /Vu Ne s0 n p /nnq ; L-o Telephone: 5 C Jg " 3 D D`/ rS
Please note:by submitting this application,the applicant grants permission to the Conservation Office to enter the location to conduct a site visit(if needed).
Proposed Project Description:
Site Plan Title/Date: 31-" 33 (0,Ay\e vvia.ra Jc LI 1 ZS)Z 023
TO BE FILLED OUT BY CONSERVATION ADMINISTRATOR:
Does the proposed project require a permit?_Y\U
Refer to: SE83- or DOA permit
Comments from Conservation Commission. ) Conditionally Approved Rejected
Conservation Commission Sign-off Signature: Date: Lips/ 26"
*TO APPLICANT:
All work-related debris shall be taken offsite or disposed in a legal upland location. At the end of each
day, the area shall be clean and no debris shall be in the Resource Area.
If work is permitted under an Order of Conditions, please arrange a pre-construction site visit with the
Conservation Administrator. At the time of site visit, the MassDEP File Number sign must be installed,
along with the erosion control/work-limit line. A copy of the Order of Conditions must remain on-site
during construction. Please refer to the Order of Conditions for further details.
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