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HomeMy WebLinkAboutBLD-23-005104 DocuSign Envelope ID:0F44F6F9-91D6-46C9-A030-AODBA1BBE756 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 ,' Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number:7,47)- Z 3-�� .5-wyrDate Applied: , R F C E I V E D �,,1� SPA 5 � 't ,c- - �-- ���___ Building Official(Print Name) p Signature 15 2023 SECTION 1:SITE INFORMATION ' t3uILu1NG otPARTMENT 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers By __ __ 72 Seaview Ave, s.Yarmouth, Ma, 02664 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required I Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,5 54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private❑ Zone: Outside Flood Zone? — Municipal 0 On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP` 2.1 Owner'of Record: South wi ndsor, CT, 06074 Scott Arnold Name(Print) City,State,ZIP 47 Rimfield Dr 860 268 2109 scott_arnold09@yahoo.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building El Owner-Occupied ❑ I Repairs(s) 0 Alteration(s) 0 I Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other tI Specify:Bathroom Remodel Brief Description of Proposed Work2: Demo existing full bathroom down to the studs and remodel . Convert existing bath tub into a walk-in shower. Please note, no changes to the existing layout of the bathroom wi I I be made. kedfA,„Lee eX/3-10y ,k_;,•{e49,.24.-' SECTION 4:ESTIMATED CONSTR CTION COSTS. Item Estimated Costs: Official Use Only G 0 (Labor and Materials) � lk Ni 1.Building $ 1. Building Permit Fee:$ l IT Indicate how f•- >ipeelert e ' Standard City/Town Application Fee O 7:41 2.Electrical $ 3 El Project Cost (Item 6)x multiplier x ,* _ 3.Plumbing $ 2. Other Fees: $ . : E -C 4.Mechanical (HVAC) $ List: i . t! , , 1 i G`�' `,� 5.Mechanical (Fire $ II) 60.01 '3 - = i e4 - Suppression) Total All Fees:$ ----Th Check No. Check Amount: Cash un: ,-N �1 6.Total Project Cost: c 60,OW ❑Paid in Full ll l Outstanding Balance Du : I 1 L f \5 ) • (1.' iJS • • • • • DocuSign Envelope ID:0F44F6F9-91D6-46C9-A030-AODBA1BBE756 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 106442 08/24/2023 Borcho Boris Jovanov License Number Expiration Date Name of CSL Holder R 15 Nauti cal Ln List CSL Type(see below) No.and Street Type Description South Yarmouth, Ma, 02664 U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 18c2 Family Dwelling City/Town,State,ZIP lvl Masonry RC I Roofing Covering • WS Window and Siding 508 292 1562 boric@capepropertypros.com SF Solid Fuel Burning Appliances I , Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 188805 09/05/2023 Cape Property Pros LLC HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 15 Nautical Ln boris@capepropertypros.com No.and Street 508 292 1562 Email address South Yarmouth, Ma, 02664 City/Town,State,ZIP Telephone SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(MLG.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 No 0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETE])WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize Borcho Boris Jovanov to act on my behalf,in all matters relative t rJ> .authorized by this building permit application. ocu gne._ 1 Scott Arnold if gnat", .i 3/13/2023 Print Owner's Name(Electronic Signe CCCD8C20830A42s_- 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 accur. -il estbof my knowledge and understanding. Borcho Boris Jovanov i 3/14/2023 Print Owner's or Authorized Agent's Name(Electronic si lature)r4nc... 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" DocuSign Envelope ID:0F44F6F9-91 D6-46C9-A030-AODBA1BE B756 I�ealth of Massachusetts _ , � -Department oflndustrialAccidents = Igil_ 1 Congress Street, Suite 100 ...==.„\ Boston, MA 02114-2017 ,r www.mass.gov/dig Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organ ization/Individual): cape Property Pros LLC Address: 72 SeaView Ave City/State/Zip: s.yarmouth, Ma, 02664 Phone#: 508-292-1562 Are you an employer?Check the appropriate box: Type of project(required): I. I am a employer with 4 employees(full and/or part-time).* 7. ❑New construction 2.D I am a sole proprietor or partnership and have no employees working for me in 8. © Remodeling • any capacity.[No workers'comp. insurance required.] 3. I am a homeowner doing all work myself. t 9. ❑ Demolition ❑ gy (No workers'comp. insurance required.] 4.0 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. 12.❑Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.t 13.0 Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§I(4),and we have no employees.(No workers'comp. insurance required.] *Any applicant that checks box ill 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 art 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: AIM MUTUAL wCC-500-5020217-2022A Policy#or Self-ins.Lic.#: Expiration Date: 04.05.2023 Job Site Address: 72 GranGrandview Ave City/State/Zip: s.Yarmouth, Ma, 02664 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. 1 do hereby Faxtifyusraianythe pains and penalties of perjury that the information provided above is true and correct. i� 3/14/2023 %�Sianature: `— 6566914zo8F4Ut... Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# - Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: DocuSign Envelope ID 0F44F6F9-91D6-46C9-A030-AODBA1BBE756 §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. Ch. 40, §54 and 780 CMR- Section 105.3.1. #4. I hereby certify that the debris resulting from the proposed work/demolition to be 72 SeeView Ave South Yarmouth conducted at Work Address Dumpster Onsite from S n J exco Is to be disposed of oat the following location: Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. --D�;Signed by: 3/14/202 3 it 26566974208F4DE.., Signature of Application Date Permit No. Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards ConstructionM.Supervisor,. 1 & 2 Family CSFA-106442 Spires: 08/24/2023 BORCHO B JOVANOV 15 NAUTICAL LN r .f�. S YARMOUTH MA 02664 ...:...... Commissioner A1,44,(c)/., .__,/11e com/??CY/ZCG'e zi9i - .. o ache 1 '- Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement,:._ Registration ,i Type: LLC 1 a Registration: 188805 CAPE PROPERTY PROS LLC -sr ' ____ Expiration: 2023 15 NAUTICAL LN SOUTH YARMOUTH, MA 02664 .T. 1�— , r =. -T= 1 14 11 I g ti 11 = jQ` 7 Al /e.-14,1 - ram\ Update Address and Return Card. SCA 1 0 20M-05/17 0� Office of Consumer Affairs &Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only before the expiration date. If found return to: TYPE: LLC Office of Consumer Affairs and Business Regulation Re ' Ex05ation 1000 Washi gton Street -Suite 710 188805 09/05/2023 Boston, M. 0 : CAPE PROPERTY PROS LLC ii HOJOVANOV BORC ...arl ,' , r .r.lid without signature 15 NAUTICAL LN SOUTH YARMOUTH, MA 02664 Undersecretary 3/21/23,4:04 PM Mail-Sears,Tim-Outlook 72 Seaview Ave Sears, Tim <tsears@yarmouth.ma.us> Tue 3/21/2023 4:03 PM To: boris@capepropertypros.com <boris@capepropertypros.com> Boris, I have reviewed your application and this property is in a flood zone. Attached is a packet to review, we need the cost worksheet filled out along with the contractor and owners affidavits notarized and returned. The final affidavit will be required at the time of final inspection. Timothy Sears CBO Deputy Building Commissioner Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsearsjyarmouth.ma.us Timothy Sears CBO Deputy Building Commissioner Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsearsfyarmouth.ma.us https://outlook.office.com/mait/sentitems/id/AAQkADE3MDQ5NWZmLTkOYzItNDIwNi1 iMDQxLWNkMGQyNmE4NzE5NAAQABnZyO6Aufplp8onh7yd... 1/1 Substantial Improvement Worksheet for Floodplain Construction (for reconstruction, rehabilitation,addition,or other improvements, and repair of damage from any cause) Property Owner: C0 C� ikt K d eJ Address: 72 $e+ti , 6_ 14 4,-(.Cv44 Permit No.: Location: Description of improvements: rLj-t-c..tt6 vt t 64,-kL P_ootki -14 u) Present Market Value of structure ONLY(market appraisal.ar adjusted ass'cs d•value,BEFORE improvement,or if damaged before the.damage occurred) not including:land Ira lue $ 7 D C7 Cost of lrnprovement Actuai cost of the co chop" {see items to taclude/excluae} $9 ) ' • *1nclude volunteer'abor arid donated suppliies*` Rafio Cost ofImpr eme t.for.Cost to Repair} �0 '.: ':'� '::; .Market y�t►'i�. - If ratio is 50 percent or greater(Substantial Improvement),entire structure including the existing building must be elevated to the base flood elevation (BEE)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 after 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: Do e c4e, / Date: 4. c . 2 E'Z 3 , Y - TOWN OF YARMOUTH f 1� °N BUILDING DEPARTMENT tc.,,, ` ' �y�y. Route 2/8� South Yarmouth, MA 02664 :ATTAC:_C SC_2,, .1��4(� fr ll r. :;" Telephone 508-398-2231 ext. 1261 Fax 508-398-0836 Contractor's Affidavit: Substantial Improvement or Repair of Substantial Damage Property Address: /,.? S& i vi€z,✓ gv-,_S _ ,YCUr_� ' ", _. L'. e:e ' Parcel ID Number: Of)—? 7 4 Owner's Name: _SLoe-t /9r w/d Contractor: J O cc6'o 7o{12/,/IO C' Contractor's License Number: csrl, - •7C y.>?) Date of Contractor's Estimate: .�G4/ ' ,�, = ")L -'� 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 1:hat 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 -asis for issuance of a permit. Contractor's Signature Date: "( . 5 _ 2,023 Notarized: 3-\ AUTUMN Lp BANKS ,� \ Notary Public i aclw (,--7 ! My CommMassission setts Expires _ r� Aug 23.2024 /SXoC 3 ^R __ TOWN OF YARMOUTH _ �`�r (;( ): BUILDING T I�ILD.LNG DEPARTMENT ;;E;-4 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: 92 SL' 'r s 1Et' 14,4a e LS Th 1 (,1442 Aotrn4 ,1,1A Parcel ID Number: ZS .41 Owner's Name: SCQtir,Q.c A OL Owner's Address/Phone: falNL4(t d 1)rawe't &ltj7u (/OINIss312 040r7Le Contractor: ,O Ca.(v Z0u'4tJOy Contractor's License Number: CSFA - l 0(947,7, Date of contractor's Estimate: Og-N 3( 202% 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. MICHELL.EE PEREZ -�'.,g Notary Public,State of Comecticut Owner's Signature: �� ( - my Commission Expires Dec.31,2026 Date: I-1 1 a 3 Notarized: iirqw114,0 j". I .U \VUL _, • _ • - . """ -•- ',••• • ‘. - - •--- filk, • - - • . •, -• • • / • le / 78" / 1 �� -a3 30 2 /// .o N K-10577-4-2 BZ___ J 0I0 _VSB21 R_— i N _ TOI .STD 2011 /.. 111 11 /\ 21 �, co /1 .sueA")/ - N-1cv CO / / \ N / 102" / All dimensions_size designations CPP Kitchen and Bath This is an original design and must Designed: 2/26/202 given are subject to verification on 394 Main Street Ste 1 not be released or copied unless Printed: 3/6/2023 job site and adjustment to fit job West Dennis, MA 02670 applicable fee has been paid or job conditions. 508-619-6130 order placed. www.cppkitchenbath.com