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ON.E Ar.. WO FAMILY ONLY- BUILDING PERMIT
I V r- Town of Yarmouth Building Department of
I 46 Route 28, South Yarmouth,MA 02664-4492
7 0 508-398-2231 ext. 1261 Fax 508-398-0836 ii ,fit' ■
JUL 14 2023 assachusetts State Building Code, 780 CMR I';
Building rm t Application To Construct, Repair, Renovate Or Demolish \:... ::.
BUILDING DEPARTMENT a One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: 6 -23—I 22/ Date Applied:
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 c.. erty ett'CcdgSk D r 1.2 Assessors Map&Parcel Numbers
1.l a Is�thisan 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) 7
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 0 Private 0 Zone: _ Outside Flood Zone?
Check if yes❑ Municipal❑ On site disposal system 0
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
a)ari'o /Y1cm-fa vu�'e 5. 'Grotc4t lt4& 0,966q
Name(Print) City,State,ZIP
al ,51,, orj(`.s k Dr Attc.vaivis�tisseam ,f.OVA
No.and Street Telephone Email Addres
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 1 Existing Building' Owner-Occupied 0 Repairs(s) 0 Alteration(s)1 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work2:C(oge i Fro ti� c'rek. O?evi l r1 -Zist.i( Er,try l)cx'r
14c5 lt, 1,+ �,pa,�t co a I( 4- F/c t►rt 4-c, 2,.sre it 'at eat) -Poor-
-
i. rlvi o� e i-er/or/CIPT b�a, 51 di4 Extcdor/..res•tla i•e floor ftio,!�
f ,
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ 5-0 ...co 1. Building Permit Fee:$ IlS b _Indicate how fee is determined:
2.Electrical $ ES Standard City/Town Application Fee
0 Total Project Costa(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $ CO
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees:$
Check No. Check Amount: Cash Amo t:
6.Total Project Cost: $c C) 0 Paid in Full 7 Outstanding Balance Due: V—
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) C5 o$6C (f�,/ lO O
EI L. /T ro4✓L e License Number Ex irati n Date 3
Name of CSL Holder
10 Q _erg,`_ r rb` List CSL Type(see below) Lk
No.and Street �►` T e Description
Unrestricted(Buildings up to 35,000 cu.ft.)
City/Town,State,ZIP R Restricted I&2 Family Dwelling
M Masonry V
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
Eck /�ro�n� ('y 1y8�33 o 3
O t�" HIC Registration Number xpi tion Date
C Comaa�nny Name or HIC Re istrant Name ``
10 fi-(rp„��e z �jf l��tlrfTr otteRe ole) 7'I.t�•+t
No.and Street Email addrs
flyzvivtt Sf /14!4— pi-be / SOS-1-oBS s�
City/Town, State,ZIP Telephone
SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6))
Workers Compensation Insurance affidavit must be c pleted and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuanc of the building permit.
Signed Affidavit Attached? Yes 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.
_3/1//op 3
wner'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.aov/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
,=, � Department oflndustrialAccidents
y =:v l'�
_"•47-1t I Congress Street, Suite 100
_ != Boston, MA 02114-2017
;�� www.mass.gov/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): &.(� ( /4(O A e I r r
,klAddress: a- Ic-du lfve J.... b
City/State/Zip: 2n�`S � o 2 o tPhone #: 5 g 613�-�q�
Are you an employer?C eck the appr4riate box:
Type of project(required):
l.❑I am a employer with employees(full and/or part-time).*
7. ❑New construction
2.[4 I am a sole proprietor or partnership and have no employees working for me in
ca aci 8. Remodeling
an •
Y P h' 1No workers'comp. insurance required.]
3.0 I am a homeowner doing all work myself [No workers'comp. insurance required.]t 9. Demolition
4.D 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
11.0 Electrical repairs or additions
proprietors with no employees.
12. Plumbing repairs or additions
5.1D 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• Roof repairs
6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 1 4•❑Other
152,§I(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.
*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 providin workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: 12 ik-fj'C ( F f-er-
Policy#or Self-ins.Lic. #: t•�C 1Je1/V 700 ? Expiration Date: Vfrii/P-62-r
Job Site Address: c95toc cO�1 Sk ��I
City/State/Zip 1'a`mt),,t't-4�r e�pk ari, 6�/
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). 7
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 pains and penalties of perjury that the information provided ab ve i true and correct.
Signature: Date: // lO,
Phone#; U,,e'--68s--- U
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#:
if "IA` T T L�
R`-t TOWN OF YARMOUTH
TH
o( ° BUILDING DEPARTMENT
a�` MATTAGMCCS[ ,�,a 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261
� c
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DAIS: ?-! r- D�3
JOB LOCATION:
NAME STREET ADDRESS SECTION OF TOWN
"HOMEOWNER"
NAME HOME PHONE WORK PHONE
PRESENT MAILING ADDRESS
CITY OR TOWN STA IE ZIP CODE
The current exemption for `Homeowner' was extended to include owner—occupied dwellings of one or two units
and to allow such homeowners to engage an individual for hire who does not possess a license,provided that such
homeowner shall act as supervisor. (State Building Code Section 110 R5.1.3.1)
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 attached or detached structure assessory 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 110 R5.1.3.1)
The undersigned `homeowner' assumes responsibility for compliance with the State Building Code and other
applicable codes, by-laws, rules and regulations.
The undersigned 'homeowner' certifies that he / she understands the Town of Yarmouth Building Department
minimum inspection procedures and requirements and that he / she will comply with said procedures and
requirements.
HOMEOWNER"S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL
Ch.142. Yes No
If you have checked ves, please indicate the type coverage by checking the appropriate box.
A liability insurance policy Other type of indemnity Bond
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner Agent
h:homeownrlicexemp
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 ctc.)occn c,5k br
Work Address
Is to be disposed of at the following
location: / (YkIGLA_ bJISJcSc '
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111, Section 150A.
7 / / J3
Signature of Applicant Date
Permit No.
Eric Aronne Remodeling
210 Arrowhead Dr
Hyannis, MA 02601
Phone#508-685-5450
Ericaronneremodeling@gmail.com
CS#86694 HIC#148233
June 24, 2023
Proposal: Mario Montanile Job Location: 2 Swordfish Dr
Mmontanile1958@gmail.com S. Yarmouth, MA 02664
Job Description: New Entry Door& Front Porch Framing
Obtain necessary permit
Install 2x6 KD wall framing to close in front porch
➢ Cut back any trim (Fascia, Soffit, Frieze, Ground strips,Trim casings) clapboard siding,
sheathing or framing as necessary
➢ Framing includes installing exterior CDX sheathing
o Apply house wrap over sheathing
➢ Frame door opening in wall to receive 3068 entry door
o Wrap framed opening using flashing tape
➢ Following interior finish not included
o Insulation, sheetrock, interior trim
Install new entry door
➢ Fasten using 3%2 inch exterior grade screws
➢ Apply flashing tape around exterior jambs of entry door
➢ Install new Azek PVC composite trim on exterior of entry door
Install new trim to replace any trim that had been cut back
➢ Fascia,Soffit, Frieze, Ground strips,Trim casings
Install new Primed Fringer-Jointed Western Red Cedar clapboard
➢ Fasten clapboard face using stainless steel ring shank siding nails
➢ Set nail heads
➢ Set nail heads to be filled by painter
o Painting not included
Install PT floor framing&sub-floor sheathing to bring existing front porch floor up to existing
interior sub-floor height
Install R30 insulation in between PT floor joists
➢ Following interior finish not included
o Flooring, interior trim
Remove &dispose of all debris
(—IV_ / M
Following interior demolition of front porch area not included in scope of work
➢ Removal of existing entry door or existing double hung window
o Siding or trim on same walls as existing entry door or double hung
window
➢ Laundry room wall
o Siding or trim on laundry wall
All materials necessary to complete project to be supplied by Mario Montanile
(Homeowner)
Project will be billed as Time & Materials & Disposal at the completion
Labor rate is $65/hour per man
Y/C5 Yjornrrars¢rreo/N r' /62:4daeviet4ell
Office of Consumer A airs&Business Rergu ation
HOME IMPRQVEMENT CONTRACTOR
•
TYPE:Individual
Rec §fration Expiration
_ 09/13/2023
ERIC AROI4 E" �,
t
ERIC J.ARO6 ' � ,a '/
210 ARROWI �-r, • 1
-
HYANNIS,MA 926iTI, :' Undersecretary
it Commonwealth of Massachusetts
Division of Professidnal Licensure
Board oT Building Regulations and Standards "
Constr�l % isor
/
CS-086694 •, '
-, + ._ .;s fires: 10/09/2023
'' ERIC J ARONNE '%
21fr ARROWHEAD r 1 +fc; '
HYANNIS MA 02601., f r a
Commissioner d,,0, > FiJ "
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