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BLD-22-007452
1., s- _- ONE & TWO FAMILY ONLY-BUILDING PERMIT RECEIVED Town of Yarmouth Building Department ,,.•• "" 1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 � l'ilif'14%\ i JUN 2' 2022 Massachusetts State Building Code,780 CMR . "`"at Building ,rmit Application To Construct, Repair, Renovate Or Demolish BUILDING DEPARTMENT a One-or Two-Family Dwelling By __r_.- -- This Section For Official Use Only Building Permit Number: + 1J)--bO'7 Date Applied: Iir• 1'%cP S Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Addr ss: 1.2 Assessors Map&Parcel Numbers 75 A-5TO. & Ay 1.1a Is this an acc ted street?yes ✓ no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: RECEIVI� D Zoning District Proposed Use Lot Area(sq ft) Frontag;(ft, — 1.5 Building Setbacks(ft) AUG 19 2022 Front Yard Side Yards tear Yard Ot 1 Required Provided Required Provided Required B ILDIplr vide. AR I TV ENT 1.6 Water ply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Publi Private❑ Zone Outside Flood Zone? /UU Check if yes❑ Municipal El On site disposal system SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: V CI ( A)r 5e yT N Acv%k Al A Name I(Print) City,State,ZIP 75— ASTo,4 GOA`( 3—oe- 737-/eel 4"Za C-CY .1a7/ G. (jMvviL , coi No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building❑ Owner-Occupied 0 Repairs(s) 0 Alt ation(s) 0 Addition 0 Demolition ❑ Accessory Bldg. 0 Number of Units Other pecify: R,E710.0eLL4 Q Brief Description of Proposed Work2: ( jC G t►ctivZ- CF I'C[rC MW e.A.A t f c+it SRA-SJt C " -r-c4>S r}Ai6 Fc �0. ,✓4 SECTION 4:ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: (Labor and Materials) Official Use Only 1.Building $ 3, 34 3 1.. Building Permit Fee:$ II-0 Indicate how fee is determined: 2.Electrical $ 1 Standard City/Town Application Fee °2 U n U 0 Total Project Costa_(Item 6)x multiplier x 3.Plumbing $ C t(3 )/31 3:5 v>� a .3(70 2. Other Fees: $ '# / 4.Mechanical (HVAC) $ I0 /A List: 5.Mechanical (Fire Suppression) $ j.J 1 Total All Fees: 6. Total Project Cost: $ Check No. Check Amount: • Cash t: 3G T fy 3 0 Paid in Full t�Outstanding Balance D : // 5 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) ©92.71 . ex .) 5JOH1A LA License Number Expiration ate Name of CSL Holder List CSL Type(see below) 4 L xiL,F kic,c, T .e Description No.and Street � P lea Unrestricted(Buildings up to 35,000 Cu.ft.) Er W l CN ' - �,�5,�7 Restricted 1 c&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding __ SF Solid Fuel Burning Appliances 5)e�27`� t 3 .Ii t vHAUQ @ CO)-(Ci r I Insulation Telephone Email address , ii/r D Demolition 5.2 Registered Home Improvement Contractor(HIC) iICReation/i/( Number Expira ion Date HIC C mpany Name or HIC Registrant Name - r 11r1,L ,13- tALA (CoMCAST M7 No.and Street Email address E SA/4-4 M4 75:5—3 City/Town,State,LIP (22,..'37 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 o building permit. Signed Affidavit Attached? Yes Fr 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. . /2a2 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 Tnformation 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 ;�4ir(► 1 Department of Industrial Accidents : mmisr 1 Congress Street, Suite 100 �.Ij• Boston, MA 02114-2017 IMP 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/Individuai): � v ( ..tom J1c fL 'Sty )c A.i /ram Address: 4 )111-1_ I City/State/Zip: L', 5,tst Phone #: 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. New construction 2I am a sole proprietor or partnership and have no employees working for me in ca •aci 8. Remodeling . an y p ty.[No workers'comp. insurance required.] 3.E I am a homeowner doing all work myself. [No workers'comp. insurance required.]t 9. Demolition 4.E I am a homeowner and will be hiring contractors to conduct all work on mYP roPam'• e 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.n Plumbing repairs or additions 5. 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.: 13.El Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.7 Other (�i l t ' 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 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$250.00 a day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify under t e ains an enalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: !T 2 e- 2.74 - 75313 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: 0-f TOWN OF YARMO UTH c BUILDING D EPARTIVIENT • � �_ 1146 Route 28, South Yarmouth, MA 02664 —L -� 508-398-2231 ext. 1261 Fax 508-398-0836 BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Chapter 4.0,Section 54 and 780 CMR, Chapter 1, Section 111.5, I hereby certify that the debris resulting from the proposed work/demolition to be conducted at7 l4 Sl C�S (.i Ay Work Address Is to be disposed of at the following location: _ Pi c �, t7� s P •SA i_ .Stre_11i CE Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Sign ture of Application e Date Permit No. Commonwealth of ItFassact se Division of Prafess snag Iicensure Board of Roikarg RegtitatioilS and Staftilao zis ge CS-08271 res 09/21'2022 JOHI E SUOMALA . 4 WOLF I$ L it E.SANDWICH MA 02S31 t , . Commissioner 7b• Stnizik. _rrrr�revsei s+ NDiofE _` TYPE:Carona nNT c ONFRAcyog Registration valid for idwt use ► beforegelMaibm the eagrkation dates If found rehan B Oboe of t fairs and Business Regulation ENGINEERED SOLUTIONS INC_ Bost n, Street-Suite 710 Boston,MA 02118 JOHN E SUOIIMIq E SANDWICH,LOA s2i37 'f ` Espied Home • &tutors,Mc. 4 14 ) 4 Wort NM E Saidividn,MA OPW E1114 '508-274-7553 isuomMatlicomcast.nel Estimate ADDRESS ESTIMATE* 1344 Vdry Kenna,/ DATE 06AX1,2022 Astors Way S.Yarmouth,MA 508-737-1869 PRIECT DESOIIPTIOTt KITCHEN RBIOVATION ACTIVITY DESCRIPTION 012&lift Peones Cottontails movie*and submt pan*appficon as well as b cocaina* kispectons of at subcortractois throughott project. 02 DEMMX44 124iBin Removal at al debris from job Me won completion(on-site cm' NOTE Customer b remove aJ cornetts of kndhen cthinets AND dwing room prior b start of work. Ointainment instatation of torpor-ay pasbc containment rinds with*per door b certain dust througthrvt pri4ect. Znper doors in be provided at Mee door, and opening leafing into living mom.No flooring proVicton wit be installed since toms as being refinished Remove Base Trkn Removal of base trim around perimeter of!diction and daring room. INSIO017118Ct MINIM "ct existing dishwasher,stove,fridge and Mama to garage.Disconnect rave hood aid&road. NOTE Customer to remove al naafi*of fridge prior to moving Tannest Kitchen Teamut and(impose of kitchen skier.,faucet and cen maw Vries and waste line Faucet,Skik, Lifer Cu/and mime Cut and remove forrrk:a countedop& tad=cotetedops Teautt Lower Kitchen Tearott and depose of lower kitchen cabinets Cabints Tema Upper Tearout of taper kficiten cabinets Gobbets Servkxis Remove wind av trim and decant Remove blob door trim and rhscad Tear-out Dr Cut and remove chyme*between upper and bwer cabinets Team*lie Basic or to remove 1°retie with favorable site condtions.Detadi from adjacent surfaces.Break into hauf able pieces. Remove from home aid(repose of fegaly. Tearott Undertement Cut aid minove 112"plywood undertarnent. Remove from home arid dispose of legaly Services Cut and remove ant oak iborkig as needed in&nig room to allow weaving hi of new Icidien Amoring.(apprcer 7) ACTIVITY DESCRIPTION 12 PLUMBING Kitchen Sunk&Faucet Basic labor and materials to instal lalr,hen sink($550 allow)and faucet($350 allow)with favorable site contiions.Assemble,piece and secure faucet Connect supply bites between costing abet cif Yahres and faucet.Leak and flow test. dehedter Labor and materials to instal customer supplied dishwasher San ii es kr:Miaion of new ice-maker water ire to new fridge 10 ELECTRICAL VARNG Mil Curvets installation d T 10v duplex wall ou det and tun(7) Wal S■iitdtes bnslalatian of 110v single pole way iwich and trim(2) Mac Re■i ng Labor for rewiring of easing g snitches and outlets as needed(hr) Cieu#Breslau kistallation of arch-fa dt dice breakers per code(5) Recessedi>/dIrg installation of 5 recessed ligtein oaring(5) DRYWALL Sarai= won of new 1/2`drywal between cabinets and mist coitg repairs as needed for acitding CABINET'S AND FINISH Layout whir For New Locate and mark al stud locations,upper and lower cabinet'maims. Determine filer Cabinet Layout locators and c imtensions prior to start Madam of Ce rinats Redone of al upper and lower cabinets,fliers,bidge panels,toe-ldc ks,and crown mokkiss as per W)TELL°plans_Drawer fps to be 5-pc as per qunt iexa- ($71 as Maid Upper Gabbana asic labor to hang upper cabinets watt favorable site c ndiboris.Lefel and secure cabinet at proper height to wall and adjacent cabi et& (7) lruetri lacier Cabinets Basic labor to level and shun cabinet to proper heighd,remove/reinstal doors and drawers as needed,scaling to wall and adjacent cabinets as needed(5) Fddp Penal Labor to custom ad,level,and attach to adjacent cabinets(2 plus dishwasher panel) bad Sal&Crow Labor b inslai lx soffit material rah ammo*notching trim above Molding Trier cabinet knots and lnstalraion of customer sup 1ker!cabinet toxins and pulls. NOTE:Customer must be Puk pry to identify knob and pug locations Instil it Toe-lock Slits Labor to cut,glue and nail base cabinet toe-kick strips in place Gnaws,Countertops ertops Fabricate and instal custom Quartz cotatleriops,Speci rum"Audacity ($5350 allow) lb Bacdapirteh instal/mica cif=manic fie laadcsplash(30 sf). Ceramic Ile allowance($170). toes not include costs(err decctraive boxing. cabinet lQicdts and installation of comer suppled cabinet knobs and ports. NOTE:Customer must be Pulls present to ideally knob and put tocaions Services Labor and materials to replace exising b- old door with new panels and track above. Existing door On and trim to remain as-is Services Installation of CUSTOMER PROVIDED dishwasher,stove,bidge and microwave upon completion. FLOORINGNOTE: CUSTOMER TO REMOVE ALL CONTENTS OF DINING ROOM,AND LIVING ROOM PRIOR TO START OF%IOW Reprove Base Trim Removal of base rim sound perimeter of tiring room,hallway,basement doorway,and discard Instaleittn 21/4" won of 2-1/4'unfinished white oak flooring in KITCHEN,weaved info dining room unfinished red oak floor,sanded smooth with 3 goats of d based dentate appied ACTIVITY DESCRIPTION looting . Sind roes Sand and refinish existing hardwood Sooting in timing room,Wisely,closets,and wing mom. (3)coals of d-based urethane applied Om Tito 15-UM Cut and instal 5-1l4'speed base tin around perimeter of fawn,caring room,and Mined Speed blue) hallway_ Closet base trim to be ten as-is. Trier to be nai twice per stud,and al inside COmers coped. 1)Contract does not nc de pi or costs to rap*uioeeseee .443.50 pair or poor+eado ip 2)Contract does not bl de penult fees 3)Project ineinec epprs x+-6 reds 4)Pawned schedule:1/3 at acceptances,1r3 attar drywo,balance upon coduidion 53 calms container to renuan on-sie throughout project +f.2 r i osr. g ( a1 °W iffe / r . Accepted Dale Wt."(/,2 5 l • le I d R94, Gil 2 AI r e=1==illik 3o > Tr et 4 e • een4 04 11# 8 I SalaVe 1 i • drommumirinr fit 46„..... as ra T.........., • __ ..- --- - --7, nLI- E' iHE bUltr ___-Z--7-. ---- 7 14 r-7 C 0 71 " N 0 N a �N N • N - z U ^ a y 59 �. �, z c 3" z w a z `� c � � „ .. cn w v� 37 8 g 0. 1 z i 5 �_ s = ro v In c, U. }h- v cz 144 Q 4 pp � 2 > 2 z A CS > w c�CA v; G y -4 o a C. W v � # ,�� v X Ce lui. f X 0. Q fn Y W 4 Z mom .y� OS ,� J c3 o CC7 = r" "v U ,_1 g _ O V ry'= � = )d ° �LC T.... 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