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Home My WebLink AboutBLDR-23-13046 l ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department X+' ._..'y 1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 Massachusetts State Building Code,780 CIVIR Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Sectio rFor Official Use Only Building Permit Number: .b>'2.--L3-0Yb Date Applied: #,VI 72" B ;�:`�g.i cial(Print Name) Sigma urLr Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 5 Nicholas Drive,Yarmouth Port, MA 02675 143 117 1.1 a Is this an accepted street?yes V no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 1010 40.436 165 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,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public V Private❑ Zone: — Outside Flood Zpne? Municipal 0 On site disposal system 15d Check if yes SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: The Erdmann Family Irrevocable Real Estate Trust YARMOUTH PORT, MA 02675 Name(Print) City,State,ZIP 5 NICHOLAS DR (617)320-6676 heidi@erdmannmarketinggroup.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building V Owner-Occupied 0 1 Repairs(s)_J Alteration(s) ❑ I Addition ❑ ri.� Demolition `� Accessory Bldg. 0 Number of Units Other 0 Specify: _ V R Brief Description of Proposed Work2: We will rebuild the kitchen in the same layout that was damaged by a water to lci-C � 1 023 !l717-it�t SECTION 4:.ESTIMATED CONSTRUCTION COSTS. pC_ PARTMENT Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 51,815.27 1. Building Permit Fee:$ Indicate how fee is determined: a Standard City/Town Application Fee 2.Electrical $ 3,980.00 3 ( e' 0 Total Project Cos (�I9te 366)x multiplier x 3.Plumbing $ 2,800.00 2. Other Fees: $ ('V L��UU 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire . • .$ Suppression) Total All Fees:$ Check No. Check Amount: Cash Amount: Pi9 -- 6.Total Project Cost: $ 58 595.27 ❑Paid in Full 0 Outstanding Balance Due: Co -f ac,-- 'ri _b bUi 1A`e rs • C,o `-/---- `7/ G') SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) THIAGO CHAVES CS-114050 07/04/2025 License Number Expiration Date Name of CSL Holder 230 JONES ROAD SUITE 7A List CSL Type(see below) U No.and Street Type ( Description FALMOUTH MA 02540 U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZTP R I Restricted 1&2 Family Dwelling M Masonry RC I Roofing Covering WS Window and Siding (508) 560-1697 contact@tigobuilders.com SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) THIAGO CRAVES 196857 09/30/2025 Inc Com any Name or HIC Registrant N e HIC Registration Number Expiration Date 230 JONES ROAD SUITE /A contact@tigobuilders.com No.and Street FALMOUTH MA 02540 (508) 560-1697 Email address 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 ❑ No . 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 THIAGO CHAVES to act on my behalf,in all matters relative to work authorized by this building permit application. Edniann dandy In-evocable Real Estate Mat 29/11/2023 Ta Print RI "g`l i ,'tlq `nat51i hr irzeris s° 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. X ti �� - 28/11/2023 Th"g6 Cti es(Nov WI,7071 09.16 FST) Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: I. 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 Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia \Yorkers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information PIease Print Legibly Name (Business/Organization/Individual): TIGO BUILDERS INC Address: 230 JONES RD SUITE 7A City/State/Zip: FALMOUTH MA 02540 Phone#: (508) 560-1697 Are you an employer?Check the appropriate box: Type of project(required): 1.0 1 am a employer with employees(full andlor part-time).' 7. Q New construction 2. 'l am a sole proprietor or partnership and have no employees working for me in any capacity.[No workers'comp.insurance required.] $• �cl�/Remodeling 3.Q I am a homeowner doing all work myself.[No workers'comp,insurance required.]r g q[1 Demolition 0 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. l will 1 1] Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 1 ❑Plumbing repairs or additions 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.Q Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box All must also till 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. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Sitmature. T+tlagu Ch/.c ur La is EST) Date: 28/11/2023 Phone#: (508) 560-1697 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#: o� <-� TOWN OF YARMOUTH °° BUILDING DEPARTMENT o. 7,54 1146 Route 28, South Yarmouth,MA 02664 508-398-2231. ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: 5 Nicholas Drive, Yarmouth Port, MA 02675 143 117 JOB LOCATION: — NAME STREET ADDRESS SECTION OF TOWN "HOMEOWNER" The Erdmann Family Irrevocable Real Estate Trust (617) 320-6676 NAIvTF HOME PHONE WORK PHONE PRESENT MAILING ADDRESS 5 Nicholas Drive Yarmouth Pod, MA 02675 CITY OR TOWN STATE ZIP CODE The current exemption for `Homeowner' was extended to include owner—occupied dwellinas 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 Th-Theu �an6141mily lrt�.p�ay4�Rea Estate /n-evocablepeat 6ftateTi'ust 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 508-398-223!1 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 conducted at Bourne Integrated Solid Waste Management Facility Work Address Is to be disposed of oat the following location: 201 MacArthur Blvd, Bourne, MA 02532 Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. 7' 28/11/2023 Thiago Ch es(Nov 28,2023 09:16 EST) Signature of Application Date Permit No. -1 3 1 -2 familyapplication Final Audit Report 2023-11-29 Created: 2023-11-28 r By: Thiago Chaves(contact@tigobuilders.com) Status: Signed Transaction ID: CBJCHBCAABAAFxB-Utt0mT5TPiPYS_avxbfMMgIRt1T "E-1163 1-2 family application" History Document created by Thiago Chaves(contact@tigobuilders.com) 2023-11-28-1:58:29 PM GMT Document emailed to The Erdmann Family Irrevocable Real Estate Trust(heidi@erdmannmarketinggroup.com) for signature 2023-11-28-1:58:34 PM GMT Document emailed to Thiago Chaves(contact@tigobuilders.com)for signature 2023-11-28-1:58:34 PM GMT c5 Email viewed by Thiago Chaves(contact@tigobuilders.com) 1 2023-11-28-2:15:54 PM GMT i IA Document e-signed by Thiago Chaves (contact@tigobuilders.com) Signature Date:2023-11-28-2:16:40 PM GMT-Time Source:server 44 t Email viewed by The Erdmann Family Irrevocable Real Estate Trust(heidi@erdmannmarketinggroup.com) 2023-11-29-3:46:41 PM GMT a 4 4 Document e-signed by The Erdmann Family Irrevocable Real Estate Trust I (heidi@erdmannmarketinggroup.com) Signature Date:2023-11-29-9:33:36 PM GMT-Time Source:server p i 40 Agreement completed. 2023-11-29-9:33:36 PM GMT 4 Adobe Acrobat Sign