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Home My WebLink AboutFlood Substantial Damage Affidavit TOWN OF YARMOUTH vet BUILDING DEPARTMENT t�" 1146 Route 28, South Yarmouth,MA 02664 Telephone 508-398-2231 ext. 1261 Fax 508-398-0$36 Owner's Affidavit: Substantial Improvement or Repair of Substantial Damage Property Address: 67 Run Pond Rd - S. Yarmouth, MA Parcel ID Number: Map 034 Lot 137 Rischitelli, Marc D Trs 508-523-2113 Radziewicz, Susan E Trs 508-250-2054 Owner's Name: Rischitelli, Jonathan E Trs 508-579-5122 Rischitelli, David M. Trs 774-329-0036 Marc D Rischrtel[i Susan E Radziewicz Jonathan Rischitelli David M Rischitelli 19 Ferncrott Rd 40 Bay Path Rd 91 Brookfield Rd 21 Travis St Owner's Address/Phone: Shrewsbury,MA 01545 Charlton,MA 01507 North Brookfield.MA 01535 Worcester,MA 01604 Contractor: Robert M Snow Contractor's License Number: CS106188 Date of contractor's Estimate: 02/07/2024 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. / .;. Owner's Signature: .7; Date: a 11t,2024 ai/fi/ J Notarized: MEGHAN E. ROCHE Notary Public I " !,COMMONWEALTH OF MASSACHUSETTS My Commission Expires t 'n July 26,2030 A � mown Rode