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Home My WebLink AboutBLDR-25-239 application ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department pg Yq� 1146 Route 28, South Yarmouth,MA 02664-4492 p 508-398-2231 ext. 1261 Fax 508-398-0836 - �?e H Massachusetts State Building Code,780 CMR �• Building Permit Application To Construct, Repair, Renovate Or Demolish NCO"rrwc""` b'�` a One-or Two-Family Dwelling RP°"A<E° This Section For Official Use Only Building Permit Number: j5/,j I .—o25-3q Date Applied: Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 21 Many Oaks Circle,Yarmouthport 117 35 1.1 a Is this an accepted street?yes x no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 0.53 acre Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) 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 El Private 0 Zone: Outside Flood Zone? Municipal 0 On site disposal system B Check if yesili SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Rafael Gutierrez Yarmouthport,ma 02675 Name(Print) City,State,ZIP 21 Many Oaks Circle 317-771-4194 rafaelg2@yahoo.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building il Owner-Occupied 8 Repairs(s) 0 Alteration(s) i Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: RECEIVED Brief Description of Proposed Work':Creating master closet in unfinished bonus room above garage. JUN 0 9 2025 SECTION 4:ESTIMATED CONSTRUCTION COSTS F1I1l1 nwc, nFPARTMFNT Item Estimated Costs: BOfficial Use Only y (Labor and Materials) 1.Building $8000.00 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $2000.00 ❑Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $2000.00 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 3 O [ '4 5-3 5.Mechanical (Fire Suppression) Total All Fees:$ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ 1 2000.00 0 Paid in Full 0 Outstanding Balance Due: Q ottni bb44 Qroce,-gj 1, ��i SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS 082931 Adam LaBonte License Number Expiration Date Name of CSL Holder List CSL Type(see below) u 15 Payson Path No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) West Yarmouth,MA 02673 R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 508-348-4018 adamlabonte@rocketmail.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 157390 9/27/2025 Adam LaBonte HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 15 Payson Path adamlabonte@rocketmail.com No.and Street Email address West Yarmouth,MA 02673 508-3484018 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 0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the sAect property,hereby authorize Adam LaBonte to act on a ,iti all matters relative to work authorized by this building permit application. /,/ May 4,2025 Print Owner's Na Electronic Signature) Date SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name bel ' ,I hereby attest under the pains and penalties of perjury that all of the information contained in this applic to is a and accurate to the best o wledge and understanding. 1 ` May 4,2025 Print Owner's or Authorized Agent's- ame nic 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 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.) 1176 (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) 2852 Habitable room count 5 Number of fireplaces 1 Number of bedrooms 3 Number of bathrooms 3 Number of half/baths 0 Type of heating system hot water Number of decks/porches 1 Type of cooling system Enclosed Open 1 3. "Total Project Square Footage"may be substituted for"Total Project Cost" y The Commonwealth of Massachusetts Department of Industrial Accidents V Ofce of Investigations Lafayette City Center /� 2 Avenue de Lafayette, Boston, MA 02111-1750 rv- '-- www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Adam LaBonte Address: 15 Payson Path City/State/Zip:West Yarmouth, MA 02673 Phone #:508-348-4018 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction listed on the attached sheet. 7. ❑■ Remodeling 2.• I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' P ty. 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions officers have exercised their 11.0 Plumbing repairs or additions 3.❑ I am a homeowner doing all work myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance verage verification. I do hereby certify under the pains an pe 11ti4s f perju at the information provided above is true and correct. Signature: 1 r Date: May 4, 2025 Phone#: 508-348-4018 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority(check one): 10Board of Health 20 Building Department 3❑City/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.0Other Contact Person: Phone#: _; 1 Ya TOWN OF YARMOUTH 0, Office of the Building Commissioner 1146 Route 28, South Yarmouth, MA 02664 �1 Mhi ALMfCBE ) �_ryC�ApOpAY E �b�d' 508-398-2231 ext. 1260 Fax 508-398-0836 DEMOLITION DEBRIS DISPOSAL APPLICATION Pursuant to M.G.L. c.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.21 Many Oaks Circle, Yarmouthport Work Address Is to be disposed of at the following location: Yarmouth Transfer Station Said dis gsal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 1 1, §150A. May 4, 2025 Signat plicant Date Permit No. Licensee Details Demographic Information Full Name: ADAM LABONTE Owner Name: License Address Information City: WEST YARMOUTH State: MA IZipcode: 02673 Country: United States, License Information License No: CS-082931 License Type: Construction Supervisor Profession: Building Licenses Date of Last Renewal: 3/1/2024 Issue Date: 3/30/2010 Expiration Date: 3/13/2026 License Status: Active Today's Date: 6/9/2025 Secondary License Type: ,Doing Business As: Status Change Reason: License Renewal Prerequisite Information No Prerequisite Information No Available Documents • Contractor Loci in Home(/s/) An official website of the Commonwealth of Massachusetts Here's how you know Search Contractor Registration and History * indicates required field Always confirm that a contractor is registered before you hire one. Should you need assistance in the future,you will not be eligible for arbitration or the Guaranty Fund if the contractor you hire is not registered. Contractor Account Name ADAM LABONTE Business Email Address adamlabonte@rocketmail.com HIC Registration Number 157390 Registration Status Active Physical Address 15 PAYSON PATH WEST YARMOUTH, MA 02673 US Phone Number 5083484018 Registration Effective Date September 28, 2023 Registration Expiration Date September 27, 2025 Mailing Address P.O. BOX 1032 SOUTH YARMOUTH, MA02664 US Responsible Person 1 of 1 item MASSACHUE'I`TS DRIVER'S LICENSE , .. ° NOT FOR FEDERAL ID �. - aA R `; 212412022 .'''060502 c = fl ;4113120 T 03/1311967 :k...44,--y-„,i.3,--.„:',7,- -.."1,!:', ,,- E sa ONE C, i'- 2 AD 5„NEAL 1° e 15 PAYSON PATH •c,:, WEST YARMOUTH,MA 02673-1521 ., D BRO ,ss�M FHG7 s�•os^ 5 03/13/67 5 DO OL2712022 Rev 0717112016 THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:individual Registration Expiration 157390 09/27/2025 \DAMLABONTE )/B/A FULL HOUSE HOME IMPROVEMENT \DAM LABONTE 15 PAYSON PATH ,104'4 1(4. `4 NEST YARMOUTH,MA 02673 Undersecretary EXISTING LEGENDOVED PROPOSED LEGEND ogooTO BE REMNEW WALLS NEW/PROPOSED 2x6 WALLS STUDS I @ 16"o.C.WITH R-20 BATT INSULATION R-49 EOUIVILANT R-49 BATT INSULATION ias- ,�•a CLOSED CELL -- - - -- - - i VENT , — ----- -- --�i SPRAY FOAM — -- F 1 >o i RAISE FLOOR _ 1 --—— /-1.,.._ 1 ' ;\ AS MAST LEVEL �, h , AS MASTER W GARAGE STRUTS iihkGARAGE TO HOUSE c m TO HOUSE b �I 1 BEDROOM AI g. FLOORING TYPE TO�� I__ _ _.,,,-9. R �5, BE DETERMINED smsw_ 6.11' 1Y - -- - zr-1r L ._ _ ___.. _.__— —.., I v i_ SUBFLOORODlir zr- — - I 01 1 ■ ■ ■ ■ I S I 11 i I JOIST @ 12"o.c. UNFINISHED SPACE " 13'A' UNFINISHED I ///// 13'-9• -- ACCESS TO UNFINISHED SPACE SPACE '1 t I CO MASTER tt_:I WALK-IN k,1 TO MASTER 7,R BEDROOM 5- CLOSET =; BEDROOM ACCESS TO UNFINISHED SPACE UNFINISHED l SPACE Cape CAD PROJECT THESE PLANS HAVE BEEN DRAWN ACCORDING TO HIGH QUALITY STANDARDS AND PRACTICES AND ARE AN ACCURATE GUIDE TO BUILDING CONSTRUCTION.HOWEVER, SCALE. DRAWING NUMBER: LOCAL REGULATIONS AND LOCAL BUILDING CODES REQUIREMENTS VARY,AND AS SUCH MAY REQUIRE CHANGES.THE BUILDING CONTRACTOR MUST REVISE AND NAME ENSURE WITH HIS CLIENT THAT THE PLANS CONFORM TO ALL CURRENT 1/8, = 1 GOVERNMENTAL AND/OR BUILDING CODE REQUIREMENTS. Design A D D R E S S CAPE CAD DESIGN WILL NOT ASSUME LIABILITY FOR MISHAPS BEFORE,DURING,OR Al AFTER THE USE OF THESE PLANS FOR CONSTRUCTION. "HTE-SD AT E• CITY/STATE THIS HOME PLAN HAS BEEN ORIGINALLY DRAWN BY DESIGN AND IS ITS EXCLUSIVE 969 MAIN STREET PROPERTY ANY REPRODUCTION IS STRICTLY FORBIDDENDEN UNDER COPYRIGHT IAWS AND SUBIECTS THE OFFENDER TO LEGAL ACTION. 12/0 7/2 0 2 0 OSTERVILLE,MA SOME COUNTIES MAY REQUIRE ADDITIONAL ENGINEERING SPECIFICATIONS AND PLANS, 508-280-7074 Designer: Patrick Rimington