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HomeMy WebLinkAboutBLDR-26-46- OT & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department /p ' Yi 1 J A N 2t 7 2026 1146 Route 28, South Yarmouth,MA 02664-4492 4: cep,1. p r 508-398-2231 ext. 1261 Fax 508-398-0836 :' % f s Q s u i_I)i c r. r Massachusetts State Building Code, 780 CMR y —.- - $wilding�ermit Application To Construct, Repair, Renovate Or Demolish �ti'""'r, "6�6 a One-or Two-Family Dwelling _CORPORAL SO This Section For Official Use Only Building Permit Number L /-2.b-7t Date Applied: Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 71 Nantucket Ave.South Yarmouth,ma. 1.1a Is this an accepted street?yes 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) 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❑ Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP1 2.1 Owner'of Record: Ellan Jane Albanese Waltham,ma.02451 Name(Print) City,State,ZIP 1299 Trapelo rd. 781-962-3812 etheljm@comcasr.net No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORKZ(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) ® Alteration(s) 0 Addition 0 Demolition ❑ Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: Install new cabinets and counter tops,remove walls behind cabinets only for electrical update to code.all other walls,floor and ceiling to stay the same. pricing includes cabinets and countertops.No Structural work. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: O�ci Use Only (Labor and Materials) 1.Building $ 18800.00, 1. Building Permit Fee:$ Li Indicate how fee is determined: 2.Electrical $2,400.00 CIStandard City/Town Application Fee q Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ 1,250.00 2 Oar Fes: 4.Mechanical (HVAC) $ List 5.Mechanical (Fire Suppression) Total All Fees:$ 6.Total Project Cost: $22,450.00 Check No. Check Amount: Cash Amount. C1 Paid in Full CJ Outstanding Balance Due: l-�+vtrJ SECTIONS: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 052599 07-14-2027 Don Funari License Number Expiration Date Name of CSL Holder List CSL Type(see below) R 25 Molly rd. 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 Roofmg Covering WS Window and Siding SF Solid Fuel Burning Appliances 781-254-5220 dfunari@verizon.net I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 120035 10-09 2027 Homework Unlimited co. HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 25 Molly rd. dfunari@verizon.net No.and Street Email address West Yarmouth,Ma.02673 781-254-5220 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 Don Funari 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. 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 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,fmished 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 Office of Investigations /4/ Lafayette City Center r' 2 Avenue de Lafayette, Boston,MA 02111-1750 • www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/individual): Don Funari Address: 25 Molly rd. City/State/Zip: West Yarmouth, Ma. 02673 Phone#: 781-254-5220 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. 0 I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. New construction 2.11 I am a sole proprietor or partner- listed on the attached sheet. 7. ®Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me incapacity. employees and have workers' any ap ty. 9. ❑Building addition [No workers' comp.insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions 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.] *My 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. tContractors 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: 07-14-2027 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 fme 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 fme of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the p . s and penalties of perjury that the information provided above is true and correct Signature: ( cti--, Date: a 7 Z O Phone#: 7 tY/ 2.<.--5 51 ,5 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(check one): 11:3Board of Health 20 Building Department 3.0City/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.DOther Contact Person: Phone#: FFrog YAK TOWN OF YARMOUTH 3 k Office of the Building Commissioner 1146 Route 28, South Yarmouth, MA 02664 �a'YCC yA 508-398-2231 ext. 1260 Fax 508-398-0836 DEMOLITION DEBRIS DISPOSAL APPLICATION Pursuant to M.G.L. c.40 §54 and 780 CMR Section 105.3.1 #4. I hereby certify that the debris resulting from the proposed work/demolition to be conducted at. 71 Nantucket Ave. Work Address Is to be disposed of at the following location: Yarmouth disposal Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, §150A. '4 zoe Signature of Applicant Date d Permit No. • y.,;', a 1 -,,r4. > mom$ at" S c .. _ .. . . _ 4. 44. sa -sY o a tf�' .r+, w -t` � . 3 �,;.-,' F. SR- •a its , - - _ Ellen Jane Albanese 71 Nantucket Avenue S.Yarmouth, MA 02664 ethetjm@comcast.net 781-962-3812 Ms. Rosa Inkley Town of Yarmouth Dear Ms. Inkley: Please be advised that I give Don Funari, Homework Unlimited, permission to remodel my kitchen at 71 Nantucket Avenue. If you have any questions, please feel free to contact me at 781-962-3812. Thanks!! Sincerely, Ellen Jane Albanese cc: Don Funari Inkley, Rosa From: Albanese, Ellen Jane <ealbanese@Northland.com> Sent: Tuesday, January 27, 2026 12:15 PM To: Inkley, Rosa Cc: Dfunari@verizon.net; Ellen Jane Albanese Subject: 71 Nantucket Avenue, S.Yarmouth Attachments: Town of Yarmouth Letter.docx F Attention!:This email originates outside of the organization. Do not open attachments or click links unless you are sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure. Otherwise delete this email. Rosa: Attached is a letter granting permission for Don Funari to perform a kitchen remodel at 71 Nantucket Avenue. Would you kindly confirm receipt of this letter. Thanks so very much!! Ellen Jane Albanese Manager of Insurance Phone 617-630-7256 Finail ealbanese@northland.com Web www.northland.com Northland Investment Corporation 2150 Washington Street, Newton, MA 02462 1 § t & � � E % © � 2 % % � m % 2211,1 ta 13 : Ott 4w k � ft 2i § 2 ® to § T.• 2 � � � f ro k t 149. ttt � � w 4 4 44 % ® 4w V113e2 (N ts 'Q % t � 4 e & tom t � � % c % a t "IQ ® m ' § ■ om � f § / t f © E s 4.0 § : 41.1 � k ,t2 e ■ 44 & 2 % g Q o et, _fa t CU e 0 2 0 ' k / eS � � § 2 : � � � G k % k2