HomeMy WebLinkAboutBLDX-26-989 application O,¢,Y Office Use Only1 (�t�
A o Permit# X'a6-cii 1
1 E:y Amount - L/
EXPRESS BUILDING PERMIT APPLICATION-
i $ x ._ , 0
TOWN OF YARMOUTH r -----
Yarmouth Building Department I , , 4
1146 Route 28 I AUG 26 2026
South Yarmouth, MA 02664 i 1
(508) 398-2231 Ext. 1261 t- .C,ki41_,`� "�'_-i
•CONSTRUCTION ADDRESS: et ueer'A t 1cA ?Zo aA
OWNER: ! -CM OvJvt s 9 beer-k,e.la Roc,Roc,1 t✓cs4- Y4ewtt,,,I-L i KA CVO S Lit 3-4314.015a
NAME PRESENT ADDRESS TEL. #
CONTRACTOR: 54"e0 41 L. Choy S l S0 Cr4vIltP17 fivy Lh1 4- p2 ca.74in . - Mk o9Sc I 77 W-.)6It-.?la)
1 NAME MAILING ADDRESS TEL.#
EMAIL: !C44-4tnvS cD St4Lou r ‘i -erup-trl'let.ra en
B1 esidential ❑Commercial CI Est.Cost of Construction$ 30,000.00
Homeowner is Applicant? Yes No
Home Improvement Contractor Lic.# 6400-1,? Construction Supervisor Lic.# C S-CA grrGJ
WORK TO BE PERFORMED
Tent Duration (Fire Retardant Certificate required) Wood Stove
Siding: #of Squares S Replacement windows:# Replacement doors: # a
Roofing: #of Squares Insulation Temporary Mobile Home
Temporary Construction Trailer Demolition-Interior only *Demolition Raze Structure 4.7
Getr43C + gnctei4y Solar System ESS System Chimney Fence I\
*Please submit utility disconnect letters for electric&gas-structures over 75 years old require historical review
L (3vi l4 i:, I q-15 f No C4c/1ermeA4R E1ec1',4
*The debris will be disposed of at: 13CJi(Ylt ¶i(zvtS ctr S'iL r uv .7'2 1 P'16tAt41....r at vc.1
Location of Facility
I declare under penalties of perjury that the statements herein contained are true and correct to the best of my knowledge and belief. I understand that any false answer(s)
will be just cause for denial or rev ation of e and for prosecution under M.G.L.Ch.268,Section 1.
Applicant's Signature: Date: Sl#b(o
Owners Signature(or attachment) $i5V1(CC CV A4(6 A At Ohm''` Date:
Approved By: Date:
Building Official(or designee)
Rev 6/24
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
Ir
Lafayette City Center
2 Avenue de Lafayette, Boston, MA 02111-1750
k
M r=� www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual):Seaworthy Properties LLC L
Address:152 Cranberry Highway Unit 2
City/State/Zip:Sagamore, MA, 02561 Phone #:774-269-2103
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
listed on the attached sheet. 7. ❑ Remodeling
2.0 I am a sole proprietor or partner-
ship and have no employees These sub-contractors have 8. ❑■ Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.
t
required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions
officers have exercised their 11.0 Plumbing repairs or additions
3.El I am a homeowner doing all work
myself. [No workers' comp. right of exemption per MGL 12.❑ 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.
$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 coverage verification.
I do hereby certify under the 'its and penalties of perjury that the information provided above is true and correct.
Signature., Date: &1)6' 26,
Phone#: 774-269-2103
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 30City/Town Clerk 4.0 Electrical Inspector 5Elumbing
Inspector 6.0Other
Contact Person: Phone#:
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs & Business Regulation
HOME IMPROVEMENT CONTRACTOR
TYPE: Individual
Registration Expiration
190072 02/23/2027
STEPHEN L CATARIUS A f,,
STEPHEN L. CATARIUS � - £� 4,4 f
145 VALLEY ROAD
PLYMOUTH, MA 02360
Undersecretary
CATARIUS, STEPHEN L
Construction Supervisor
Profession Issue Date
Building Licenses 09/27/2011
License Number Expiration Date
CS-088962 09/27/2027
Status
Active
Seaworthy Properties,LLC
152 Cranberry Hwy Unit 2
Sagamore,MA 02561-1223 US Seaworthy Properties
.17742692103
Icataritts@seaworthy-properties.com
Estimate
ADDRESS ESTIMATE 1158
Tim Dupuis DATE 08/12/2026
9 Deerfield Road
West Yarmouth,MA
DESCRIPTION AMOUNT
Demo Permit 500.00
-File with Town of Yarmouth to remove GarageBreezewayAccess
-Application
-Permit Fees
Moving Contents 750.00
-Move all furniture on first floor to garage
-Move all furniture back after floors are completed
Sand/Refinish Hardwood Floors 4,400.00
-Replace floor at sliding door and front door
-Sand all hardwood
3 Coats of Poly
Slider Replacement 4,600.00
-Remove Existing Door
-Prep for new
-Sub Flooring/Framing Repairs as needed
-Install new 71"x79.5"Harvey White Vinyl Patio Door w/screen
-Install new interior trim(to match existing)
-Install new PVC exterior trim
-Flashing,Fasterners,Hardware,Etc.
*Drywall Repair and Painting NOT included
Exterior Door&Storm Door Replacement 4,200.00
-Remove Old Door
-Prep for New
-Install new 32"x80"Therma-Tru Fiberglass Door(Half Lite-see attached)
-PVC Trim-screwed and plugged
-Flashing,Fasterners,Hardware,Etc.
-Install new 32"x80"Storm Door
"Overhang,Platform&Walk-Way to be confirmed and priced on site after demo is completed***
Garage/Breezeway Demo 10,600.00
-Disconnect all mechanicals(electrical/plumbing/etc.)
-Tear Down Garage and Breezeway
-Remove all construction debris
-Remove existing foundation and concrete
-Grade Area Flat
Siding/Trim-Right Side of House(Both Sides of Chimney) 9,100.00
-Inspect Sheathing
-Underiayment
-White Cedar Siding
-PVC Rakes and Corner Boards
-Patch Roof
-Modify Gutter
-Fastems,Hardware,Etc.
-Install new Gable End Vent-Size and Style to be confirmed with Homeowner
*Painting NOT included*
Additional Items that need to be priced:
-Tree Removal
-Basement Windows(3)
-New Bulkhead Enclosure
-Exterior Door Leading to Bulkhead
-Cabinets(Lowering)
-Cement Patch(Corner of Basement)
Payment Schedule:
$10,000 Deposit
$15,000 after Floor and Slider are Completed
Remaing balance at completion
SUBTOTAL 34,150.00
TAX 0.00
TOTAL $34,150.00
Accepted By Z7,�,», / P
Accepted Date 8/12/2026
alt-csjoid‘
Page 2 of 2
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8/26/26, 10:35 AM Floor Plan-9 Deerfield Road.webp(1200x900)
r----- 6e mot(2e 'tito ve—
_, Deck
20'2"x11'8" ( — I
` (L
•
;E
( � ° t�.� Kitchen
Primary Bedroom ,-,,x
E;2 7'10"x 8'S" '
I DiningArea Breezeway
12'2"x 11'6" r� 11'9"x 11'9"
r . "------
Larim"u
" .. 16'11'x5' '4 .
Garage
- - 13'9,.x' 1,��,
1
Living Room
Bedroom Bedroom 16'2"x 13'9"
L
11'10"x 10'11" 9'6"x 13'S" i._____
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Total:1370 sq.ft
310-Water
Basement:259 Ft,Ft 1st Floor: 1111 sq.ft
Excluded Areas: Basement:644 sq.Ft,Garage:299 sq. Ft, Deck:255 sq. Ft,
Bay Window:9 sq. Ft, Fireplace: 11 sq.Ft,Walls: 173 sq.ft
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