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HomeMy WebLinkAboutBLD-19-000793 ►Y . • n'�f,/ Ths/� • ONE &TWO FAMILY ONLY-BUILDING PERMIT Town of Yarmouth Building Departmentas y\ 6{ 1146 Route 28,South Yarmouth,MA 026 1492 508-398-2231 ext. 1261 Fax 508-398-0836 Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling •. This Section For Official Use Only Building Permit Number '/9-00 Yioq).Date Applied: 2 •A • . C Building Official(Print Name) Sign.' t. ' . .. Date SECTION 1:Silt INFORMATION • • �1 Property Address:II DAPI .AAssessors 1.2 Ma &Parcel Numbers A/tts7 PAK, ami,/"1t e2173 _S /n�J7 _C ! V1.1 a Is this an accepted street?yes ✓ no Map Number Parcel Numb `-""• 13 Zoning Information: 1.4 Property Dimensions: AUG 1j 2018 ZoningDistrict FrontageC_.. _ _ - 1111 istrt Proposed Use Lot Area(sq ft) (ft) �, 1.5 Building Setbacks(ft) ov — —._ 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 Private 0 Zone: _ Outside Flood ironed? Municipal❑ On site disposal system L� Check if yes SECTION 21 PROPERTY OWNERSHIP' 2.1 Owner'of Record: NARA'S T. ItIF}RAI G. IdESL etribFr Mf- c2615 Name(Print) City,State,ZIP --- !! rArr44-o rag/Vag td ao 4MoIQiirfit.CaM No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK(check.all that apply) • New Constructionyg I Existing Building)( Owner-Occupied X 1 Repairs(s) X Alteration(s) $j Addition Demolition 0 Accessory Bldg.0 I Number of Units I Other ❑ Specify: • Brie Description of Proposed Work': s ,,„ ,,, .„;_f_s_.- . . , or,/, „L, he A' - �/ p.! .:ems: a tot -- Cv71x 4, R/ tea a • OAC i %7Q-�Ct /117 — %XCeir e s Ate' I ECTTON i ESTltii I TED CONSTRIICIION COSTS. AU (l.t) LIl i° Item Estimated Costs: 1''• (Labor and Materials) -• _ • - , Official Use Onl _'� r tpA:-; I 1.Building $ :1.. Building Permit Fee:$-ISO Indica' hovtfeeisdeterminect 2.Electrical $ §Standard City(TowaApplicationFee ; •: '.•` '.: . ❑ .Total.Project Cost(Item . )x multiplier. . .• : x - 3.Plumbing $ 2: OtheiFees: $ . 4.MechanicalList ' (HVAC) $ .... . . .:.: .: . .. .... . . . 5.Mechanical (Fire ' - . Suppression) $ Total All Fees:$ ./ CheckNo..- Check Amount • Cash Amount/ ' 6.Total Project Cost $ /,Soo Ci Paid inFull • . 'A Outstanding Balance Due: p SECTION 5:.CONS I'RUCTION SERVICES 5.1 Construction Supervisor License(Ca) • • License Number Expiration Date • Name of CSL Holder List CSL Type(see below) No.and Street Type . .. Description U Unrestricted(Buildings up to 35,000 cu.ft) R Restricted l&2 Family Dwelling CitylTown,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(1TIC) HIC Registration Number Expiration Date HIC Company Name or RIC Registrant Name No.and Street 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. Sigted Affidavit Attached? Yes 0 No 0 SECTION 7a: OWNER Au EHORIZATION TO BE COMPLE IUD WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize 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 AU 1HORIZED AGENT DECLARATION By entering my name below,I hereby attest tinder 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. 4 ---"a (/C rte ) �.z �� tint Owner's or Authorized Agent's" Name(Elecronii Siiznature) D to 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)Progam),will not have access to the arbitration program or guaranty fund under M.G.L. c. 141k.Other important information on the HIC Progam can be found at www.mass.aov/oca Information on the Construction Supervisor License can be found at www.mass.aov/dos 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 ) 1, Department oflndustrialAccidents .; J TOWN OF YARMOUTHc° BUILDING DEPARTMENT gssor-Y-Ltt ,�� 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1261 • HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: JOB LOCATION: NAME STREET ADDRESS SECTION OF TOWN "HOMEOWNER" NAME HOME PHONE WORK PHONE PRESENT MAILING ADDRESS CITY OR TO' STATE ZIP CODE The current exemption for `Ho. eowner' was extended to inclu. owner—occupied dwellings of one or two units and to allow such homeowners ta engage an individual for hire ' ho does not possess a license,provided that such homeowner shall act as superviso . (State Building Code S- don 110 P3.1.3.1) Definition of Homeowner. Person(s)who owns a parcel of land.1 which he/she ides or intends to reside,on which there is or is intended to be, a one or two family attached or det.. hed stractur• assessory to such use and/or farm structures. A person who constructs more than one home in a two- ear perio-. shall not be considered a homeowner,such"homeowner"shall submit to the building official,on a form. cept..le to the building official,that he/she shall be responsible for all such work performed under the building p= '.t. (Section 110 R5.1.3.1) The undersigned `homeowner' assumes esp..sibility for compliance with the State Building Code and other • applicable codes,by-laws,rules and re: lations. The undersigned `homeowner' ce, es that he/ s.- understands the Town of Yarmouth Building Department minimum inspection procedure- and requirements d that he / she will comply with said procedures and requirements. HOMEOWNER"S SIGN• ' APPROVAL OF B I J11ING OFFICIAL INSURANCE CO RAGE: I have a curren ability 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:homeownrficesemp • • • Information and Instructions ' . . • ' Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es) and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant . Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: • The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. r 617-727-4900 ext. 7406 or 1-377-MASSAFE Fax 4 617-727-7749 Revised 02-23-15 www.mass.gov/dia '=y 1UWN We YARMOUTH - BUILDING DEPARTMENT / a -eft., j 1146 Route 28,South Yarmouth,MA 02664 508-398-2231 ext. 1261 Fax 508-398-0836 BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursnanr to M.G.L Chapter 40,Section 54 and 780 CMR, Chapter 1, Section 1113, I hereby certify that the debris resulting from the proposed� work/demolition to be conducted at/l7�Y'% g/3, )-v � fin OZG73 Work Address Is to be disposed of at the following location: 7/ 74feT ieb Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Signa are of Application Date Permit No. • •o ,sky f'Y1 TOWN OF YARMOUTH RECEIVED • s`t. ;Iii-E�c HEALTH DEPARTMENT AUG U 02018 " PERMIT APPLICATION SIGN OFF TRANSMITTAL uvh LTH DEPT. To be completed by Applicant: Building Site Location: ..yy��// 74FT *,T 0 JVEST 'AgneurN, M402-673 Proposed Improvement: /CEI�J,ACE 064 a-MR smgcLE5 ant mew nub RErIo✓E tub Pt57-E0 Occi KE7i4G. ata.Mftaf4 COVET AIS7I-1- ¶b66t9oaSet' A/0 PISCha3riJG OR &Lr CT.Qrc,L 3-6e121C -CA/Yeu vCD, Applicant: iVAlRaffAI Ti tVfi Ra, tZ. Tel. No.: SO 2- zzi —4-NV Address:11/1 rsP) -,ep 9 J,/YSr Hff,Rfain . f{4 02L73 Date Filed: 8/C2 fie **Ifyou would like e-mail notification of sign off,please provide e-mail address: fie(1�/�/}��L&9mc I.COh7 Owner Name: SA-/'{c' Ai m°P2 L1MjT A0 VC Owner Address: Owner Tel. No.: RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. Please submit three (3) copies of plans, to include: (1.) Site Plan showing existing buildings, water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building (all existing and proposed) — Note:Floor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: J DATE: 8 /8/15 PLEASE NOTE COMMENTS/CONDITIONS: /i . • ata 2 R 2,3 y ). When Bassett << n Is O^ .....^-- .•—•-•678.88.E •�• �._ a L• .Y se w t , 9as9 1 .98.01 '•\,• 9800 --;- 98.01 ••';- 98.00 ',• t 1 y a a it S •aki (PO %qv t.ssts9•,j- .98.00 _ J.,l..98.00 ..j.. .98.00 ..i. 9800 _J... `0% TAFT t Mut* •.o.a.►tet I e:.....14...7 724.37 Pt 73t • St . tha I � —�.— . ! a MIRROR !MOOR .91.88 B • P YOSt Mb Cert. Na. LW ,,i § O 8 a 0a la a a • • Building Sketch Bonner Warrent Ward.Jr. , Property Waeas 11 Taft Rd West Yarmouth COSI Barnstable Sas MA Z9 Cub 02673 tn1 tint New American FIMigIOeiL of VA - - • • ess r1 (ta .r (2.1 ad - - IIbiteniersi Onetarattchect se j era.. V»e.ra � '_ -t r– . Baur tweed ® .0 .rrm7.�. u.+2 aura mew tt•trn a — emits cat terse --AREA.CALCIMTONS SUMMARY-=i<r~ '-. SI.VING AREA BREAKDOWN. .�•_I c.ai GsvF.a. Nims; -: Ndtalr'; OAl. Pi:.t Plaer. 9te.0000 - 980.0000 Plast Floor - - 8856 Onfinished Pe...00t- 176.0000 ' -- _ - - 38.00 z- 26.00 998.0000 23fla0.d taNmt _ - m.0000 - - - Onf ai.Md bs t _ 00.0000 988.0000 Wit One Car Attached - - 740.0000- 015.0000 - _ - PIP Roar 0.d' •. 270.0000. 111.6250 011.Q90- • • • Net LIVABLE Area (rounded) 988 1Iem (rounded) 988 • Form scraosa-T9wN.-appose sWNale by a brake,tL-1199Anuo0E f AL3 toy 6a rnar5B LOT NO. : La ADDRESS:/% TART QD y W Y4c, OWNERS NAME: QOtpiE L (-ACc)5o.�l��Tj . , SEWAGE PERMIT NO. :g4-4, 7 NEW: REPAIR:. >< DATE ISSUED:12-aa-11 DATE INSTALLED:/Z-Zi_jq INSTALLERS NAME: Q4, d . ...r/Jryer- INSTALLATION OF: 2 c G' S T. . . - — F.� s w/3 2577).t. WATER TABLE: r FINAL INSPECTION BY: R. DRAWING OF INSTALLATION ON REVERSE SIDE: • IdZOfgD 1111 • 0)051-. DLOe t-L •• n..41• - se• • rig ha • < N y r, niee,t , 9 I * tin -- .......818.Be-- �. 'e 31• 9• 30' W 2 t 1" 98.39 - t- 98.01 "" 9800 98.01 •' 98.00 -"; N �*. • *rte a o • r I io 'e0 ; s i0 O k �S m -. e `" N tP. x.11 its .b w (� -.N ^iq'rtI A a4 to ' aA ‘ $ aV w Oat r L.1£39. I. 98.00 •.j.- 8.00 . . 99.00 ..j. 9800 .j. 61 `ih TAFT t .tiet• •00.00WO1 724.37 4F - ,t,.n s ,r —m`- a• A' • • S 6 • ------7 , MIRROR BROOM 2 4 p .' I1/e• 8 • P OAll L. C. No. 303t H w a Cert. No, 291: m O S� c� • • • • • ,3K • dr' c'rZt • Building Sketch . n=� _;�': Borrower r warren I Wert.r. .A<:. NW"Memos 11Taft Rd west Ysmwlh Cosi Barnstable 9m MA Zq COee 02673 Lerner/Ma New American Furding/Dept.of VA . • ..r t rod _ L c M n nw i� i i eea�n NOE ,, F tJ Ono Car i . w.,4® a_n y F_ ` ® ._ --�--- Y-.. Sall Ns n" sotcorn a Won YyhanaaM14W COrw®Br _'_ARFA.GLCUAiIONS SINNAARY 3-kiY:_:.i_ _�_-i.3s.Y vtMa AREA BRF- - -- Mi• ( Lada- - DswiPiaa �.. - Mw Etw:"=: Ilr7a4N'. •� -. "a�� .. .. ,...laW�b'- � � 0rA1-- - Plat Floor- - - 988.0000 988.0000 .Pint Floor ffi--. Onfinishad Paament 176.0000 ' - . 38.00 it 28.00 988.0000 . . - - PiWasad Baa�eat 19Y.0000 - - -OnSnlaead mac 40.0000 - 983.0000 - -QD One Car Attached- 416.0000- 418.0000. . P/P Dear Daft •- - 240.0000Rata 177.177.6250- 417.0250 - - • • Net LIVABLE Area - (minded) - 988 1 ltean . (rounded) 988 Fns SXTHD90•101il•mensasdltare by a b Rot it-180nA&ANBCE 4' c - for to a ramP5R LOT NO. : ADDRESS:// TAfr n,2. � OWNERS NAME: 40o113.13l s L . L loSo.tt, SEWAGE PERMIT NO. :94-4-7 NEW: REPAIR:. < DATE ISSUED:IZ-11_74 DATE INSTALLED:/Z-z,-9r/ INSTALLERS NAME: 14. d . ! L c.Zitirear INSTALLATION OF: i000p, , Tci - - - 2 P.p.'s w/3 cS�a.c�E ; WATER TABLE: /p t FINAL INSPECTION BY:y. U, DRAWING OF INSTALLATION ON REVERSE SIDE: • • • IiZOAD Xg sr: Du) '1411\ 4•!,riprzo se• Borrower Warren Ward Fie No.: 16-1039 Property Address:11 Taft Rd Case N0.:7338-0714622 City:West Yarmouth State IAA Zip:02673 Lender Sage Bank/Dept of VA 401.7 4 Ao I . ti;•; 1 wansiser ; 0 I a.W C $ : 4 ' se I. 4 0 . ' t • : . . In - I Of �a 105.15 :ti 8 I e 1 wararsrr • p • S � o. a oi b " o § 2 • 6e m No A • 7. 'i- I04D2 w t 157 3ra0? •4. •• t Si 3 b : _-r7 .. 4 an w v . o /� w N L ., Q rt- ~ 105.77 ' rsnIri.Y 1 Osso I Q w /.ate s. s.t 6590. •_y cont,r�/�9 660.06 CAS ,,gr a... ar n w 7Cs 'Ns WINSLOW--new— -Ir•Nh-4A0OrienGRAY ROAD • - I sr se w•' r ..a as ..f... \ re - • Building Sketch Borrower waren I Wart Jr. . PeceyMns 11Ta8Rd Cl/ West Yarmouth Canty Barnstable sine MA re Cods 02573 tadetCLel New American Fwdipmept.et VA - - - 4 Desna ! nore_ aw a Cts - ea Pr . 9tan s_ eKitchin �.I ' t w ■ 0.e Ori0ed° 3 _esssd - 3 l3 Iledned - vat �e-� - ® .s :tae.-- I-.t. .w.w. -_ s carnet .. , AREA.CJ1LClAA710NSpIt.si Yri'r= AT MNG A_ .- BRE711mOWN,. :.:: cal.. Pkat Flmi. _._ 900.0000 990.0000- Fist Floor . 19Q- . L.fi5i 4 Beat 176.0000 . - - 30.00 r 21.00 911-0000 m0 Unfinished ached - 40.0000 999.0000 G9 : One Car Attached - 616.0000- 616.0000 PIP Pati 0 1 _ 240.0000: - - Patio 117.6250. 61].6230 - Net tNABLE Area (rounded) .988 l Berl-_ - (rounded) 999 Ione SRAM!-101PC atpaeal Whoa by a L tit*.it.IABBALANOCE • AL3 tor 6a ringl°sg LOT Na. : to ADDRESS: // TRfT eD.� W Yng• i. OWNERS NAME: QO8,81 E L . L A4GJSo,.J : SEWAGE PERMIT NO. :94-417 NEW: REPAIR:_ X DATE ISSUED:IZ-1 .-y'W DATE INSTALLED:It-Zi-91 INSTALLERS NAME: 14, d . Alt rA rfar_- INSTALLATIOH OF: 1 oo00. �.-r_ S - - 2 F,IR•S 4,Ly3 aTDAJC i WATER TABLE: /p ` FINAL INSPECTION BY:y, v, DRAWING OF INSTALLATION ON REVERSE SIDE: • - - - r- - • ROAD • • • OK,s r- DWELL, • • • � _ s8 " . , : Re, rove axcis-h Vnt+AI jBo) l< Ne6dand Ref)k.,e 4,01I1'1 1K iA doghouse 541 k_ Bolgh 1 .pj sly ► 9x0 iclips}5n . hogicdryie 2:"}- � P1y LamedA'Gn� Sic�l� ►�� � A�RX 13ibRI� " CedR� ShPXes Q f��P�Rc� n�_ . O� N 6b� �,► k 11%1%1%1[ 1 11 11!!!!!P , � oh �-he b K Cede Sh�K,s p ly6 le I 1°W-F ©� _Aye shed R �� CP' .� 1��' ori � h-e Poo -C 13011414 e�r1•, I l6 " on Cenie2 - p"" ng I TOWN OF YARMOUTH REVIEWED FOR BUILDING AND ZONING CODE COMPLI- ANCE. ERRORS OR OMMISSIONS DO NOT RELIEVE THE APPLICANT FROM THE RESPONSIBILITY OF'AS BUILT' t ■■ COMPLIANCE. DATE: B'Is'-I8 T �tli!11111. IBUILDI17Gr0 FICIAL 77 _ • FILE COPY 1, illI i �� V •