HomeMy WebLinkAboutBLD-19-000899 STAMP:
SID — i9 - 00081S
EXISTING EXTERIOR SIDING TO REMAIN EXISTING DOOR TO REMAIN ^ EXISTING EXTERIOR SIDING TO REMAIN EXISTING DOOR TO REMAIN - -
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concrete pier (tyP) O `� c
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O TYPICAL FRAMING SECTION-2 2 TYPICAL FRAMING SECTION-1
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te- i FOUNDATION
% T WPM & FRAMING
PANTED .. J;L, ;:., ;. ..: . .r:.: "' ::fA.n'.1.�;::, {r. e ..:.
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_ LEDGER BOARD 'y• '4 ,, 1 LEDGER BOARD
PAINTED \ l
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a as nros _N -' SCALE: As Indicated
\ 1 T".' NEW P.T.2X13 p 16' '
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,�/ i — MPOSTE OR P.T.WOOD f
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re na amr t NEW GRANRE OR:ONE
/'d a STEP PER OWNER N
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4.
9 HANDRAIL SECTION �-. U l• (2 '. ' DRAWN BY: Author
O , s :"^•.";{''. . ,:,'� ��EXISiING CONCRETE DRAWING NO,:
3" = r-o° I 1,;t,. SLAB TO REMAIN SEP 25 2018
ij PT bE WIER
0
3` xamlAna.PARxu -•• "• i ''••�, BUILDING DEPARTMENT Al 05
B a ®TYPI 2AL FRAMING TNG SECTION-3 O PROPOSED�DECK FRAMING By
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•
ONE & TWO FAMILY ONLY-BUILDING PERMIT
Town of Yarmouth Building Department w J
1146 Route 28,South Yarmouth,MA 02664-4492
508-398-2231 ext. 1261 Fax 508-398-0836 ',
Massachusetts State Building Code,780 CMR
Building Permit Application To Construct,Repair, Renovate Or emotflh`:` ....
Two-Family One-or Dwelling N b <_ _
" ----
This S cflon For Official Us= +•
y llr .13 CGlo 1
Building PermitNumber:`. 1 , ' . ''I . la° I Date Ap.i •:' ."'
`BUIL
. Building Official(Print Name) -
. ,SECTION 1:SITE INFORMATION . •., ' • .
1.1 Property Addre;s; �1 CCA) il11 1x1.2 Assesms/Map&Parcel Numbers 15--
12d
�
tad ifa-ln . I /p
1.1a Is this an accepted street?yes_ no� Map Number Parcel Number
1.3 Zoning Information: 1.4prop Dimensions: 1
/ /tCdfi RECEIVED
.i_C - I -
Zoning District Proposed Use Lot Area(sq ) Frontage(ft)
1.5 Building Setbacks(ft)
AU; 0 ,018
Front Yard Side Yards Rear ar
Required Provided Required Provided Required ,i3uPrbiidedlib-)A 2I h;`NT
1.6 Water Supply:(M.O.L c.40,154) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private 0 Zone: — Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2:;PROPERTY O WNERSHIP' " .
2.1 Owner'of Record).
Ahhlje t &ally. l 6� ,eu� rt 1194— 4�7 .
Name(Print) City, te,ZIP
1)0 Y/G 64 Rn.) 7/-ywq '
No.and Street Telephone Email Address
': '' SECTION 3:.DESCRIPTION OF PROPOSED WORK2(check ail that apply)• ' ' .• . _
New Construction 0 Existing Building❑ Owner-Occupied ❑ Repairs(s) Alteration(s)C154- Addition ❑
Demolition ❑ Accessory Bldg. 0 Number of Units_ Other 0 Specify: •
Brief Descriptioof Proposed Works: .1. ' D ' 1 J�; ti) d Cbb CIL St ',r 1
0a) Biu. Sys (z-it ( ) efts a . i* gees, M,ICeb .wtas
r ++.•. .r 5IC:n r-1n,,t•3 ' L,•on2 'In II r-1/415
" .1)
'n:i,,' SECTION'4'ESTIMATED C01siSTi0.1CTIO.ri COSTSS,:,:;<;•;:::kt,,,:„,.>a:;• .
Item Estimated Costs: �. ;ai,:,:i �; ' .,.
bferal'Lrae Ory •
(Labor and Materials) JJ (I '
1.Building $ ZS,00d y12 Building PeimitFee:$".DS.:/ indicatehowfeeisdetermined;
2.Electrical $ _14 Standard City/I'own Ayphcatio$$ee : .''S r,c'<. '::v
❑TotalProject Cote(Item 6)x multiplier x
3.Plumbing $ ,..—
2`4 Other,Fees $ 3 "
4.Mechanical (HVAC) $ 'T isf: '
. y,r:L:5'.'g',`4"%.71'4:.": '_";; ::•`,:SkiX1:-,1 "remit c.: '•t.
5.Mechanical (Fire $
Suppression) '— Total A11 Feesi$. -'1-'. .
'_ .;; ;
6.Total Project Cost $ 25,c�ou ChdckNa:;,-: I...`' Chbck'Amotmt:— Cash Amount: ••
6 Paid inFidl: :,:, ' 01 pa'tstanding Bala$S Due:.`4 C7 -
r
. SECTION 5:.CONSTRUCTION SERVICES .
Si Construction Supervisor License(CSL) 00q0757 1
GJ 1/41 itrite{' . License Number Exp ration Date
Name of CSL Holder
d/2 QWS� List CSL Type(see below)
r-q hat
No.•aandStrreet Type , •, Description
`� �, I i/1 , O(IIV/ U Unrestricted(Buildings up to 35,000 cu,ft.)
City/To State,ZIP /VA-
�(H (/ R Restricted 1842 Family Dwelling
M Masonry
RC Roofing Covering
WS Window and Siding
�t
^�o p^ SF Solid Fuel Burning Appliances
(41i)772-tip/ kap jar bpi/
, r m I Insulation
Telephone ail address D Demolition
5.2 Register Home Improvement Contractor(HIC) I /O�q • // a
8.4V 1-elph g� HIC Registration UNdmber Expiration Date
WC company Nam or HIC a 'str t Name
N42 Streetand R s-t1.2/ ,(kihY� 17na a )&X,fy1f1!r. 02,,
AU/it'ikt+.�4 / /yam O�Q/ C98 \n�,_en�� v Email address .
City wn,State,ZIP "�I 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 tlie No 0
. 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 ,Gc1 4d4- 7 me r
to act on my behalf;in all matters relative to work authorized by this building permit application.
NI s� 41A.eincl &t) .-
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.
V .El J�inl
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES: •
1. An Own o obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not stered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
gram 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.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 t'bathrooms Number of half/baths
f
Type heating system Number of decks/porches
Typ of cooling system Enclosed Open
I "Total Project Square Footage"may be substituted for"Total Project Cost"
• StY444
" , TOWN OF YARMOUTH
sage%
o BUILDING DEPARTMENT
o � y 1146 Route 28,South Yarmouth,MA 02664
N ^, ; '� $ 508-398-2231 ext. 1261 Fax 508-398-0836
BUILDING DEPARTMENT
DEMOLITION DEBRIS DISPOSAL AFFIDAVIT
Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.5,
I hereby certify that the debris resulting from the proposed work/demolition to be
conducted at Ma IW i'1 SI- (64) yt yyWZI,( 6
Work Address /
Is to be disposed of at the following location: ,Z e9t Y9I&f Z S .Aem psve2.
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111, Section 150A. •.Tree
livkai"1/4 . , Vie/ /9
% g+rature of Application.•.4 ate
Permit No.
•
• • The Commonwealth of Massachusetts
Ellie:il Department of IndustrialAccidents
E__Fi111- • 1 Congress Street,Suite 100
'lf= Boston, MA 02114-2017
v� www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please P nt Legibly
Name (Business/Organization/Individual): I&7 \J��]7 1// /CY f/ /it
Address: g2 is o3an(y i
1 � (6x13)771-2/q/
City/State/Zip: /x/I./T/�,S �� r�?�/ hone#:
Are yo an employer?Checkthe appropriate box: Type of project(required):
I. am a employer with employees(MI and/or part-time).* 7. 0 New construction
2.01 am a sole proprietor or partnership and have no employees working for me in g. 0 Remodeling
any capacity.[No workers'comp.insurance required.]
3. I am a homeowner doingall work myself. 9. ❑Demolition
❑ Y [No workers'comp.insurance required.]t
4.0 I am a homeowner and will be hiring contractors to conduct all work on m Yproperty. I will 10 ❑Building addition
ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions
proprietors with no employees.
12.❑Plumbing repairs or additions
5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs
These sub-contractors have employees and have workers'comp.insurance.: ❑ ep/n/ tilt_
6.0 We are a corporation and its officers have exercised then right of exemption per MGL o. 14.[�Othe[ 1?///AP/llt/L
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
"Any applicant that checks box#I must also till 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. •
jh
Insurance Company Name: 7/1C�6r ,i{ fA 1zrvDAJ
Policy#or Self-ins.Lic.#: A a ao y R 9v' Expiration Date: (/1tI//i 9 •
Job Site Address: 1.)-4 akin £i &2POIC City/State/Zip: 1 i S t /VA _
Attach a copy of the workers'compensation policy declaration page(showing the policy nutttber and expiration dat4. 4)24,75
Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
Ido hereby certify under the pains a enalttes of perjury that the information provided above truj and correct
Signature: 2/r'y Date: a if
Phone#;
Official use only. Do not write in this area,to be completed by city or town officiaL
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#: •
Commonwealth of Massachusetts
®; Division of Professional Licensure
Board of Building Regulations and Standards
Constratetibri%CiperVisor
CS-003251 i1 - - > E Aires:01/14/2020
l'••-ii
G .
ERNEST J JAXTIMER ;^i =
48 ROSARY LANE '1., : ,,,.
HYANNIS MA 02801 }
10/y.,)%Ua•
Commissioner a
. C920Wflmmtwitoealt� o/ G acAuu�d,
fl: .4 ^!
4,1
Uy Office of Consumer Affairs and Business Regulation
`}' 10 Park Plaza- Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Type: Corporation
Registration: 110609 .
E J Jaxtlmer, Builder, Inc. -
Elpiratiorc 11/0212016
48 Rosary Ln .
Hyannis, MA 02601
Update Address and return Bard. Mark reason for change.
SCA1 0 2OM-05n1
_ _ .. 0 AdQrncs 11 Renewal 0 Employment 0 Lost Card
r 5j,, fmmentmmid elr•Officeia
s%zaar•Jeejnq
; Office of Consumer Affairs&Business Regulation
T,�""";+ HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
r••i 0 Type: Corporafon before the expiration date. If found return to
r;Vv Radistratton Potation Office of ConstanerAHalrs and Business Regulation•
v
110609 11/02/2019 10 Park Picea-Suits 5170
Boston,MA • 16
EJ Jadimer,Buider,Inc. I
• EmestJa dimer
48 Rosary to \R.c .a-- 2f r '
Hyannis,MA 02601 C.� r c•• r
Undersecretary Not valid without signature
•
August 9,2018
Town of Yarmouth
Building Commissioner
1146 Route 28
South Yarmouth, MA 02664
To Whom it May Concern:
I, Nancy Berry, as Owner of the property at 120 Route 6A,Yarmouth Port, hereby authorize E.J.
Jaxtimer Builder, Inc,to act on my behalf in all matters relative to work authorized at the
above-mentioned property.
/KA( /417
Nancy E. Berry
Aug. 13. 2018 1 : 18PM No. 1105 P. 1
aria CERTIFICATE OF LIABILITY INSURANCE DATE(MI08/022/2018 n
/201 B
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATNE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,subject to the terms and con/Ilion,of the policy,certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
HART INSURANCE AGENCY,INC. NAAIMiEuT Erica H.O'Connor
243 MAIN STREET floc u Em FAX
ROD
PO BOX 700 E-MAIL eoconnor hartinsurancea e
ADDRESL' 91K,ycom
BUZZARDS SAY,MA 025320700 INEURER(E)AFFORbIMS COVERAGE MAIOI
mum AI ARBELLA PROTECTION INS CO 41360
INSURED EJ Jammer Builder,Inc JaXtimer Reel LW auto NSURER e r ARBELLA INDEMNITY INSURANCE COMPANY 10017
48 Rosary Lane
Hyannis,MA 02601 INSURER C:
WELSHER 0 1
INSURER E I
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF my CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL The TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Iee h I ESTI LTR TYPE OF INSURANCE INeD VND POLICY EMBER IMMILOOMYYYYYI IMMNDV m LIMITS
A ✓COMMERCIAL GENERALLIAMERT 6500042039 01/01/2018 01/01/2019 EACH OCCURRENCE t 1,000,000
AEADE TO RENTED
I CL isia-w,C 2 OCCUR P9EMIPES IELME GE,R1 I 300,000
—
MED EXP(Any erapeNen) F 5,000
PERSONAL A ADV INJURY 3 1,000,000
GER-I.AGGREGATE WIT APPLIES PER: GENERAL AGGREGATE I 2,000,000
POLICY 2 Ta O LOG PRODUCTS-COUP/OP AGG s 2,000,000
OTHER: _ s
A AUTOMOalLEUAalLIYT 1020011547 01/01/2018 01/01/2019 TEs COMBII,eEEDENGLE LIMIT a 1,000,000
ANY AUTO BODILY INJURY per pluton) S
. — OWNED SCHEDULED BODILY HARPY(Per IOCIOMI) I
AUTOS ONLY ]/ AUTOS PROPERTY MAGE
- / HIRED NON-0NMED I t
Y AUTOS ONLY ALMS ONLY D'er sxMMO _
� / Ws s
A UMBRELLA s � OCCUR •-
Y 4800042040 01/01/2018 01/01/2019 EACH OCCURRENCE t 5,000,000
EXCESS We CLAIMEWADE AGOREGATE t 5.000,000
DED a1 RETENTION s 10,000
I
B WORKERS COMPENSATOR • 4220048905 01/01/2016 01/01/2019 VI PPeiTATtrm I‘A FR
AND EMPLOYERS'LIABILITY Y N
ANY MOFRIETOTUARTNER,EVECUDVE EL EACH ACCIDENT500,000
OFFICEwME.IBER EXCLUDED/ N N/A j
(MyAoanMary In NM E.L.DISEASE-EA EMPLOYEE t 500,000
DESCRPrIONOF OPERATIONS below EL DISEASE-POLICY LMR t 500,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLE(ACORD 101,AddII S Remarks Schedule,may be WWMdad II men Wee M,aqulr d)
CERTIFICATE HOLDER . CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL 1112 DELIVERED IN
TOWN OF YARMOUTH ACCORDANCE WITH THE POLICY PROVISIONS.
1146 Route 28
South Yarmouth,MA 02664 AunionatO REPRESENTATIVE
0 1 98 8-201 5 ACORD CORPORATION. All rights reserved.
ACORD 25(2018/03) The ACORD name and logo are registered marks of ACORD
6
RECEIVED
w 22 , 3` % TOWN OF YARMOUTH AUG 10 2018
C) 2 F� .r 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
ilik o Telephone(508)398-2231 Ext. 1292—Fax(508)398-0836 YARMOUTH
v sOLD KING'S HIGHWAY
ILIo OLD KING'S HIGHWAY HISTORIC DISTRICT COMMI I 1 Eh
o=
APPLICATION FOR
vii CERTIFICATE OF EXEMPTION
Application is hereby made for the Issuance of a Certificate of Exemption under Sections 6 and 7 of Chapter 470 of
Acts of 1973, as amended, for the proposed work as described below and on plans, drawings, or photographs
accompanying this application.
Type or print legibly: ) �" / / L /�
Address of proposed work: /2') 'C/e (,4 I Uit l-YY MI./k,O/r Map/Lot# ia/ /•C
Owners): J4itec11 f:. 1SL / Phone#: (P2)779 -4W
All applications must be submittedittby own r or accompanied by#19/1/1-
letter fromfrowner approving submittalofapplication.�7
Mailing address: /, ..0 E f..( l/1 1%A fl1 t fZc y��/,y 7 Year built: )85
I /
Email: /-7ni>�J&�K-6in.t r./t(-.6 h Preferred notification method: Phone 1/ Email
Anent/Contractor. �-V kki_7 J)?L,( Phone#:
/, r �qy7
Mailing Address: • IA) 6119 likAt ,J(Lx(-, Nii 1070/
Email: /l& @� /.1��/ne K'. (67;7 Preferred notification method: Phone 1//
Email ic
Description of Proposed Work(Additional pages may be attached if necessarvl: 1L
R{,yhwt, cc:s\-.h5 rt, ccI AeJ' tea repL.c tA-At, +.eo reibry *Cps
6aT �o 5e-pas-"A% c (,es pc 14.n.,_-woc. (le Ai 1, pc rk2 M.De�
t� - e" n,,; �%Als. APPROVE*' J
J
AUG 102018
(fit YARMOUTH
Signed(Owner or agent): Zr OLD KING'S HIGHWAY ate: ' O—/W
D. Owner/contractor/agent is aware that a permit may be required from the Building Department(Check other departments,also.)
> This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later.
For Committee use only:
Date: kJ/Oil g -Approved 4y�t _Approved with changes _Denied
r is
Amount a0 Reason-fe ,4rn._.G ,%t,.F�ch �/� ,,to s— 1L
Cas tr a 9a5' o�r<.d, , .ems-cts-A _Are-70-c_ ett..0
Revd by:
Date Signed:7//d/Z Of t Signed: 67:65/L...,,,,4
F a
O
APPLICATION#: 7 8 _ ` o 0 o
V5.2017
•
a Q
RECEIVE®
N ti �ti 4U6102018
h-
itt o
r) OLD KING'S YARMOUTH
rt-
•
jAugust 9,2018
APPROVED
Town of Yarmouth AUG 10 2018
Building CommissionerYARMOUTH
OLD
KING'S HIGHWAY
1146 Route 28
South Yarmouth, MA 02664
To Whom it May Concern:
I, Nancy Berry, as Owner of the property at 120 Route 6A,Yarmouth Port, hereby authorize E.J.
Jaxtimer Builder, Inc,to act on my behalf in all matters relative to work authorized at the
above-mentioned property.
‘44(
Nancy E. Berry
•
/ 0 — E000
YARMOUTH •
•
•
•
o4
WATER DIVISION ('
99 BUCK ISLAND ROAD •
WEST YARMOUTH, MA 02673
PH.: 508.771.7921
FAX: 508-771-7998
•
BUILDING PERMIT APPLICATION •
' DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET
Bldg. Site Location Mb Rc, -c CA Map #: GZt Lot #: 1S
Proposed Improvement: Rcvy,x,t, .�vs . ccs(, ,v,STAl (Z) vtcv 5-hes
Applicant: ES. go, .\Ay--; ' t,
Address I-I$ nosh, ,(-km Tel. #: (54-1-7 LI ill Date Filed: Willie
RESIDENTIAL AND / OR COMMERCIAL BUILDING
Water Department: Determines Compliance of Water Availability and or Existing Location
Engineering Department: Determines Compliance for Parking and Drainage
Conservation Commission: ' Determines Compliance to Wetlands Acts; i.e. If Lot(s) Border any Type of
Wetlands, Streams, Ponds, Rivers, Ocean, Bogs, Bays, Marshland, Etc .
Health Department: Determines Compliance to State and Town Regulations, i.e., Requirements
for Septage Disposal and other Public Health Activities
Fire Department: Determines Compliance to State and Town Requirements for Personal,
Safety, Property Protection;, i e Smoke Detectors, Spr•n4'er Systems, Etc
Q 9113)q)
S grature o` a;,pi ca •t Date
••
PLEASE NOTE:
COMMENTS:
•
•
• _.-Xf
g0v r-
Revi ed by: Water Division Date
o` eve TOWN OF YARMOUTH
" ° HEALTH DEPARTMENT
` •% PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant: p /n \_ " or*
Building Site Location: 120 Roth b`/y l fo.rr cu
Proposed Imp {
Improvement: tewvt, SAN Aca, 4- Cc+n;Tn c4' (7) e n '7 a"c9) i s
PIArc , S1 1tAc
Applicant: CI JX` . er 1j J \Cnr 1[ - Tel.No.:(,) -773_,,4„
Address: I S Rog-..-J Ln. I4 ye nn i r LL Date Filed: 24%/i&
"If you would like e-maile ' notification of sign off please provide e-mail address:'ri v1'. L 3A)cki w.eS. tot..
Owner Name: I Vc ry Sr rry
Owner Address: I10 Rook tea, jt-ynat P0-+, MA 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: ThAn�J/1�% DATE: 5/i 3/ 81
lh/� PLEASE NOTE
COMMENTS/CONDITIONS:
•
•
PROPOSED ALTERATION TO /REcEiViFj
BERRY'S RESIDENCE TOWN OF YARMOUTH r 0 20iaAy
ANCE ERRO S OR OMED FOR N S ONS DO N T RElEG AND ZONING CODE VEPTHESMUUTH
120 MAIN STREET APPLICAhTFROMTHERESPONSIBILITYOF'ASsum H�G'HW
COMPUANCE.
YARMOUTHPORT, MA 02675 °" "dam �P�
BUILDING rlciq{ AUG Y O +
2018
OLD KING'S YARMOUTHHIGHWAY
FILE COPYec ���
5 V �0
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4_�_,. f 8 / 02018
,„...
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RECEIVED
O EXISTING 3D VIEW O PROPOSED 3D VIEW• AUG 1 3 2018
HEALTH DEPT.
,, Sheet List
NO. Sheet Name
A000 COVER SHEET
A101 EXISTING FLOOR PLAN LAYOUT
A102 EXISTING ELEVATIONS
A103 DEMOLITION PLANS LAYOUT
I Al 04 PROPOSED PLANS LAYOUT
A105 FOUNDATION&FRAMING PLANS&DETAILS
S 07 . 11 . 2017
Y
g. 178 — E080
E1
a
STAMP:
RECEIVE®
AUG 10 2018
OLD KINGS YARMOHIGHWAY
TH
AUG102018
YARMOUTH
OLD KING'S HIGHWAY
MING DECORATNE `
WOOD RARING �19s�� Oto
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ENDING WOOD i \ I
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POST.TYPICAL _ - __-_. � :. �. EXISTING
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___ \ LAYOUT
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. . : .. • ..%.....1.Y.,'.".•;;.:"'''': . '.`: •.rwr•w an WOOD RAILING REVISIONwx+pm om.
\.. No D: 07.11.4077
'I M1P 15'-P it-r TP YO' P
ESQ IT-0'
MING BRICK
_= EP.‘"—=-
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1DRAWN BY:
f
• DRAWING NO.:' �0 A 7B - E080
g p O,XISTING FIRST FLOOR LAYOUT • ` O
11
STAMP:
•
RECEIVED
== AUG 102018
,/—
____
===___________===__= YARMOUTH
_ ---
STAMP:
•
•
RECEIVED
AUG 102018
YARMOUTH
---.-- --- ---- ------ OLD KING'S HIGH:::Y
_= ==r__=-f es —_ ===s_ =_= __ =_ _moi=-= AUG 1018
- _-E-=_=z=====g-=- 3z ====_==-===-=___ --___== YARMOH
_
STAMP:
•
AUG 10 2018
Y �====z=� �...d=_-== YARMOUTH
_____ ____-{=E- zz=___-_=====z====-_ OLD KING'S HIGHWAY
____ ____._____ f=====_z=_-may ___ ____
--- = } ._=z-�__-__=; t .p�_ _ om -----_ __---- ___
___—_—____-_--_—__—__—_—_=_ _ s{=3=_=_s_=_ __ m_EEE -."� _- T_s�s->z =_=f�_=__--_—_ AUC
__— —__ __________ =—=—z __ =r_===_ __— __——_—__ __ __ 10 2018
YARMOUTH
�_=_ =_-___=_ _Itt _ ____Erg__=Y=-_ }=_ - �s __�� _- OLD KING'S HIGHWAY
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STONE STEP PER OWNER NEW 3e HEIGHT WOOD NEW WOOD FRAME - N
MING.PAWED VWDING@STAIR N O
O PROPOSED EAST ELEVATION w
1/4.= 1'-0" m
a_ Q}
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40.
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_... . fimrT A \ PIANS LAYOUT
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,:'r:•.'.:.':.'.',i:.`I' • -.',•.:'.' .' .'..'•.•:'.., .. - W GRANITE OR NEW P WOOD WRM�1E
DATE ISSUED. 07.11.2017
WJDING&STAIR
''-�"�EXISRNG CONCRETE WPLKWAY TO REMNN--�:�.,�—�
REVISIONS
. .'.:'.`':."' '•''%.'':,.''�!•..;�..[:::^'.:".:::'...:: .i.'•.:`..:.:'..:.'.: ".:':•..;,':' .:'.'•::.-:�•'.",!'�•'. ...'.'....:.,',+'..:: '.'�),''•:
EXISTING BRICK
STEPS TO REMAIN
DRAWN BY:
I OPROPOSED FIRST FLOOR IAYOUT DRAWING NO.:
1/4"= 1'-0"
1I 41) 18 — E0g0 A104
II
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STAMP:
EXISTING EXTERIOR SIDING TO REMAIN EXISTING DOOR TO REMAIN EXISTING EXTERIOR SIDING TO REMAIN—EXISTING DOOR TO REMAIN--.... II • � �P S K ta®
—_ — EXISTPJG IRM TO REMATI _ DOSING TRIM TO REMAIN AUG^ 1 0
B8� �1 2018
I DECKING PER OWNER " 0 0' 0 R DECKING PER OWNE
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PER OWNER G� " P.i.(3J-2x1 r1 BFAM%' y'Y=P T.2c8G 16'O.C.-S-•-="+. PER OWNER - ��� � .T.(3)-240 BEAM j % e-'„--.>",-;,..-
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• STEP,PER OWNER SIMPSON LU52B GALVANIZED HANGER(3T EACH RAFTER �\b •""'• SIMPSON LUSS2B GALVANIZED / APP E D'
HANGER LEDGER
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'®24•OC' \ AUG 10 2018
1-:,,,::,..v. ...:4:.;'' " `' HI.:.lr• iHRU WALL FUSHING \
:• ::+L°:' •..i .\ PBU66 BIhP50N 615E W/5'8• 7HRU WALL FLASHING -
.� ANCHOR BOLT EMBEDDEDff MM. }:.,•'y.:'.:;:; ABU6651MPSON 045E 6'THICK LAVER OF 3/4'-I IPS EXISTING FOUNDATION YARMOUTH
`:'-x%-;r-f:"EXISRNG CONCREiE�.�'L•.',' '` EXISTING FOUJDAIION ` b y r•,- WJ 5/B'ANCHOR BOLT • \
,'rr';! 'STAB i0 REM^dJ+='+—ice" •<' WALL IV'1'F,I a k :j DRAINAGE STONE.TYR.UNDER WALL N.LF.I
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O TYPICAL FRAMING SECTION-2 O TYPICAL FRAMING SECTION- 1
1 1/2' = 1'-0" Viii. 1TCww1ED 1 1/2” = 1'-0” :
yr”i FOUNDATION
,b.m. & FRAMING
jPANED .. ; ... •i'° ...::'T';::.,r:: :.:T:9,;;e;;;;:,T' PLANS &
\'1 I NEW P.T.2X10 NEW P.T.2X R DETAILS
I•I• LEDGER BOARD �• LEDGER BOND
ea.
.
PANED :-
aHxxmr �.:`r•. • O
, N e"rwPw1l® p.l,.. Ar"yi , _= :� SCALE As Indicated
1i`�1 b .�: F NEW P.T.7%0@10'
Pnr vrntla w :.'4' P-r Z-r O.C.DECK FRAMING n 1' NEW P.T.2X8®16'
1 1 TED ` b '":m. � . '� > O.C.DECK FRAMING
DATE ISSUED: 07,11.2017
5ji }l
NEW P.T.13)-2x10 BEAM al. lLti PENSIONS
' +\ —DOUBLE= _ No I o• � I om•
rmwusa® _. :.;". . •1- •:: \ 1P mCONCRETE PER ON `NEW P.T.131-2x10 BEAM•.
•
D airs 0C,PAWED yam :' � `j-/ ',R24'BIGFOOT,IYPICPl OF 12)
1R BICOOT.ETE TYPICAL
F(
r :� \\ COMPOSIE OR P.T.WOOD
,� . . ,1.",'. :\ STEP PER OMJER 24'BIGFOOT,TYPICAL OF 12)
NEW
IE CR
s _—_- vr.l.ro�.rmlrto a. \\\— STEP PER�OWNER ON STONE
= G9 i •alay. NEW GRANRE OR STONE CONCRETE SLAB
12IPI mlr."aFD SEEP PER OWNER
�L., •,1- DRAWN BY: Auttla
1 0HANDRAIL SECTION ►`IP E4Im.toceKm
EASING CONCRETE DRAWING NO.:
$LAB 70 REMAIN
I
woaowawrrtD 18 — E 0 8 0 Al 05
11 4 TYPICAL FRAMING SECTION-3 O PROPOSED DECK FRAMING
I
i 1 1/2'= 1'-0" 1/2" = 11-0”
II