HomeMy WebLinkAboutBLD-93-687 Yq. ICI LC -V el3-3 p� L8/3/l43
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l° s O nri� TOWN OF YARMOUTH ° rem'' 7/31`91
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.- Application for a Permit to Build No. 8' : t ,
l �
UPON FINAL APPROVAL el I I d �q MAP 1/ LOT ...j7.(f)
FEE MUST ACCOMPANY THIS APPLICATION. DATE 07 19893
The undersigned hereby applies for a permit to build Vi C193
according to the following specifications /;/x;i?3/S)
1. Name of property owner Re wet 6- Keit r e rly Tel. 1I/z-65Ft7
Address -76-S 6/rnneoe Sf;) Adaddirket) e4 17///
2.Name of Architect(if any) Tel.
3. Name of builder /7 OM0065L/w itiC Address 2 f1eLPcT'T
4. License No. 0,968?0 Tel. 93,2-S-70 0 N�Rwie H .- oab�L
5. Name of Mason qt." roan o al ` Address /dot (,maker c-s
6. License No. Tel. '760-/90 9
CCI:kert n t 71 Aill 0a669
7. Construction address DoT /6 64/8") ave. I/ie0 t'k'e e yi2�+ooT19
Flood District
8. Date of subdivision Approval Mk"( 41198/ plin zone C Zone R' 40
9. Private dwelling V2 Estimated Cost L-14 If ---:DO NOT WRITE IN THIS SPACE
10. Multi family 0 ' tea;av ''3 a 13 1/45-1)6r) I LE:C1 Type of room No.
11. Commercial 0 / !1_ Kitchen I
12. Other 0a Dining Rm.
sfcUL in( -.
13. No. of stories / • .2-c Living Rm. /
y79 d Bed Rm. 3
14. Foundation — Full X Half 0 Crawl 0 Slab ❑ ,ct Bath
15. Materials — Wood Cement, l Other 0 Nat 3f
ag.. Closed porch
/
16. Type of heat — Oil 0 Gas X Electric 0 Other 0 Sef .�{.
17. Garage — 1 IX 2 0 p p `�6 Family Rm.
Sun room
18. Swimming pool - Size , so .� SEP Garage f
19. Storage shed — Size / f 14-1) SaL I Shed
2a Stove — Wood 0 Coal 0 Alterations
21. Size of lot: No. of feet front No. of feet rear No. of feet deep
22. Size of building. No. of feet front No. of feet side No. of feet rear
23. Distance from nearest building: Front Ft side Ft. side Rear
24. Distance back from line or street i/ From rear lot!in-/ Side line
25. H.I.C.R. No.
LOT RELEASED BYSignature /, ,s0 i%'4
PLANNING BOARD* 2694E' Address r ' sato • r -
Date 41za[8$1 %IiLC'er # pyx
eR)GeeRDED PLAM' I2a4A 1ccoRbED7/t0187 V7)-7 /7/-
cc1,, ii,.111 ,uVIth ,c1 \'14
APPLICANT: 001606/1414?" /A/C Itit1Lil1NU PERMIT It •
ADDRESS: ,AMee0L1j 57 CC P,//Cy r:. NO. : V3a_S`x0 DATE FILEDt 247/03
BLDG. SITE LOCATION: Let /6 e., O'r arts.- ,` EHAPOt LO'll': J ��
THE FOLLOWING INFORMATION OUTTLINESS THE PROCEDURAL STEPS REQUIRED TO OBTAIN A PERMIT TO BUILD,
ALTER, OR ADD TO A STRUCTURE WITHIN THE TOWN OF YARMOUTH. THE BUILDING DEPARTMENT WILL DETER-
MINE COMPLIANCE TO THE FOLLOWING (A) ZONING REQUIREMENTS (B) HISTORICAL DISTRICTS. (C) FLOOD
PLAINS ZONING. THE BUILDING DEPARTMENT WILL BE RESPONSIBLE FOR ASSISTING THE APPLICANT THOUGH
THE FOLLOWING DEPARTMENTS:
RESIDENTIAL AND/OR COMMERCIAL BUILDING
WATER DEPARTMENT: DETERMINES COMPLIANCE OF WATER AVAILABILITY.
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, OCEANS, BOGS, BAYS, MARSH
LAND, ETC.
HEALTH DEPARTMENT: DETERMINES COMPLIANCE TO STATE AND TOWN REGULATIONS, I.E.: REQUIRE-
MENTS 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, SPRINKLER SYSTEMS
ETC.
THE FOLLOWING DEPARTMENTS MUST SIGN OFF, IN THE RESPECTIVE ORDER, PRIOR TO BUILDING INSPECTOR
ISSUING THE REQUIRED BUILDING PERMIT: ,
REVIEWED BY: „ .•. . ! ., :111 _ N. •
1. WATER DEPARTMENT }iI ^ (1 CI rr.1,5DATEret, 41
2. ENGINEERING DEPAI ' HENT: ��Bf 3'"1-'. - --., N At
3. CONSERVATION: fLJr,1 r, „, DATE: 10 f 31 91 N/A: ,..
4. HEALTH DEPARTMENT DATE: N/A:
INDUSTRIAL AND/OR COMMERCIAL PERMITS
5. WIRING INSPECTOR: DATE: N/A:
6. PLUMBING INSPECTOR: DATE: N/A:
7. FIRE DEPARTMENT: DATE: N/A:
PLEASE NOTE
ALL STUMPS AND/OR BRUSH MUST BE DISPOSED OF AT AN APPROVED SITE. A SIGNED RECEIPT VRDM TOM
DISPOSAL SITE MUST BE SUBMITTED TO THE BUILDING DEPARTMENT PRIOR TO ISSUANCE OF THE BUILDING
PERMIT.
COMMENTS: ?IDG- clooti - 8e.„00: loyc Arc, 34,1orr
a //✓. /L /, ,tiffs j.26 66
,V.i,✓, 3 0/Pea /Pi peter
7-ria "getss /I/o! sLfon-Q ,y
/27if, .¢r>'ic nv 61-77.0,V- ,96 SF• CA 2
O.) ar�A ETR/UJ��N�ti�iclt ken' Htk)GLG 1
7,/ A. dfL ,- 5 L/L7rl�iot vw"i2 F/rnueg. WALL OLnre'S oN Sue FLeeyt,
BLM/89 Ir
•
•
` '=- _ COMMONWEALTH OF MASSACHUSETTS
• p: • E
DEPARTMENT OF INDUSTRIAL ACCIDENTS
• - 600 WASHINGTON STREET -
James Camooei BOSTON, MASSACHUSETTS 02111 •
Cpmm:ssioner •
WORKERS' COMPENSATION INSURANCE AFFIDAVIT •
1 •
uG1fL/.tJ
(licensee/permittee)
• with a principal place of business/residence ar.
//,62.0L12 STScT OPV4
(City/State/Zip)
do her y certify, under the pains and penalties of perjury,that:
I am an emplc�ividing the fo lowing wgrkers' mpe anon coverage for my employees working on this
job. ex-9 w�� 1'`.P""
PPP
iTydCM/iay Co, of ,0yf 4t gl'a `193a7a •
Insurance Company Policy Number
( ] I am a sole proprieror and have no one working for me. ____
( ] I am a sole proprietor, general contractor or homeowner (circle one)and have hired the contractors listed below
who have the following workerscompensation msu'raricepolicies:
•
Name of Contractor Insurance Company/Policy Number .: .....•• .
•
Name of Contractor - Insurance Company/Policy Number .- . . -.,• .. ..
Name of Contractor Insurance Company/Policy Number .. •
0 I am a homeowner performing all the work myself.
NOTE:.Please be aware that while homeowners who employ persons to do maintenance,construction or repair work on a
dwelling of not more than three units in which the homeowner also resides or on the grounds appurtenant thereto are not generally
considered to be employers under the Workers' Compensation Act(Cl.. C. 152,sect. 1(5)),application by a homeowner for a license
or permit may evidence the legal status of an employer under the Workers'Compensation Act
I understand that a copy of this statement will be forwarded to the Department of Industrial Accidents'Orrice of Insurance for coverage
• verification and that failure to secure coverage as required under Section 25A'of MGL 152 can lead to the imposition of criminal penalties
consisting of a fine of up to S1500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a
fine of$100.00 a day against mc.
Signed this 07 day of /-(AtO57---' • , 19 / 3
Qs *Al
Licensee/ Lice^got/Permi:.or
j ., •.s ' .
•
sif Ye TOWN OF YARMOUTH
oc WATER DEPA " YI�IEI�Y
" " ' � 102 UNION STREET
YARMOUTH PORT,MASS.02875
(508)382.4974
Date of Issue : Aug 27, 1993
Letter of Water Availability
1. Single Family Dwelling X 2. Duplex Family Dwelling
3 . Condominium Dwelling 4. Commercial / Industrial
5. Other (Specify)
Reference; Massachusetts General Laws Chapter 40, Section 54
To : Town of Yarmouth Building Inspector
Please be advised that the Town of Yarmouth Public water supply
is available to service lot/parcel(s) J16 Street COVE VIEW DRIVE
as shown on Assessors sheet/map # 71
Issuance of this Letter of Availability is subject to the
following provisions/restrictions.
(1) The property: owner agrees to comply with all Federal, State,
and Local Laws, Rules andiRegulations as they pertain to the use of the
Public water Supply.
(2) The Yarmouth Water Department shall have exclusive rights as
to the size, number, type and location of all water service lines, fire
service lines or appurtenant items connected to the water distribution
system.
(3) The Yarmouth Water Department reserves the right to require,
at the property owners expense, the installation of water mains and
appurtenant items to meet water demand requisites within any structure
relevant to this Letter of Availability.
(4) This Letter of Availability will expire 180 days from
the date of issue.
I have read and understand the prov i s/rest 'ctions of this Letter of
Water Availability.
Owne gn
Reference
: J O'LOUGHLIN INC
: 2 HAROLD STREET
: HARWICHPORT, MA 02646 (�
+ ,ul ` -F4
Yarmouth Wafer D par ment
114
r
• G.W.A.
CEILING ASSEMBLY //
NDIEi � CEilimdr9t
PCAt'L TOTAL R= t27xdf
• a i rkbe •P SURFACE II= --- a, • "'WINDOWS: - .
vertip.g' 0.61 RH1JIREJ TODhL R= 30.0 _
FIBERGLASS V 0.033
IN30LATION
R=30
/;nnnI//1nnAni)
SHEETROCR DOORS:
I R= 0.45 . ..
i
\_BOflOM SURFACE •
R= 0.61
1/2'�PLYWOOD 7),m-INSIDE SURFACE .
WALL ASSEMBLY p� REAR ELEVATION •
R= .0.62 f2 R= 0.68 PCILAL TOTAL R= // 7A:6-
• G.W.A.
WOOD -}" SHEETROCK U=
SHINGLES R= 0.45 FEDIMIVICIAL R= 12.5
R= 0.87 U 0.08 WINDOWS:
OUTSIDE /a3}" FIBERGLASS REJIIED'RJDV, N* 200
SURFACE �' R SU TION mC FEAT T. 0.05
R= 0.177
�
a -- SURFACE RESISTANCE
Li fj R= 0.61 FLOOR ASSEMBLY S.�/ DOORS:
- FINISH FLOOR PCIIAL TOTAL R= f1'4
R= 0.91 U-
TWO BEADS / 1$LMED'lomL R= 20.0
CAULKING f }" PLYWOOD Ik 0.05
T RIGHT SIDE ELEVATIO:
UNDER PLATE ti� \ SIIBFLOOR
\ R= 0.62C.W.A.
SURFI �V u Vv v uvG,uc1vv)
SURFACE I1=
R= 0.17 *--
WINDOWS:
/� -6}" FIBERGLASS
, � INSULATION FOUNDATION
CONCRETE I R= 19 WALL ASSEMBLY
FOUNDATION (may be used instead DOORS:
WALL —SURF= RESISTANCE of floor insulation)
R= 1.32 = 8" • R= 0.61 pCl[p1I TOTAL R=
1.48 = 10" U a LEFT SIDE ELEVATION
LI f$TIIFdD TOD5L R= 12.5 G.W.A.
INSIDE SURFACE f. 0.M '
! —Y= 0.68
�3/8" Su rROCK
WINDOWS:
r / Y= 0.32
_ r STYROFOAM
' / ? 7.1 DOORS:
I ( .. ( j . • 1 ? - LA 1 • "
OTES:
PERMANENTLY INSTALLED STCEN• ' -
WINDOWS TO BE USED
GRCSS WALL AREA=
WIDOW AREA=
EC R . - A=
I
J. O'Loughlin, Inc.
2 HAROLD STREET HARWICHPORT, MASSACHUSETTS 02646
(508) 362-4942 (508) 432-5700
August 26, 1993
ENERGY ANALYSIS
Regina Kennedy
Lot 16 Cove View Drive
South Yarmouth, MA 02664
R. E. : Single Family Dwelling
AREA OF OPAQUE WALL 1143. 96
AREA OF WINDOWS 106. 25
AREA OF DOORS 114. 79
TOTAL AREA 1365. 00
U of wall Uw . 05
U of glass Ug . 3
U of doors Ud . 45
UwAw + UgAg + UdAd ( . 05) (1143. 96)+(. 3) (106. 25) +(. 45) (114. 79)
A 1365. 00
57. 19 + 31. 87 + 53. 00
1365. 00
142. 06
1365. 00
= . 10
. . . , CONSTRUCTION SUPERVISOR FORM • •
• .
•
JOB LOCATION: � 7 • eel) ✓C' U&c-'�f ,,to ' • c ' . c N;;i
. . • NUMLS- . . STREET .. . ../. VILLAGE '
• OWNER OF PROPERTY: ' e cMCL 4 �Vln:t0c41.
.._ CONSTRUCTION SUPERVISOR: k v. OJO 6i (�' ' . A- W70 '.•, /•••
57-XI?)
NAPS LICENSE N0. PEON-ENO. •
. P.DDRESS: oZ : of S� /YJ�I (�(G� .... .. ..
• LICENSED DESIGNEE:
(IF OTHER.TH_AN SUPERVISOR) NAME LICENSE NO. •
2.15 RESPONSIBILITY OF EACH LICENSE HOLDER:
2.15.1 THE LICENSE HOLDER SHALL BE FULLY AND COMPLETELY RESPONSIBLE FOR ALL WORK FOR WHICH HE
IS SUPERVISING. HE SHALL BE RESPONSIBLE FOR SEEING THAT ALL WORK IS DONE PURSUANT TO THE STAT
BUILDING CODE AND THE DRAWINGS AS APPROVED BY THE BUILDING OFFICIAL •
2.15.2 THE LICENSE HOLDER SHALL BE RESPONSIBLE TO SUPERVISE THE CONSTRUCTION, RECONSTRUCTION,
ALTERATION, REPAIR, REMOVAL OR DEMOLITION INVOLVING THE STRUCTURAL ELEMENTS OF BUILDING
AND STRUCTURES ONLY PURSUANT TO THE STATE BUILDING CODE AND ALL OTHER APPLICABLE LAWS OF THE
COt'^_I0NWEALTH, EVEN THOUGH HE, DIE LICENSE HOLDER, IS NOT THE PERMIT HOLDER BUT ONLY A SUB •
-
CONTRACTOR OR CONTRACTOR TO THE PERMIT HOLDER. •
•
2. 15.3 THE LICENSE HOLDER SHALL IMMEDIATELY NOTIFY THE BUILDING OFFICIAL IN WRITING OF THE
DISCOVERY OF ANY VIOLATIONS WHICH ARE COVERED BY THE BUILDING PERMIT.
•
2.15.4 ANY LICENSEE WHO SHALL WILLFULLY VIOLATE SUBSECTIONS 2.15.1, 2.15.2 OR 2.15.3 OR ANY
OTHER SECTION OF THESE RULES AND REGULATIONS AND ANY PROCEDURES, AS AMENDED, SHALL BE SUBJECT
TO REVOCATION OR SUSPENSION OF LICENSE BY THE BOARD. . •
'
2.16. ALL BUILDING PERMIT APPLICATIONS SHALL CONTAIN THE NAME, SIGNATURE AND LICENSE NUMBER OF
THE CONSTRUCTION SUPERVISOR WHO IS TO SUPERVISE THOSE PERSONS ENGAGED IN CONSTRUCTION, RECON-
STRUCTION, ALTERATION, REPAIR, REMOVAL OF DDIOLITION AS REGULATED BY SECTION 109.1.: OF THE
CODE AND THESE RULES AND REGULATIONS. IN THE EVENT THAT SUCH LICENSEE IS NO LONGER SUPERVISIN
SAID PERSONS, THE WORK SHALL L`^SEDIAT-ELY CEASE UNTIL A SUCCESSOR LICENSE HOLDER IS SUBSTITUTED
ON THE RECORDS OF THE BUILDING DEPARTMENT. • • ' . ' • •
I HAVE READ AND UNDERSTAND M:' RESPONSIBILITIES UNDER THE RULES AND REGULATIONS ,FOR :ICENSING C
STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERST.
THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALL= FOR BY THE BUILDI:
OFFICIAL. • . •. . ... .. •
•INSURANCE COVERAGE: • . . • ; : ry
I have a c- e .jra:J ty i=dam.: p:'icy cr s subs:artial ec_valent which meets the requite.'eras ct 59GLth.152
Yes (LID. .. No D
I(ycu have checked v_• p!e: inetca.e the type ewerge by checking the a:_. :nate b:z. •
A liabity insurance pc.oy Q / C:`er type et :.icemnity❑ L'cnd ❑ •...
C'NNER'S INSURANCE RIVER: I an aware that the rcensee dcei
^ `aVP the in:e:en:: ccver;e recthre: :v
C.`...,.:r 152 ct the Ma_:. Gene: L'ws, are that my s:gr. ture en t.,. pe.ma :::::cat.cn waives tr:s re: ire^•.•er
•
Check ere:
CHrer_ Agent
e: e/4",
SIG::A':_RE:��r /G • BUILDING OFFICIAL APPROVAL:
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