HomeMy WebLinkAboutBLD-19-1261 . nxtutz /G.2..//4-
, ONE & TWO FAMILY ONLY- BUILDING PERMIT
Town of Yarmouth Building Department or r
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 Demolish
a One-or Two-Family Dwelling
B • This Section For Official Use Only •
Building Permit Number."7E-b-19-0-0 Ay Date Applied: • •
I r% •. _CA
I .. .'1 — �
Building Official(Print Name) .. Sigoaturo::.,,. :- ,, ',.. v -. Date.
SECTION 1:SIPS INFORMATION --• .
1.1 Propert-/v�Address• 1.2 Assessors Map&Parcel Numbers
19 1_)e-43 1.1.tG r,-e (3 3 3 4
l.la Is this an accepted street?yes_ no� Map Number Parcel Number
1.3 Zoning Information• 1.4 Property Dimensions:
it-(-(0 t'2e s t de A.r.e. 301(Do
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
C"! ' to )f'•t 1 ±
1.6 Waterigpply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: V
Public Q" Private 1:1Zone: _ Outside Floodere Municipal El site disposal system
Check if yes
- SECTION 2: PROPERTY OWNERSHIP` . , '
2.1 Owner'of Reco : .
Leta' C p rt cc,o Spar-P-to 04-14 Pot-4- 0 Z6 75 •
Name(Print) •
City,State,ZIP
Itf tCC_t)Plttl(c PI— 9n-31it.-QfO LCo- ortcuo (JCotAt(o-34-- Rud
No.and Street Telephone Email Address
` . SECTION 3:DESCBIPTIP O OF PROPOSED WORK;(check aH'that apply). • '
New Construction❑ Existing Building V Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) erAddition Cir"--
Demolition
rDemolition 0 Accessory Bldg.0 Number of Units_ Other ❑ Specify: �/�')
Brief Description of ProposedWorkl: µDV6a_ y'-etc.'-bc4e. ( i IVtGLe,•ti l5c-fkS
Ca", et do wS tN ,r t /tpt.1 pnr-ell
•- ": :.,,:r'. ;.. - SECTION'4:.ESTIMATED cONsalleTIO$COST5.:, .'c ; __
Item Estimated Costs: . "`O1h !Li
cia1 s1e Ong`" `-'-•• , ``
(Labor and Materials) ;;
zq : :` s.. ' •.:.;'. /
1.Building $ '1 0 0 ° 1:Building Permit.Fee:,$.3 7 S:-Indicate how fee is determined:
a Sta
2.Electrical $ ZZ t 0 0 0 ndard_CityPI'owa Applicatiori):ee:?: ;,'f' 2;`- '..;c:`T:,?;;:':
C7,Tota1ProjedCost�s jt 6 amnitiplter - x
3.Plumbing $ V31000 2.: Other Fees. $ ` -'7 v;': -
4.Mechanical (HVAC)
A
(ice' 7todo
S.Mechanical (Fire ._.r.. , :` =:'-. .. ,., _.t- , _ .
Suppression) $ Total All Fees:$'. '7....;':"- .;:;:, ,.
«•a .t:' - " Cash Amount: • '
6.Total Project Cost: $ 300 COO n -
t +�•.��. „� t____,,, tstandiagBalanceDue:"3t'�'O ''
SEP 252018
B!•LBi&' r,.k3i_ v
SECTION 5:.CONSTRUCTION SERVICES .
5.1 �CCJoonstruuction Supervisor License(CSL) GS 62-071 3 b 1111
•
• ra4-c I-14I-14(At 6o-I4 License Number Expiration Date
Name of CSL Holder
fal 1-1-Ootker5 boa I List CSL Type(see below)
CL
No.and Street / K- ^ A.e . .. Description •
�f.i'Nt0 t it-lean rr PI"t- ap Unrestricted(Buildings up to 35,000 cu.R)
7� Restricted 1&2 Family Dwelling
4c
City/Town,State,ZIP 0 75 M Masonry
RC Roofing Covering
WS Window and Siding
-737—j 2 .+. bi(FØ
/ �C SF Solid Fuel Burning Appliances
t I Insulation
Telephone Email address D Demolition
5.2 R istered jIome Improvement Contractor(HIC)
•
....t• -t co-(I Co DVS ti- Z-c-C- HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
No.and Street 5.ra4C- 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 Issuanc of the building permit
Signed Affidavit Attached? Yes No...........0
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHFN
OWNER'S AGENT OR CONTRACTORCcAPPLIES FOR/ BUILDING PERMIT
I,as Owner of the subject property,hereby authorize ..CC..- L •/4 ,.
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',�R application is true and accurate to the best of my knowledge and understanding. /
Print Ovmer's or Authorized Agent's Name(Electronic Signature) Date
• - NOTES:
I. 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.aov/dps
2. When substantial work is planned,provide the information below
Total floor area(sq.ft.) L/1 (including garage,finished basement/attics,decks or porch)
Gross living area(sq.ft.) 1660 Habitable room count Co
Number of fireplaces / Number of bedrooms 3
Number of bathrooms 2 4 Number of half/baths
Type of heating system c M FfPA- Number of decks/porches Z.
Type of cooling system 0 r,t,l-a 4 AC- Enclosed I Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
The Commonwealth of Massachusetts
• to Department oflndustrialAccidents
_ = y. 1 Congress Street,Suite 100
• =0E e Boston, MA 02114-2017
www.mass.gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information ��/ /� /+ /I Please Print Legibly
Name (Business/Organization/Individual): /r fi/ u* p''/( C6 eo s'i'r uG h 04 L.L-j1
Address: C / 1--kste,-c b enit, P4
City/State/Zip: /C/`yu0j4i £+Org. 71 Phone#: 4g'-737 -1ZS 2
Are yo n employer?Check the appropriate box:
7r Type of project(required):
i. I am a employer with employees(full and/or part-time).• 7. 0N construction
2.0 I am a sole proprietor or partnership and have no employees working for me in 8. emodeling
any capacity.[No workers'comp.insurance required]
3. I am a homeowner doingall work 9. ❑Demolition
❑ myself.[No workers'comp.insurance required.]t
4.01 am a homeowner and will be hiring contractors to conduct all work on my property. 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.
12.0 Plumbing repairs or additions
5.01 am a general contractor and I have hired the sub-contractors listed on the attached sheet
These sub-contractors have employees and have workers'comp.insurance.* 13.0 Roof repairs
6.0 We area corporation and its officers have exercised their right of exemption per MGI.o. 14.❑Other
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
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: 145-0C
Policy#or Self-ins.Lic.'#: W C(,50050 1 Zt 9, Zo 5A- Expiration Date: 7 11 I 11
Job Site Address: / /1-Oph t vte Dr _I
City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).0eg
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.
I do hereby certify and the pains and penalties of perjury that the information provided above is true and correct
Signature: Date: e lZcc/(-
Phone#: cos-^731 -/zs-
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#:
oF'YgR,� TOWN OF YARMOUTH
• siorl O BUILDING DEPARTMENT
o � y 1146 Route 28,South Yarmouth,MA 02664
tro M '".""x 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 the11debris resulting from the proposed work/demolitionJ /� to be
conducted at I y cW I'k�-tc Od' /ct- fn(.4-it Yo r J
Work Address
Is to be disposed of at the following location: S 4 .\ T c ccs
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111, Section 150A.
c611.3-
Signature of Application Date
Permit No.
Ohl VnnnnonnealA°re ita.uacha.seta --
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only
TYPE:LLC before the expiration date. If found return to:
• Aeaistration-\ _ Expiration Office of Consumer Affairs and Business Regulation
178472• __ 04/15/2020 One Ashburton Place•Suite 1301
AP KIMBALL CONSTRUCTION,LLC Boston,MA 02108
PETER KIMBALL "` U\R_G_ y ma-- A., 1✓i , art(
84 HOMERS DOCK RO -
YARMOUTH PORT,MA 02675 Undersecretary Not valid without signature
•sJaumoawoq y3lm sPefsuoo
moA uo pasn Jagwnu pue aweu ay;say3lew aleai{!iaa JnoA uo Jagwnu 3IH pue aweu ail leis A}lean of ains ag
Massachusetts Department of Public Safety
V• Board of Building Regulations and Standards
License: CS-085071
Construction Supervisor 1°11
PETER V KIMBALL g84 HOMERS DOCK ROAD"1qYARMOUTH PORT MA 02675• ;,f
^- 7
,42/7'-� ��>'�•— Expiration:
Commissio er 03/29/2019
•
•
YARMOUTH 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 I ( 11 1u(���„.,�
Proposed Improvement: 'AA�tadA-a k
Applicant: Pe
tip
'fp
Address94 {� trN� L Tel. #: Sia$--131,I2 ' Date Filed: '&/Z-c'
•
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
Wetlnds, Streams,
land, Etc..
Health Department: Determines nes Compliance Ponds, Bogs,
toState and Town Regulations, I.e.hRequirements
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
.2c •
Fc
ature of applicant /�D
Date
PLEASE NOTE: •
COMMENTS: •
•
•
•
•
_AS
Reviewed by: Water Division Daatete 2d
O '°"�R
Town of Yarmouth
, $ Conservation Commission
�
��< . 'F Building Permit Sign-off Application
TO BE FILLED OUT BY APPLICANT:
Building Site Location: I (- l .l c9 ",r
Map # T77 Lot(s) # 3c(
,, �
Properq,Owner. LP,, W�//Ca�� CO-P �"QLc .EC,
Applicant. Pe �- !1 'Lf�tµCo v- U
Applicant Address: 13c-{ 14 o�c 1-5 !DO Y f o,-4 d/26?S
Telephone: 7 — 77'7 ^ ( t5 Date Filed S'!2 i/ l S'
Proposed Project Description: AI&
,J
Fro Ai— j" f2tCr
ci it t b'�
(`So--/-- cid-d..3t p ,1 ho-5 19 v n c1 ulft tot — Coot5i/n✓tted.
mans:5240i i on PM OSS 2eri SriMru Up rao(o rr S-2-ii
V uQpf! Ot Iv
TO BE FILLED OUT BY CONSERVATION ADMINISTRATOR: /ha p vr d.
Does the Proposed Project Require a Permit iO
•
Comments from Conserva '; ommission:
Approved Conditionally Approved Rejected
All work related debris sha .- . site or disposed in a legal upland location
At the end of each day,the area shall be clean and no debris shall be in the Resource Area
Refer to: SE83- or DOA permit
Conservation Commission Sign-off Signature:
Date: D-/2g is.
• of::A, t,y TOWN OF YARMOUTH
fig, -°� HEALTH DEPARTMENT
vs\- ----1� :.
• •`' • PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: ! L1 00,2 r k.he._
Proposed Impr.vement: hnnt° t#".0 del c - A o
t - .r • . . W Msr ..
d-1419N rrou 1— perek 3- C AV *-t) toot +C?=pefrgs .t)N
Applicant: Pt k-i 1 C3 a—�( n Tel.No.: 57) 5-737- i7,56
Address: (75 L( N O *'kC. ^S Lb Ltd- Y PDt--4- O& -5 Date Filed: Wag
**Ifyou would like e-mail notification of sign off please provide e-mail address:
Owner Name: Lew 5 (0,--9 )-( LL' o
Owner Address: ► Li p a.0 P IA t K rs V ra 4 O Z,( Owner Tel. No.: 473 X31 y ^ 47b
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. ry
REVIEWED BY: at°, 6(7- DATE:
PLEASE NOTE
co��ylEN'WarkGtoV ' - 2 Aeid>r7 -> Sltaefl
Client#:45578 2KIMBALLAP
• ACO. RD. CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDNYYY)
7/15/2018
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
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to
the terms and conditions 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 CONTACT
NAME:
Dowling&O'Neil Insurance Agy a E,);508 775-1620 FAx
Ake, (A/C,No): 5087781218
973 lyannough Road EJAAIL
P.O.Box 1990 ADDRESS:
Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE NAILS
INSURER A:Mann.waM 13196
INSURED INSURER B:Asowlmed Ewaletwa Irsownw CwernnY 11104
A.P.Kimball Construction LLC
84 Homers Dock Road INSURER C:
Yarmouthport,MA 02675 INSURER D:
INSURER E:
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 ANY 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.
INSR ADDCSUBR POUCYEFF POLICY EXP
LTR TYPE OF INSURANCE INSR VIVO POLICY NUMBER (MMRIDNYYY) (MMIDDIYYYY) LIMITS
A GENERAL LIABILITY NPP1490240 04/30/2018 04/30/2019 EACH OCCURRENCE $1,000,000
E
X COMMERCIAL GENERAL LIABILITY PHEMISES 1Ee om r:Pence)_ $50,000
CLAIMS-MADE [1 OCCUR MED EXP(My one person) ,5,000
X BI/PD Ded:1,000 PERSONAL IS ADV INJURY 51,000,000
GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $1,000,000
POLICY n JECT []LOC $
AUTOMOBILE LIABILITY COMBINED SINGLE UMIT
(Ea accident) S _
ANY AUTO BODILY INJURY(Per person) S
— ALL OWNED SCHEDULED BODILY INJURY(Per accident) S
AUTOS _ AUTOS
HIRED AUTOS _
NON-OWNED (Pers de D)
$
UMBRELLA!IAB _ OCCUR EACH OCCURRENCE S
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DEO RETENTIONS $
B WORKERS COMPENSATOR WCC50050122502018A 07/09/2018 07/09/2019 X TORYDMITS FR
AND EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE JUN E.L.EACH ACCIDENT $500,000
OFFICER/MEMBER EXCLUDED? N N/A
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000
If s,describe under
DESCRIPTIONO OF below E.L DISEASE-POLICY LIMIT $500,000
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Aeaob ACORD 101,Addlaanal Remarks SCNedule,N man space Is required)
Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements.
Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the
coverage provided by the policy provisions.
CERTIFICATE HOLDER CANCELLATION
Town of Yarmouth SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
1146 Route 28 ACCORDANCE WITH THE POLICY PROVISIONS.
South Yarmouth,MA 02664
AUTHORIZED REPRESENTATIVE
""9""4 ""7 r:C
®1988.2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S215859/M215850 RPCC1
Lewis Capriccio
14 Dauphine Drive
Yarmouth Port, MA 02675-1316
Ica priccio Cacomcast.net
ph:978-314-6420
April 13,2018
Office Administrator
Yarmouth Building Department
Town of Yarmouth
1146 Route 28
South Yarmouth, MA 02664
Dear Yarmouth Building Department,
I am authorizing Peter Kimball,of apkimball construction,for the application and representation of my
Yarmouth Port residence renovation plans for the appropriate building permitting process and
approvals.
Please let me know if you have any questions.
Sincerely,
/ i
Lewis Capriccio '
MAP 133
P
N k/ /
S >sOjSo,ECL 3
/
PROPOSED 33
118.00.
MAP 133
O6':16.9' PORCH PCL 32
•i-
"S'SEPTIC 9
g4,TANKin ? ca.
ss•
Z eW 5# /EX'S co. / - — . .
_ o / EK F _
r �a �`
rf74.
2 I ' -:..POSED 2' 'd•
Q� `/�-BUMP-OUT •
/ ',` _
• IZ> Th
p
LOT 51 h/ -t-ryy _
32,000± S.F. �C . 9+ —
(0.73± AC.) et/ sic allto
is ez-
/ N 75-407.
eicv
et,
W ?1g* / • h1 •�— .Se.
/ — Q . . — . .
MAP 133 • ` ''a• • • ''�
PCL 35
Ilk
NOTE: mit
THE SEPTIC SYSTEM AND EDGE OF WETLAND LOCATIONS ARE '
APPROXIMATE LOCATIONS AS SHOWN ON A PLAN PREPARED
FOR CAPEWIDE ENTERPRISES BY JC ENGINEERING. INC DATED
MARCH 22. 2011. FILE WITH THE TOWN OF YARMOUTH BOARD
OF HEALTH.
SITE PLAN
LOCUS : 14 DAUPHINE DRIVE
YARMOUTHPORT, MA SHOFiti
�A
REF : LAND COURT PLAN 323134—C �o JOZHN
crt
"IF a?° DEMARES1JR zil
PLAN PREPARED FOR : .o No.35859„
LEWIS & MAURA CAPRICCIO Go oma. 'IL
i slick/it __ t ;
DATE ,Rip D SU' ' OR
SCALE : 1'=50' DATE : 8/29/2018
DEMAREST • ND SURVEYING
ASSESSORS MAP: 133 PARCEL : 34 338 MAYFAIR ROAD
SOUTH DENNIS, MA
flLE=13055S.DWG 508-384-9049
MAP 133
•
/
/ PCL 33
N (U S Zsors F
PROPOSED 11500• /
MAP 133
Q6'x16.9' PORCH PCL 32
N
g TANKC �� SS2, ate.
s+• �E 25.*
s f sb1 / �
+ye /Dfof r; p.E•
2 o
ii PWELLIISTI N ' _
#7+.A I C I
/
J = I •:.POSED 2• c: . . a�
540,1,, BUMP-OUT I Z}( -
der "1
LOT 51 °1 y�N^
32.000* S.F. —
(0.73± AC.) t.* / 1 :. ! Q—
oc/2° .° O .J a4 ate.
N
75
- �/ —
•
W 2182. / . 49_ .a.L. —
MAP 133 . . - a
PCL 35
arc . . — .
NOTE: du
THE SEPTIC SYSTEM AND EDGE OF WETLAND LOCATIONS ARE
APPROXIMATE LOCATIONS AS SHOWN ON A PLAN PREPARED
FOR CAPEWIDE ENTERPRISES BY JC ENGINEERING, INC DATED
MARCH 22. 2011• FILE WITH THE TOWN OF YARMOUTH BOARD
OF HEALTH.
SITE PLAN
LOCUS : 14 DAUPHINE DRIVE
YARMOUTHPORT, MA ,'-.ytNOFM4..
REF : LAND COURT PLAN 323134-C �o� JOHNZ a�N'
o DEMAREST,JR. w
PLAN PREPARED FOR : 4 No.35359
LEWIS & MAURA CAPRICCIO 90 oe` .
ithe‘At
DATE %Rj DSU' OR
SCALE 1'=50' DATE 8/29/2018
DEMAREST • ND SURVEYING
ASSESSORS MAP: 133 PARCEL : 34 338 MAYFAIR ROAD
SOUTH DENNIS, MA
508-384-9049
FILEe13055S.DWG
•
•
• si, ,c TOWN OF YARMOUTH REG�11/IE�
°Fe1;ns 1146 ROUTE 28,SOUTH YARMOUTH, MA 02664-4451
• Telephone(508)398-2231 Ext. 1292-Fax(508)398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMM! EE AUG - 1 2018
YARMOUTH
APPLICATION FOR OLD KINGS HIGHWAY
CERTIFICATE OF APPROPRIATENESS
Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts of 1973 as
amended,for proposed work as described below&on plans,drawings,photographs,&other supplemental info accompanying this
application. PLEASE SUBMIT 4 copies OF SPEC SHEET(S),ELEVATIONS,PHOTOS,&SUPPLEMENTAL INFORMATION.
Check All Categories That Apply: Indicate type of Building: Commercial t/ Residential
1)Exterior Building Construction: New Building _Addition Alterations _Reroof Garage
_Shed _Solar Panels Other:
2)Exterior Painting: _Siding _Shutters _Doors _Trim Other. ,
3)Signs/Billboards: _New Sign _Change to Existing Sign
4)Miscellaneous Structures: _Fence Wall _Flagpole _Pool _Other.
Please type or print legibly:
Address of proposed work: t y 1)a.o Wc. i It%.t.G Map/Lot# /3' 3/
3�€4 • �/
Owner(s): LetS C.c.- LGS
t
c.c.( Phone 17S'fl%- • 6 / 20
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: 1 Lt 130-t) )i .•A L t c.&sasp.t k Po hL OC7/Year built: (c 70 •
Email: I co- ) ri c.c.10 ( CO ta. [ .$CkPreferred notification method: Phone Email
Agent/contractor: cf e-hr r�fi ..•t. g H-(( �I Phone#: col'717 z
D'f �'
Mailing Address: rarsters r00c, 4- RIo0-tlI ) r.4.1. 90r{- pt7S
b
Email: �.,,,6ac( Pv tA1G(yfy7
CQ , LAC f Preferred notification method: Phone ✓ Email
Description of Proposed Work:
ILGwto CI a ft --s , IVO w A b0 r-5 -,<- la.,,dots* .
S •011 -t g o•.f 14-04.4- p rt_h
M Frati++ PO i�-c.k RECEIVED
AUG 2 8 P018 /
Signed(Owner or agent): �/ gOUTEOwNr.LC?it Date: 7/2f/ f�
RI„ t�i�nr'
D Owner/contractor/agent is aware that a permit is required from the Building Department f dneExfjtll¢j1lepartments,also.)
D If application Is approved,approval is subject to a 10-day appeal period required by the Act.
D This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later.
D All new construction will be subjectI.
to Inspection by OKOKH-approved plans MUST be available on-site for framing&final inspections.
/Approved
For Committee use only: Approved _Approved with Modifications _Denied
Rcvd Date: 811/18 Reason for Denial:
Amount 41)
4# APPROVED
Cas CIZ /538 � / P'� �
Rcvd by: ,(3.(/ Signed: .Et•- .. , / ��t
f•, 17E07A7 AUG 27 2018
45 Days: 9117-1 d vk . ./�J
��n YARMOUTH
�� OLD KING'S I IIGI IWAY
Date Signed: 81/z7/at"g yer
P3/20181 APPLICATION#: -
O
®Base Cascade Triple 1414" x 9-1/2" VERSA-LAM®2.0 3100 SP Roof Beam1R1301
Dry(1 span 1 No cantilevers 0/12 slope September 13,2018 14:02:25
BC CALL®Design Report
Build 6536 File Name: P Kimball_14 Dauphine Dr
s\R
Job Name: Capriccio Description: DesignB01
Address: 4 Dauphine Drive Specifier. J Madera
City,State,Zip:Yarmouthport, MA Designer.
Customer: Peter Kimball Company: Shepley Wood Products
Code reports: ESR-1040 Misc:
,z
1 '
. w .
ff'
V
13-01-00
BO B1
Total Horizontal Product Length=13-01-00
Reaction Summary(Down I Uplift) (lbs)
Bearing Live Dead Snow Wind Roof Live
BO,3-1/2" 1,439/0 2,155/0 2,551 /0
B1,3-1/2" 1,439/0 2,155/0 2,551 /0
Live Dead Snow Wind Roof Live Tdb.
Load Summary
Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125%
1 Standard Load Unf.Area(1b/f02) L 00-00-00 13-01-00 15 30 12-00-00
2 Unf.Area(Ib/ftA2) L 00-00-00 13-01-00 20 10 11-00-00
3 Unf.Area(Ib/ftA2) L 00-00-00 13-01-00 10 01-00-00
4 Unf.Area(Ib/ftA2) L 00-00-00 13-01-00 15 30 01-00-00
Controls Summary Value %Allowable Duration Case Location
Pos. Moment 15,679 ft-lbs 65.1% 115% 6 06-06-08
End Shear 4,295 lbs 39.4% 115% 6 01-01-00
Total Load Defl. L/253(0.6') 95% n/a 6 06-06-08
Live Load Defl. U435(0.349") 82.8% n/a 12 06-06-08
Max Defl. 0.6" 60% n/a 6 06-06-08
Span/Depth 15.9 n/a n/a 0 00-00-00
Y.Allow %Allow
Bearing Supports Dim.(Lx W) Value Support Member Material
BO Post 3-1/2"x 5-1/4" 5,148 lbs n/a 37.4% Unspecified
B1 Post 3-1/2"x5-1/4" 5,148 lbs n/a 37.4% Unspecified
Cautions
For roof members with slope(1/4)/12 or less final design must ensure that ponding instability
will not occur.
For roof members with slope(1/2)/12 or less final design must account for Rain-on-Snow
surcharge load.
Notes
1
Page 1 of 2
®Boise Cascade Triple 1-314" x 9-1/2" VERSA-LAM®2.0 3100 SP Roof Beam1RBO1
Dry I 1 span I No cantilevers I 0/12 slope September 13,2018 14:02:25
BC CALL®Design Report
Build 6536 File Name: P Kimball_14 Dauphine Dr
Job Name: Capriccio Description:Designs\RB01
Address: 4 Dauphine Drive Specifier: J Madera
City, State,Zip:Yarmouthport, MA Designer:
Customer. Peter Kimball Company. Shepley Wood Products
Code reports: ESR-1040 Misc:
Design meets User specified(L/240)Total load deflection criteria. Disclosure
Design meets User specified(L/360)Live load deflection criteria. Completeness and accuracy of Input must
Design meets arbitrary(1") Maximum Total load deflection criteria. be verified by anyone who would rely on
Calculations assume member is fully braced. output as evidence of suitability for
BC CALL®anal sis is based on IBC 2009. on buulaapolicacc.Output here based
Y on building code-accepted design
Design based on Dry Service Condition. properties and analysis methods.
Fastener Manufacturer:FastenMaster(tm) Installation of Boise Cascade engineered
wood products must be In accordance with
current Installation Guide and applicable
Connection Diagram building codes.To obtain Installation Guide
�-I e l.- I-.—c (8ask32-07 8 before n
call
I I or ask questions,
8 before installation.
a
• • • BC CALL®,BC FRAMER®,AJSTM
a ALWOIST®,BC RIM BOARD"' BCI®,
BOISE GLULAM"" SIMPLE FRAMING
• i—• • SYSTEM®,VERSA-LAM®,VERSA-RIM
PLUS®,VERSA-RIMS,
• VERSA-STRAND®,VERSA-STUD®are
trademarks of Boise Cascade Wood
Products L.L.C.
a minimum=2" c=5-1/2"
b minimum=4" d=12"
e minimum=1"
Calculated Side Load=870.0 lb/ft
All FastenMaster screws may be installed from one side of multiply Versa-Lam beams.
Connectors are: FMTSL005
,&1t-PL.e-Y
®Bosse Cascade Triple 14/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Roof Beam1RB01
• Dry! 1 span I No cantilevers)0112 slope September 13,201814:02:25
BC CALC®Design Report
Build 6536 File Name: P Kimball 14 Dauphine Dr
Job Name: Capriccio Description:Designs\RB01
Address: 4 Dauphine Drive Specifier: J Madera
City, State,Zip:Yarmouthport, MA Designer:
Customer. Peter Kimball Company: Shepley Wood Products
Code reports: ESR-1040 Misc:
tz
2
L , . , i
- 1 -
laoloo
BO B1
Total Horizontal Product Length=13-01-00
Reaction Summary(Down I Uplift) (the)
Bearing Live Dead Snow Wind Roof Live
BO,3-1/2" 1,439/0 2,155/0 2,551 /0
B1,3-1/2" 1,439/0 2,155/0 2,551 /0
Live Dead Snow Wind Roof Live Trib.
Load Summary
Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125%
1 Standard Load Unf.Area(Ib/ft^2) L 00-00-00 13-01-00 15 30 12-00-00
2 Unf.Area(Ib/ft"2) L 00-00-00 13-01-00 20 10 11-00-00
3 Unf.Area(Ib/ft"2) L 00-00-00 13-01-00 10 01-00-00
4 Unf.Area(Ib/f02) L 00-00-00 13-01-00 15 30 01-00-00
Controls Summary Value %Allowable Duration Case Location
Pos. Moment 15,679 ft-lbs 65.1% 115% 6 06-06-08
End Shear 4,2951bs 39.4% 115% 6 01-01-00
Total Load Defl. L/253(0.6") 95% n/a 6 06-06-08
Live Load Defl. 1J435(0.349") 82.8% n/a 12 06-06-08
Max Defl. 0.6" 60% n/a 6 06-06-08
Span/Depth 15.9 n/a n/a 0 00-00-00
Supports %Allow %Allow
Bearing Dim.(L x W) Value Support Member Material
BO Post 3-1/2"x 5-1/4" 5,148 lbs n/a 37.4% Unspecified
B1 Post 3-1/2"x5-1/4" 5,148 lbs n/a 37.4% Unspecified
Cautions
For roof members with slope(1/4)112 or less final design must ensure that ponding instability
will not occur.
For roof members with slope(1/2)/12 or less final design must account for Rain-on-Snow
surcharge load.
Notes
Page 1 of 2
®Boise Cascade Triple 1-314" x 9-112" VERSA-LAM® 2.0 3100 SP Roof Beam1RB01
Dry 1 1 span I No cantilevers 10/12 slope September 13,2018 14:02:25
BC CALC®Design Report
Build 6536 File Name: P Kimball_14 Dauphine Dr
Job Name: Capriccio Description:Designs\RB01
Address: 4 Dauphine Drive Specifier. J Madera
City,State,Zip:Yarmouthport, MA Designer:
Customer. Peter Kimball Company: Shepley Wood Products
Code reports: ESR-1040 Misc:
Design meets User specified (L/240)Total load deflection criteria. Disclosure
Design meets User specified(L/360) Live load deflection criteria. Completeness and accuracy of Input must
Design meets arbitrary(1")Maximum Total load deflection criteria. be verified by anyone who would rely on
Calculations assume member is fully braced. output as evidence of suitability for
BC CALC®ana is is based on IBC 2009. particular application.Output here based
on building code-accepted design
Design based on Dry Service Condition. properties and analysis methods.
Fastener ManufacturerFastenMaster(tm) Installation of Boise Cascade engineered
wood products must be in accordance with
current Installation Guide and applicable
Connection Diagram— building codes.To obtain Installation Guide
a f a or ask questions,please call
(800)232-0788 before installation.
• • • BC CALC®,BC FRAMER®,AJS""
ALUOIST®,BC RIM BOARD"" BCI®,
BOISE GLULAM"' SIMPLE FRAMING
• • SYSTEM®,VERSA-LAM®,VERSA-RIM
PLUS®,VERSA-RIM®,
VERSA-STRAND®,VERSA-STUD®are
trademarks of Boise Cascade Wood
a minimum=2" c=5-1/2" Products L.L.C.
b minimum=4" d= 12" •
e minimum=1"
Calculated Side Load=870.0 Ib/ft
All FastenMaster screws may be installed from one side of multiply Versa-Lam beams.
Connectors are:FMTSLOO5
, Sears, Tim
From: Sears,Tim
Sent Monday, September 10,2018 9:43 AM
To: 'Peter Kimball'
Subject 14 Dauphine Drive
Peter,
I have reviewed your application for 14 Dauphine Drive,and there is one item that needs to be addressed;
• The cantilever for the window is shown on the plan at 2ft.The WFCM (Section 3.3.1.6.1 exception)allows for
joists holding only a roof to be cantilevered a maximum of 1/8 of the total joist span.The plans shows that the
span is 12ft,which would allow for a 1.5ft cantilever span
Please call if you have any questions
Thank you
Timothy Sears CBO
Building Inspector
Town of Yarmouth
508-398-2231 Ext. 1259
mailto:tsears@varmouth.ma.us
1