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HomeMy WebLinkAboutBLD-19-001672 . a . . • • . ONE & TWO FAMILY ONLY-BUILDING PERMIT Town of Yarmouth Building Department a v 1146 Route 28, South Yarmouth,MA 02664-4492 ("Pb-398-2231 ext. 1261 Fax 508-398-0836 �'� r' t•, 4 1� -a 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: /3 1...a-/9.w6,?Hate App ' • . Building Official(PrintNazne) • Signature, : , ., , Date SECTION 1:HIE INFORMATION • • , 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 939 1,t1 es"-J/24nott l al // c _19 1.1a Is this an accepted street?yes j Map Number Parcel Number 1.3 Zoning I ormation: 1.4 Property Dimensions: COS 'C Acres 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 1.6 Water Supply: (M.G.L c.40,454) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outside Flood Zone? Public d Private❑ Municipal 0 On site disposal system EI--- Check if yes❑ . . ' . •SECTION 2: PROPERTY OWNERSHIP' .: 2.1 Owner'of Record: /t4Zin' A/ /799d �/�r/JioYTh/°oni the'. oz, , 5-- Name(Print) 'City,State,ZIP 9t39' (✓eei J/A-/f�/ov7 if,/ 3a9-S6235t3/ No.and Street Telephone Email Address SECTION,3:.DESCRIPTION OF PROPOSED WORK2(check all that apply) ' New Construction 0 Existing Building❑ Owner-Occupied 0 Repairs(s) 0 Alteration(s) Er-Addition ❑ Demolition ❑ Accessory Bldg.0 Number of Units Other 0 Specify: . Brief Description of Proposed Work1: Up ,0 Are i(,7- ije9 Yui , eE .e■ . - P� -e _ - 1t= LVED I . • . . . . SECTION4i ESTIYi IATED CONSTRUCTION COSTS. `5 . 1 20 O Estimated Costs: Item • • . - NS' (Libor and Materials) 1.Biding $ /4 BID e . 1.Building Pemtit Fee:$) Q Indicate how fee is determined` ❑Standard City/TownApplicationPee `(, .'. " .`.• 'r; 1 V �. D 2.Electrical $ i ; ' E.. ❑Total Project Cost 2�)x multiplier. . : x= ' J 3.Plumbing $ 2: Other.Fees: $ '77. ... i _ 4.Mechanical (HVAC) $ List ' • s i j OCT 1 2019 5.Mechanical (Fire `-` =• , OEpA SENT Suppression) $ Total All Fees:$ Check No:, • Check Amount Cash Amount. — — 6.Total Project Cost: $ O Paid in Full . ' 0 Outstanding Balance Due: //f" SECTION 5:.CONSTRUCTION SERVICES • 5.1 Construction Supervisor License(CSL) C S .% oWl09 1/- 27 -/sr' ' / oh- -T g /A-1, 1 L If Ci` License Number Expiration Date Name of CSL Holder List CSL Type(see below) (i( CY Gr' OYl7R/•P C L (J ✓i • No.and Street�/ Type Description I /� A rn d• y rA P o r• f yh U Unrestricted(Buildings up to 35,000 cu.R) % R Restricted lea Family Dwelling Cijff//town,State,ZIP M Masonry g 4.7d RC Roofing Covering • WS Window and Siding l d �l� �, 6 �� _`,ea SF Solid Fuel Burning Appliances ra (i✓.Q.L/(rte' S I Insulation Telephone Email address /ZS" • D Demolition 5.2 Registered Home Improvement Contractor(HIC) J F� / y/. 2 -2 , _ 2d Aer. 7- a ' 1.42/V Jr re. HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 9 C o ra er/•v 42-- Ayr. rd (,Jr3 [ de Pr y cD/9614 , C d No.and Stre- Email address 11//,0: md•9>—A ptrraiz V-1/47(7/sr2 Cj4'/I'own,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. Signed Affidavit Attached? Yes ❑ No ❑ 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 d 4 er T 4. I, Jr re- to act on my behalf in all matters relative to work authorized by this building permit application �a<I/gem R r C10 9,/A/('- Print Owner's Name(Electronic Signature) Date • SECTION 7b: OWNERI OR AU 1HORIZED 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. /rGPberr kijiLj/et- 9 -j7 -� � Print Owner's or Authorized Agent's Name(Electronic Sigature) Date 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)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.eov/oca Information on the Construction Supervisor License can be found at www.mass.eov/des 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) /yO r (including garage,finished basement/attics, decks or porch) Gross living area(sq.R) 2 Q-9-q( Habitable room count Number of fireplaces / Number of bedrooms 2 Number of bathrooms 2 _ Number ofhalf/baths Type of heating system Forced An- <Mc/ Number of decks/porches ,,' r Type of cooling system (e'4 yg.n L Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost' • r the Commonwealth of Massachusetts Department of Industrial Accidents =iter • 1 Congress Street, Suite 100 • Aq 4 Boston, MA 02119-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Eleetricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): /1 v 6 e r• r L•-2)4 ( le e i^ Address: 9 ( rorl [✓eAL for; yo0-/t ►''iocfn ✓'o Mq 02G75— City/State/Zip: ' Phone#: 5-0 3 6. 2 / Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with employees(full and/or part-time).* 7. New construction 2.Rl am a sole proprietor or partnership and have no employees working for me in , y capacity.[No workers'comp. insurance required,] S. Remodeling 3.01 am a homeowner doing all work myself.[No workers'comp.insurance required.] 9. ❑ Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. 1 will 10 0 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 5 0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet 12.0 Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.[ 13.0 Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.0 Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] _ *Any applicant that checks box k1 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 ache sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'camp.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 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 and penalties of perjury that the information provided above is true and correct Signature: �- Cr't,—�e- D CJ — l 7 Date: Phone#: 850 1 3 G 7 I CCZ Official use only. Do not write in this area, to be completed by city or town official • City or Town: Permit/License f • 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 Y.i y TOWN OF YARMOUTH k! e c BUILDING DEPARTMENT re i 4• 1146 Route 28,South Yarmouth,MA 02664 Ye 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 1113, I hereby certify that the debris resulting from the proposed work/demolition to be conducted at 977 IA e s 77//2," Md tr73 Mo", Work Address / Is to be disposed of at the following location: ?Oar'/970 4Y4 //tA'/76jt'" Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. 7 - / 7 - / Si Signature of Application Date Permit No. d2(e 1[`6III moo u'cel/An/'Q f(awar/Ire/4i Office of Consumer Affairs&Business Regulation i HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE Individual before the expiration date. If found return to: Real '. • IQn\ Expiration Office of Consumer Affairs and Business Regulation 182141-c--- 02/27/2020 One Ashburton Place•Suite 1301 ROBERT B.WALKER" t `– Boston,MA 02108 !1 !: a....5 • ROBERT B.WALKER__- � c`- 9CROMWELL DR. $` -,;;% . U ♦ YARMOUTHPORT,MA'02675E: Undersecretary Not valid without signature • Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-046104 Construction Supervisor -� ROBERT B WALKER 4 9 CROMWELL DRIVE t:,pf `" • YARMOUTH PORT MA 02676 � JyJ /� ?tlt ���'— Expiration: Commissio er 11/27/2018 TOWN OF YARMOUTH _ ---- 2 I REVIEWED FOR BUILDING AND ZONING CODE COMPLI- . • ANCE ERRORS OR OM2AISSIONS DO NOT RELIEVE THE I APPLICANT FROM THE RESPONSIBILITY OF'AS BUILT' ! FILE C©PY ti) • COMPLIANCE 1 DATE 9'1" '18. . I v / / I . BUILDING OFFICIAL i I 2,-8„ • ter ' ' a E�(IS1.1 I a �V i0 rVi 9 ,/ • exiz I✓1 7"_- •N -irr_4 _____71.2:::,:r. : - .. it., G H�n _ . ! a ! 0 , nii y gad Pi/ z • CO . _ _ t • 25��- a F ) Z 3 00 in • q /0 W • »eci giC . aiii• )p,'e-�tny' In : 2,-sc. ' • Z a gePLAC l _ _ e � . . r- 7nP . WA, � 1k- A- - . ry 2 a Art{= .4, 'I,• -. - _ -- , , , z y • • �i112/11.. . o d1 • : Ana. N c^ - fb ��• _ O y • (\/ `1� I I III ro , JQ11 idA /l d I? J. • i®BeiseCascade Double 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Floor Beam\FB01 Dry 11 span I No cantilevers 10/12 slope September 19,2018 13:04:00 BC CALC®Design Report Build 6536 File Name: BC CALC Project Job Name' Rego Residence Description:Header leading to sun room Address: • • West Yarmouth Rd Specifier: City, State,Zip:Yarmouthpo , r • t 675 Designer. BC Customer: Bob Walker Company: Shepleys Code reports: ESR-1040 Misc: T7 ' T ' II 1 1 1 I : + _ IIII : : ' 1II �.i n•x 1r :+ h tM1ioi i \0 IIx'`,-,:v,,,,,-!?- r? a + i /,' e ' '• , .^{:".ki 1:.9"d P 1 51 ,yt t y .l+ i.. +l V i i. f +t+.i a . :, °� '.Y, •:� :, -t_�, r � ! lf 09-07-00 BO B1 Total Horizontal Product Length=09-07-00 Reaction Summary(Down/Uplift) (lbs) Bearing Live Dead Snow Wind Roof Live B0, 3-1/2" 623/0 1,610/0 2,409/0 61, 3-1/2" 623/0 1,610/0 2,409/0 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 09-07-00 20 10 06-06-00 2 Unf.Area (Ib/ft02) L 00-00-00 09-07-00 15 30 13-00-00 3 Reaction from Desi... Conc. Pt. (lbs) L 04-09-08 04-09-08 612 1,080 n/a Controls Summary Value °A°Allowable Duration Case Location Pos. Moment 10,751 ft-lbs 43.9% 115% 2 04-09-08 End Shear 3,170 lbs 34.9% 115% 2 01-03-06 Total Load Defl. 1/715(0.153") 33.6% n/a 2 04-09-08 Live Load Defl. L/999(0.093") n/a n/a 5 04-09-08 Max Defl. 0.153" 15.3% n/a 2 04-09-08 Span/Depth 9.2 n/a n/a 0 00-00-00 %Allow T.Allow Bearing Supports Dim.(Lx W) Value Support Member Material BO Post 3-1/2"x 3-1/2" 4,018 lbs Wa 43.7% Unspecified B1 Post 3-1/2"x 3-1/2" 4,019 lbs n/a 43.7% Unspecified Notes Design meets Code minimum (1/240)Total load deflection criteria. Design meets Code minimum(L/360) Live load deflection criteria. Design meets arbitrary(1") Maximum Total load deflection criteria. Calculations assume member is fully braced. BC CALC®analysis is based on IBC 2009. - Design based on Dry Service Condition. Fastener Manufacturer:Simpson Strong-Tie, Inc. RECEIVED SEP 19 2018 J!1 B 11.-611+76D G EPARTMENT 9Y Page 1 of 2 . j d®Boise Cascade Double 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Floor Beam1FB01 • • " Dry I 1 span I No cantilevers 10/12 slope September 19, 2018 13:04:00 BC CALL®Design Report Build 6536 File Name: BC CALC Project Job Name: Rego Residence Description: Header leading to sun room Address: 939 West Yarmouth Rd Specifier: City, State, Zip:Yarmouthport, MA 02675 Designer. BC Customer. Bob Walker Company: Shepleys Code reports: ESR-1040 Misc: Connection Diagram Disclosure b [ma- I.--a--y Completeness verified ewhocyw wof uld tonst be verified by anyone who would rely on • output as evidence of suitability for �— e e particular application.Output here based • e on building code-accepted design • properties and analysis methods. • .e Installation of Boise Cascade engineered • wood products must be in accordance with --- current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum= 1-1/2"c=4-7/16" (800)232-0788 before installation. b minimum=6" d= 12" e minimum= 1" BC CALM,BC FRAMER®,AJSTM ALLJOIST®,BC RIM BOARD"',BCI® Connection design assumes point load is top-loaded. For connection design of side-loaded BOISE GLULAMTM SIMPLE FRAMING point loads, please consult a technical representative or professional of Record. PLUS®,V,RSVERSA RIM®, ,VERSA-RIM Install Screws with screw heads in the loaded ply. VERS®,VERSA-STRANDS, VERSA-STUD®Y VERSA-STRAND®,VERSASTUD®are Member has no side loads. trademarks of Boise Cascade Wood Connectors are: SDW22338 Products L.L.C.