HomeMy WebLinkAboutState Appeals Form The Commonwealth of Massachusetts
-17-1Department of Public Safety -
Board of Building Regulations an • _ - . a •
One Ashburton Place, Room 1301 RECEIVED
Boston, Massachusetts 02108-1618
Phone (617) 727-3200 OCT 26 2018
.. Fax (617) 227-1754 BUILDING DEPARTMENT
By
STATE BUILDING CODE APPEALS BOARD APPEAL APPLICATION FORM
I (Stoat Ilse Only)NUMMI I DATE I
The undersigned hereby appeals to the State Board of Building Regulations and Standards from the decision of the
following person. (Please fill-in the name of the appropriate municipal or state building inspector or other authorit3
Also,Also indicate if this is a request for a hearing de novo(new hearing)relative to a decision of a municipal app
board.)
Building Official from the City/Town of:
yf( M� � rtr
Board of Appeals from the City/Town of:
(Request for hearing de novo)
State Building Official:
T Sean s C 80 tact( rAcpc•cp r
Other:
Please mark the appropriate box indicating the requested action to be considered by Appeals Board members.
Variance / Order Direction
Interpretation Failure to Act Other -
STATE USE ONLY
Fee Received -
Check Number
Received By
(This section must be completed or the application will be returned.)
Has thethbuilding or structure been the subject of an appeal by this or any other appeals board previous to this filing?
No Ld' Yes 0 If,yes,please indicate the date of the previous appeal,whether the matter was
heard before a local or state appeals board,the code section that was at issue,and the specifics of the decision
(i.e.a variance was granted\not granted).
4
Please take care to submit all written supporting documentation with this application to allow time for review.
However,Board members reserve the right to continue proceedings if such material warrant extensive review.
Please provide a brief description of the desired relief below. Additional information may be attached if space is
not sufficient. Alla 'ate code sections that are sub ect to a eal must be identi ed in the descry Hon.
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e • f'A Melt s I '1 L w .• Chith ed
from ()col IRC to arlS' 1rt. , yew Moornfs V acd c-' toe a's lousy
than €i Iter orr the V s d 's id the. Pfrsrt r olcl,,khod 0f 111.0.4r+4,-esr SPS if ant
Please complete the following section completely and accurately.
Name of I Representing: I •
Appellant: •
/}7 L.ultc • Ck,. 4 e �i,cfl�w.a nLapowaet3
Address
For Service 11p Crosbij Sr.
So. yi42Moun-t• AA- Cathy
•
Telephone Fax
Number. —7'7'14—�.� � 36, ()Sir • Number.
Address of
Subject Property
(if different from
service address):
What is appellant's connection to subject property?
Own C.C.
411, cel, - LnAsk. I-CnW,ten C1c.11, wait
Signature of Appellant and\or Representative Please Print Name Legibly
Please return applications to _
Program Manager,Board of Appeals
Board of Building Regulations and Standards-One Ashburton Place,Room 1301
Boston,MA 02108-1616
5
DESCRIPTION OF BUILDING OR STRUCTURE RELATIVE TO THE MASSACHUSETTS
STATE BUILDING CODE(7th EDmON): (Check as appropriate)
Do not complete the tables below for one and two family dwellings. Proceed to section entitled"Brief
Description of the Proposed Work".
DESCRIPTION OF PROPOSED WORK(check all applicable)
I
New Construction ✓ Existing Building Repair(s) Alteration(s) Addition
Accessory Bldg. Demolition Other Specify:
Brief Description of Proposed Work:
Ale:II fin ri0t , !-ogre.
USE CROUP AND CONSTRUCTION TYPE
I
USE GROUP(Circle appropriate Use Group) CONSTRUCTION TYPE
A Assembly A-1 A-2 A-3 IA
A-4 AS IB
B Business 2A '
E Educational 2B
F Factory F-1 F-2 2C
H High Hazard 3A
I Institutional I.1 1-2 1-3 38
M Mercantile 4
R Residential R4 R-2 L"J 5A
S Storage S] S2 5B
(,7
U Utility Specify:
M Mixed Use Specify:
S Special Use Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANCE IN USE
Existing Use Group: _ Proposed Use Group:
Existing Hazard Index(780 CMR 34): Proposed Hazard Index(780 CMR 34):
BUILDING HEIGHT AND AREA I
BUILDING AREA Existing(if applicable) Proposed
Number of Floors or stories include
basement levels 3
Floor Arca per Floor(sf) 5 le
Total Area(sf) tiz(csc2ck
Total Height(ft) (OF r 7 U
Brief Description of the Proposed Work:
Opcnt J pro re c nod ttfutel2 S'ecfotJ :7c/, ?, i 2 Ole ` liC fth
€ dirionl M A5SOcAVSclic Jrc1re a)i idenS Code
. .., ..... ✓... .h .. ... _ 4
6
STATE BUILDING CODE APPEALS BOARD
Service Notice'
I, Jonanietiv RotodeA1 as l`('piester art ue for the
Appellant/Petitioner (TC CCA_Ct S MA 4- Lobe_ an appeal filed with the State
Building Code Appeals Board on (/CTO ('2 23/ 20
HEREBY SWEAR UNDER THE PAINS AND PENALTIES OF PERJURY THAT IN ACCORDANCE WITH
THE PROCEDURES ADOPTED BY THE STATE BOARD OF BUILDING REGULATIONS AND
STANDARDS AND SECTION 113.0 OF THE STATE BUILDING CODE, I SERVED OR CAUSED TO BE
SERVED, A COPY OF THIS APPEAL APPLICATION ON THE FOLLOWING PERSON(S) IN THE
FOLLOWING MANNER:
NAME AND ADDRESS OF METHOD OF DATE OF
PERSON OR AGENCY SERVED SERVICE SERVICE
1 17;,.1 Sea-2S CCo
reCA)NO(.` t-0411.OJfl..1
11 Li 14 cQn,nre a,f, fo0714 y,a thCUM. A44 1711:44 I'e4COnt 5 (of lobe
2 J
3
Signature:Appellant or Petitioner
On the 13ra Day of 0cm i,eR 20 I S' PERSONALLY APPEARED
BEFORE ME THE ABOVE NAMED 4n Lice a- C-k 4.cs n el A- L.2 kb
(Type or Print the Name of the Appellant)
S, JOHN EDWARD POMEROY JR.
+ Notary Public
AND ACKNOWLEDGED AND SWORE THE ABOVE STATEMENTS TO BE Ili comMONWEALTH Of MASSACHUSETTS I
My Commission
m ission Expires
7/1/202.2 - - -
N RY P BLIC MY COMMISSION EXPIRES
7
TOWN OF YARMOUTH
1146 Route 28, South Yarmouth, MA 02664
508-398-2231 ext. 1261 Fax 508-398-0836
Office of the Building Commissioner
AJLuke
Christina Luke
40 Crosby St Ext.
South Yarmouth, MA 02664 October 12, 2018
RE: 40 Crosby St Ext.—Opening Protection
Mr. Luke,
I received your request to waive the requirement for opening protection under Section 301.2.1.2 of the 8th Edition
Massachusetts State Building Code. I regret to inform you that I cannot waive requirements of the building code.
You have the right to appeal this decision to the Board of Building Regulations and Standards within 45 days of
receiving this letter.
Questions regarding this matter may be directed to this department.
Very Truly,
Tim Sears CBO
Local Inspector
Town of Yarmouth