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HomeMy WebLinkAboutBLD-19-001656 A e ,i•.^ ONE & Two FAMILY ONLY- BUILDING PERMIT' @La /a/%/1- -if z k., Town of Yarmouth Building D epartment 1146 Routh 28, South Yamacsth,MA 0266 1'192 508-398-2231 e$t 1261 Fat 508-398-0836 ���� R Massachusetts State Building Code, 780 CM B aiding Permit Application To Construct, Report-, Renovate Or Demolish a One-or avo-Family Dwelling This Section For Of@eial Use Only Bua7dmgPenoaNtmsb'¢Ba/(46 Date Applied: dal(PaatN c) SinnaSnr / am • D • SECTIONI: Sill,INEORMA ION 1.1 Pro arty Address: 1.2 Assessors1�2;p.&P arcet Numbers G 2-•:'. *et ese-a MAA.Tt72_ 25•4,.3 f/'1] 1 • 1.1a Is this an accepted steed? yes_ no Map Number 9 Parcel2Quraher L2 Zoning Li formaiian: L4 Property Dimensions: ZatingDist-letosedUse Prep LatA.za(sq ft) Ew�,e(a) IS BmldingSeth ant: (f7 Fnot Ywd Side Yards P.m Ford --- Reqthed Provided Lp.Ltd Pmr.ided Reqdred II Provided 1.6 Wat r SapLCz i e a. p1y: Oa, §541 ,'•L7 Flood Zone Inforaint: I L8 Sege D sposal Spstcm.: Public❑ Favi*-Q _ Zane _ Ot±de Rood Zone? m.;®Z1 Q 0 masa[systemQ Cheek 9'g • SECITOf`T 2: PROPfln O Will L :Li Otrner-afRArnim mli A, bath.i VII.k nlsF F CM-tu 4{ S.4aeMt.th M# 02(0104 �Kia t t� lN=eE LA COY,SE-�' ` [-C� j7 \12,2.O.nt As ee Per... sa 7(c0-x{6'7! bLMcNk,GN IseGuwft--et/.n. No. and S ,.-_t Telephone Email Pe ess . SECTION 3:DESCRIFTIo7N O PROPO WORR'-(ch if that apple) ' New CCL-sttedoa 0 I Fes;uc Btncag 0 I Owner-Occaoied 0 I Ps_pa s(s) 0 I A r r.L(s) ❑ I Adr_ on 0 Denal on 0 I Accessory Bldg. ❑ I Ni_rber of Ura_ I Ota ❑ Sped- BrierDesulltian.oft' uyosedWc : Ft,, BAsenits* wobta6 .0-naat i f ____C_ t oPGlcf w/ unit Octet OI ,.tIfJ/e.. E ' ED , p9 .- SEP 1 Y20 8 - _ ]ia` 01] 4:;.�.�111J.1'!'.�.+.rvtI W1�:11iSURr©Sl t:.,l: :].. -� ._. Tc2n E um L-d Cat.: ,Y • `�t -- •tls: - ENT (Labs azdM a1s) r 7-I. •f:f.:.:::-".t:.• 2. •�• 1ual�QE�•• ::..-`_".'r.....:1...- , I.athal IZ -1• B—` g2a—tr r"E �' '' � �1(- c-r'i_�` . - _ �.. 3LCc�i.�r^r-'�zT�c;d t . ,Tim 2. 3 EeCti a Tcf`1?rojeciCesi=fl ,5i-irnr�lk •-s.-,..t•-•-rk_ :} ..• S S>L -2•:OtttPees'. s- = 14�U ;,__. 4 _M__-r�ca1 t I VAC) s ? I �- _ - _z.= • _:1_. _- .`='" _ is• S.Moen�+�ea1 (Fire ~i;''..,L•.=- :-7. •!�_=`y• tr c"!"_ '.e e.,.:2•'• . Sys" ) $ •� '4.. __.l. .1. v ••K• Y_ 6.Total Project Caste 201 tih:>= = .c�17 S_ . Li=b•e� �- • u, rl n o T N r., c/). �• �I n o b l: 5 a• • 6 n rd ( _N IrY° A g. P ` d Yrs o w MI rl . 51 RA • lit ^ • }� I. ••` ' '�. KKK �� " o f ° Arcl triy m R .cl £ A i �' Yvr e t r ' 71 n d 'fir, f J �i�, fy m ti • l q mgi I1_ . o r o n4,- -h 0 rJ q sl p. lA�. 1 r. IJV A jl d f� v1' CJI � `d Yr q k t ri c 1 n 'l rci le a R .��' is kt R R. • u A p 9 fn ti rte' g -� i• 1 R. a c N. r [� Q vol: fl Pas- U, I-1 p p, J M' 1-4 g ui. r(, 1 n on- E Fes' of ' 1 P- a d �-, Mi O J p 7 > n z 11 c) ;'- q• . . II77C�} 4- 6 ,z� 9 s � ]P0 g h i r pkfl 0 ER o 'P,�I r�1 • { I 00 11 q f"[ 5 ,1 or H 1,-1: i ill ri I:'• ,,•L f9 n n nmqr Q fryPIPI , _ O Jr rd feu rJ 6 €�,! �yy I ',i :g ®�, F3 lob ;I ix 4-1UUU ID(�qq �y P li: lUb aY-[ a n ti i o l'j �f p'. . r [� ,ppQ 5 �^ J, 1'1. F' 1:� �v fJ O % Y L. E p d SI 11. il H : r • Jro yr 4 1 • J i } 1 -. 2 . The Commonwealth of Massachusetts . I—_fie 4 Department of Industrial Accidents , -211ct t�- ; I Congress Street, Suite 100 Si Boston,M.102114 2017 ,.awww.mass.;ov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name usiness/Or + 1 (E v aLza'ion/Individual): quo • /CiMgezar /tlC!_lU6(-f Address: 132 ©ame.rreAtaesier. City/State/Zip: s•49err,occ`f& Aitt 02&cclPhone#: (397 7b0-17/ • Axe you an employer?Check the appropriate box: Type of project(required): 1.01 an a employer with employees(full and/or part-time).? • 7. 0 New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity. [No workers'comp.insurance required.) 3. I am a homeowner.doirr ell work myself r ' 9. ❑Demolition. S [No workers'coma.insurance required] am homeowner and wt]behiring10 ❑Bolding addition -rhave contactors to rato all work on my property. (will el sure that an contractors either have wo k rs'comp rsalon insurance or are sole 11.0 Electrical repairs or additions propneerswitt no employee. - 12.Q Plumbing repairs or additions _ - __ 5.❑I am a gaeral cort^trr and I have hued the sub-contractors listed on the attached sheet, These rub-contars have employees and hive workers'comp.insurance? 13.❑Roof repairs � 6.p corporation area corporon end n omcers have enrolled 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 it must also nil out the sec on below showing theirworkers'compensation policy infornmatiea t Homeowners who submit this a£rdavit indicating they are doing all wok and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached en additional sheet showing the name of the sub-eorrtactors and see 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: • Polity r or Self-ins.Lk.r: 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. I do hereby c fy under the pains and penalties of perjury that the information provided above is true and correct . -.4nature:4C°�fra � Date: .7—/SI D Phone 4: 6680-760 /eV 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.CIerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: • • Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." • An employer is defined as"an individual,pa,-mership,association,corporation or other legal entity,or any two or more of the foregoing engaged in ajoint enterprise,and including the legal representatives of a deceased employer,orae receiver or tmstee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §250(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contact for the performance of public work until acceptable evidence of compliance with the insurance requirement of this chapter have been presented to the contacting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es) and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than lite members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Depar=ent of Industrial • Accidents for confirmation of insurance coverage. Also be sure to sip.and date the affidavit The affidavit should be renamed to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department ai the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. • City or Town Officials Please be sure that the affidavit is complete and printed lenbly. The Department has provided a space at the bottom 'of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be site to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in__(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fature permit or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Department's address,telephone and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA02114-2017 • Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 02-23-15 www.mass.govldia j , .«.,; > 1146 Route 28,South Yarmouth,MA 02664 SOS-398-2231 ext.1261 HOMEOWNER LICENSE ERTION PLEASE PRINT: • DATE: • JOB LOCATION: ¢N" /02 Q.r,ii re$4isn t Eva NAME STREET ADDRESS SECTION OF TOWN "HOMEOWNER" ,Siriao-W67/ NAI\ HOME PHONE WORK PHONE PRESENT MAILING ADDRESS / 2 Qunsree �iitt7 goo • S.:_✓nn vzozeiz,- •CITY OR TOWN STATE CODE The cinent exemption for Homeowner' was extended to include owner—occupied dwellfiws of one or two units and to allow such homeowners to engage gge an individnal for hire who does not possess a license,provides pat such homeowner shall act as supervisor. (Sate Building Code Section 110 85.13.1) Definition of Homeowner. Pers on(s) who owns a parcel of land on which he/she resides or intends to reside,on whichthere is oris into tde to be, a one or two family attached or detached stmcmme assessorpto snchuse and/or farm s ractmres- A personwho const acts mon than one hone in atwo-yearpe,aiodshan not be considered a.homeowner, such`•orneowner'alma - submit to the building official;an a font.acceptable to the build:mg official,ill at he/she thallbe resoonalole for 2.a such wo-±neffoned order the bmarii'Q neat (Section 110 R5.L.3.1) The undersigned `homeowner assumes resprnciility for compHanre with the State Bpfdi.g Code and other applicable codes, by-laws, rules and red rTat'oy_ The .dersigp.ed `homeowner' a a:es that he / she nrilerstands the Town of Yar outh Evilding Department 7�in;mn� inspection procedures and requi.nnn cuts and'that he I the will comply with said Tp ocedm-es zd requirements. HOtWNER"S SIGNATURE ii./ APPROVAL OF BUE.DING OFMCLAL • INSURANCE COVERAGE: I have a orrent liability ins-Enact policy or its subsea dal equivalent, wEchmeets the _eg cmeaats of MGL 2142. Yes Ho If you have checked you, please indicate the type coverage by checidng the a_ ro tf-box A llablhtyinnuce policy .Othci type of Lriemnity Bond. OWN 'SLNSURANCEWAFV Ianawarethatthelicenseedoesnothavee`5eFan .cecov -ager edby Chapter 142 of the Mass. C-ene al.Laws and the my signqUire on this pet application waives this tt airaent Check one: Siatare of 0 w� Lr. OrN��i's A t Owner ."-_gent II e 4 sc3 saa,? 508-398-2231 ext 1261 Fax 503-398-0836 BURDING DEPARTTENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT suazt to M.G.L. Chapter 40, Section 54 and 780 CMR_ , Chapter 1, Section 111.5, I hereby certify that the debris resulting frac the proposed woriddeaiolitiorl to be canductedat /32 N-a4nuusrecec Work-Address is to be disposed of at the following location: /*L✓n.es lctap SFlrra4 N, .Said disposal site chall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150k. ,gna e at Appcation Date P ermit No. • 01-2_,Y4y TOWN OF YARMOUTH 3� tjtie HEALTH DEPARTMENT -moi`' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: t32 atce-1 kaTeg. ?ems Proposed Improvement: Cita is4'tt B/ T - ADD 'When, K s eme aPr c�n1 office Rak ar4TH ..1,1,a it, G % trcu =—J` _• c GI St6vtf ) 2. E4e ss WINDo...r-co- v.Ry a Ut ./ Poo M. Applicant:�eabl t nagrape ML ettl- Tel.No.: aa 1&o-cl07 J Address: 132. Q,a.•2rt�cuAsn t,.a 1 SSJAPaket lc, AAA 67,64 Date Filed: 9- t3-t8 **If you would like e-mail notification of sign off,please provide e-mail address: Owner Namerbc Mc+1i6+1 11U MBt2l ee MCFu4 t+- Owner Address: l32( astennaaIEC a Owner Tel. No.: SfP=1(00-47:71 f 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. �Q 6:7 REVIEWED BY: t6-1)17 DATE: _ --(8PLEASE NOTE COMMENTS/CONDITIONS: • TOWN OF YARMOUTH P rcroy BUILDING DEPARTMENT g( r% N 1146 Route 28, South Yarmouth,MA 02664 ct ri=~ 563- 95-2231 emu 1.261.Fax 508-398-0836 FINISHED BASEMENT LIGH'1.' AND VENTILATION WORKSTTFET IRC- 2009 R 303 Sq. Ft. of Room(s) X 8% _ (b)Amount of Glass Required a. b. 11 2.6215 96 Required Sq. Ft. of Gl.ss (b) X 50%= (c)Vent area required b. c. 9o. i‘o y$ .0 Mechanical Ventilation 0.35 Changes per hr. (a) or 15 c.f.m. per person, whichever is greater (a)Based on net floor area Ventilation system design to have capacity to supply airflow from table 403.3 Artificial Light An average illumination of 6foot candles over the area of the room at a height of 30" above the floor is considered acceptable, except for bathrooms and toilet rooms should be 3 foot candles at 30" above floor • TOWN OF YARMOC)TH ( / / ) REVIEWED FOR BUILDING AND ZONING CODE COMPLI• . ANCE. ERRORS OR OMMISSIONS DO NOT RELIEVE THE • APPLICANT FROM THE RESPONSIBILITY OF'AS BUILT' CNkn.10''3 COMPLIANCE, - eth4 DATE: /6 --/9 . .;t°• "•i;<'• ; . a - 1r� ,, . . • • , iI, 7 : FILE COPY L'S. _ (7-‘ tine/ 4 t z i, NJ 0 \etacp , { iti,r . (;) . -7, : o c x cu al �\ rn N m o Gm] i w o EO C�ci�° ' C74* ,..--:-.:L. ch ... _ , N c;,0 /7.,_ % -?6K.) \ n CV\ S tr raxca r , Q 1 M SL, .c-•, I coo . CE[c 3 ei ....,..., . cr, I ., - , I, : GL;6;; ,I V/<,u I �j `SEP 13 2018 VI WALT I DEPT. • 4 : _tel. f J e „ \______ ....___ (1 A : --*------IH-- Chl. .- — i ------ ,,., . ----- recut aavN lyt. I 1 t 1 I , 1 e, 'fro 00 a pod 1._._.____________.1 bVde I) V / 1 " "-- �3p�Nlpllfl9 Lr . a3n1333a --),b 0r12Y-10 Log In I Order Status I Wsh List I C Items $000—Sew Cart Checkout • y . cJlSe "I A rt4 YI fr s' wt 1 dI I A4A,�..-1.. nY ! 'fib to Ti ul Nlft,.,, k.4hli1�'•: 6;A Egre stain • ows corn` "�°` ` , 2015 IRC Code (844) 4634737 ry t < 3 . o- , § Compliant (844)463 737 =h.. <J,ha< .5"i 4::-..to .^;* ''UdfM^ 04:1'five a —. o.Y ..w..,..% nibwn P', :w.V a`+ -t .y ... Contact Lis -:di_ Ls3%. GS IJ 4Scl �. ftL.LL!:.. _- .I;RDN.IA, '';E ._R°- E1_C.G Item#or Keywords 4 Shop By Product Homer Complete Egress Kits»Easy Egress Kr.-Stacked Stone Complete Egress Kit Easy Egress Kit - Stacked Stone In-Swing Egress Kits Window Wells ReacWMte a Review Egress Windows "=. _- . Choose an op:Ion: Well Covers&Grates """"'"-=��arr# tj - BasementWndows . rsi '�-- -. $1181.69 Accessories �" �I.. t ✓ --Art..."-"y Non-Egress Window Wells et .•+*'�� `. ' "d..t0 : .. i r CGa.•r t"t.7 .Newsletter Si nu ! -- • -�" �.-• Enter email address �\ � r 20151RCCode , r NOW � '. ' Compliant Recently Viewed /�'//, t't a• Installation f' Instructions t Installation Instructions Maila e� L �--y (' �. I 4 Installation Instructions S.- irk" 7-{ as McAGE IN Product Specs O• C - BOMAN' ma .1 OuickShip NEMP I a Manufacturers Warranty ' Easy Egress Kit-Stacked '1,f-et spun' ties G. Stone Specifications f. Well Size:56"W x 36"P x 46•,60•,72"or 83'H r Window Size:48"W x 48"H Materials:Galvanized Steel Code Compllant Yes Production Time:1-2 business days . Description The International Residential Code requires a basement to have a fire escape when you're using S for Suable space.Finishing a basement that meets these regulations is simple with the Easy Egress kit Add light and improve basement ventilation while keeping you and your family safe,too.And with its realistic look of real stacked stone,ft even adds style. This complete kft includes: . • Boman Kemp steel well,available in 2 width and 4 height options • •48"x 48"energy-efficient sliding window f • Lexan Plastic well cover •Galvnaed steel escape ladder You May Also Like