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HomeMy WebLinkAboutBLD-19-1671 T ; WS ON ENGINEERING trcc�s�aaars January 9, 2019 kF if Mr. Adam Hostetter ,° ERIC Jt• g Hostetter Homes CEDERNOLM uSTRUCTURAL 770a Main St. No. 3JJo"2 Osterville, MA 02655 e xro RE: Foundation Cold Joint—78 River St., South Yarmouth, MA . • Dear Mr. Hostetter, On December 19, 2018, I visited the referenced project site to observe the as-built condition of the new foundation; specifically a diagonal cold joint over the limits shown on the attached drawing. As a repair for this condition, I recommended placing additional reinforced concrete on the inside face of the foundation wall over the limits of the cold joint, using the form ties for the one sided form to anchor the new concrete to the existing. • Since this repair has been completed in accordance with my recommendations, I find the foundation to be acceptable to continue with construction of the house structure. Should you have any questions regarding these findings, please do not hesitate to contact me. Sincerely, Eric J. Cederholm, PE Transition Engineering, Inc. P.O. Box 576 Cotuit, MA 02635 (508)404-0358 RECEIVED ejcpe@verizon.net • I I .IAN 09 20119 BUILDING DEPARTMENT By: • Page 1 of 1 • ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department 1146 Route 28, South Yarmouth,MA 02664-4492oceritt 508-398-2231 ext. 1261 Fax 508-398-0836 Massachusetts State Building Code,780 CMR �% Building Permit Application To Construct, Repair, Renovate Or Demolish . \1Q or a One'This No-Family For Official Use Onl �u Jo i G nE PPPiMeNt Building Permit Number. '(�l n=X91 '/44 11 .Date Applied: of + rr% 5R 1r5 • = • !('--31-i1 Building Official(Print Name) Signature .` Date • SECTION 1:SITE INFORMATION 1.1 Property Address: `/ � 1.2 Assessors Map&Parcel Numbsrs gen- St. 1 3, 1 1.1a Is this an accepted street?yes X noMap Number Parcel Number 1.3 Zoning Information: IA Pr�o a Dimensions: / a.s- ND (1cs; � 15/ ly �� Zoning District Proposed Use Lot Arca(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 3o' 20' 26 .5' 70' 1.6 Water Supply: (M.G.L c.40,154) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Flood Public)8( Private 0 Zone: Outsid— Checkeif yes❑�ne? Municipal 0 On site disposal system 111( SECTION 2t PROPERTY OWNERSHIP% " 2.ioutoiRecod:ShC �K 79 12-MA- s . yet c,,-y41+. . Name(Print) City,State,ZIP 6/7 -5to-(310 (aye (mile NGT No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK;(cheek all that apply) New Construction❑ Existing Building❑ Owner-Occupied 0 Repairs(s) ❑ Alteration(s) ❑ Addition T Demolition X Accessory Bldg.❑ Number of Units I Other ❑ Specify: Brief Description of Proposed Work%: pc,tlo kci� or fth43e1 LlP r �tevi— rt N C d fLT r a v 4 ND ivy 2- Aim" Fu✓...O471 0A-1 ;V PLr•1N , • RL� .. EIVED .;:'',SECTION::4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: ~" Offic al'Use Only f �j � I (Labor and Materials) b> , .. 1.Building $ L Building Permit Fee:$` t 4 n Indicate hoar fed:is••rim.: T M E N T *Standard City/'Town Application Fen .±• 2.Electrical $ ❑Total Project Cost°(Item 6)x multiplier x ' 3.Plumbing S 2. Other:Fees:.$ 3$ 4.Mechanical (HVAC) $ List: S.Mechanical (Fire Suppression) Check No. Check Amount:. Cash Amount - 6.Total Project Cost: S 95-a,v00 ❑Paid in Full It Outstanding Balance Due: 15 . .. _. SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS- t1 AVA License Number Expiration Date Name of CSL Holder ' 1 7 7 0 . 11147t1;‘) S+. List CSL Type(see below) v1 No.and Street Type . Description 0 S l✓t''"e /114 . 026 SC U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry 1W Roofing Covering SWoilniddoFwueanl BdurnSidiningg A ppliancesA A/ WSFS 1-11 4n--0117_. hoSfCca ('tO 1. Co•-. I Insulation Telephone Email address D Demolition 5.2 Registered�HomeLLImprovement Contractor(IHC) x'3-8 yss- • `/f 1 SrZa CO.e/wtf C. l7/i-P l MC CompanyName or HIC Registrant Name HIC Registration Number Expiration Date ?o MA)N ci-• adaMe hark ht- -ksA•eI. cwt No.and StreetEmail address OS{ �vl%(e 0-4 • 77Y-60z-ofyz, 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 Issuance of the building permit. Signed Affidavit Attached? Yes lc( No O SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES , / FOR BUILDING PERMIT _ I,as Owner of the subj- property,hereby authorize /4 ri 1 of Fc licit— to act .. ••y behalf, . ....• m:.a rela' e t. wo tho •ed by this building permit application.di • ' r 1 6 . L 7/1°/18 •••.ter.ame lectro is Sign: n 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 in this a tion is true and accurate to the best of my knowledge and understanding. 9/2//8 Print Owner's or Au zed Agent's Name(Electronic Signature) 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.uov/oc4Information on the Construction Supervisor License can be found at www,mass.zov/dns 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number ofhalf/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" • Sears, Tim From: Sears,Tim Sent Tuesday, September 25, 2018 6:14 PM To: 'adam@hostetter-homes.com' Subject: 78 River st Adam, I have reviewed your application for 78 River St,and there are some items to address; 1. Need disconnect letters from Gas & Electric Co 2. Need sign offs from Health&Wafer Department v 3. We need to have a plan showing current building height,as well as proposed building height after new foundation installed.The setback is nonconforming and could require approval from the Zoning Board if the building will be higher than it is currently. Please submit these items for review. Thank you Timothy Sears CBO Building Inspector Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsears@yarmouth.ma.us 1 Aco OR CERTIFICATE OF LIABILITY INSURANCE °"03/21/ °"YYY' . `� 03/21/2018 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 have ADDITIONAL INSURED provisions or 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 CONTNAME; Donna Ostrowskl Mark Sylvia Insurance Agency,LLC PHONE FAX Np);(508)937-2761 ' 404 Main Street - • laic No em:(508)957-2125 . ' ADDRESS:marccnnarksylvlalnsurance,com • . Centerville, MA 02632 • - - INSURER(S)AFFORDING COVERAGE NAICA INSURER A:Farm Family Casualty Insurance - - INSURED INSURER B: Complete Home Group LLC/Emergency Contractors by CHG LLC INSURER C:770 B1 Main Street Ostelville,MA 02655 _ INSURER 0: 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. NOTIMTHSTANDING 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 ADDLSUBR -POLICY EFF POLICY EXP • LTR •TYPE OF INSURANCE Itijp.FWD POLICY NUMBER ' IMMIDD/YYYY) IMMIDDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED . CLAIMS-MADE ❑OCCUR PREMISES(Ea occurrence) S - . .. MED EXP(Any one parson) $ _ • PERSONAL&ADV INJURY _ I - GENII AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE _ S RPOLICY n CT -[J LOC PRODUCTS-COMP/OP AGO f . OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT f id (Fa*cceMl _ AMY AUTO - - BODILY INJURY(Pr person) $ -- OWNED SCHEDULED • BODILY INJURY accident)(Per $ _ AUTOS ONLY AUTOS er _ HIRED NON-OWNED PROPERTY DAMAGE 1 AUTOS ONLY _ AUTOS ONLY (Per accideno • $ UMBRELLA UAB — OCCUR EACH OCCURRENCE _ $ EXCESS UAB CLAIMS-MADE AGGREGATE _ $ DED RETENTION fJ� $ . A WORKERS COMPENSATION 20011A/802S3/23/2018 3/23/2019 X STATUTE AERN AND EMPLOYERS'LIABILITY ANYPROPRIETORIPARTNEREEXECUTIVE YIN EL.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? NIA (Mandatory In NH) EL DISEASE-EA EMPLOYEE $ 1,000,000 N yes desv0e under DESCRIPTION OF OPERATIONS below • EL DISEASE-POLICY LIMIT $ 1,000,000 • DESCRIPTION OF OPERATiONS I LOCATIONS I VEHICLES(ACORD 101.Additional Ramada Schedule,Mn be*hotbed K mon apace la required) General Contractor 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 • • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Yarmouth • THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN 1146 Route 28 ACCORDANCE WITH THE POLICY PROVISIONS. South Yarmouth,MA 02664 ' AUTHORIZED REPRESENTATIVE .. . - • I 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ONE or TWO FAMILY —BUILDING PERMIT APPLICATION REGULATORY APPROVALS NOTICE Address of Proposed Work: 7 V I /ICA' -rf 1 /lin")u fl Scope ofProposed v�or : Ven r I S1 l iit/6 6471 j - f-U/f o-F /400t / /111 eVj6li. /fislvrJ - pdc%- i> 9 ,7- a^'� 1"-S)1/ Nov fvv,.-141,5.-) i.S fee- f/cN . Date: 7//o' la Based on the scope of work described above,the applicant is required to obtain approval sign-offs from the following departments as checked-off below: INITIALS Health Dept. —508-398-2231 ext. 1241 Conservation Comm.—508-398-2231 ext. 1288 Water Dept— 99 Buck Island Rd. phone no.508-771-7921 Old Kings Hwy. Hist. Comm.--508-398-2231 ext. 1292 Engineering Dept.--508-398-2231 ext. 1250 Fire Dept—Kevin Huck/James Armstrong,96 Old Main St.SY Note: Please call Fire Department for an appointment.508-398-2212 Other Appropriate plans and/or application shall be provided to each of the departments checked-off above. Each of these regulatory authorities has their own requirements outside the jurisdiction of the Building Department. All applicable approvals shall be obtained prior to submitting a building permit application to the Building Dept. Thank you for cooperation. Receipt Ackno dgement: . 7 /2//1 Applic is Signature Date Rev. Dec. 2015 .ts • `� . The Commonwealth of Massachusetts E=..1V�At Department of Industrial Accidents E -mel.- 1 Congress Street, Suite 100 • rl!- Boston, MA 02114-2017 , 47 ;,, www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Eletitridans/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): ifrt tivsI-C,$k(- Address: 7 70 fWhk) Si . City/State/Zip: O S/eft/l f ie /14/\ • Phone#: 7-7 H — b 02- 0 i c( Z Are you an employer?Check the appropriate box: Type of project(required): 1. 1 am a employer with 11 employees(tbll and/or part-time).* 7. 0 New construction 2.]l am a sole proprietor or partnership and have no employees working for me in 8, 0 Remodeling any capacity.[No workers'comp.insurance required.] rq 3.01 am a homeowner doing all work myself[No workers'comp,insurance required.]t 9. iaDernolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property, 1 will 101-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 5.0 I am a general contractor and 1 have hired the sub-contractors listed on the attached sheet 13.0 ROOF repairs These sub-contractors have employees and have workers'comp.insurance.: 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.0 Other 152,II(41 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 worker'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 of the sub-contractors and state whether or not those entities have employees. If the subcontractors 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: ^^ P`"`'t''( r . Policy ft or Self-ins.Lie,#: lo Ci w 90"L s31-7-3 I • Expiration Date: lob Site Address: 79 Thti eA-- S{ • 1-tl'1'1IA 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pia nnndd penalties of perjury that the information provided abov is tr a and correct Signature: �v Date: 7i��/pp Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: o= MP TOWN OF YARMOUTH � ' ,, c o BUILDING DEPARTMENT o �' � ° H 1146 Route 28,South Yarmouth,MA 02664 H%""'.' 'PP 508-398-2231 ext. 1261 Fax 508-398-0836 BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.5, I hereby certify that the debris resulting front the proposed work/demolition to be conducted at 78 T*ot_ 5• yw-n '.'r . Work Address Is to be disposed of at the following location: CA-Vo SSA eo"Y MN Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 11, Section 150A. 7 /r7 / 13 . . Signature of Application Date Permit No. r. Commonwealth of Massachusetts - ®� Division of Pssioa Regulations l end Standards censure Board of Buildingryisor Cons...,. nI$Ope t -_ Espires: 12/2212019 • CS-094302 1 � w t ? ADAM HOS7E7 ^ - i .'o` -: - 77081 MAIN ST, „� OSTERVILLE M ' %0 -'Or a:1�- Commissioner t • • C't2e r(ttmirsoneneaS ofG✓fauadrar/A . Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual uss only TYPE:LLC before the expiration date. if found return to: Registratioq-r. Exoiration Office of Consumer Affairs and Business Regulation 178455 04/15/2020 One Ashburton Plat -Suite 1301 THE COMPLETE HOME GROUP,LLC Boston,MA 0210 ADAM HOSTETTER IU-CGP. - 770 MAIN Sr N t valid without signature OSTERVILLE.MA 02655 Undersecretary . ,`Ot-Ynh TOWN OF YARMOUTHt 17c HEALTH DEPARTMENT OCT 1 2 2018 C" PERMIT APPLICATION SIGN OFF TRANSMITTA SIICEEAI.TH DEPT. To be completed by Applicant: tl R C Building Site Location: -7 ��«'' + • ��✓► 0We / r ert.skri. Proposed Improyement: -1).c A.,, 64 dem r SYc 7702 IF kom.e. / wel1 t Pt,flvi -+.c ('iet✓f VACSlarf C t1 lX'-h' - 4 - ho - 1) e0 �7i w'aa.) . LNC.I-A i niCW -Alit-4. cchON Inl reel( a $ f.er �J //-.4./.^ Applicant: 1� DA" 1.6 Ski-Cc"— Tel. No.: 1-44- edZ-0tin Address: 1 7 4 .AA,iu S{ • U 51-en: f t{. M.' . Date Filed: to/ a/ l$ "If you would like e-mail notification of sign off please provide e-mail address: a d a M p hock#ett — (t o M e J. rem4 Owner Name: Mix)x) C tart Owner Address: 19 P---Ne n. I f. YAr t-4•411 . Owner Tel. No.: 6 13 - l f 6, -6 3/h 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. C I V E D Please submit three (3) copies of plans, to include: ;. L,__ •h,� (1.) Site Plan showing existing buildings, water line location, 2018 and septic system location; OCT 29 ti 1 (2.) Floor plan labeling ALL rooms within building BUILDINGDtFr.ti'Cm ::^+T (all existing and proposed) — By -- Note:Floor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: '600/ /Q DATE -12- Ve PLEASE NOTE CO MENTS/ NDITION . 1/20/30D 4.54 M I i o -fig Iii zitz &.s.�, '..s 1 1 .r✓U �\- •• I I t I *\ _ m I �ao�. I Ifin o• m 1 L.L.. < o i _ D 1 I ■.L..i n A ` - I I I I I �.a n Z I I 1; ;o z ? Ijl.I... 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I I--L-J I 11-.-.1-..--,-..-, , __ _ ,I I E IUI!i I I I..... ..... ra:: I I _ 1 I .I • Eli co0 A a a n Nd{-TMWroeYIx.M Nr.y rn ° s Pratt-Clark Residence ii:�z•xr w r y ARCHI -TBCHI MWIkWY WwY.CgI,IpFI \/ 15.1=Mf MHYU I. /\ River StreetF Mtn,e..i.,,txr e„„w„p,,,,�,,,•,,,„„ n14 6 school street t 508.126.5775 f 508.120.5301 °. € a Bass River, Massachusetts t' -,!�••e .,;;•- =4 ASS 0 C I AT E S.� vault, oa 02635 I inlo@archilechassociates.com wl w tristMy e,wt-• n+4 Se !,NY•Y.M MI I•N• Ilalgn el NeN-T Npe- ExteriorElevations ttza,-;v y—Yp' s as MI residential design architechassociates.com • e • • eft COMcAST DATE: 09/10/18 TIME: 01:25 PM Cashier: 4+� Receipt: 4+'091018132525000020 Account 8773102710417363 Name: CIARK,IOHN Equipment Returned Serial Number M1234EE06776 Model MA1602EFD751 M3 5E0762441318 MT PAAV01086484 FT MA 8y signing below,I represent that 1 am at least 18 years old;I am the Comcast account holder or I am the authorized agent of the Compst account holder named above. If this equipment is for the activation of my XFINITY service(s),I acknowledge receipt of the Comcast Welcome kit which contains the Comcast subscriber agreement(s),the Comcast subscriber privacy notice(s)and other Important Information about the Comcast service(s), I agree to be bound by the Comcast subscriber agreemens which constitute the agreement between myself and Comcast for the XFINITY service(s). I authorize Comcast to obtain a credit report from a consumer credit agency In connection with the provision of the XFINITY service(s) EVE RS=U RCE One NSTAR Way Westwood,MA 02090 ENERGY September 19, 2018 John Clark/Carolyn Pratt 322 Concord Road Wayland MA 01778 RE: 78 River St., S Yarmouth MA Dear Owner: At Eversource Energy, we're committed to delivering great service. This letter serves as confirmation that, as of 09/19/18, the electric service to 78 River ST., S Yarmouth MA has been removed. Based on this information, there is no electric power at this address and you may proceed with the demolition. Sincerely,1 Ol Mrs. M. Feeney New Customer Connects 1 508771 7998 water dept 10:24:50 a.m. 09-17-2018 2/2 • YARMOUTH WATER DEPT. • 99 BUCK ISLAND ROAD WEST YARMOUTH,MA 02673 r•=A MY 14 O tee CII CII 13 69 rt Pa 14! V 0IP Service Orden • Remote :.;;.;;,:..t seq ,;�Dd Entered ;�t 08222018 !tf17U By pears Type IREMV-REMOVE MEIER _t._! . Status C COMPLETED �• _...._...__—_______...- Sect Reason (TOFF•ME7ER TURN OFF — [ea: Detain H _ route 24 761 ...............:.:. ._�. ILS Account 020022261 !_.: :9ES. Dise0kl 02 Type RS 0099...—.._ Parcel 04339 Requested 141.: at Location 78 RNER • Scheduled 09110/2018 I!13 a! 12:30 ................_..............._..._....... ... ............................._..._'...... .._ . 9.10..21......,SU• ....___.... Prop dose Completed 009!1020018 'Cts; by • Primary est ,100 ----1 WATER CONSUMPTION OS Mar/Read Reason 9999... ... . ..:........_.._.....0999. ..._........ Read melertdem ECR 71380481 5/8 7.1 Create miscellaneous charges Install dale 07/062012 #Outs 4 Remote ID 11053188 Start time SBrorseWO, 9990._. ......................_..._..........._. ............. .........,... Other meter End time col,Add WO, ;.:.1 ', 999. Customer 304293rL3 ,9999. . CLARK JOHN R Recorded h' ._._.__.__......._..............0999_-9000._.. 9909 0000 __....-..._ . ..._,..... :___..�_._'....:_ Approved by t _--- -- _ _ _ _- ice, READ OOe200,4 OFIRC/SSOP L NITER REMOVED 135.00 Department [_. .'�..— ___9090.. _ —0099._.—_._______=W 1. SERV CURD 9/11 a9 Assigned to [COUR_130863URT—_ '}Priority --- -�'----'---w .�._:J • ------ �_.._.-----------'-----___ 0909._ Comments TOFF@ST REMOVE METER&AMR FOR DEMO CAROLYN CLARK _._..._.._...._._._.0999 0990.._0999_...._...0999_....._.........___._._..._.......0999..._...._... (50813976276 SHE'S AWARE OF$35.00 SERV CHRS THERE FOR ACCESS 1230-3:00 • • • • Tuesday,Sep 18,2018 11:51'AM nationalgrid October 11 , 2018 John Clark, 78 River St Yarmouth, MA 02675 To Whom It May Concern: RE: 78 River St, Yarmouth, MA 02675 This letter is to confirm that there is no live gas service to the above property. I can be reached directly at 508-760-7439 should there be any further questions. Sincerely, Ellen Whelan Gas Connections Rep National Grid 127 Whites Path S. Yarmouth, MA 02664 (T) 508-760-7439 BE SYSTEM PROFILE MMAARKED IWWRIICOMAGNETIICS SHALL NOTES r ,C/ (tux 10 'LLE) COMPARABLE MEWS FOR FUTURE LOCATION. 1 PROVIDE MIN. 20'DWI. WATERTIGHT 1. DATUM IS NAM RP ' 18 ACCESS COVERS TO WITHIN 6'OF FBI. GRADE 2'PEASTONE OR GEOfIXT1E -CONCRETE COVERS TO WITHIN 1'GRADE • . l TOP FOUND.EL. 13.5' I 1 BIER FABRIC OVER STONE 2. MUNICIPAL WATER IS F%IRTNQ ' 4M \ 1 1 .1' MINIMUM .T]'�OF COVER OVER PRECAST • 2%SLOPE REQUIRED OVER Mm9 ®i 4, 4,y 3. MINIMUM PIPE PITCH TO BE 1/8' PER FOOL f� 4� NOTE: 2"mitt WALL 6 DESIGN LOADING H ALL PROPOSED PRECAST11111 sift w� NISERS x-10 THICKNESS REQUIRED - BLOCKS OR UNITS TO BE AASHO N-1D. • PiEVA Orr1 PRECAST RISERS ]'r I■I Mil 4'ASCHIO PVC MORTAR ALL N 10 �. 1 Q a'Mx.muP PIPES LEVEL IST 2' ill, COMPONENTS INV S EL. 9.1 3' 5. PIPE JOINTS TO BE MADE WATERTIGHT. w,,,,,,,, W�W���� rr MK WT 0, Ervos (rp) sores 9 93' "�� _Ween �`�_-w�i1���Ma,®em, WTCONSTRUCTION DETAILS TO 8E IN ACCORDANCE = _ TEE SEPTICTANKTEE 49.8'± wATER1E5T O80X r ` - • ��er 310 CMR 15.000 (TIRE 5.) - i. EXISTING WS 4lp .•te^ FOR LEVELNESS _==gggp--=er - a. . 7. THIS PLAN IS FOR PROPOSED WORK ONLY AHD $ 9 3T I If a ^ I 0: 7.1' NOT TO BE USED FOR LOT UNE STAKING OR ANY ,i I OTHER PURPOSE. •• H-10 500 GAL.LEACHING CHAMBER BY AGUE PRECAST OR EQUAL. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4'PVC. '3= Nantucket 3/f-I-1/2'DOUBLE WASHED STONE 4' MIN. (5)UNRS REWIRED "' ' Sound ALL AROUND PRECAST STRUCTURES 9. COMPONENTS NOT TO BE BACKFILLED OR 6'CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE 47.50' X 12.83' CONCEALED WITHOUT INSPECTION BY BOARD OF 'I'I IK Seer • COMPACTION. (15.221 (2]) 'n HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LOCUS MAP CAVING DIGSAFE(I-885-344-7233)MD F 1�4 x SLOPE) a.%WORE) ADJUSTED GROUNDWATER -FL 2.1 OVERHEAD THE PRIOR TO COMMENCEEMMEENNT OF SCALE 1'=2000'± 31' D' BOX 12' LEACHING ASSESSORS MAP 43 PARCEL 39 FOUNDATION-EXISTINGSEPTIC TANK11.WOA LL - FACILITY II. ANY UNSUITABLE MATERIAL ENCOUNTERED SHA BE REMOVED BENEATH AND 5' AROUND THE LOCUS IS WITHIN FEMA FLOOD ZONE X (0.2 *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL PROPOSED LEACHING FACILITY. PCT ANNUAL CHANCE FLOOD HAZARD) AS UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS it EXISTING LEACHING FACILITY SHALL BE PUMPED SHOWN ON COMMUNITY PANEL #25001C0589J ./ ms- PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM AND REMOVED OR PUMPED AND FILLED WITH CLEAN DATED 7/16/2014 LEGEND SAND. -99- EXISTING CONTOUR X gel Era.SPOT ELEV. I --(99}- PROPOSED CONTOUR SYSTEM DESIGN: V V GARBAGE DISPOSER IS NOT ALLOWED TH1 PROPOSED SPOT EL. VATS *A411�et (J EXISTING 5 BEDROOM DWELUNG Ht A - 41_N.E \31RI -- - - PROPOSED 5 BEDROOM DWELLING V TEST HONE / DESIGN FLOW: 5 BEDROOMS ® 110 CPD - 550 CPD SIL SLOPE OF GROUND i^ USE A 550 GPO DESIGN FLOW FRT MUIY POLE Per \ 100.48'J ` SEPTIC TANK: 550 GPO (2) - 1100 FIRE HYORANT Jam(/ It ( - - 0 N USE A 150Q GAL SEPTIC TANK I."o2 NCR ML INImL9 IMP AMA NI mama 12 kV •1 t ) r 'O� \ LEACHING: v N 1 SIDES: 2 (47.5 + 10.8) 2 (.74) - 172.5 GPO TEST HOLE LOGS 15,174 S.F.± PAVED I cRo,F,_ Jo7 AREA PROPOSED �G.. ♦tI BOTTOM 47.5 x 10.8 (.74) - 379.6 GPO DANIEL E. GONSALVES, SE #13587 Hi IV DRIVE 1 TOTAL 746 S.F. 552.1 GPO ENGINEER: W ._ WITNESS: ` 'L ^ ' WITH USE (2.55) SSTONE LATEENDS AND 3' AT SIDES ACHING CHAMBERS ME OR EQUAL) BRUCE G. MURPHY -G-G-c DATE: JUNE 20, 2018 Fy PERC. RATE - < 2 MIN/INCH Gi ' r r�i�r�N GARAGEED EMO PORTION / / BITCH SLAB 130 /OF EXISTING • CLASS I SOILS Q'-. f BUILDINGEXISTING / 1 REV, ridp, DWELLING 1 E`CP� 1 EXISTING CESSPOOL 4 121 TOF •= 13.3 j 3 SHALL BE REMOVED OR APPROVED DATE BOARD OF HEALTH ' MA 0' A a x�«�IF / ®I 7.2' 1 FILLED WITH CLEA SAND �� _ ,, O Da 10YRS4/2 - I i).0 - .,tor 3L5'�6" B W it, ;? V'armouth Health Department TITLE 5 SITE PLAN LS ' i�� ® __ ?� I APP 'AO VED OF 30' 10YR 5/6 96, l �� _ �-._ ,G , , ' , i A//y 78 RIVER STREET 132.43'^ G-W ADJ. DATA: `"4IDE I Name Date SOUTH YARMOUTH, MA PLRcZ WELL: MIW-29 SEPTICS TANK PREPARED FOR CTO ZONE: A BENCHMARK: JOHN CLARK & CAROLYN PRATT MS ADJ: 0.5' STONE BOUND 7-12\ - - 12.4'NAVD88 I 1Hoy., DATE: JUNE 22, 2018 1OYR 7/4 je� �Ix OAW\ II 508-362-4541 ge DANIELA L pANIEL'NE� fax 508-382-9880 C7 - 2.1' ADJUSTED • '- N(: DJiAL Dau 1 )I eowncape.com 0 GROUNDWATER o4NI48502a We: No. • Qown cape engineering inr. 12r 1.6' rw- ----I - Ex 1 STiri G s'0N"- .y, �N D6pRv % civil engineers ] (p•tt-lS � %' /and surveyors Scale:1'-20' ` 9J9 Main Street (Rte 6A) GROUNDWATER O 126' �_�-� -- rr JL TI DATE DANIEL A. O.IAU, P.E., PLS. YARMOUTNPORT MA 02675 DCE ry 1 8-02 f 0 10 20 30 40 50 FEET 18-021 CLARK-PRATT.OWG TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 Ph.: 508-398-2231 ext. 261 • BUILDING DEPARTMENT TOTAL DEMOLITION SIGN-OFF FORM State Building Code (780 CMR) Chapter 1, Section 112.1 - Service Connections "Before a building or structure is demolished or removed, the owner or agent shall notify all utilities having service connections within the structure, such as water, electric, gas, sewer and other connections. A permit to demolish or remove a building or structure shall not be issued until a release is obtained from the utilities, stating their respective service connections and appurtenant equipment, such as meter and regulators, have been removed or sealed and plugged in a safe manner." "All debris shall be disposed of in accordancecewith 780CMR 111.5."p Building or Structure Location: yr / 1 - 4- S� . S ) zepuu(MAP: 041s LOT: 3 , �' n o/77si Owner's Name: �co ./%h 4 K Address: 3�� ewer? Phone: Contractor's Name: /CAW.. //OS-7@kt Address: Phone:7ti)hoz - 0/412- NSTAR: DATE: BY: TITLE: KEYSPAN: DATE: BY: TITLE: WATER DEPARTMENT: DATE: /8 v BY: ,'J -` TIRE: SC/S" BOARD OF HEALTH DATE: BY: TITLE: CONDmON: FIRE DEPARTMENT DATE: BY: TITLE: HISTORIC COMMISSION: DATE: BY: TITLE: VERIZON: DATE: BY: TIRE: N1- Ao€ TOWN OF YARMOUTHH$ 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451 * Telephone(508)398-2231 Ext.1292 Fax(508)398-0836 HISTORICAL COMMITTEE MEMORANDUM TO: Mark Grylls,Building Commissioner FROM: Beth Vozella,Yarmouth Historical Commission Office Administrator DATE: July 13,2018 SUBJECT: 78 River St.,South Yarmouth On July 3, 2018, the Historic Commission received a proposal for a partial demolition and rebuild of a single family home located at 78 River St., South Yarmouth. On Thursday, July 12, 2018, after performing a site visit, the Commission met in quorum and unanimously agreed (5-0) that the portion(s) of the home being proposed for demolition are not significant per the provisions of the Town's Demolition Delay Bylaw and its removal would not jeopardize the status of the remaining portion of the house which is listed as a contributing structure in the South Yarmouth / Bass River Historic District, a National Register District. The Commission is also supportive of the rebuild plans Therefore,the owners are free to pursue the partial demolition and rebuild as proposed. Cc:YHC File; John R Clark&Carolyn J Pratt(Owners),Timothy J. Luff,President,Archi-Tech Associates, Inc. (Agent) ' •, • TOWN OF YARMOUTH REVIEWED FOR BUILDING AND ZONING CODE COMPLI- ANCE. ERRORS OR OMMISSIONS DO NOT RELIEVE THE APPLICANT FROM THE RESPONSIBILITY 0 AS BUILT' COMPLIANCE. DATE Io' 31' 16 p - B' LOINS' • IC: Cet. \ a ►ILE COPY r mieer 10 , es Prn ti ell Ilk f.vrid01 %(� �4/'JNI 51%3 L 1" g -3 raft 3 as CSC ,3Anto YL�SI rarv3ad gni • 9>ppL ca) AVAt aLVAI2id c 7 SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES LURKED WITH MAGNETIC TAPE OR f: (NoT 10 ) CONPAPARIE MEWS FOR FUTURE LOCATION. I.DATUM IS sestet PROVIDE MIN.20'DMA.WATERTIGHT ACCESS COVERS TO WITHIN 6'OF PIN. GRACE CONCRETE COVERS TO WITHIN J'GRADE - •• MA 2'PEASTONE OR GEDTIXTRE 2.MUNICIPAL WATER IS EXISTING I - i { TOP FOUND. EL 13.3• I I FLIER FABRIC OVER STONE IIr Q•� ag, \ 1 12.1 MINIMUM .7510F COVER OVER PRECAST I 2%SLOPE REQUIRED OVER SYSTEM 3. MINIMUM PIPE PITCH TO BE 1/8'PER FOOT. - 4 • 114 •1 NOTE: 2" MIN.WALL BLOCKS OR 4. DESIGN LOADING FOR ALL PROPOSED PRECAST ��wwwww �By FIWV.T H-IT THICKNESS REQUIRED UNITS TO BE AASHO M-]D. �t 2'. (YrP.) PRECAST RISERS 4YSCHW PVC MORTAR A q. I■I IS ,.wN m,a PIPES LEVEL IST 2' • I■I, CUMPONENi4 H-10 INdS EL. 9.1 p 5. PIPE JOINTS TO BE MADE WATERTIGHT. T� ITSI•'t S (MT.) ,,,,, 90E5 9.93't. 8, CONSTRUCTION DETAILS TO BE IN ACCORDANCE rt. � . Rn4s+o.aleassa IA siasaa�A 1901D' 11110BOX EMBEE A9B t • lin1NO COF 1E USE000(FORE O.) :. WATEST DBO%ISTINGGIS ___ ____ 7, THIS RAN IS FOR PROPOSED WORK ONLY ANO JOWIAS Mi 7 ' NOT ITOS BE USED FOR LOT UNE STAKING CR ANY OTHER PURPOSE]/Y-I-1/Y DOUBLE WASHED STONE 4' MIN.LM-10 500 GAL TEACHING CLMBER BY ACME PRECASf Op EOVAL 8, PIPE POR SEPTIC SYSTEN TO BCH, 40-4'PVC. Nantucket ALL AROUND PRECAST STRUCTURES (5) UNITS PEOUIREOSonnd 6'CRUSHED STONE OR MECHANICAL OVERAL DIMENSIONS TO OUTSIDE OF STONE 47.50'% 12.83' 9. COMPONENTS NOT TO BE BACKFlLLED OR COMPACTION, 05,221 [2]) M CONCEALED WPT10UT INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. SIBLE FOR CALLING CONTRACTOR AFE(1686888E-]47733)AND LOCUS MAP (1.4 x SLOPE) L, S SLOPE) ADJUSTED GROUNDWATER -EL 2.1 VERIFYING THE LOCATION OF ALL UNOERGROUND& OVERHEAD UTUTIES PRIOR TO COMMENCEMENT OF SCALE I•-2000'± LEACHING WORK. FOUNDATION-IXISTING- SEPTIC TANK-- 31' D' BOX 12' FACILITY 11.ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL ASSESSORS MAP 43 PARCEL 39 BE REMOVED BENEATH AND 5' AROUND THE LOCUS IS WITHIN FEMA FLOOD ZONE X (0.2 *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL PROPOSED LEACHING FACIUTY. PCT ANNUAL CHANCE FLOOD HAZARD) AS UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 12. EXISTING LEACHING FACILITY SHALL BE PUMPED SHOWN ON COMMUNITY PANEL HAZARD) C0589J PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM AND REMOVED OR PUMPED AND FILLED WITH CLEAN DATED 7/16/2014 LEGEND • SANO. -99- EXISTING CONTOUR X(9}On MST.MST.SPOT�. ! SYSTEM DESIGN: -[9 -- PROPOSED CONTOUR i TE GARBAGE DISPOSER IS NOT ALLOWED (98.4J PROPOSED SPOT EL. \� 7^�A�T }� , EXISTING 5 BEDROOM DWELLING Mt Ir A\ J V` A - - - 4:711V00A. _ _ _ _ PROPOSED 5 BEDROOM DWELLING V SLOTESMOLE • / DESIGN FLOW: 5 BEDROOMS ® 110 CPD - 550 CPD i SLOPE of cgougD / USE A 550 GPD DESIGN FLOW 1 a'Cb Uwrt POLE 4}9Q1 \ `IIA �6 �� \r. \ SEPTIC TANK: 550 GPO (2) = 1100 ZIC IRE HYDRANT „ Jam'(/• -' - t� N USE A 1500 GAL SEPTIC TANK NTC Ip AU.SWIM SW=M MANT.'a 1 AX --/C? • ( iN ; a 'off \` LEACHING: TEST HOLE LOGS OT AREA v PROPOSED "`.'' SIDES: 2 (47.5 + 10.5) 2 (.74) - 172.5 GPO 15.174 S.F.t lk . PAVED I I BOTTOM 47.5 x 10.8 (.74) - 379.6 GPO E-4 sof 4k4 DRIVE I ENGINEER:DANIEL E. GONSALVES, SE #13587 [i] _ _ I TOTAL 746 S.F. 552.1 GPD WITNESS: a' - / WITH USE (2555TONE ATGAL EENDS AND 3ACHING M ATRSIS DESME OR EQUAL) BRUCE G. MURPHY -c--G-G ti DATE: JUNE 20, 2018 E.y . PERC. RATE - < 2 MIN/INCH U? CI / w PROPOSED / I EMO PORTION / /�1Z��'�`-� GARAGE SLAB /OF EXISTING A. CLASS I SOILS �i / BUILDING / �.. EXISTING • ELEV. y DWELLING ° /- 6 4 �1 �' TOF = 13.3 \CP EXISTING CESSPOOL , MA 12.1' J--I ®� __._- A. 3r, SHALL BE REMOVED OR APPROVED DATE BOARD OF HEALTH Q A (]y greftelf / 2' ' FILLED WITH CLEAN SAND I LS �� ,. _N � / 10YR 4/2 `�� 1 rr,0' IS = 3j.5• 6 "Ei _ �ip®®• LLOff�''� - I TITLE 5 SITE .PLAN I OF 10YR 5/6 L 1' alliadr pa '����-���� ro. • 1 78 RIVER STREET 30' 9.6' 132.43' . E SOUTH YARMOUTH, MA C G-W ADJ. DATA: ACCESS TO J I PREPARED FOR WELL: MIW-29 SEPTIC TANK PEM ZONE: A BENCHMARK: '' JOHN CLARK & CAROLYN PRATT - MS ADJ: 0.5' 2 w12, . 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