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HomeMy WebLinkAboutBLD-19-003410 e /V4 7'g • ONE & TWO FAMILY ONLY- BUILDING PERMIT • Town of Yarmouth Building Department d r 1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 L;t' 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:73/4 'Mt?), Sy/0. .Date Applie • Building Official(Print Name) - Signature Date SECTION 1:SITE INFORMATION. 1.1 Property Address: , 1.2 Assessors Map&Parcel Numbers ZZ 1 „A,n trae Q0o.a 2r 1'!? 1.1a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 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,§54) 1.7 flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: 'Kerner ¶ussan Kuhr 530--k �a'riscoJ.U-t L--/4_ Name(Print) City,State,ZIP r2 t O e f:t Uh tr" Z•2- LcA n da-1e 2A Sbe 6 /9 37o0 to No.and Street Telephone Email A., ass SECTION 3:,DESCRIPTION OF PROPOSED WORK2(check all that apply) ' New Construction 0 Existing Building Owner-Occupied ❑ Repairs(s) 0 Alteration(s)21 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units_ Other ❑ Specify: Brief Description of Proposed Work': reyno\ O dnor tt,ncl -1/4,,,,op. tom.) 'm Aotas, in54zt11 St.iind.6tttst mat_-I ro PkPnco0 ntt-H • yam .. / �. �. - - - ._ . 410 . Wall .car.,. SECTION 4.ESTIMATED CONSTRUCTION CO'T t 'e' -- EstimatedCosts: rE 7�Id Item Official• st_Only (Labor and Materials) R,,,;15 IN — I.Building $ 9 g Zp 1 Building Permit Feed Si SO j '1ndicate h `ei4d 'erh'rmn-, E 1) 2.Electrical $ 1�ZD D *Standard City/Town Application pee •jj .a� 0 Total Project Costa(Item�.6Q)x multiplier I . t x(BR( 10 2118 3.Plumbing $ 2 Other Fees $ t�� v ' (HVAC) 1„ %' Wel . 4.Mechanical AC $ List i ; 5.Mechanical (Fire L.. __.._ Suppression) $ Total All Fees.$ Check146. . Check Amount: Cash Amount 6.Total Project Cost: S 13AlO t p paid in Full tl Outstanding Balance Due: II S Q i s //Cil° • SECTION 5: CONSTRUCTION SERVICES - 51 Construction Supervisor License(CSL) CaC ACc4*; , I` , n\\ \ AVT•rtC.— CSC tM license Number Expiration ►bau2 Name of CSL Holder \So ^„crc List CSL Type(see below) Q-- No.and Street ` e t� _ Type . - Desaiption tC %4\&` >t?c, t ey t-- t 2h 3"C�`t O unmscted a Family up to 36,000 cu.ft) City/Town,State,ZIP ` M Restricted 1R2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Homing Appliances ` 'k-Z\L Th(4 £ \&& `al)AckFty bvt� I imitation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 'QA�l j4te.-Ugi�tlrX! U.C.. VtbS9{Q • \IO'\-1120et> are NEC Company Name or HIC Registrant Name mc Registration Number Expiration Expvntion^pa_te 1 tave o.and Street Email address - �V. �+vaa L}� b2Q5% 2SQj-1- 4�5 tty/fown,Statb,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 V No O • SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WREN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Sigmnue) Date SECTION 7b:OWNER1 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 application is true and accurate to the best of my knowledge and understanding. Reiner 1/1 Voh{ �+u t GJ ..� Dec 31-(0!7 Print Owner's or Authorized Agent's Name ctronic 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 find under M.G.L.c.142A.Other Important information on the HIC Program can be found at www.mess.gov/oca Information on the Construction Supervisor License can be found at www.mass.eov/____ dpg 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 of half/baths Type of beating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for'Total Project Cost" • ' The Commonwealth of Massachusetts � " , t Department of Industrial Accidents te =el= 1 Congress Street, Suite 100 Boston,MA 02114-2017 ik•'_,�' www.mass.govfdia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMTMNG AUTHORITY. Applicant Information Please Print Leeibly Name(Business/Organization/Individual):Dream Construction, Inc. Address:P.O.Box 690 City/State/Zip:South Dennis,MA 02660 Phone#•508-25&8385 Are you an employer?Check the appropriate boss Type SP of project(required): t.O I am a employer with 3 employees(full and/or part-time).* 7. 0 New construction 2.01 emote sok proprietor or partnership and have no employees working for me in 8. 0 Remodeling any capacity.[No workers'comp.insurance required] 3.D I 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 w 10 Q Building addition will ensure that all contractors either have worker'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions S 1 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.insurances 13.0 Roof repairs 6.0 We area corporation and its officers have exercised their right of exemption per MOL e. 14.❑Other 152.41(4).and we have no employees.[No workers'comp.insurance required] *Any applicant that checks box It I 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 contractor must submits new affidavit indicating such. :Contractors that check this box must attached an additionsl sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have empioyees,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:A.I. M.Mutual Insurance Company Policy#or Self-ins.Lic.#:VWC-100.6016187 Expiration Date:13/35/21313 Job Site Address:22 Lyndale Road City/State/Zip:Yarmouth, MA 02664 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 S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify the pains and penalties of perjury that the information provided above is true and correct. f�un Sifinature: Date: ii /IA lu0� phone#:508-258-838`5 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: • :,. : 3$°� Y�o TOWN OF YARMOUTH 6 vg c BUILDING DEPARTMENT .t '�'a'j E 4 1146 Route 23, South Yarmouth,MA 02664 �, � 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 Ip resultingpfrom proposed work/demolition to be conducted at 2.Z. L 941e.e. SOC-}W roOU ‘ t"14 . WorkAddress ` Is to be disposed of at the following location: Gictrrnou 'Town Djspoat F&cj h14.,_ Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. /„ 6.1.,t_______ Po--C . 3 2-0 fr(3 S'a.ature of Application Date Permit No. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY ` INFORMATION PAGE A.I.M. Mutual Insurance Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 (800) 876-2765 NCCI NO 26158 POLICY NO. VWC-100-6016187-2018A� PRIOR NO. vwc-i00.6016187-2017A ITEM 1. The Insured: Dream Construction Inc DBA: Mailing address: 150 Depot Street FEIN:'-"'5011 Dennisport,MA 02639-0000 Legal Entity Type: Corporation Other workplaces not shown above: See Location 2. The policy period is from 10/05/2018 to 10/05/2019 12:01 a.m.standard time at the insured's mailing address.__ •_- 3. A. Workers Compensation Insurance:Part One of the policy applies to the Workers Compensation Law of the — states listed here: MA B. Employers'Liability Insurance:Part Two of the policy applies to work in each state listed in item 3.A. The limits of liability under Part Two are: Bodily Injury by Accident $ 100.000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 100,000 each employee C. Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 B D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules,Classifications,Rates and Rating,Plans. All information required below is subject to verification and change by audit [—Classifications Premium Basis Rates Code Estimated Per$100 Estimated No. Total Annual Of Annual Remuneration Remuneration Premium INTRA 000558671 INTER SEE CLASS CODE SCHEDULE Minimum Premium $500 Total Estimated Annual Premium 511,398 GOV GOV ! Deposit Premium $5,910 STATE CLASS MA 5645 State Assessments/Surcharges $10,995.00 x 3.8300% S421 This policy,including all endorsements,is hereby countersigned by �r t 09/18/2018 Authorized Signature Date Service Office: Bearingstar Insurance 54 Third Avenue 375 Airport Road Burlington MA 01803 Fall River,MA 02720 WC000001 A(7-11) Includes copyrighted material of the National Council on Compensation Insurance, used with its permission. Massachusetts Department of Public Safety co. Board of Building Regulations and Standards License: CSFA-106016 Construction Supervisor 1 8 2 - - _ Family ,. :. DIMITAR Wolff 150 DEPOT STREET DENNIS PORT MA 02639 Nom ;i !:i J,i4c- <;-,=•4.__ Expiration: Commissioner 01111/2019 • • /rviuurnuvnii�/p r-1Nir/inN/v Office of Consumer Affairs 8 Business Regulation HOME IMPROVEMENT CONTRACTOR - Registration valid for individual use only - Reaistretb Corporation before the expiration date. if found found returnto: n Exolratioq Office of Consumer Affairs and Business R 173596-.- 10/17/2020 1000 Washi regulation DREAM CONSTRUCTION.INC. n0ton Street-SuNe 710 D/B/A NOTEV BUILDING 8 REMODELING Boston,MA 02118 150DIMITARDEP `" NOTEV -- � 150 DEPOT STREET '- DENNIS PORT,MA 02039cr j Undersecretary Not valid without signature Sears, Tim From: Sears,Tim Sent: Thursday, December 6, 2018 9:54 AM To: 'capedreamconstruction@gmail.com' Subject: 22 Lyndale Rd Dimitar, I have reviewed your application for 22 Lyndale Rd, and just wanted to verify that removing the door will still leave the required two means of egress from the dwelling. Please advise, Timothy Sears CBO Building Inspector Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsears@yarmouth.ma.us • 1 Sears, Tim From: Dimitar Notev <capedreamconstruction@gmail.com> Sent: Thursday, December 6, 2018 12:52 PM To: Sears,Tim Subject: Re:22 Lyndale Rd Attachments: entrances.pdf Please see the attached sketch. The house will still have more than two means of egress after the door is removed. Please let me know if you need anything else. Thank you, Dimitar Dimitar Notev Dream Construction, Inc. www.capedreamconstruction.com 774.212.2368, 702.686.0396 On Thu, Dec 6,2018 at 9:53 AM Sears, Tim<tsears@yarmouth.ma.us>wrote: Dimitar, I have reviewed your application for 22 Lyndale Rd, and just wanted to verify that removing the door will still leave the required two means of egress from the dwelling. Please advise, Timothy Sears CBO Building Inspector Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsears(,yarniouth.ma.us 1 • Dimitar Notev Dream Construction, Inc. www.capedrearnconstruction.com 774.212.2368, 702.686.0396 2 • 22 Lyndale Road South Yarmouth, MA Reiner and Susan Kuhr H 508 619 3700 C 617 470 7615 Reiner.kuhr@gmail.com Susan.kuhr@gmail.com Work Description Summary Kitchen—remove existing front door and casement window; install two windows boxed out to provide a seating bench;and move some outlets and switches Outside kitchen—install cedar shingles on rebuilt wall;repair water damage under existing door;replace facia board at roofline Bedroom—remove existing closet and double hung window;install three casement windows already purchased by owner;install 5 ceiling recessed lights move some outlets and switches Wage October 13 , 2018 ` Demolition 1. Kitchen Remove existing door and window and trim on front side of kitchen 2. Outside kitchen Remove damaged facia board Remove water damaged sill pieces 3. Bedroom Remove existing closet Remove existing sash window Remove floor trim at new closet location Cut rough opening for new windows Carpentry Kitchen • Reframe wall for 2 windows(box out),see Sketches 1 and 2 • Install 2 windows • Insulate • Install bench seat(possible hinged section to allow drawer opening on right) • Inside—install wallboard,joint compound and trim(paint by Owner) • Outside—install cedar shingles and Azek trim; repair sill under door S ) Page October 13 , 2018 M Sketch 1— Side View of Boxed Windows U —c i e V ac......) of • ' W fNDoW C x r F i,--15 c'of✓ r I i I - , ` -1. lr • { f • 1 1 I p { � t ' i 11 . 111 -1 •• . 1 1 1 , 1 , 1 1 I i _ 1 i f } i{ { •1 1{ } i i i11I 1 ,• 1• r i i- 1I II. ; i T % '- _1 . r I t . i rlboe .v 1`V , _ . 6 ! Page October 13, 2018 Sketch 2—Front view from kitchen of windows and bench seat I I • r I r ` I(6.13 , 3' l I I Two Anderson 400 Series TW24310 r; i C .i r I' iii ;I r �ss�c - - ! I Fi`li' 7IPage October 13 , 2018 • Bedroom • See Sketch 3 • Rough frame for three windows • Install and trim three windows • Insulate • Patch wallboard • Trim • Reshingle outside wall at removed window • Install wallboard,taping and trim on inside • (paint by owner) Sketch 3—New bedroom layout(approximate window locations) #1 196 165 314 — 24�REMOVE EXISTING 3012 CLOSET — — 24 29 3'4 X2 111 ,10 2H14— 1.7 CI 25 LS 2512 I u. 170122 2-14— • 43' 24314 241- 29 3/4 t293/4 24 301/4 110 st4 150 Wage October 13, 2018 V Electrical Work Kitchen 1. Relocate 5 switches from wall to near corner to clear area for new windows 2. Move ceiling light fixture(specific location TBD) 3. Outside-relocate outdoor light next to corner of house away from new window Sketch 4 Kitchen electrical work Tc ^_�LF_Gr�tC�J // r— I c . %) &tsJcc1/4,0 S a� O 2 g d Q C � irib 0 ainG1/4 S Srslrt1as *k " Wad -}o nate co Me t '1a dear area 'GQr ) 44i/1cir+._.) ® ,loge ooI-door (tyhf'„ e ,Rae() NLW uAbAdtlnl 9 ) Page October 13, 2018 • Bedroom 1. Add five recessed lights with two new switches 2. Remove existing closet light and reconnect as switched outlet 3. Move switch from corner to other side of sliding door to make room for new closet 4. Move three outlets to line up with new closet Sketch 5 Bedroom electrical work 1,EdP0ON1 eL€ctQ(G6ati • CIAad f re,n n4S44-1111(tnkit jitt /� mV'0 l� O {s1fa � or�sTia�'4 C(nSr/ � vt 2, v I(tkL /- recces/tact- a,S da c.4 F Aac/ OJIl`L l 1 ep0 40.02. SuJttcA -earn canter t -t-b oltgr s(da 0c SItitry c(m✓ la wake room Cyr 1.444 ctoese.le ® s p 3 t,. -Heb -Cam I- (0. a -a 9...S. .. ®. _ . . . g. - - _ e _.1 _, cLeo St r- a ©� . 10 [ Page October 13 , 2018 1. • e 5. Bedroom closet and window to be removed F a ,.l ' remove ,. I}[�, � 41 4 1"' tl i Y f 'l Tn, pM0'EP� r. Tr. •� S ✓ i . ^'ht .•z V,y1t V. s� •Fid 'jhR^E+ V 6. Outside bedroom wall e ` a i i i w, )? 4. 6 1 ni t : e `x .. 4 •, ^ fi . remove alit i i , I , . A t• i / � YS `ori._. 10 t' ,, i ! /4, .�1 .tom.'.,' +4 x 4, 4IPage October 13 , 2018 • .. Photos: 1. Outside kitchen wall relocate ;��� remove ,- --iitior WJ OS / Ni 1.....4144.1 hteb. .44.1ix., 4„9 istght Ej • u nn l•a "17:1,:: ,Itcg t. + fns , . . S ` y .I �r,...-515to .... ..,_ _ ,,,,,, „ 7 . ' R µ 3y' c f1�. 1 -,,r to 2. Inside kitchen wall " remove 1 c k x A : iX t moi. .t s Y c e 4 4 y b � w 'fir 4 N.%51 ', ,,,4 : . �1_ ..k 2IPage October 13 , 2018 p 3. Facia board near roofline -'--;p d %at i repair ty ums'. f.^`MTbLil..ai"df' ji 4. Water damage under door yi :� # i 4 1 4 .�y.,.��� I 1 �'aaQSF..�1. d ,, . . repair -r -TI-: ,- '.• y.ti .tz3�y u. 3IPage October 13 , 2018