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Home My WebLink AboutBLD-19-004010,�tq ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department 114Route 28, South trttouth, MA 02664A492 12 508-398-2231 ext. 1261 Fax 508-398-08366 5 Massachusetts State Building Code, 780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One- or Ttvo-FamilyDwelling a r it l_ 1'a This Section For Officiayoe Only Building Permit Number''&D 6W -OD L 1. Dat p ed:' 4 Building Official (Print Name) Signature P : ,D_a�r' SECTION 1: SITE INFORMATION 1.1 Propertyom.: Address: ►l02 nF+wmd 1.2 Assessors Map & Parcel Numbers Map Number Parcel Number Lla Is this an accepted street? yes-,,?a—no 1.3 Zoning Information: cwro Zoning District Proposed Use 1.4 Property Dimensions: - - 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. 40,154) Public ❑ Private O 1.7 Flood Zone Information: Zone. _ Outside Flood Zone? Check if yesD 1.8 Sewage Disposal System: Municipal O On site disposal system 0 SECTION 2 PROPERTY OWNERSFiIPt 2.1 Ownerr of Record: �ozf Cry 8n o 5• l/H«zmoL,�`�l, Name (Print) City, State, ZIP Ila l�¢ �t �oo�I L,v . fio3 3og ISIS r tL4 6Aa,19W P 1V7.4dc No. and Street Telephone Email Address SECTION 3:.DESCRIPTION OF PROPOSED WORK} (cheek allthat apply) New Construction ❑ Existing Building ❑ Owner -Occupied O 1 Repairs(s) O I Alteration(s) Addition O Demolition 0 Accessory Bldg. 17 Number of Units_ Other O Specify Brief Description of Proposed Work: 2e— tA.0 4C, 4, (LE I n�P.i.+R..c. i- oC- A -F I G4b,k.f •ES c��.�a--iz L.sn9 a...cl F��,erzr�-, �cl �C SECTION 44ESTIMATED CONST$UCTION COSTS Item Estimated Costs: (Labor and Materials) = ",Offieral Use Only ; 1. Building $ /5 czja I. Building Permit Fee: S Indicate b Stanflad ;Crty/Towa Application I ea O Total Project Cost' (item 6) xmiilttpHer 2 Other Fees:S , Luk 1 hf ' 2. Electrical S 3. Plumbing $ 6627 4. Mechanical (HVAC) S Th .ay: 5. Mechanical (Fire Suppression) Total All Fees S CheckNo.'. Check Amount:' Cash Amoun C1 Paid in Full : ' Outstanding Batanrs Dne 6. Total Project Cost: g� $ �8�d'i9c�! E D ENT / SECTIONS:. CONSTRUCTION SERVICES 5.1 Construction Supervisor License (CSL) �,' 11 i .4-...r •Smc.�r wt 'l` cZ - 0765--71 License Number Expiration Date Name of CSL Holder �� d¢ List CSL Type (see below )� '. Type Description No. and Street �•T+^ / Unrestricted(Buildings up to 35,000 cu. R R Restricted 1&2 Family Dwelling City/Town, State, ZIP M Masonry RC Roofing Covering WS Window and Sidinjg SF Solid Fuel Bunting Appliances S(7s'a�y 03fy 6,'11 3' C4P* K. 4rA-rvs. e.-" I I Insulation Telephone Email address D I Demolition 5.2 Registered Home Improvement Contractor (HIC) c4a ? '7-51Ad �' '�• 1670,;Z6 7-6 HIC Registration Number Expiration Date /,, b,'I bCgPf �G �:rPNS. c2o -r—t HIC an Name or HIC Registrant Name � sYg-t R� No.5d Street Sa6A- (zt s-0 v76a Ci /Town, State, ZIP Telephone Email address SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.I.. c. 152. § 2SC(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 ......... .7 No ........... O SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT T as Owner of the subject property, hereby authorize- (3 At2�vr� t- to act on my behalf, in all matters relative to work authorized by this building permit application. p Print Owner' ame (Electronic Signature) Date SECTION 7b: OWNERS 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 est of my awledge and understanding. Print Owner's or Authorized Agent's Name (Electronic Signet tn) 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 nor 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.gov/oca Information on the Construction Supervisor License can be found at mEEmass.gov/ddo 2. When substantial work is planned, provide the information below. Total floor area (sq. ft.) (including garage, finished basementlattics, 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 heating 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 Department oflndustriaiAceidents I Congress Street, Suite 100 Boston, MA 02114-2017 www.massgov/dia 1\'orkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information / Please Print Le 'blv Name (Business/Organization/Individual): Address: F% S (2cP, Phone Are you an employer? Check the appropriate box: I -29l am a employer with A! employees (full and/or part-time).* 2.❑ I am a sole proprietor or partnership and have no employees working for mein any capacity. [No workers'comp. insurance required.] 3.❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t 4.❑ I am a homeowner and will be hiring contractors to conduct all work on my property. 1 will ensure that all contractors either have workers' compensation insurance or are sole proprietors with no employees. 5.❑ I 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, insurance.) 6.❑ We are a corporation and its officers have exercised their right of exemption per MGL a 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 7. ❑ New construction S. ❑ Remodeling 9. ❑ Demolition 10 ❑ Building addition - I I - Electrical repairs or additions 12. ❑ Plumbing repairs or additions 13. ❑ Roof repairs M ❑ Other 1 'Any applicant that checks box SI must also 511 out the section below showing their vrorkers• 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 sub -contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation tnsurancefor my employees. Below is thepoRcy andlob site Mformatlon. Insurance Company Name: /.. M Policy # or Self -[ns. L[c. #:__f('G 5-,3/S &990/0(3F? Expiration Date: e ^ 3 -,Pcn/ i Job Site Address:)/o2 �; / ,,N City/State/Zip:_ sem'- V42�,(-I. rqA 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 I do hereby that the information provided above is true and correct. Official use only. Do not write in this area, to be completed by city or town offrclaL City or Town: Permit/License Issuing Authority (circle one): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other 11 Contact Person: Phone #: 11 PLEASE PRINT: 117.141 A JOB LOCATION: "HOMEOWNER" TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 NAME SECTION OF TOWN NAME i HOME PHONE WORK PHONE MUNxy91►r0y&I n t CITY OR TOWN STATE ZIP CODE The current exemption for 'Homeownerwas extended to include owner— occupied dwellings of one or two units and to allow such homeowners to engage an individual for hire who does not possess a license, provided that such homeowner shall act as supervisor. (State Building Code Section 110 R5.1.3.1) Definition of Homeowner. Person(s) who owns a parcel of land on which be / she resides or intends to reside, on which there is oris intended to be, a one or two family attached or detached structure assessory to such use and / or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner, such "homeowner" shall submit to the building official, on a form acceptable to the building official, that he / she shall be responsible for all such work performed under the building permit. (Section 110 R5.1.3.1) The undersigned 'homeowner' assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned 'homeowner' certifies that he / she understands the Town of Yarmouth Building Department minimum inspection procedures and requirements and that he / she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch.142. Yes No If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity Bond OWNER'S INSURANCE WAIVER I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent hAomeownumump og'Y�Ry TOWN OF YARMOUTH BUILDING DEPARTMENT G H 1146 Route 28, 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 111.5, I hereby certify that the debris resulting from the proposed work/demolition to be conducted at// o2 LC- C Z /—iu . Work Address Is to be disposed of at the following location: C /, A/ .MN N Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. of Permit No. /-y-moi 9 Date a office of Consumer Artair5 it Bus inoss Reg ulation HOME IMPROVEMENT CONTRACTOR TYPE: Supplement Card ratlo Registration 13 071 160266 CAPE & ISLANDS KITCHEN 8 BATH REMODELING, INC. W ILLIAM SCHMITZ 99 STATE ROAD . SAGAMORE BEACH, MA 02562 UndersecretarY Y Registration valid for Individual use only before the expiration date. if found return to: Office of Consumer Affairs and Business Rot 1000 Washington Street. Suite 710 Boston,MA 02118 — Not valid without ;,ommnnv,ealth of Massarhuselts r Division of ProiessioionlsLice and Standards sure Board of Building Reg CS -076571 Expires: 09/091201 WILLIAM L SCHMITZ 66 CARAVEL DRIVE EAST FALMOUTH MA 02536 Commissioner ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 07/11/2018 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(ies) must be endorsed. N 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). PRODUCERCONTACT NAME: Joanna Bednark DOWLING & O'NEIL INSURANCE AGENCY PNONE (508)775-1620 COMMERCIAL GENERAL LABILITY AIL ADDRESS: ibednark@doins.com INSURERS AFFORDING COVERAGE NAIC8 9731YANNOUGH RD INSURERA: LM INS CORP 33600 HYANNIS MA 02601 INSURED INSURER 0: INSURERC: CAPE & ISLANDS KITCHEN & BATH REMODELING INC INSURER D: DBA C&I KITCHENS INC INSURER E: 99 STATE ROAD ROUTE 3A 1 INSURER F: SAGAMORE BEACH MA 02562 COVERAGES CERTIFICATE NUMBER: 290221 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. NOTWITHSTANDING 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. ILTR TYPEOFINSURANCE ADDL UeR POLICYNUMBER MPOLICY U YEFF PWDOOYEXP LIMA COMMERCIAL GENERAL LABILITY EACH OCCURRENCE $ CLAdMS.MADE 0 OCCUR DAMAGE TO RENTED PREMISES ff,ocanenra $ MED EXP (My one S PERSONAL&ADV INJURY S N/A GENT AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S POLICY [:] PO -JET LOC PRODUCTS -COMPIOP AGG S $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S Es amltlent BODILY INJURY(Pwpe ) S ANY AUTO ALL OWNED SCHEDULED TO AUTOS AUS N/A BODILY INJURY (Per acdtlenl) $ NONAWNED HIRED AUTOS AUTOS PROPERTYDAMAGE Per d.0 S f UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS UAB CINMS4ME WA DED I I RETENTION f A WORKERSCOMPENSATIONPER AND EMPLOYERS'LIABILITY YIN OFIFCE PRIETORIPA UDED4E�� WA WA NIA WC531S369904028 0710311018 07/03/2019 OTH- X STATUTE ER EA_FACH ACCIDENT f 500,000 EJ_ DISEASE -EA EMPLOYE S 500,000 (Mandatory In NH) K yee. dexdw under DESCRIPTION OF OPERATIONS W. E.L. DISEASE -POLICY LIMIT S 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addl0nnsl Remark, SchsduM, may W alb W If mon sped Is rpulred) Workers' Compensation benefits will be paid to Massachusetts employees only. Pursuant to Endorsement WC 20 03 06 B, no authorization Is given to pay claims for benefits to employees in states other than Massachusetts if the Insured hires, or has hired those employees outside of Massachusetts. This certificate of insurance Shows the policy in force on the date that this certificate was issued (unless the expiration date on the above policy precedes the Issue date of this Certificate of Insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage -Coverage Verification Search tool at www.mass.govAwdtworkerscompensationMvestigations/. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Yarmouth ACCORDANCE WITH THE POLICY PROVISIONS. 1146 Route 28 AUTHORIZEDE nnREPRESENTATIV South Yarmouth MA 02664 �' L Daniel M. C . y, CPCU, Vice President—Residual Market—WCRIBMA ®1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Sears, Tim From: Bill Schmitz <bill@capekitchens.com> Sent: Friday, January 11, 2019 9:46 AM To: Sears, Tim Subject: RE: 112 Driftwood Ln Tim, The doorway that is getting enlarged is a non bearing wall. Best, Bill Schmitz Project Manager Cape & Island Kitchens Remodeling Division Office 508-888-4762 Cell 5b8-274-0314 Email bill@capekitchens.com From: Sears, Tim [mailto:tsears@yarmouth.ma.us] Sent: Friday, January 11, 2019 9:18 AM To:'Bill Schmitz' <bilI@capekitchens.com> Subject: 112 Driftwood Ln MP, I have reviewed your application for 112 Driftwood Ln, and have one question. The wall you are opening up to the living room, is it a bearing wall? If it is then we would need a detail of framing and any paperwork on a beam if needed. Thankyou Timothy Sears CBO Building Inspector Town of Yarmouth 508-398-2231 Ext. 125 mailto:tsears@varmouth.ma.us 1 .v 1 I� II I FELE COPY TOWN OF YARMCs!!TH REVIEWED FOR BUILDING AND ZONING CODE CC ANCE, ERRORS OR ON.MISSIONS DO NOT RELIEI APPLICANT FROM THE RESPONSIBILRYY OF 'AS B COMPANDATE:`1- I1 -/9 CLEAT OUT THE SIDE OF OVEN CABINETS TO 28 7/8" I OIA All dimensions -size designations Tracey Perry This is an original design and must given are subject to verification on Cape _Island Kitchens not be released or copied unless job site and adjustment to fit job 508-775-3664 applicable fee has been paid or job conditions. 774-930-0506 order placed. tracey@capekitchens Designed: 8/20/2018 Printed: 11/13!2018 li'a' W mlN N. V I4`� i CLEAT OUT THE SIDE OF OVEN CABINETS TO 28 7/8" I OIA All dimensions -size designations Tracey Perry This is an original design and must given are subject to verification on Cape _Island Kitchens not be released or copied unless job site and adjustment to fit job 508-775-3664 applicable fee has been paid or job conditions. 774-930-0506 order placed. tracey@capekitchens Designed: 8/20/2018 Printed: 11/13!2018 Note: This drawing is an artistic interpretation of the general appearance of the design. It is not meant to be an exact rendition. TP CINDY BARATTA Tracey Perry . Cape Jsland Kitchens 508-775-3664 774-930-0506 All Designed: 8/20/ Printed: 11/12/2 rawin Note: This drawing is an artistic interpretation of the general Tracey Perry Cape Island Kitchens appearance of the design. It is 508-775-3664 not meant to be an exact rendition. 774-930-0506 tracey@capekitchens TP CINDY BARATTA JAM Designed: 8/20/2 Printed: 11/12/20 Drawing Note: This drawing is an artistic Tracey Perry Designed: 8/20/2 interpretation of the general Cape Island Kitchens Printed: 11/12/20 appearance of the design. It is 508-775-3664 not meant to be an exact rendition. 774-930-0506 j tracey@capekitchens TP CINDY BARATTA Al Note: This drawing is an artistic Tracey Perry Designed: 8/20/20 interpretation of the general Cape Island Kitchens Printed: 11/12/201 appearance of the design. It is 508-775-3664 not meant to be an exact rendition. 774-930-0506 tracey@capekitchens TP OINTI V n AV e'i"i•A i / G 34"' 1- ' 3• „ � 36� 6'�36 _--30n ne ; WB3636 —1 WB3636 I WB3036 BB24 BFHUC BD39.03 4 2 II 241— ' —3 All dimensions -size designations given are subject to verification on job site and adjustment to 6t job conditions. TP CINDY BARATTA Tracey Perry Cape Island Kitchens 508-775-3664 774-930-0506 tracey ,capekitchens 2812 — —.36" !u This is an original design and must Desiglied: H/ not be released or copied unless 11rinitd: I I/ I applicable fee has been paid or job order placed. El 2 1 Drawintt 11: 1 IN SIN c7 I oa V 1 BER36R I B15L 5 All dimensions size designations given are subject to verification on job site and adjustment to fit job conditions. TP CINDY BARATIA Tracey Perry Cape Island Kitchens 508-775-3664 774-930-0506 tracey@capekitchens FA of —r-4311 ID8920VSS BD27.03 2 27" 7" r Wit 0 This is an original design and must Designed: 8/20 not be released or copied unless Printed: 11/13/: applicable fee has been paid or job order placed. I EI 3 I Drawing #: I No I