Loading...
HomeMy WebLinkAboutBld-19-001455 , ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department 1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling 1_ RECEIVED This Section For Official Use Only Building Permit Number:6 /9- RA/0 Date Applied: I ?0+ BIP INt3 PNE'tTmEN r I Building Official(Print Name) Signature 1 ;3 Vate DE3_ .SECTION 1:SITE INFORWIATION 1.14rppei AAddr Rs tioi I 1.2 Assessors Map&Parcel Numbers 1.1 a Is this an accepted street?yes 0 no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq fr) 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) 1.7 FIood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY O WNERSB1P1 2.1 Ownerl of Record: AItxand.- K 'J sou-t-k `-fitro .mu Mgt o 6‘,1 Name(Print) City,State,ZIP tilkatcS (,3i in 5zZ sc9O-1 °(l-t et Li oodtcf�n aci. ,-ip �(•4o No. and Street Telephone Email Address v SECTION 3:.DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg.17(-- Number of Units / Other ❑ Specify: Brief Description of Proposed Work': /2-K 30 -p - 4,4 H/Ac1 (47,..) ruc 1'v. aG.! 4- roof- --21iZ p kt SECTION 4 ESTD1ATED CONSTRUCTION COSTS. Item Estimated Costs: Use�>iI (Labor and Materials) 1.Building $ /a, 0 d D :1..Bufidina Pe mit Fee;$:. Indicate how feels determiner); 2.Electrical $ l ❑Standard City/To�-i.Application Fee. e �`'`� 0 Total Project Cost'(Ite .x multiplier , 3.Plumbing 2; Other Fees: $ 35 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire - Suppression) $ Total All Fees:$. CheckNo. Check Amount Cash Amount 6.Total Project Cost: $ 13 ODD — 0 Paid in Full . . 0 Outstanding Balance Due: 10 �� � � CSC p � 9 l • SECTION 5:.CONSTRUCTION SERVICES --�f/" d /A/64 Ac' 5.1 Construction Supervisor License(CSL) License Number Expiration Date Name of CSL Holder List CSL Type(see below) No. and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Sidin SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name No.and Street Email address 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 ❑ No ❑ SECTION 7a: OWNER AtYIHORIZATION TO BE COMP7.ETED WFMN 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 Signature) 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 application is true and accurate to the best of my knowledge and understanding. jit,kodu_et. ✓ •2Z-i Print Owner's or Authorized 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.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dos 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) ' 340 (including garage,finished basement/attics, decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms w ANumber of bathrooms A.1 - Number of half/baths ti Type of heating system Ain Number of decks/porches j' Type of cooling system Enclosed Open• s -- 3. "Total Project Square Footage"may be subsutated for"Total Project Cost" cly it ' = =_�� Department of Industrial Accidents Lk%! 1 Congress Street, Suite 100 • ET Boston, MA 02114-2017 -.gm • www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organizarion/IndividuaI): A ,l� Address: q t. (4-0 )K 3 (_„5( City/State/Zip: ` a &,v `i 1 A-- Phone #: .5Q 5(00 -Ice/ • Are you an employer?Check the appropriate box: Type of project(required): l.❑I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in anyc act. - 8. ❑ Remodeling • ty.[No workers'comp.i isurance required.] 3. am a homeowner doing all work myself.[No workers'comp. insurance required.]t 9. El Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on m property. I will 10 El Building addition ensure that all contractors either have workers'compensation insurance or are sol p 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 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.t 13.❑Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14•❑Other 152,§1(4),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 workers'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 insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.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 DLA for insurance coverage verification. I do hereby certify wider the pains and penalties of perjury that the information provided above is true and correct. Sianatu : "."-,,(/ Date: (),.'_i _1 h 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 Depai Lwent 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone 71: '. •YA.re TOWN OF YARMOUTH o u BUILDING DEPARTMENT game 11.46 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: $ • ZZ "./< JOB LOCATION: q 1 U awta S o,, liftrit49(Al"- NAIVE STREET ADDRESS SECTION OF TOWN "HOMEOWNER" ALA-- 'L" 5 .. v-19'11 Sb Z--�sa� cif-'/ ? NAME HOME PHONE WORK PHONE PRESENT MAILING ADDRESS Se4-".4._ CITY OR TOWN STAY.; %.I iP CODE The current exemption for `Homeowner' was 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: Pers on(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is or is 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 buildin Q 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 SIGNATURFt, At/4204r APPROVAL OF BUILDLNG 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 ves, 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 requiredby 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 h:homeownrlicexemp �_ `"� TOWN OF YARMOUTH rt o BUILDING DEPARTMENT 0, '—_i 4iv 1146 Route 28,South Yarmouth,llvIA 02664 • %O ..;Y,?' 508-398-2231 ext.. 1261 Fax 508-398-0836 • BU IDING 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 C! Il,gr.,,,G) e,/„' t s, jf', l i-4- ) 4c.Z Work Addr Is to be disposed of at the following location: ©. Y. dd-sll l /-40J - ,. 74---t_ Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. c-i e-- .0 ii-etv e---/2---- Signature of Application Date Permit No. of. riltt, TOWN OF YARMOUTH '` -,: ° HEALTH DEPARTMENT ;. ��'7,,cM.t,./.. PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: 1' ;� SrOi& ,� Building Site Location: 4 I tt'ac,L.� Lii' I —ri - ( l 1/1` t.ov`k /4 A 0 2-&67c( t Proposed Improvement: 1 2 X '() 3fkC 6 U 1 ('- Icy/ (l u' (1)i/A Applicant: P CA'Aii e- C — i\`Le-r Tel. No.:6US-S 'v- 1 i 1 Address: t{t l-{-ct,, 01 tJ f`ri I( S Y610,ov C NA- O?( ( Date Filed: K- 2( -( g **If you would like e-mail notification of sign off please provide e-mail address: VI r, r i rtr& Y.-J 1 /,(9(1l• COP.4 Owner Name: A LcdtA- ICE_ Owner Address: S At- _ Owner Tel. No.: AG r144._ 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. REVIEWED BY: ( ./ 0/1„.( DATE: J"—��/ cy,as PLEASE NOTE COTS/CO : ,- , °` " o TOWN OF YARMOUTH 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 e; • Telephone(508)398-2231 Ext. 1292—Fax(508)398-0836 REcEI ,E — OLD KING'S HIGHWAY HISTORIC DISTRICT COMMI EE APPLICATION FOR JUL 2 5 2018 CERTIFICATE OF APPROPRIATENESS YARMOUTH OLD KING'S HIGHWAY Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts of • amended,for proposed work as described below&on plans,drawings, photographs, &other supplemental info accompanying this application. PLEASE SUBMIT 4 copies OF SPEC SHEET(S), ELEVATIONS,PHOTOS,&SUPPLEMENTAL/ INFORMATION. Check All Categories That Apply: Indicate type of Building: Commercial ►/ Residential 1) Exterior Building Construction: New Building Addition _Alterations Reroof Garage /Shed Solar Panels Other: 2) Exterior Painting:Phi Siding Alp-Shutters Doors /J,-Trim Other: 3) Signs/Billboards: New Sign Change to Existing Sign 44- 4) Miscellaneous Structures: Fence Wall Flagpole Pool Other: ii Please type or print legibly: - f/ 4 Address of proposed work: 4 I Hawks LJI n9 Rd + Map/Lot# (09'/5• 'i /f Owner(s): A(e)(o ¢.r 'R► ker &La bey$ L, (c..-- t ker Phone#:508 Sb O/ill 1- All applications must be submitted by owner dr accompanied by letter from owner approving submittal of application. Mailing address: 41 Haszks OilipZci. 5.`kV ry1.0u++l, M f}02.4"(04 Year built: 200S'-" Email: dtyse.r i k.Qy _gmai 1•Cbm Preferred notification method: Phone ✓ Email Agent/contractor: Phone#: Mailing Address: Email: Preferred notification method: Phone Email Description of Proposed Work: Lax 30 5114d Signed(Owner or agent C— (1---- Date: Z' / ➢ Owner/contractor/agent is aware that a permit is required from the Building Department.(Check other departments,also.) ➢ If application is approved,approval is subject to a 10-day appeal period required by the Act. • This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later. ➢ All new construction will be subject to inspection by OKH.OKH-approved plans MUST be available on-site for framing&final inspections. For Committee use only: Approved ✓Approved with b 'Modifications Denied Rcvd Date: 7-75—/8. Reason for Denial: Amount ag '/p - Cash/CK#:6,0-t9a a Signed: Rcvd by:bil 45 Days: `'lb�� W a Awe.b•C °nS Date Signed: //Y/�/ 111((( 03/2018 1 APPLICATION#:18 _ A 0 8 4 - CVy Sears, Tim aurAi�rZ v 14- From: Sears, Tim cOakit, )4 Sent: Tuesday, September 11, 2018 5:20 PM To: 'alexgoodwrench@gmail.com' Qlv. f 6- )®_ f`— I p\ Subject: 41 Hawks Wing � Uc�C, 9 " 0 n p Alex, " v\ 5fA pca I have reviewed your application for 41 Hawks Wing,and there are some items to address; 1. A foundation plan designed to code needs to be submitted 2. The plans need to show how they comply with the 140mph wind speed requirements Please update your plans and submit for review Thank you Timothy sears 8() Building Inspectors Town of Y rmc?rtl 508_3 8-2231 S:t. 1259 mailto:tsears@yarmouth.ma.us 1 ONE & TWO FAMILY ONLY-BUILDING PERMIT Town of Yarmouth Building Department 1146 Route 28, South Yarmouth,MA 02664-4492 a}i' 508-398-2231 ext. 1261 Fax 508-398-0836 Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish '-- a One-or Two-Family Dwelling RECEVED• This Section For Official Use Only Building Permit Number 6/1) /9 /I/1/. ' Date Applied: J S U l )N O d PA f1 T M E N Building Official(Print Name) Signature B SECTION 1:SITE INFORMATION 1.14r2pei Addr 1 S' �lJ� � ( a 1.2 Assessors Map&Parcel Numbers 1.1 a Is this an accepted street?yes 3 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❑ Zone: _ Outside Flood Zone? Check if yes❑ Municipal❑ On site disposal system 0 SECTION 2: PROPERTY OWNERSBIP1 2.1 Owner'of Record: Altxand,- K , kszr 5uu4k ik-rrnek k Hi4 0 Z & Name(Print) City,State,ZIP I 4 l-RwjGS (,,�� ncJ. $v$S19o-1 Ill a to-dinodc.a(v►c1. yw,`(-coo-A No. and Street Telephone Email Address LI SECTION3:.DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. Number of Units / Other 0 Specify: • Brief Description of Proposed Work'': /Z Lr 3� .p�� �,'� �cr1 o fru CiOn l 4 al..f 4- roc*. -Z l tL p :SECTION 4:ESTTIATED CONSTRUCTION COSTS. Item Estimated Costs: Ofncial Use Only - (Labor and Materials) .. . . 1.Building $ /a/ Q d V :1..Bualding Permit Fee:$:. Indicate how fee:is determined: 2.Electrical $ 0 Standard City/Tow- .Application Fee e 000 0 Total Project Cost'. (Item:6':a.multiplier . 3.Plumbing 2. Other.Fees: $ 35 List: 4.Mechanical (HVAC) $ . . 5.Mechanical (Fire Suppression) Total All Fees:$ Check No. Check Anoint: Cash Amount: 6.Total Project Cost: S t3 0d 0— p Paid in Full ❑ Outstanding Balance Due: CSC (1) SECTION 5:.CONSTRUCTION SERVICES --A//if (9UN 5.1 Construction Supervisor License(CSL) T' License Number Expiration Date Name of CSL Holder List CSL Type(see below) No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name No.and Sleet Email address 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 ❑ No ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPI.R;TED WHEN 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 Signature) Date • SEC:LION 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 application is true and accurate to the best of my knowledge and understanding. JA.061<—et' ✓ '22-JY Print Owner's or Authorized Agent's Name(Electronic Simla-tore) 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.zov/oca Information on the Construction Supervisor License can be found at www.mass.Pov/dn_s 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) ' 340 (including garage,finished basement/at-dos, decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces eer Number of bedrooms w A Number of bathrooms ti14- Number of half/baths A/ A Type of heating system /V lA Number of decks/porches Type of cooling system A1,4 Enclosed Open �- 3. "Total Project Square Footage"may be substituted for"Total Project Cost" , j�,_=t Department of Industrial Accidents . ' —°' ;_ 4 . 1 Congress Street, Suite 100 • R 1`— Boston, MA 02114-2017 7,r,'' • www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): ! '• 1 1\� Address: LI L t1 3 (Jf 6 Ci /State/ty Zip:3pv `t6(11.-Q i pA -- Phone #: ,5ri$" S&Q -1 qi r3 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in anyc aci 8. Remodeling ty.[No workers'comp.insurance required.] 3. am a homeowner doingall work myself. t 9. ❑ Demolition y [No workers'comp. insurance required.] 4.0 I am a homeowner and will be hiring contractors to conduct all work on mY PPAY•ro I will 10 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.Q Plumbing repairs or additions 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.t 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MIGL c. 14.El Other 152,§I(4),and we have no employees. [No workers'comp.insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing a11 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. lithe 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: Policy#or Self-ins.Lic.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 DL•A.for insurance coverage verification. 1 do hereby certify under the pains and penal ies of perjury that the information provided above is true and correct. Sianatu 6K-4/ Date: �,--J5r' Phone T: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License r • Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Phone#:Contact Person: TOT OF YARMOUTH di BUILDING DEPARTMENT C - d 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: $ • 22 "./6 JOB LOCATION: 11 U 4 C.) j/ N STREET ADDRESS SECTION OF TOWN "HOMEOWNER"ALA- - r 517&•57av-14•! 1 5 g- c 2/ ? NAME HOME PHONE WORK PHONE PRESENT MAILli G ADDRESS 3i1-NZ__ CITY OR TOWN STATE %i P CODE The current exemption for `Homeowner' was 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 he/she resides or intends to reside,on which there is or is 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 sha11 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 SIGNATUR.4 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 ves, 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 peiiu.it application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent h:homeownrlicexemp o= `y'�t4.� TOWN OF YARMOUTH ° BUILDING DEPARTMENT • Y `m"'. ) 1146 Route 28,South Yarmouth,MA 02664 • .Y.g 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 I, Section 1113, I hereby certify that the debris resulting from the proposed work/demolition to be conducted at C! itelcu a s,A-hoe iG 1 /-j. d Z F c Work Addregi Is to be disposed of at the following location: 4. Y ui-s, / .ftzJ7 .— J7. �� Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Signature of Application Date Permit No. a 4. TOWN OF YARMOUTH �~` ° HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: ;� Building Site Location: / I 1lQc,,L L.) i' l i-e& - p} U1 c tQv`& M A 0 26bc( Z Proposed Improvement: 12 x *v Si-{C 67ur(L I c Y/ [3 u 1,(b i Applicant: PC (a is r C- l - )162..1 Tel. No.:af6.-S i -I cI i -1 Address: q( l-f ac.,ACA CA) tv.A f_6( ,'akt, `601,044)ctfil i NA O ( Date Filed: &- 2( -( g **If you would like e-mail notification of sign off,please provide e-mail address: Ivt v , i-i r.cr e 1 4- 6'• Goa-( Owner Name: A L jc/ottc-- IC- r-_ Owner Address: ,SA-Ft.C_ Owner Tel.No.: AG A 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. REVIEWED BY: (60 d��% DATE: J"-- i ci., PLEASE NOTE CO NTS/CON ITI : buA ls' l ;° o TOWN OF YARMOUTH 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 Telephone(508)398-2231 Ext. 1292—Fax(508)398-0836 REcE, ,E -- OLD KING'S HIGHWAY HISTORIC DISTRICT COMMIT EE JUL 2 5 2018 APPLICATION FOR CERTIFICATE OF APPROPRIATENESS YARMOUTH OLD KING'S HIGHWAY Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts of amended,for proposed work as described below&on plans,drawings, photographs, &other supplemental info accompanying this application. PLEASE SUBMIT 4 copies OF SPEC SHEET(S),ELEVATIONS,PHOTOS,&SUPPLEMENTAL/ INFORMATION. Check All Categories That Apply: Indicate type of Building: Commercial ✓ Residential 1) Exterior Building Construction: New Building Addition Alterations Reroof Garage Shed Solar Panels Other: 2) Exterior Painting:phi Siding Aiiii-Shutters Doors IJ t-Trim Other: 3) Signs/Billboards: New Sign Change to Existing Sign?1/4- 4) Miscellaneous Structures: Fence Wall Flagpole Pool Other: Please type or print legibly: 'AA, Address of proposed work: L{I Hawks 1J1 ncj Rci t Map/Lot# I0915. ql// Owner(s): Pde.(o u- 'Rtker (ma bey S6o(1c 71k..r Phone#:508Slo01i14- All applications must be submitted by owner dr accompanied by letter from owner approving submittal of application. Mailing address: 41 Hoj, ks k I rtp Qci, 5-'C{rrvinu "lei, mploacq.„4 Year built: 200S— Email: Cityse.r t koyD 3m4t I•Cam Preferred notification method: Phone ✓ Email Agent/contractor: Phone#: Mailing Address: Email: Preferred notification method: Phone Email Description of Proposed Work: Iax 30 ShQd Signed(Owner or agent C— i Date: --7Acia ➢ Owner/contractor/agent is aware that a permit is required from the Building Department.(Check other departments,also.) ➢ If application is approved,approval is subject to a 10-day appeal period required by the Act. ➢ This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later. ➢ All new construction will be subject to inspection by OKH.OKH-approved plans MUST be available on-site for framing&final inspections. For Committee use only: ✓Approved V Approved with 'Modifications Denied Rcvd Date: 7 a7S^/S Reason for Denial: Amount_<-2e Yv Cash/CK#: 2D t9GI a {� Signed: _<o. .��:� .f Rcvd by:U� �f,, e� 4.1W itimrostror/ W a Mod•b• onS 45 Days: ,/b IS Date Signed: 03/2-‘9/gi OW' I!' 03/2018 1 APPLICATION#:1 8 A 0 8 4 Sears, Tim From: Sears, Tim SQak,S1, )0 Sent: Tuesday, September 11, 2018 5:20 PM To: 'alexgoodwrench@gmail.com' °' c )0_ II I p� Subject: 41 Hawks Wing I 6 lock orAiN , , 0 Alex, 5fR Y-'s1\ I have reviewed your application for 41 Hawks Wing, and there are some items to address; 1. A foundation plan designed to code needs to be submitted 2. The plans need to show how they comply with the 140mph wind speed requirements Please update your plans and submit for review Thank you Timothy Sears CBO Building Inspector Town of Yarmouth 508-398-2231 E ..t. 1259 mailto:tsears@yarmouth.ma.us 1 4-Mt9d/ YARMOUTH WATER DIVISION 99 BUCK ISLAND ROAD WEST YARMOUTH, MA 02673 PH.: 508.771.7921 FAX: 508-771-7998 BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET Bldg. Site Location . � � I(a 7i0 Proposed Improvement: t 2 )(3 y Applicant: () Address S 44Ni_ Tel. #: &_ _l c/11 Date Filed: RESIDENTIAL AND / OR COMMERCIAL BUILDING Depart e,•t Determines Compliance of Water Availability and or Ex sting Locatior Engineering Department: Determines Compliance for Parking and Drainage Conservation Commission: Determines Compliance to Wetlands Acts; i.e. If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Ocean, Bogs, Bays, Marshland, Etc Health Department: Determines Compliance to State and Town Regulations, i.e., Requirements for Septage Disposal and other Public Health Activities F,7c3 Department. • Determines Compliance to State and Town Requirements for Persona:, N)(' je4 Gt.-0(/ (% PLEASE NOTE: COMMENTS: Re ewed by:Wa Date , 47......./ ..v V32N 30.VNVela ' \ i ,Gg' i , --''' n 1 ti, Z (..i1 tr ,fl > c6,, • 0.5, - 7. z ,t •,-',- ',/ '‘.4 C.P7 1 ONV 30VelS NJdO Z ,',J, • -sYll 'CIV 08 N),431S3M ,L+40380 J/N , t 1'0, 4"\*1 .. , all1.:-...T 7 a Uif IT M. 00 00.06N " / * -.1..," (I3 ,66*Z4 - i"Uli'llftlatri • ',Pall yjnouuNA ' - —71.--c ETC, - M „00,00.06 N il., • (;),• ,C.,,, U3.1.VM inOINHVA SNOI1V1119311 'SITA9 NA40.1. 7. 11V 01 0180J 0 isnuu Nuom ---- , ---- ..-...-------, 1,4 ,i 9 trr 4 ti) \ 0 • 1 , tO (N- k 99Z.T die 1. ;.., ;'J'S A '2. e# iol 14', .......„... , . :. , . g ,„ _ —"— s ----— ...... ,--.Yr: r' :'. 00 .__ ,..,,) _ k, ___----- (f) . Z " OA -LA _..! ' ,„,„,,, TO \ - 0 _.......„ $ . , le ........_____............_ 1-11(10mixini 070 7ii* _ , \ ‘ c), pk ........ -4 \ up (,•4 , , ' ------- gt-L° t,4 w - . ,.., 1 10,--7:•,,I - )--'1 -•"" c".