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HomeMy WebLinkAboutBld-20-002551 Rs *I. .84/tita'. /i/0,?4 • 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 This Section For Official Use Only Building Permit Number: go-cvO —f' $f Date Applie r SQitc-s 1\-a,5-)5 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.133 .1 Property Address: f 1.2 Assessorsgap&Parcel Numb 84 ct 1.1 a Is this an accepted street?yes no Map Number Parcel I mber ;,r. P 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) `J r` )11) D Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided We 7 q' 47-7 i oo/ 86 ' "- 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public Zone: _ Outside Flood Zone? t� Private❑ Check if yes': Municipal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' y�.2.1 Owner'of Record: ,4 9 ,9Cv1 �i ,:7 µ tiol k A //, War I a.s \,l _j---'-0 cJ 5 JTJ Pe—Ami Name(Print) City,State,ZIP / 0.760 3 ,q-,,...;rJ -s /i-& ,tea q-s-7-1z-2-4rr &h o!ri e5@ ey.e o 1 o n' No.and Street Telephone Email Address , GO SECTION 3:.DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) 0 Addition ❑ Demolition ❑ Accessory Bldg. 0 Number of Units 1 Other_/❑ Specify: / Brief Description of Proposed Work'/ /QC f e X/.5� /KR Uec F SECTION 4:ESTIMATED CONSTRUCTION COST4. 2 Estimated Costs: [ OCT Item Official Us O % '(Labor and Materials) ,n iim - R to 1.Building $ 1.. Building Permit Fee S 16c\ ht. 4- e ,Ots e- ` etermmed: V Standard City/Town Application e e 2.Electrical $ 3 0 Total Project Cos Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 3-01) 4.Mechanical (HVAC) $ List 5.Mechanical (Fire $ Suppression) Total All Fees:$ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ Or 0(iv le 7/ ❑Paid in ®Outstanding Balance Due: 1 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) License Number Expiration Date Name of CSL Holder .Se S-4- (e y 14614, e v.-t T k List CSL Type(see below) No.and Street Type Description u. /-Lt( Y U✓ Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted I&2 Family Dwelling City/Town,State,ZIP M Masonry ,C• w RC Roofing Covering WS Window and Siding e _city V"L&kw SF Solid Fuel Burning Appliances -53 33 @Gow(car,r'< tier I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 10 61 Zg 067- z-o re � gam''`k'�t'^`'�``" HIC Registration Number Ex irati Date HIC Company Name or HIC Registrant Name z b A tl -CkeCL -ky' e.cv LfrtC,Mt ZAter No.and Street D lib ( •2.d/0 j 3 3 3 Email address City/Town, State,Lip 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 p' No ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDINGPERMIT I,as Owner of the subject property,hereby authorize J a Wel&bye,w to act on my behalf,in all matters relative to work authorized by this building permit application. /0- 2O-/, Pt Owner's ame lectronic 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 e best of my knowledge and understanding. v� •eY evtk V- I�11 o I Print Owner's or Authorized Agent's Name(Ele n ignature) ate 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.eov/dps 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 heating system Number of decks/porches Type of cooling system Enclosed Open 1Q 3. "Total Project Square Footage"may be substituted for"Total Project Cost" . _�� The Commonwealth of Massachusetts I L Department of Industrial Accidents =r1_ 1 Congress Street, Suite 100 ri E '� "' Boston, MA 02114-2017 ..�a A Nt.i�,.•'' • www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information j� Please Print Legibly k,�0 Q_ ', Name (Business/Organization/Individual): ' l(,L.rl/ ,t-,vc._, Address: 7,7--7 gc, , /it a( p1J ( City/State/Zip: b('e.wS T. pm Phone #: cog'-' 7%- 5-1 ?j3 Are you an employer?Check the appropriate box: Type of project(required): LEI 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 8. E Remodeling • any capacity.[No workers'comp.insurance required.] 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]* 9. ❑ Demolition 10 El Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑ Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.11I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs T ese 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 c. 14.El Other l GA 152,§I(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.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: 1 - Date: 10 - Zd - ( 1 Phone#: J dr Y? -S?33 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#: b 'YR41. + o TOWN OF YARIYIO UTH o) . .yg c BUILDING DEPARTMENT = 1146 Route 28, South Yarmouth,MA 02664 �...� 5=� 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 `3 3 4c/—I 0-it /2 d\. Work Address Is to be disposed of at the following location: yc . (/ 5_ S,... Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Si a of Application Date Permit No. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid Individual use only Type Corporation before the expirationon date. If found return to: Registration Expiration Office of.Consumer Affairs and Business Regulation 106821 07/26/2020 One Ashburton Place-Suite 1301 DECK MAN,INC. Boston,MA 02108 JEFFREY C.HENNEMUTH ! �(�' {. 227 RUN HILL RD � `"` v j BREWSTER.MA 02631 Undersecretary Not valid without signature Commonwealth of Massachusetts t Division of Professional Licensure Board of Building Regulations and Standards Construction Supervisor CS-042401 Expires: 11/29/2019 JEFFREY C HENNEMUTH 227 RUN Hitt.`ROAD BREWSTER MA 02631 Commissioner l/ oY.YRR TOWN OF YARMOUTH O HEALTH DEPARTMENT '' �`% PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: S -3 4-11/1— Jvi.-es IL& Proposed Improvement: t 's Li,. k c...� .Q4c C it c� �- ,__(.1 2/ + LC' f 6/ A- -r (o s — J Applicant: Ll e c-fi...( W-e_yk rl 2 1,,,( ,./ v Tel. No.: ,c des 2-910 5-3,_?3 Address:_2---2- 17 �%.)N Nii / ( i2 Q gveE..)s'7-Q-`r' Date Filed: IG7/2-0 **If you would like e-mail notification of sign off please provide e-mail address: Owner Name: I 1 1 l:_i\k `f-f �- o t L.,- es. Owner Address: ??j /.J -tirs'j ,,t,eS ft..C5 Owner Tel.No.: . 9f1-2-f2.2 5 ' 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. .)r7/--------- REVIEWED BY: DATE: /G �-?� �- PLEASE NOTE COMMENTS/CONDITIONS: V 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 /4cJ U (J ✓1/ es Map #: Lot #: Proposed Improvement: Eep f Cj ,A Q y, - ' "` zf Applicant: 7-0— ESN. i2 C Address Z2-7 '2)vf-f i(( 461 Tel. #: � ��` c3 3?Date Filed: J d/z RESIDENTIAL AND / OR COMMERCIAL BUILDING Water Department: Determines Compliance of Water Availability and or Existing Location 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 Fire Department: Determines Compliance to State and Town Requirements for Personal, Safety, Property Protection;, i.e. Smoke Detectors, Sprinkler Systems, Etc... oe 0 iz- zA Signatik--of" ica Dat PLEASE NOTE: COMMENTS: /d 77/, ! Revi ed by: ater D ' D to Sears, Tim From: Sears,Tim Sent: Friday, November 8, 2019 1:35 PM To: 'thedeckman@comcast.net' Subject: 33 Aunt Janes Rd Jeffery, I have reviewed your application for 33 Aunt Janes Rd,and there are some items that need to be addressed; 1. A certified plot plan showing setbacks to proposed construction needs to be submitted �2. The plans need to be updated to show compliance with the 9th edition of the building code Please submit these items for review Thank you Timothy Sears CBO Building Inspector Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsears@varmouth.ma.us 1 Azek cop TOWN OF ' to i Gli T 4 - - REVIEWED FOP BI II.D!NC AND ZONIt,j CODE COMPLI- 2x4 ANCE. ERRORS OR;71,',;,ItSSIONS DO NOT RELIEVE THE APPLICANT FROM THE RESP ONSIB!LI i Y —AS BUILT" 2x 2 baluster to 5"O.C. 4 COMPLIANCE., x DATE: f I ' ' ' i 4 J� -- p 36 BUILDING OIrC L 5/4"x 6" Azek decking o s t - IL• 2" x10" @16" O.C. --1 Posts, 2-2x10 beam ._„♦ glued,blocked, and lagged, 4x4 Post ' 4' + - 5" ledger locks 12" 4' Tu 1 r IC un it 45 w ii al: w y g. 4 0 Ni..... 0 C,, 2 L., OD .. a 1 0 I ' I ti 41!) ci Li , - ljQ 1 N 9 , . q co mama m ti x ,., N q 6 LI ,........., ... • .\. HOUSE \ 2 x 10 Ledger foist hanger 5/4"x 6"Azek decking / )C--- (-------1 B v ! .. 1 0 .,! 1I` 1 '' 2 x 10© 16" _ on center \2-5""locktites"0 16" on center I aluminum flashing SIDE VIEW TOP VIEW full 5""locktites" 4x4 I ;�..� , il\I All posts glued „ blocked in and t lagged i. ::� Block I