HomeMy WebLinkAboutBld-20-001270 t
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ONE & TWO FAMILY ONLY- BUILDING PERMIT
Town of Yarmouth Building Department : 'op _-
1146 Route 28, South Yarmouth,MA 02664-4492 Air%
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
id L+iZ° 00 I a O This Section For Official Use Only
Building Permit Number: :- ,Date Applied:
Kotj.----"T---/
•
Buildin:A+:;Ai rintName) Signature, Date _
SECTION 1:SITE INFORMATION- •
1.1 ,72 Property Address: 'd `/.,,®v K a�1.2 Asses sors Map&Parcel Numbers
1.1a Is this an accepted street?yes no Map Number Parcel Number
1.3 Z ning Information: 1.4 Property Dimensions:
W e�1s')4`1 0 f V 3,q5-i- /-Z 9
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
Or 7 /s 32- >43 l/v '
1.6 VAlter Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Publiclg Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system if
Check if yeA
SECTION 2: PROPERTY OWNERSAIP'
2.1 Owner'of Record HA/5he/7 /*MA 3 I- C PaA.k -?000 1,-e4.,Sf, /ke 0.263(
Nameint) City,State,ZIP ✓
/ Cr n.L
y6-go- 37,/ M, M/It',i5, 1i 4- -
No.and Street Telephone Emai Address
SECTION 3:DESCR.IPT ION,OF PROPOSED WORK'(check.all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s),t Alteration(s)1 Addition 0
Demolition Accessory Bldg. ❑ Number of Units Other ❑ Specify:ci
Brief Description of Proposed World: �(/9t C f w,ci®n„s ✓ Si 1,4, Gl • _f '1. - -
.14-5L�r5 . I '
SECTION.4i ESTIMATED CONSTRUCTION COSTS. j c '' j u�
Estimated Costs: ,.. t = rz -
Item Official Use Only :
(Labor and Materials) - .. • ..
1.Building $ -1 Building Permit Fee:S. Indicate hovw_fee is determ ec4 `
2.Electrical $ ° 0 Standard C 0 00 ity/Town Application Fee:
CI Total Project Costa(Item:6)x.multiplier x .
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $
.
5.Mechanical (Fire
$Suppression) Total All Fees'.S.
Check No. • Check Amount: • Cash Amount: ..
6.Total Project Cost: $ -20 060 1.1Paid in . El Outstanding Balance Due:
J
��lie omrnonareaa et" a..uac uJe
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR
TYPE:LLC
Registration Expiration
185467 07/25/2020
COASTAL HOME CONSTRUCTION,LLC
ERNEST JOHNSON
18 BARLEE WAY — -T
DENNIS,MA 02638 Undersecretary
Commonwealth of Massachusetts
Division of Professional Licensure
Board of Building Regulations and Standards
ConstrllCtIbn ISt3p9Nisor
rt.!.pires: 09/05/2020
CS-108672
j 1 yi .i r ,w
` Aft
ERNEST JOHNSON
18 BARLEE VUAY
DENNIS MA 0268 `N
4t lc lay
Commissioner
N. SECTION 5:.CONSTRUCTION SERVICES
5.1 Construction Supervisor`` License(CSL) CS"f0167 Z / .//
e 54. ✓a02 3 B . License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) V
ff
w No. Street < Type Description
h 5 //! Q.2 6,�� U Unrestricted(Buildings up to 35,000 Cu.ft.)
City/Town,State;ZIP R Restricted 1&2 Family Dwelling
M Masonry
RC Roofing Covering
WS Window and Siding
_ (( SF Solid Fuel Burning Appliances
.f# 041 I Insulation
elephone Email address D Demolition
5.2 Re istered Home Improvement Contractor(HIC) /L 5�y6 713✓/2v
/71°57 J?4'4 Ss1 (4� ,4 ^� a HIC Registration Number Expiration Date
HIC Company,ATame r HIC
C Registrant Name 662 /
No d Street 07�� £
il7/c 14 0�3tF o p.?(X, 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 0
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize CC S it G / k
Zl � n- Le JQ f 11 60()
to act on my behalf;in all matters relative to work authorized by this building permit application.
2eo( 40 h
Print Owner's Name(Ele onic Signe 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.
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.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
•
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
wv •
The Commonwealth of Massachusetts
_ 4i�►_ Department oflndustrialAccidents
I?II1 Congress Street, Suite 100
p �►f- Boston, MA 02114-2017
• www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH TUE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): �Bg�� j PrrSfyv� ,, / ��icao.,
Address: /f gat-
City/State/Zip: m(h ,3 , 41 0,4 Phone#: ?6 r---0'7S- 3
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. 0 New construction
2.Ki I am a sole proprietor or partnership and have no employees working for me in 8. (Remodeling
. y capacity.[No workers'comp.insurance required.]
3.0 I am a homeowner doing all work myself. [No workers'comp. insurance required.]t 9. ❑Demolition
4.0 I am a homeowner and will be hiring contractors to conduct all work on m Y property. I will 10 Building addition
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
5.0 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? 13.0 Roof repairs
6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.I: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.#: 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$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Signature/L-i- LF/ 27r'
Date:
Phone#: 50ir
Official use only. Do not write in this area, to be completed by city or town official.
City or Town: Permit/License# •
Issuing Authority(circle one):
1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
TOWN OF YARMOUTH
o y BUILDING DEPARTMENT
• E. •
1146 Route 28, South Yarmouth,MA 02664
508-398-2231 ext. 1261 Fax 508-398-0836
BUILDING DEPARThIENT
DEMOLITION DEBRIS DISPOSAL AFFIDAVIT
Pursuant to M.G.L. Chapter 40,Section 54 and 780 CMR, Chapter 1, Section 1113,
I hereby certify that the debris resulting from the proposed work/demolition to be
conducted at 9.2 7 £ A- 7a'i aver ,-•/
Work Address
Is to be disposed of at the following location: � 5 e >L /74rC 44.
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111, Section 150A.
/27J/y
Signature of Application Date
Permit No.
Zor /d '�
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. , .0 .Yo TOWN OF YARMOUTH ,,,
° g$ 1146 ROUTE 28,SOUTH YARMOUTH,MA 02664- 451 `a
Telephone(508)398-2231 Ext. 1292-Fax(508)398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COREMV E DI(
APPLICATION FOR 1 AUG - ; Z 0 9
CERTIFICATE OF APPROPRIATENESS
Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Cha tee < 'f�> ���Y
amended,for proposed work as described below&on plans,drawings, photographs, &other suppleme is
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 RerooR EeffiiVED
Shed _Solar Panels Other.
/ AUG L7LUis
2)Exterior Painting: �/ Siding Sputters I Doors V Trim Other:
TOWN CLERK
3)Signs/Billboards: New Sign J Change to Existing Sign SOUTH YARMOUTH, MA
4)Miscellaneous Structures: Fence Wall Flagpole Pool Other: 1/261l4 S
Please type or print legibly: �L 22 /
Address of proposed work: -Map/Lot# q 1 7Jr I/Oi
Owner(s): LAJE5 i / ' j*/ 7)/A16$ Phone#:508-.3(72.7Z 0
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: q27 RbU ,/A m Dvo) R)1 I Year built:
Email: a 1b/a7' 0 Hal ngrove :r n9 Preferred notification method: Phone 1 Email
Agent/contractor: Ji4 pi n-i Ho t.T Phone#: 191-IS2--t9)
Mailing Address: 1 9 €e2- ST ,�y)/A/)VV/C m /
Email: hie H �dcs/ atf' ('A)TY) Preferred notification method: Phone Email
Description of Proposed Work' boil fie
czeswr-{', 0ks Ali s;0(4.dFr'r cYoAt .Shrncyes tictrof,e p1a .k . All oft-
s fdt�J Are 511 ,✓! Q!t Cvt^0t an tt be re,1‘snr ,od tru/s-e frt r: ¢,-a 0� oE� re,�t..1-
1ioi�a� p�aill. t1�Wi 0aor tend GIOr-rn dgar or br ,, p st i/14QA 6)„ , .
5rnv.0 pctAi of 4re t /Zelp(ace Dkv.Ando...) w:01-1, p;c-}vrY Ardo1.^'i relocate
..S1 j V. ... See a.4k-itcks'3 L..sk ob wo rK :-I-GMS,
fib % /i
Signed(Owner or agent): (.i'���36/���1. Date:
➢ 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 Modifications Denied
Rcvd Date: 56--10—I 9 Reason for Denial:
Amount lib
Cas et
:`9_1 Signed:
Rcvd by: _
45 Days: jc •/7 '.m 1
Date Signed: 8l z / o 16 it/
1
1 I OLD KING'S HIGHWAY
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#19-A064
927 Route 6A
• Replace white shingles on front of building with white HardiPlank clapboard all other sides to be
re-shingled with semitransparent white washed shingles.
• Replace 12 windows with same size Harvey vinyl windows with grilles between glass.
• Change a double hung window to a picture window on front façade.
• Install white trellis with ground mounted up-lighting and a 12' x 12' stone paved patio at front
façade of building.
• New back door.
• New sign to be affixed over back door.
• Recreate and relocate existing free standing sign with ground mounted up-lighting.
• Remove two ailing trees.
APPROVr:0
E I
OLD KING'S HIGHWIkY
RECEIVED
AUG 2 ZU lj
TOWN CLERK
SOUTH YARMOUTH, MA
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RECEIVED
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AUG 2 7 LuI . ,
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1 OD LNGKI 'S HiGH‘l\a'--
TOWN CLERK , ,. .
MOUTHl\pp
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SOUTH YAR
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RECEIVED
AUG 2 .4u1J OLD KING'S HIGHWAY
TOWN CLERK MA _ A U n 4
SOUTH YARMOUTHi
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TC'`A CK MA AA
SOUTH ARM0LERUTH, o f 0 6 4
SIGN SPECIFICATION SHEET
Project Address: Year Built
Check one: New Sign ;/ _Addition/Alteration to Existing Sign COLOR CHIPS
Freestanding I Affixed to Building
For Affixed Signs: -OFP/ce 1+LA&Lcot.4 i;1,
I. Style of mounting fixture: pp/,ad io build A, LAJuIh 5�.rew..' Color. el A,(*.)
Size of sign: 32,••X 7 Material: GvafD(_
Lettering: Style .17 f Color(s): LvA
Please note sign placement on elevation(s)and attach full-color mockup(s)of proposed
sign(s)including artwork and colors.
frN
1c'5n For Freestanding Signs: —FAO/vj - fv be Y 1 o C L r
-61% Style of signboard: ,LIST Material: • AUG
11 �UU 2 Size: 37 x 35- Color(s): wh j II 9d/OL 'Ji i4LYARMOUTH
OLD KING'S HIGHWAY
Lettering: Style 5erl P Color(s): (AAtge, 9/g - ---
Posts: Material WOO C - Color(s): Loh RECEIVED
Height to crossbar(not to exceed 6'): 6 ' Single-faced: Double-faced: Y
AUG 2 7 [U 111
Please note sign placement on plot plan and attach full-color mockup(s)of proposed
sign(s)including artwork and colors- TOWN CLERK
SOUTH YARMOUTH, MA
For All Signs:
Lighted: / Yes No
Type/placement of lighting:' 91of4-ids nikelAAA-40. to f Il�f'•t k
Screening of Lights: �J
Additional information:
2-Sign
=19 - A 0 6 4
—\........... 9 (9-)
Kinlin Grover Real Estate PROPERTY ADDRESS
Building ign Changes • August 2019 Yarmouth Port Office
927 Route 6A, Yarmouth Port, MA 02675
EXISTING SIGNAGE
Sign 1
Artwork:
Yarmouth Port road sign 37x35.eps
Yarmouth Port rider 37x6.eps
/APPROVEDL .
K- _ _
`�, L� YAKMUU I_HOLD KING'S HIGHWAYROVF1- .. I 1---
J...- t _ , '( ,, IOV \l ,Alti #
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AGTOW, rsi r_
opi ,, , SOUTH YARL'LLRK If, MA
Lam .
PROPOSED CHANGES
• Relocate further East of the entrance
driveway and closer to the road. KINLIN
• Rebuild exiting panels with same
dimensions and colors.
GROVER
\ A( \"I IH\ RI N IAI.�
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Kinlin Grover Real Estate PROPERTY ADDRESS
Building Sign Changes • August 2019
Yarmouth Port Office
927 Route 6A, Yarmouth Port, MA 02675
EXISTING SIGNAGE
Sign 4
• Rear entrance to main building,
.., facing the parking lot
� �
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`_ i OLD KING'S HIGHWAY I
RECEIVED
AUG 2 / Lu 16
TOWN CLERK
l SOUTH YARMOUTH, MA
f
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PROPOSED CHANGES
lied • Install Welcome sign over rear door of main office building.
• dimensions 32"w x 7.5"h
�� a •Stainless steel screws
•
t : •Comp
osite material
{ • Relocate building numbers if space allows: 10 1/2" between the col-
i — umn on the right of the door and the left side of the window frame.
-- I •29" available from the bottom of the outside lamp to the top of the
Irailing on the step.
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CEIVED
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AUG 2741J
TOWN CL''?K
" '� - SOUTH YARM•a H, MA
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SIGN SPECIFICATION SHEET •
Project Address: Year Built
Check one: New Sign I/Addition/Alteration to Existing Sign COLOR CHIPS
Freestanding I Affixed to Building
\41)? For Affixed Sims: -opp./ce Ilbo 1240/4
Style of mounting fixture: Appho. ia e.yertu_s* Color: et kik-)
Size of sign: 7 Material: Gv
Lettering: Style f Color(s):
Please note sign placement on elevation(s)and attach full-color mockup(s)of proposed APP " I
sign(s)including artwork and colors.
.)(14%frN
t 5 For Freestanding Signs: -FikONT -fo be rt(ocim-04-
01' Style of signboard: pull- Material: (At, HIGHVVAY
Size: 37 y 35- Color(s): it, 9 I Pc Abtrit.., RECEIVED
Lettering: Style 560. P Color(s): /4e a0 et
/ 7 AUG 2 7 U
Posts: Material WOO 01- Color(s): Loh TOWN CLERK
Height to crossbar(not to exceed 6'): 6 Single-faced: Double-faced: 7 SOUTH YARMOUTH, MA
Please note sign placement on plot plan and attach full-color mockup(s)of proposed
sign(s)including artwork and colors
For All Signs:
Lighted: / Yes No
Type/placement of lighting:ea tot.-1-ak rhdtmet4m- uk,19 341,t-i,
Screening of Lights:
Additional information:
2-Sign
9 - A 0 6 4
Kinlin Grover Real Estate PROPERTY ADDRESS /r9.--7
Building Sign Changes • August 2019 Yarmouth Port Office
927 Route 6A, Yarmouth Port, MA 02675
EXISTING SIGNAGE
Sign 1
Artwork:
Yarmouth Port road sign 37x35.eps
Yarmouth Port rider 37x6.eps
l.
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TTKINLIN
vARMVIUJI H
GRovER ' I�KING'S HIGHWAY
I
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., RECEIVED
`£ F; AUG 2 7 LU iy
TOWN CLERK
410 " SOUTH Yr,R'.10 JTH, MA
PROPOSED CHANGES
• Relocate further East of the entrance
driveway and closer to the road.
• Rebuild exiting panels with same ]', I N LI N
dimensions and colors.
GROVER
V'.A( : , I I,) \ IRl_',. I .Al.,
Kinlin,Grover Real Estate PROPERTY ADDRESS
Building Sign Changes • August 2019
Yarmouth Port Office
927 Route 6A, Yarmouth Port, MA 02675
EXISTING SIGNAGE
Sign 4
• Rear entrance to main building,
" - _ facing the parking lot
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PROPOSED CHANGES
t g.q,-,-, • Install Welcome sign over rear door of main office building.
ti'F1. •Sign dimensions 32"w x 7.5"h
,':3 _a: •Stainless steel screws
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•Composite material
i - • Relocate building numbers if space allows: 10 1/2" between the col-
umn on the right of the door and the left side of the window frame.
•29" available from the bottom of the outside lamp to the top of the
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