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HomeMy WebLinkAboutBld-20-3899 Li IirI 11E) i20 , ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department col")1146 Route 28,South Yarmouth,MA 02664-4492t ° 508-398-2231 ext. 1261 Fax 508-398-0836 4.2 `' Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish C., �ra�o a One-or Two-Family Dwelling �7 pp�� This Section For Official Use Only B Building Permit Number: .0-02 0 ” Date Applied: Building Official(Print Name) Signa re Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers /b 77Uni'4 ,-"4' ..,0 '3-=-RECEIVED 1.1 a Is this an accepted street?yes ✓ no Map Number Parcel Nuntt,r - 1.3 Zoning Information: 1.4 Property Dimensions: AN 7 3 ?f 20 /3o4G Zoning District Proposed Use Lot Area(sq ft) Frontage(ft BUILDING DEPARTMENT 1.5 Building Setbacks(ft) By 3 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 tY Private❑ Zone: _ Outside Flood Zone? Municipal 0 On site disposal system lie.- Check if yesl SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: ,e4f,, 4- /117s+C ,ICA ;0 Teat &c t Va Limit. o02763 Name(Print) City,State,ZIP /6 7i infix) L4it 7 1 -18)79 36 6 bb e.g. ,/3 a eh5 7 . Oro, No.and Street Telephone Emdil Address SECTION 3:DESCRIPTION OF PROPOSED WORKe(check all that apply) New Construction CIExisting Building 0 Owner-Occupied B"fRepairs(s) 0 Alteration(s)%"Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2 i''Ll. 11 -}t.ati ,l?yl f t.U-,�,�1 Saul 1 Z Qt, / (odr94 cle k it S r,% ION 4:E�TO CONSTRUCTION COSTS. • Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ /Vj ov 1. Building Permit Fee:$L SO Indicate how fee is determined: 2.Electrical $ 1111 Standard City/Town Application Fee 1 Gir2, 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ / OTC, 2. Other Fees: $'s-3' 1_e. 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire Suppression) $ Total All Fees:$ Check No. Check Amount: rmounti: 6.Total Project Cost: $ / 9 El Paid in Full IN Outstanding Bae: k\ SECTION 5: CONSTRUCTION SERVICES 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.) City/Town,State,ZIP - R Restricted 1&2 Family Dwelling 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 Company Name or HIC Registrant Name HIC Registration Number Expiration Date 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 DKr- No ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETE])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 • 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. We3 3 oac) Print Owner's or Authorized Agen s Name(Electronic Signature) g1-11Date 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.) /a&o planned„ (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) ?gad 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" /6 TOWN OF YARMOUTH HEALTH DEPARTMENT �•.�.--'sue;'•.T PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant. Building Site Location: /6 Ti 011,1-K) Proposed Improvement: /i sA bale io sm� wac'a d i �a se / �d 61 ( i Applicant: 4bElL-r 80 G,i-A-) Tel. No.: 3 E4 y 6 e.fD Address: lb 7 ipniod kl-nt_ Date Filed: )14. 3 aDa O **/fyou would like e-mail notification of sign off please provide e-mail address: Owner Name: b 1- t- i4-� N G I KA, ,G v,__2, -710>5 T Owner Address: l b `Ti1 '/ 9t. Owner Tel. No.: 1-7 z-1 3 6 c( 116 0E3' 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: FIV\-1(7, DATE: 6 AL, PLEASE NOTE COMMENTS/CONDITIONS: §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-223;1 ext.-1261 Fax 508-398-0836 Office of the Building Commissioner BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Ch. 40, §54 and 780 CMR- Section 105.3.1. #4. I hereby certify that the debris resulting from the proposed work/demolition to be conducted at !6 lr v -J Lim, b)-4257 Work Address Is to be disposed of oat the following location: 7' sibei 3/ctit Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. 4S)611e)1 6roi 3 �o�o Si ture of Ap 'cation Date Permit No. 01 ,� TOWN OF YARMOUTH • BUILDING DEPARTMENT sra, 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1261 K 6.. HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: 3 aoao JOB LOCATION: /6 7/V/ )-* (,(,�S7 caiii o,j/,�, NAME STREET ADDRESS SECTION F TOWN "HOMEOWNER" R ,�'1G-,-tJ v11 '/ ? ,'/ 4,6 3 3 NAME HOME PHONE WORK PHONE PRESENT MAILING ADDRESS 1, -7/ll/rn9-w A_/yLQ S*V VC/if l/Mt - � '9t>S 0 a 7 6 C OR TOWN STATE ZIP 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 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 4 APPROVAL OF BUILDING OFHCIAL INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch.142. ' ' No If you have chec ed ves,please indicate the type coverage by checking the appropriate box. A abi�ttyinsurance 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 o Signature of O er or Owner's Agent Ownei Agent h:homeownrlicexemp coltdama A • The Commonwealth of Massachusetts ► ' t Department of Industrial Accidents g .at= 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information / PIease Print Legibly Name (Business/Orge.nization/Individual): ',/j&may- leC)--" Address: 1b lm9-7A- City/State/Zip: S7'1,1a4 /a/h Mg- Phone#: 7 9 3 6 y y 6.6 f�' I Are you an employer?Check the appropriate box: Type of project(required): I. 1 am a employer with employees(full and/or part-time)." 7. ❑New construction ?[]I am a sole proprietor or partnership and have no employees working for me in c aci 8. [remodeling an • y ap ty.[No workers'comp.insurance required.] 3.✓�I am a homeowner doingall work myself. r 9. ❑Demolition y (No workers'comp,insurance required.] 4. I am a homeowner and will be hiringcontractors to conduct all work on myI will 1 0 ❑ Bu]ding addition ❑ ensure that all contractors either have workers'compensation insurance or are sole 11. lectrical 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.t 1 Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14•❑Other 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. tContractors 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.Lie.#: 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 SI,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 S250.00 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. l do hereby certifyti under the pains and penalties of perjury that the information provided above is true and correct. Signature: 75 O2 Date: vigil 3, c c;)- Phone#: 7 ) 36tf 'li 9sti 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#: 1///2120 Panasonic Ventilation FV-04VE1 Panasonic WhisperComfort Spot ERV 4.4416 ,, Wholesale Direct to the Public acwholesalers Home Comfort Heating&A/C Products Search HVAC PCOdUI Cart I 0 items Shop By Category .. Shop By Brand v Articles v /Y X a / A 7 69 A Home/Shop by Brand/Panasonic Ventilation/FV 04VE1 'r 3 :7 Panasonic WhisperComfort Spot ERV ( rn Model: FV-04VE1 Item Number: 32041 Panasonic Exclusive Savings on Panasonic - Limited time only Anonymous 31 Dec 2019 Call for Better Pricing Hurry, Limited time offer ends great soon! 4f) CLICK HERE FOR Our Price: $419.99 MORE REVIEWS Starting at S37/mo with aff rm Prequalify now Specification Highlights Condition New 0 85 In-Stock Ships Today, January 7th Weight 24 Pounds 0 Type ERV Enlarge Image Product Line WhisperComfort - 1 + View More Q Free Shipping 0 0 Low Price Guarantee O ® Chat with an Agent Installation Accessories Panasonic WhisperComforts Polypropylene Wall Cap $69.99 Accessory 107 In-Stock Model:FV-WCO4VE1 Qty Item Number:32042 1 . 1 4.4****, https://www.acwholesalers.com/Panasonic-Ventilation-FV-04VF1/n39041 html9mcrIkirl=r1,the7aaasdo.104.,aroo,001f.,.,7n7cno,,. . JK'gpe, PENT/LAT/ON FAN Eneryy Recovery Ventilator FV O4VEI Specification Submittal Data /Panasonic Ventilation Fan 2 x 4°ducts °� Description drills: -a �� Energy Recovery Ventilator provides a tempered •Attractive design using ABS material. 6I' .` �(`111 air supply,humidity control,and a balanced •Attaches directly to housing with torsion \\I amount of exhaust to help maintain neutral springs. �e pressure throughout the home.Panasonic ERV I'',_ � _ Warranty: ,i r� �% shall not be installed in a bathroom.Only one .„ �a unit is needed for a 1,750 sq.ft.2 bedroom •ALL Parts:For period of 3 years from the date I �� ,r home to meet the ASHRAE 62.2 ventilation of the original purchase. \.•16\�� requirement. Architectural Specifications: Motor/Blower. ERV shall be of the ceiling mount type with no less than 40 CFM on the exhaust port,30 CFM •Totally enclosed AC condenser motor rated for on the supply port,and no more than 0.8 sone continuous run. as tested in accordance with HVI 915 and 916 \ ��u •Power rating shall be 120 volts and 60 Hz. standards at 0.1 static pressure in inches water i •Two highly efficient blower wheels running on gauge.Power consumption shall be no greater single motor for lower power consumption and than 23 watts.Apparent Sensible Effectiveness FV-04VE1 decreased noise. for heating shall be no less than 66%at 30 •Motor equipped with thermal cut-off fuse CFM net air flow under 32°F(0°C)as tested in Title-24,and WA Ventilation Code compliant. control. accordance with CSA-C439.Total Recovery Effectiveness for cooling shall be no less than ERV Core Technology: Housing: 36%at 29 CFM net air flow under 95°F(35°C). •Indoor and outdoor air passes through •Rust proof paint,galvanized steel body. The supply port damper shall close below 20°F Panasonic's capillary core technology. •Dual 4"intake and exhaust ducts. (-7°C)to prevent freezing of the core.The motor This process tempers supply air while •Built in backdraft damper on exhaust duct. shall be totally enclosed,AC condenser type transferring moisture and energy. engineered to run continuously.Power rating •Built in Frost Prevention Mode prevents the •Filters on supply and exhaust air extend the shall be 120v/60Hz.Duct diameter shall be core from freezing.Frost Prevention Mode is free life of the ERV core. no less than 4". Fan shall be ASHRAE 62.2, of interaction and operates without intervention. •Expandable mounting bracket up to 16"on LEED,ENERGY STAR IAP,EarthCraft,California center. Performance:WhisperComfort FV-04VE1 Air Volume Setting 40 CFM 20 CFM 10 CFM 0.50 a Static Pressure in inches w.g. 0.1 0.1 0.1 2 Exhaust Air Volume(CFM) 40 PO 10 N 0.40 FV-04VE1 —(Exhaust) Supply Air Volume(CFM) 30 20 10 a FV-04vE1 0.30 —(Supply) Noise(sones) 0.8 <0.3 WA N --•20 Feet Power Consumption(watts) 23 21 17 —40 Feet Speed(RPM) 1479 1292 1095 0.20 i• --60 Feet --80 Feet .././-•' 100 Feet Current(amps) 0.15 0.10 0.09 `, o.to Power Rating(V/Hz) 120/60 i• '- Energy Performance:WhisperComfort FV-04VE1 Apparent Sensible Effectiveness for Heating 66%at 30 CFM and 32°F(0°C) 0 10 20 30 40 50 60 Airflow(CFl4) Total Recovery Efficiency for Cooling 36%at 29 CFM and 95°F(35°C) As of date 4/11 For complete Installation Instructions visit www.panasonic.com/building Model Quantity Comments Project: Location: Architect: Engineer: Contractor: Submitted by: Date: Panasonic Home and Environment Company Division of Panasonic Corporation of North America One Panasonic Way Secaucus,NJ 07094 www.panasonic.com/building 09.1) `0 w ® Panasonic FNHWYFGR -11144Ss SPECIFICATIONS <Ventilation Performance> •Factory setting for 40 CFM Gross Air Deliver at Model Air Direction V Hz Duct ;Speed 0.1"WG(cfm) Power Consumption(W) Noise Weight Exhaust Supply Fan Unit (cone) Ib.(kg) FV-04VE1 ,, Exhaust&Supply 120 60 4 X2 High 40 30 24 0 8 ;20.5 f9 3) Low 20 20 21 <0.3 •Optional setting for 20 CFM Gross Air Deliver at W j Power Consumption Air Direction V HT Duct Speed, 0 1"WG(cfm) ( Noise Exhaust Supply Fan Unit (svrae) Exhaust&Supply 120 60 4"X2 High 20 20 21 0.3 i Low A 10 10 17 N/A Selected only at installation, (Refer to Page 8) <Energy Performance> Supply Temperature Net Air Flow Total Apparent Mode r Recovery Sensible F C fiS cfna Efficiency(%) Effectiveness(`/a) Heating 32 0 14 30 NIA 66 Cooling 95 35 14 29 30 N/A 1. The testing of the ventilation performance is in general accordance with HVI procedures 915 and 916. 2. The testing of the energy performance is in accordance with CSA-C439 standard. PRODUCT OPERATION <Main Switch> • Power on/off for unit. • Turn off the Main Switch when the unit is not in use. IMPORTANT Unless you turn off the main switch, the unit will be in standby mode which means it is energized and will consume some electricity. When turning on or off the main switch. push it completely to the on/off position. <Operation Mode> • Normal operation • Defrost operation (Supply and exhaust) • Exhaust operation (Exhaust only) From m roo Main switch OA Damper open From room OA Damper closed .r,., O...,�., _: Outside .....�=' r`-/ , i air(QA) ) 111 ......,.., _ !iIII■ ,.. :_; Exhaust iiIt Iil Exhaust g.,., air(EA) airEl- _�i�� I�I�I �.. air(EA) To room • Defrost operation When the outside temperature is between 32 F(0'C)and 20'F(-7 C), OA Damper controls Defrost operation Defrost operation means the damper will open for 60 min for supply and exhaust and close for 30 min. for exhaust only. • Exhaust operation When the outside temperature is under 20 F (-7 C),OA Damper controls Exhaust operation. Exhaust operation means the damper will open for 10 min.to check outside temperature and close for 60 min. for exhaust only. 4 Sears, Tim From: Bob Begin <bbegin@eaglehill.school> Sent: Friday,January 17, 2020 10:52 AM To: Sears, Tim Subject: RE: 16 Truman Ln Attention!This email originates outside of the organization. Do not open attachments or click links unless you are sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure. Otherwise delete this email. That is still one of our mailing addresses.l'm technically still employed at the private school there,fully retired June 30, so I go back for a couple days a week Thanks Bob Sent from my Verizon, Samsung Galaxy smartphone Original message From: "Sears,Tim" <tsears@yarmouth.ma.us> Date: 1/17/20 10:02 AM (GMT-05:00) To: Bob Begin<bbegin@eaglehill.school> Subject: 16 Truman Ln Robert, I have reviewed your application for 16 Truman Ln, and the assessor database shows your address as Hardwick, MA. Is the house in Yarmouth a vacation home or a rental? Thank you Timothy Sears CBO Building Inspector Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsears@yarmouth.ma.us 1 Sears, Tim From: Sears,Tim Sent: Friday,January 17, 2020 10:02 AM To: 'bbegin@ehs1.org' Subject: 16 Truman Ln Robert, I have reviewed your application for 16 Truman Ln, and the assessor database shows your address as Hardwick, MA. Is the house in Yarmouth a vacation home or a rental? Thank you Timothy Sears CBO Building Inspector Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsears@varmouth.ma.us 1 ,,s,.. r i-k �,_ . _. . _ , 1 . txlt 3 7, s. A ....... b..,. aea• V no a I ‘ I ' J b a .— --1 R _ RFC;IM: . F r ' .; ?` C OMPI i- .AN . F ':LI;` E ft,:. \( AFP'.Ik','. :I . ;yOM l l IL:r.L•:;t Ui k Rll.1I' (. 'AS C3UIL!' Gc)'v 7Li; :CE. DATE:_ l 2 ,....-1 ......in. i BUIU FFICIAL bect \V k 1 \\b4 \\ vo..'\V r---, t.--,,,4,-- 7.-111 v \i? ysio,,\AN ` '`, / V ' JvV•'•oriti 0‘......eja,�1 JAN 03 2020 �' .�,� 1,-- - 4° HEALTH DEPT. I ' , .li,_ ' I qft,.._ 4,_ --f 0 -4,_, (Ac7 \I ii lia i 1 \4, i: rTil I CY/Q. \ o-&) 0 ,...,1 . 1 ca-,4, C ' P! Ca r. %e cm ,, ; ~ O e -1 0 ..-0V , t ______ , li 1--- 1 i p O o `Q.6r y ca-17 O © O IN o i \ kr 1(y 'C' `'19e,ivc..__ i__. .Q---, .C. 0 43z,, , 1.t./.:2 i I c r Ai (0' _s‘v) xY I � 1 Y °\\ . )J ;x. 1 6,is 1 1 ,;,, . , i X 1 1 \ 4v, f c 1 4 \pa 1 i "4 r- ._ ., y p .� RECEIVED 1L0 ��J ,',i.N 0 , b Q 3 20 2 HEALTH DEPT. I , t 6-7 6