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Home My WebLink AboutBld-20-4537 _ , --C2-72 * at ago 21 ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department :-o ... r` 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 Numbe (D- o?/) .c."--0 /Y 1 Date Applied: Building Official(Print Name) Si ature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 11 Bucl<woal) DRivE S f3 a a 1.1 a Is this an accepted street?yes ✓ no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: R 4,, , / 3a1'r a /0/ Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required I 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: Publict� Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system li Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: - 1 7-71,71 kAriyr G R e, 4R i' s o L.t . -ni/ M s . . oi4-o a Name(Print) ` - C ,State,ZIP ii KEVWoeb r 7r) 22 {, ` 33/° 9'7f:1 K9reen672a(oh ot 011 No.and Street ' ! Telephone Email Address ,c0,,y7 �i SECTIOLastineeG, Q�1PItOFOSED WORK"(check all that apply) New Construction 0 Exis -twiret=f7t ied 0 i Repairs(s) ❑ Alteration(s) 4' Addition ❑ Demolition ❑ Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: REM 0 VE 13 EA R$ N G. WALL. $ T WE0"'N k/TCii/.4✓ 4 1./VIA!G , oM E'NoVAi104/ - L'1hr7�'%'• c •Ic Ire J N R.E/J.eflLf /�- W i M c't.✓S. /,'Sp'. 49 4, ` ._ ' d y SECTION 4:ESTIMATED CONSTRUCTION COSTS. ' h Estimated Costs: s PEE. ! ,, ' Item (Labor and Materials) Official Use Onl 4,70(/ 'sue 1.Building $ .S"OD O.� 1. Building Permit Fee:$ISO Indicate he W l e :" �N d Standard City/Town Application Fee g" _ _ 2.Electrical $ A o e o, o9d 0 Total Project Cost3�It�6�x multiplier x 3.Plumbing $ 2 I,od. a 2. Other Fees: $ 3 .62f 4.Mechanical (HVAC) $ List 5.Mechanical (Fire $ Suppression) Total All Fees:$ Check No. Check Amount Cash Amount: 6.Total Project Cost: $ 9 DDD, 192C p Paid in Full le Outstanding Balance Due: II S— e 1 SECTION 5: CONSTRUCTION SERVICES — 1 5.1 Construction Supervisor License(CSL) 0y93-gf1 3� 7-.2,O Z1-i 6 M A..s G UA R 1 G I- 1 b License Number Expiration Date Marne of CSL Holder r ' I- ft b it.�' List CSL Type(see below) No.and Street Type Description HA lR vV MA d -#•r v Unrestricted(Buildings up to 35,000 cu.t2.) Clogrown,State, G ZIP R Restricted Id 2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Bunting Appliances Cole4 3 7. 3 Ar.L' I Insulation Telephone Email< D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Company Name or HIC Registrant Name MC Registration Number Expiration Date No.and Street Email address City/Town,Stye,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 RI-". No,..........0 . 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 TN 0 M A-S G.t/A R I c2../ 0 to act on my behalf;in all matters rela" a by this building permit application. f 2 5J *Name(Demonic S` ) Date • SECTION 7b:OWNERt 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. { 774209 5 Ga9.0/4_4•0 ____j -- r- 2 v Print Owner's or Authorized Agent's Name(Electronic Si Date NOTES: )E I. 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 fiord under M.G.L.c. 142A.Other important information on the HIC Program can be found at prww.msas.g vo /oa.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.8) 9a7 (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable:room count Number of fireplaces / Number of bedrooms 2 Nttttrba of bathrooms L Number of half/baths Type of hoeing system Number of decks/porches Type of cooling system Enclosed 3. -Total Project Square Footage"may be substituted for"Total Project Cost" OP: '� The Commonwealth of Massachusetts t Department of industrial Accidents _'r= _ 1 Congress Street,Suite 100 R '- Boston,MA 02114-2017 ^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): 7", G. H OI -6 /'T-w 0 iN.4 AS G V,A R ( G 1, I O Address: Co JV1 A L. A,R fl A,A NE City/State/Zip: I-1 A RAN I c NI MAC )Or.5" Phone #: 5 5 )0 — Of-0 e2 Are you an employer?Check the appropriate box: Type of project(required): LE I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.0 tam a sole proprietor or partnership and have no employees working for me in 8. go, Remodeling ' any capacity.[No workers'comp.insurance required.] 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4. I am a homeowner and will be contractors to conduct all work on10 ❑ Building addition ❑ hiring 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 5.01 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 13.0 Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.1::]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. I 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. J 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.is 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: l ,sue- Date: oZ r�' O Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License 0 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 1146 Route 28, South Yarmouth, MA 02664 508-398-22311 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 1 / J� G �ll/�- Work Address Is to be disposed of oat the following location: h^4« •/ ��/�� Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. Signature of A i on Date Permit No. Commonwealth of Massachusetts 111` Division of Professional Licensure Board of Building Regulations and Standards Construction Supervisor CS-049 RI4 Expires 03/07/2020 THOMAS D GUARIGLW ' & 6 MALLARD LANE 14.1 . > ` ' HARWICH MA 02645 Commissioner C' .TP /..uyi€ui ea IKa c/i se/X1 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE Individual aftigultritia .mfaspkolign `tO1114 01/31/2022 THOMAS GUAR1GLUO THOMAS D.GUARIGLl0 6 MALLARD LANE HARWICH,MA 02645 Undersecretary TG HOMES-SUB-CONTRACTORS WORKERS COMPENSATION INFORMATION TG HOMES-Tom Guariglio Sean Smith-A&S Construction General Contractor Foundations, Excavation&Septic Ace American Insurance Company PO Box 1396;Orleans, MA 6562UB-4 425P87-5-16 Travelers Indemnity Co #UB-0187N208-15 Summit Insulation Thomas Thibert-Electrician PO Box 1337; Harwich, MA 02645 44 Kendrick Rd; Harwich, MA AIM Mutual Insurance Co Granite State Ins.Co VWC-100-6015914-2015A WC004961905 Hutchinson Roofing-Michael Hutchinson Scott Brazil PO Box 534; Brewster, MA 02631 Stairs AIM Mutual Insurance Co PO Box 777;Truro, MA #VWC-100-6005898-2015A WCC5008740012009 Dick Bindig American Waterproofing-Kenyon Keyes Pindig Plumbing& Heating 133 Tonset Rd;Orleans, MA PO Box 553;S.Orleans, MA 02662 #6608155 The Hartford Ins. Company #WCO8WECRH3903 Kikorian Hardwood Floors, Inc Ryan Stevens- HVAC PO Box 1200; Brewster, MA 184 Brook Trail; Brewster, MA #08WECT1869 Hartford Insurance 08W ECCQ1567 Randy Clark-Clark's Drywall Mike Steinmetz-Painter 1780 Orleans Rd; Harwich, MA 51 Boulder Road; Brewster, MA Travelers ARWC Travelers Indemnity VWC-100-6020621 UB3A59333 White Plumbing&Heating MAC Electric 19 Skippers Drive 102 North Westgate Rd; Harwich, MA Harwich, MA National Grange Norfolk&Dedham Mutual WCJ4224W WE156820A .0 Boise Cascade - Double 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP PASSED FB01 (Floor Beam) BC CALC®Member Report Dry 1 span I No cant. January 30,2020 11:59:30 Build 7480 Job name: Hyney/Green File name: TG Homes-Hyney Green Address: 11 Buckwood Drive Description: City, State,Zip: South Yarmouth, MA,02664 Specifier: Customer: TG Homes Designer: Kevin Lonkart Code reports: ESR-1040 Company: Mid Cape Home Centers 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 111 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 10 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 k � 15-05-00 B1 B2 Total Horizontal Product Length=16-00-00 Reaction Summary (Down / Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live B1, 3-1/2" 2240/0 1216/0 B2, 3-1/2" 2240/0 1216/0 Load Summary Live Dead Snow Wind Roof Tributary Live Tag Description Load Type Ref. Start End Loc. 100% 90% 115% 160% 125% 0 Self-Weight Unf. Lin. (lb/ft) L 00-00-00 16-00-00 Top 12 00-00-00 1 Attic(Uninhabiltable Unf.Area(Ib/ft2) L 00-00-00 16-00-00 Top 20 10 14-00-00 w/Storage) Controls Summary Value %Allowable Duration Case Location Pos. Moment 13044 ft-lbs 61.3% 100% 1 08-00-00 End Shear 2903 lbs 36.8% 100% 1 01-03-06 Total Load Deflection L/321 (0.581") 74.7% n\a 1 08-00-00 Live Load Deflection L/496(0.376") 72.6% n\a 2 08-00-00 Max Defl. 0.581" 58.1% n\a 1 08-00-00 Span/Depth 15.7 %Allow %Allow Bearing Supports Dim.(LxW) Value Support Member Material B1 Wall/Plate 3-1/2"x 3-1/2" 3456 lbs n\a 37.6% Unspecified B2 Column 3-1/2"x 3-1/2" 3456 lbs n\a 37.6% Unspecified Notes Design meets Code minimum(L/240)Total load deflection criteria. Design meets Code minimum(L/360)Live load deflection criteria. Design meets arbitrary(1")Maximum Total load deflection criteria. Calculations assume member is fully braced. BC CALC®analysis is based on IBC 2009. Design based on Dry Service Condition. Connection Diagram: Full Length of Member b d a j • F• • • • • e Page 1 of 2 *Boise Cascade - Double 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP PASSED . FB01 (Floor Beam) BC CALC®Member Report Dry 11 span I No cant. January 30,2020 11:59:30 Build 7480 Job name: Hyney/Green File name: TG Homes-Hyney Green Address: 11 Buckwood Drive Description: City, State,Zip: South Yarmouth, MA,02664 Specifier: Customer: TG Homes Designer: Kevin Lonkart Code reports: ESR-1040 Company: Mid Cape Home Centers Connection Diagram: Full Length of Member a minimum=2" c=7-7/8" b minimum=4" d=24" e minimum= 1" All FastenMaster screws may be installed from one side of multiply Versa-Lam beams. Connectors are: FMFL312 Disclosure Use of the Boise Cascade Software is subject to the terms of the End User License Agreement(EULA). Completeness and accuracy of input must be reviewed and verified by a qualified engineer or other appropriate expert to assure its adequacy,prior to anyone relying on such output as evidence of suitability for a particular application.The output here is based on building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call(800)232-0788 before installation. BC CALC®,BC FRAMER®,AJSTM', ALLJOIST®,BC RIM BOARDTTM,BCI®, BOISE GLULAMTM',BC FloorValue®, VERSA-LAM®,VERSA-RIM PLUS®, Page 2 of 2 ®Boise Cascade - Double 1-3/4" x 11-7/8" VERSA-LAM®2.0 3100 SP PASSED FB01 (Floor Beam) BC CALC®Member Report Dry 1 span No cant. January 30,2020 11:59:30 Build 7480 Job name: Hyney/Green File name: TG Homes-Hyney Green Address: 11 Buckwood Drive Description: City, State,Zip: South Yarmouth, MA,02664 Specifier: Customer: TG Homes Designer: Kevin Lonkart Code reports: ESR-1040 Company: Mid Cape Home Centers Connection Diagram: Full Length of Member a minimum=2" c=7-7/8" b minimum=4" d=24" e minimum= 1" All FastenMaster screws may be installed from one side of multiply Versa-Lam beams. Connectors are: FMFL312 Disclosure Use of the Boise Cascade Software is subject to the terms of the End User License Agreement(EULA). Completeness and accuracy of input must be reviewed and verified by a qualified engineer or other appropriate expert to assure its adequacy,prior to anyone relying on such output as evidence of suitability for a particular application.The output here is based on building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call(800)232-0788 before installation. BC CALC®,BC FRAMER®,AJSTM', ALLJOIST®,BC RIM BOARDTT",BCI®, BOISE GLULAMTM,BC FloorValue®, \IFRCA-I ATMs IFRRA-RIM PI I IRA Mi101dJ0 omallne -- o e -t t -e IWO Q..- ---1/ - 1\t". . I -14P13 mll"' , voi .Ni_not"4-Iti*IVA. H .L.nos .:Jcvilicy,:03 , tu K_J ' .----1 — A A Ld. C100,N\ Arvc:i ( 1 diin9 s\i,-JO A 111181S‘NOLISTId?HI lAiNz,,.1,!•!',01-1(.1c1V „ 0 -, 1 z „49 VS A--%\ce 7 S .fal9 EONV -11(ik00 30(::: '',.'-:1:si:2::2NY CAY:ii iii-J..2J ClAaAaWci -I'd .1:1°CI l'd 1 S.8 t 4 -7:7. -1 uNvi-a4:3 IAINICI. t i 1 ft 14 ag 01 -11V/V1,-/ I _ 5 ,1-StOr 47, Dx-e r e ...---- 00 A, -zt clACI H • l'•••10A-1 ill _ --t Al ficz. (i V:t,,-/e1 •e ..... 0 '\ (i) 4-1-aysv‘ 'AA 0 via-zi * - \jk i - ;. )/i .„--// I--F--- i .1.140crtiV 1 I _ • *t----r t------I r----4 _____1 )4 i _ , ,,, Job#: ' 046t 1279 Millstone Road Job Name:TG Hatieb tj t2 Brewster MA o2631 C Site: I,', ZUC-V-L.42CC7C) Ytlernaarti M c E h'+ Z(E t 774153-2144 ENGINEERING f 774-353-2142 Engineer's Initials: " '"" Dates(s): Z/17/?.D CONSULTANTS mckengineers.com oAra4 N is wic.s .42 (Z) 144% if TA" t vL Stwt ,v 148 GU P5 C15y My utp6 ca , mice ex11'• CauiJ6/mac Ex►asriNv Bor Ncu.ntu, TO PSG geMO/ , Q, CoilL ifiG i Z !? Za ten R2 D'ogsrS