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a . .__J2,--/-xe.4.e. - //Alf. ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department of 1146 Route 28, South Yarmouth,MA 02664-4492 ?A, 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 U Only Building Permit Number",, —p pl&D j Date A : Building Official(Print Name) ignature Date SECTION 1:SITE INFORMATION 1.12y3per y� realk repo 2 Assessors Map&Parcel Numbers 1.1 a Is this an accepted street?yes no Map Number Parcel Numl4r 4 •> 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft).- Le441 V 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 lii Private El _Zone: Outside Flood Zone? Municipal❑ On site disposal system 0 Check if yes❑ 1 k' SECTION 2: PROPERTY OWNERSHIP' ��,�9 / 2.1 ,04 `�%i ord: e iygew ��jC �/ ik, le4 Narn (Print) C� City State,ZIP .fig L/ie ,f1CX- 4,) 7' 4-1/2 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) Ql Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Br�Jlerti Prop or � l%�� sad �R � ��� � l G P ��� �E�44lo � 3� �i0T ' tr C NI winzepty cy S/ a j 's ', '7Z' d/N� 1/� A,q Lt."4- SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ /9,cnci 1. Building Permit Fee:$:i SO Indicate how fee is determined: 2.Electrical $ MIStandard City/Town Application Fee 0 Total Project Cos4te 6 x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire Suppression) $ Total All Fees:$ 6.Total Project Cost: $ �0 Check No. Check Amount: Cash Amour, 13 © 0 Paid in Full [B Outstanding Balance Due;i 11 `Aoz SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) Pl cqq p oze G< e N 25 J ©�� .mber Expiration ate Name of CSL Holder V i2 7P4 List CSL Type(see below) No. and Street Type Description —#0/11Wifild jf,Qpy/`{ � �� U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP r/'//� Restricted I&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding �jr �/e a L SF Solid Fuel Burning Appliances r 4 pjq 9 `i9/1t1'71 64UfC1EL� I Insulation Telephone Email address G y91L`triy D Demolition 5.2 Registered Home Improvement Contractor(HIC) /623614 3°/2°M HIC Registration Number xpiration Date HIC p y N e or HIC i trant N No.gfee '6Ca!°1° /`l¢ 4z6'45 .3p / c o REsj Email addrg.���yy ' City/Town, State,LIP Telephone /� �L. SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(14I.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 COMPLETED 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. 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.eov/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" _ The Commonwealth of Massachusetts 1� t Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 ini s '�f y 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/Organization/Individual): G V le /o/E �i/r epw 4 ,~ Address: cl6'o� QC9 /� N R4 ,` V City/State/Zip: j��' qq �h' P� ����G��G`'� /Y/¢ Phone #: �Fj'l �� �T 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. El New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. 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.D I am a homeowner and will be hiring contractors to conduct all work on m YProPriY� e 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.Q 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 •Q Roof repairs 6.K2 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.0 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. $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: 4 I/i mJ7 '42- Policy#or Self-ins.Lig 'c.#: wee-5�'" of rZ"�®l ,4 Expiration Date: f2/f /Jo/-' Job Site Address: Sv Li F, ©e.. yg/P,OtfrifIe��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 i, _ � , i,y he pains and penalties of perjury that the information provided above is true and correct. irk Signature: ,4 Date: / 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 Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: 01 Y``�14� TOWN OF YARMOUTH BUILDING DEPARTMENT c 4.4. ?<d 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DA'Ib: JOB LOCATION: NAME STREET ADDRESS SECTION OF TOWN "HOMEOWNER" NAME HOME PHONE WORK PHONE PRESENT MAILING ADDRESS CITY OR TOWN STA 1'b 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 penult. (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 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 permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent h:homeownrlicexemp TOWN OF YARMO UTH o y 114 B UILDLNG DEPARTMENT 6 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 1115, I hereby certify that the debris resulting from the proposed work/demolition to be conducted at *SS, 1!�✓�� ' 14J' y/fproopi Work Address Is to be disposed of at the following location: $ )7 JC Said disposal site shall be a Licensed solid waste facility as defined by M.G.L. Chapter L 1 L, Section 150A. , ,ote9rj Sign re of Application Date Permit No. Quote G&R Home Inprovement Licensed and Insured Rudy Quispe & Gabriel Panaite Phone: (781) 812-5731 (561) 306-8299 .. . Email: capecod1217@hotmail.com Date : Job Description Material Labor Total Appox *Windowns installation(6) $2,500.00 $6,500.00 *French door installation(3panel)new frame $2,500.00 *Glass wall/living room framing and headers $1,400.00 *Laundry room renovation $1,500.00 *Demo and reframe $1,800.00 *Windsor one/tongue and groove trim ,exterior $2,400.00 decoraive beams intallation *Permits and engineering plans $400.00 Note: If any extra work needs to be done out of the contract the fee will be$65 per man hour. $6,500.00 $12,500.00 Client's Information Appo ount$19,000 Name : Jackie Johnson Phone # (774) 212-0949 ,� ontr4ct signature Address: 2 Live ool Dr Yarmouth o 9 rp P rt 1�A Email : Cli is signature NOTICE * z. ,; NOTICE TO „). EMPLOYEES �� EMPLOYEES TO .e�4 min�� • The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 1 Congress Street, Suite 100, Boston, , Massachusetts 02114-2017 617-727-4900 As required by Massachusetts General Law,Chapter 152,Sections 21,22,&30, notice that I(we)haveprovided paymentthis will give you to our injured employees under the above mentioned chapter by insuring with: Associated Employers Insurance Company NAME OF INSURANCE COMPANY P.O. Box 4070 Burlington, MA 01803-0970 ADDRESS OF INSURANCE COMPANY W C C-500-5019772-2018A POLICY NUMBER 12/17/2018- 12/17/2019 EFFECTIVE DATES Rogers&Gray Insurance A en 434 Route 134 9 cy South Dennis, MA 02660 (800)553-1801 NAME OF INSURANCE AGENT ADDRESS G&R Home Improvements PHONE EMPLOYER 862 Queen Anne Rd Harwich,MA 02645 ADDRESS • 12/18/2018 MEDICAL TREATMENT DATE The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own h provided by the tree • physician. The reasonable cost of the services �g physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases hereby notified that the insurer hasheg hospital attention, employees are arranged for such attentioonn a at the NEAREST AND BEST MEDICAL FACILITY t HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER Jam . Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, Massachusetts 02118 Home hnprovernentr4ontractor Registration Type: individual GABRIEL PANAfrE Registration: 192964 D/B/A G&R HOME IMPROVEMENT 08J30/2020 862 QUEEN ANNE RD - - HARWICH,MA 02645 _ Update Address and Return Card SCA 1 8 20M-05/17 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration vend for intividuid use only TYPE Individual before the expiration date. If found return to: Besdianiiien, n Office of Consianer Affairs and Business Regulation z; 08/30/2020 1000 Washington Street-Suite 710 GABRIEL PANAITE, Boston,MA 02 DB/A G&R HOME`IMPROVEMENT GABRIEL PANAI 862 QUEEN ANNE RD= HARWICH,MA 02645 Undersecretary Ot valid ut signature • Commonwealth of Massachusetts ® Division of Professional Licensure Board of Building Regulations and Standards ConstrOrt`Si,Urvisor CS-112592 zi ppires: 01/05/2022 • GABRIEL I PANAITE ^a 862 QUEEN AN,NE ROAD R" HARWICH MA 02445 Commissioner • • • ooYsy TOWN OF YARMOUT 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 - i Telephone(508)398-2231 Ext. 1292-Fax(508)398-0836 '1,, ! ' 7 2ojc OLD-KING'S HIGHWAY HISTORIC DISTRICT COMMIT APPLICATION FOR CERTIFICATE OF EXEMPTION Appl c'ti'oIl Is heretiy-tnatie'for the issuance of a Certificate of Exemption under Sections 6 and 7 of Chapter 470 of Acts of 1973, as amended, for the proposed work as described below and on plans, drawings, or photographs accompanying this application. Type or print legibly: / � ` P/� /, �Q/_ Address of proposed work:.2 /7 G ,e �9' �P X1^k.(707 �6 �Iap/Lot# Owner(s): �LI�-!C lr� jokysew Phone#: 1(.2 0341 All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: .1 3 G//E, / ©eG- I' , t'/ CJ76 R1,erYear built: Email: Preferred notification method: Phone Email Agent/Contractor: Ca /i' i/e'/( /4 '/ 0,7 11g/k7 Phone#: / gcC P-V J Mailing Address: ( , <r b� Q�L L W �A9/V/V x0,4f //ifjPG%/L"�' /7„, Email: 4 /�G1� k- co76/7k,CarPreferred notification / / method: 1 Phone f/ Email Description of Proposed Work(Additional pages may be attached if necessary): 10E. Q4t°(MG SZ-Me-g terirh' 4 A®c'' E /oyrd wi)vd oa,./S s6/2 /75/'' aYe il77/V 1 tv/r# .d©o,E 1/0 w//1/.40w/ e6-pacUiHe i//64oce/fs o 77/6 E���-©sue #11-71' Gr//l// 3 9f x/8Z. Acne . (.�/'®�l� (.S <���/L /l�' !ff di: miff ,,�t50 /,� ,v r cf.W i.e Signed(Owner or agent): Date: 70• l6; •1O/, ' > Owner/contractor/agent is aware that a permit may be required from the Building Department.(Check other departments,also.) > This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later. For Committee use only: Date: - Approved Approved with changes Denied _ Amount a( Reason for denial: h Cas'h/C\#: Rcvd by: 121W v S l r VAY Date Signed: to//1 2 el/ Signed:/ ex,„1274.-.7Y-, APPLICATION#: `9"--L/ 9.2 O V52017 The Home Depot Special Order Quote Customer Agreement#: H2612-139524 ' Printed Date:10/16/2019 Customer: RUDY QUISPE Store: 2612 Pre-Savings Total: $4,377.09 Address: 29 MILL POND RD Associate: JASON Total Savings: ($657.02) MARSHFIELD, MA 02050 Pre-Tax Price: $3,720.07 Address: 65 INDEPENDENCE DRIVE Phone 1: 781-812-5731 HYANNIS, MA 02601 Price Valid Through: Phone 2: 781-812-5731 Phone: 508-778-8948 10/16/2019 Email: CAPECOD1217@HOTMAIL. COM All prices are subject to change. Customer is responsible for verifying product selections. The Home Depot will not accept returns for the below products. AP PROVgD Standard Width = RO: 37" I UNIT 36 Andersen i Standard Height= RO: 80" I UNIT: 79 wieoows•000es E. i )� )5 1/2" " It- ViL' • Frame Width=36 1/8 - Nu S +IGHV�rAY r , Frame Height=79 1/2 *a;;g Verson 132 Line Number Item Summary Was Price Now Price Quantity. Total Savings Total Price, 100-1 A Series Patio Doors 1 Panel-FWO,Right,36.125 x 79.5, $1,544.49 $1,312.65 1 ($231.84) $1,312.65 White-White/Pine White-Painted 100-2 Trim Set 1:FWOD Right Tribeca White PN:2577555 $91.08 $77.41 1 ($13.67) $77.41 Version:07/17/2019 100-3 Exterior Keyed Lock 1:FWOD RH Tribeca White $34.60 $29.41 1 ($5.19) $29.41 PN:2579721 Version:07/17/2019 Unit 100 Total: $1,670.17 $1,419.47 $250.70 $1 Begin Line 100 Descriptions ----Line 100-1---- A Series Patio Doors 1 Panel-FWO Unit 1:Patio Door Assembly=Factory Assembled Insect Screen Type=None Overall Rough Opening=37"x 80 1/4" Unit 1 Glass:Glass Construction Type=Dual Pane Sill Step=No Overall Unit=36 1/8"x 79 1/2" Unit 1 Glass:Glass Option=Low-E4 Exterior Trim Style=None Installation Zip Code=02601 Unit 1 Glass:High Altitude Breather Tubes=No Extension Jamb Type=None U.S.ENERGY STAR®Climate Zone=Northern Unit 1 Glass:Glass Strength=Tempered Installation Material Options=No Search by Unit Code=No Unit 1 Glass:Glass Tint=No Tint Re-Order Item=No Standard Width=RO:37" I UNIT:36 1/8" Unit 1 Glass:Specialty Glass=None Room Location=None Standard Height=RO:80" I UNIT:79 1/2" Unit 1 Glass:Gas Fill=Argon Unit U-Factor=0.3 Frame Width=36 1/8 None Unit Solar Heat Gain Coefficient(SHGC)=0.24 Frame Height=79 1/2 DP/PG Upgrade=No U.S.ENERGY STAR Certified=Yes Unit Code=FWOD3168 Hardware Style=Tribeca Trim Set 1 Part Number=2577555 Frame Depth=4 9/16" Hardware Color/Finish=White Exterior Keyed Lock 1 Part Number=2579721 Sill Style=Gray Appearance Temporary Construction Trim Set=None SKU=1000012828 Venting/Handing=Right Exterior Keyed Lock=Yes Vendor Name=S/O ANDERSEN LOGISTICS Exterior Color=White Lock Cylinder Keyed Alike=No Vendor Number=60509030 Exterior Sash/Panel Color=White Corrosion Resistant Hinges=None Customer Service=(888)888-7020 Interior Species=Pine Corrosion Resistant Locking Mechanism=None Catalog Version Date=07/17/2019 Interior Finish Color=White-Painted Security Sensor Type=None —Lines 100-2 to 100-3 have the same description as line 100-1--- I SD 97 i1 End Line 100 Descriptions Page 1 of 2 Date Printed:10/16/2019 4:13 PM • Standard Width = RO: 37" I UNIT: 36 1/8" Andersen Standard Height= RO: 80" I UNIT: 79 WINDOWS.DOORS 1/2" Frame Width = 36 1/8 Frame Height= 79 1/2 g Vel'10r1132 Line Number Item Summary Was Price Now Price Quantity Total Savings Total Price 200-1 A Series Patio Doors 1 Panel-FWO,Stationary,36.125 x $1,353.46 $1,150.30 2 ($406.32) $2,300.60 79.5,White-White/Pine White-Painted Unit 200 Total: $1,353.46 $1,150.30 ($406.32) $2,300.60 Begin Line 200 Description ----Line 200-1---- A Series Patio Doors 1 Panel-FWO Exterior Color=White Sill Step=No Overall Rough Opening=37"x 80 1/4" Exterior Sash/Panel Color=White Exterior Trim Style=None Overall Unit=36 1/8"x 79 1/2" Interior Species=Pine Extension Jamb Type=None Installation Zip Code=02601 Interior Finish Color=White-Painted Installation Material Options=No U.S.ENERGY STAR®Climate Zone=Northern Unit 1:Patio Door Assembly=Factory Assembled Re-Order Item=No Search by Unit Code=No Unit 1 Glass:Glass Construction Type=Dual Pane Room Location=None Standard Width=RO:37" I UNIT:36 1/8" Unit 1 Glass:Glass Option=Low-E4 Unit U-Factor=0.3 Standard Height=RO:80" I UNIT:79 1/2" Unit 1 Glass:High Altitude Breather Tubes=No Unit Solar Heat Gain Coefficient(SHGC)=0.24 Frame Width=36 1/8 Unit 1 Glass:Glass Strength=Tempered U.S.ENERGY STAR Certified=Yes Frame Height=79 1/2 Unit 1 Glass:Glass Tint=No Tint SKU=1000012828 Unit Code=FWOD3168 Unit 1 Glass:Specialty Glass=None Vendor Name=S/O ANDERSEN LOGISTICS Frame Depth=4 9/16" Unit 1 Glass:Gas Fill=Argon Vendor Number=60509030 Sill Style=Gray Appearance None Customer Service=(888)888-7020 Venting/Handing=Stationary DP/PG Upgrade=No Catalog Version Date=07/17/2019 End Line 200 Description ; R irj D L .'!LD#DING'S HIGHVV/ ' I U tq- Lgj97 Page 2 of 2 Date Printed:10/16/2019 4:13 PM u The Home Depot Special Order Quote ff Customer Agreement#: H2612-139420 4 ,'„„ Printed Date: 10/16/2019 Customer: RUDY QUISPE Store: 2612 Pre-Savings Total: $1,899.55 Address: 29 MILL POND RD Associate: JASON Total Savings: ($285.05) MARSHFIELD, MA 02050 Address: 65 INDEPENDENCE DRIVE Pre-Tax Price: $1,614.50 Phone 1: 781-812-5731 HYANNIS,MA 02601 Price Valid Through: Phone 2: 781-812-5731 Phone: 508-778-8948 10/16/2019 Email: CAPECOD1217@HOTMAIL. COM All prices are subject to change. Customer is responsible for verifying product selections. The Home Depot will not accept returns for the below products. . ,, rr- II Standard Width = RO: 301/8" I UNIT: 29 5/8" 1 Andersen Standardj Height= RO:40 7/8" WINDOWS•DOORS I •:• " I .'UNIT:407/8" r,, , `5 ,l, - ,l y, ! Frame Width= 29 5/8 Frame Height=40 7/8 Cdta otz Version 232 '..:30 L !i" ;(` Quantity Savings Total Price.'. �I� Number Item SummaryWas Price Now. Price Total 100-1 400 Series Double-Hung Equal Sash,AA,29.625 x $350.75 $298.12 5 ($263.15) $1,490.60 40.875,White-White/Pine White-Painted 100-2 Insect Screen 1:400 Series Double-Hung TW2432 Full $29.16 $24.78 5 ($21.90) $123.90 Screen Aluminum White PN:1610120 Version:07/17/2019 Unit 100 Total: $379.91 $322.90 ($285.05) $1,614.5 Begin Line 100 Descriptions ---Line 100-1---- 400 Series Double-Hung Glass Construction Type �_' nsion Jamb Type=None Overall Rough Opening=30 1/8"x 40 7/8" Glass Option=Low-Ed ,. I Option=None Overall Unit=29 5/8"x 40 7/8" High Altitude Breather!Tubes=No Ins allation Material Options=No Installation Method=Nailing Flange Glass Strength=Standard I L . Re Order Item=No Installation Zip Code=02601 Specialty Glass=None Ro m Location=None U.S.ENERGY STARS Climate Zone=Northern Gas Fill=Argon YAKIVIUU 1-H U t U-Factor=0.3 Search by Unit Code=No None i -)LD KING'S HIGHWAY it Solar Heat Gain Coefficient(SHGC)=0.31 Standard Width=RO:30 1/8" I UNIT:29 5/8" DP/PG Upgrade=No 7 __ +—U. .ENERGY STAR Certified=No Standard Height=RO:40 7/8" I UNIT:40 7/8" Sash Lift Type=None Clear Opening Width=25.875 Frame Width=29 5/8 Lock Hardware Style=Traditional Clear Opening Height=15.75 Frame Height=40 7/8 Number of Sash Locks=1 Clear Opening Area=2.84 Unit Code=TW2432 Lock Hardware Color/Finish=White(Factory Unit Part Number=1600285 Frame Option=Installation Flange Applied) Insect Screen 1 Part Number=1610120 Venting/Handing=AA Window Opening Control Device=No SKU=289185 Exterior Color=White Security Sensor Type=None Vendor Name=S/O ANDERSEN LOGISTICS Exterior Sash/Panel Color=White Insect Screen Type=Full Screen Vendor Number=60509030 Interior Species=Pine Insect Screen Material=Aluminum Customer Service=(888)888-7020 Interior Finish Color=White-Painted Insect Screen Color=White Catalog Version Date=07/17/2019 Jamb Liner Color=White Exterior Trim Style=None ----Line 100-2 Description is the same as line 100-1---- ! ' /O9/, End Line 100 Descriptions !� Page 1 of 1 Date Printed:10/16/2019 4:10 PM • Standard Width =Custom Andersen- , i� `" I Standard Height=Custom to .. wIeDows•Doons Frame Width = 131 Frame Height= 10 Catd ism-33r Line Number Item Summary Was Price Now Price Quantity Total Savings Total Price 200-1 400 Series Specialty Rectangle,Fixed, 131 x 10,White/ $1,017.23 $864.58 1 ($152.65) $864.58 Pine White-Painted Unit 200 Total: $1,017.23 $864.58 ($152.65) $864.58 Begin Line 200 Description ---Line 200-1---- 400 Series Specialty Rectangle Glass Construction Type=Dual Pane Extension Jamb Configuration=Complete Unit Overall Rough Opening=131 1/2"x 10 5/8" Glass Option=Low-E4 Extension Jambs Overall Unit=131"x 10" High Altitude Breather Tubes=No Extension Jamb Application Location=Factory Installation Zip Code=02601 Glass Strength=Standard Applied U.S.ENERGY STAR®Climate Zone=Northern Glass Tint=No Tint Installation Material Options=No Search by Unit Code=No Gas Fill=Argon Re-Order Item=No Standard Width=Custom None Room Location=None Standard Height=Custom Exterior Trim Style=None Unit U-Factor=0.27 Frame Width=131 Extension Jamb Type=Interior Extension Jamb Unit Solar Heat Gain Coefficient(SHGC)=0.33 Frame Height=10 Extension Jamb Profile=Standard U.S.ENERGY STAR Certified=Yes Venting/Handing=Fixed Extension Jamb Species=Pine SKU=1001796607 Exterior Color=White Extension Jamb Color=White-Painted Vendor Name=S/0 ANDERSEN LOGISTICS Interior Species=Pine Overall Jamb Depth Range=4 9/16"to 7 1/8" Vendor Number=60509030 Interior Finish Color=White-Painted Overall Jamb Depth=4 9/16" Customer Service=(888)888-7020 Catalog Version Date=07/17/2019 End Line 200 Description airS 01V 720 e (52 .334 /811 l T-- ,41\\,A\N(6.\ 10),g.-)q. ) Page 2 of 2 Date Printed:10/16/2019 4:03 PM Ye . t" �r s.I • ,•• • — * I {es I _� i4 a • e b y h Air '''' '1;;;''''.,:,%:.:',,:1;:l',:s i a . vi S✓ ,rr ix 41:. „..,,,,,,.„ .. .., ...., .. : . , aka.' ii . �r.r s 1,,•:,i:1,,,z,,z'i.,.'.:'_,_'.,::-i N. ale alli gyp- r *� a t 1/14 . , ' ' r ;" ii . , ' . .. 4 4 {�-,t- + +! i «ram, ._ s.:+t -�� w r1 i .- !' 1 .� s s PI Y } 1,., + f 4 I . "-,ttire.'4.9.';'%'' •11._ - ' '':' ri a Z' • 3 r %4,=;ace �I (( "': a / 1 - , �� 4 ' ri „. . ....„. ..... , ,,, . ti ,, _ , ,.,,,,,t, v._..., •i ..,..,, %,... .i .: , . • •• ..., .„ •••-:::'-,,•• W., 4,, -Ift\ E y t f _ ., .. __.....__. ...G • '1.", i .. } • r i it,it e a • • {TL ` : 3 "A'`- 'lam , y ti ' .1* "-- * ' ':''''''..' ^. .i ,• .'i.'.''-' 4* 1.4., . ....' *r,,,,,e 4 --tics' ' __' - _ ; 1 • 1 1 jam: il I *air c , :.: li Ill '4L 111119111111MiliN: ; • ky ::: �,r,jx -r_ `� a �f i 1; j _ram 4-_, - ,... 7-_•.. i,41 < • { v t.,i } . ,,� .-.c - a' _� + • .r ., , I lop 1 `� . .v ,- a. --- , 1 ]t • '� - ,►ems;, J "L"• A r 4'.a ,.a. rN - _7 "--,. --... ..„...:(;-, . a. l Epp {- '1 - " ",t„.es. ,` � 1 .-_ .� • II I I 110 1 I ) II �an+i+ r►w .- �t , `x` 29 1AX40' x • , off - . -.�: _ +" ,..r..., - sue- P k ir,r d t ` - yam•,- - x { y ai TOWN OF YARMOUTH REVIEWED FOR BUILDING AND ZONING CODE COMPLI- ANCE. ERRORS OR OMMISSIONS DO NOT RELIEVE THE APPLICANT FROM THE RESPONSIBILI OF'AS BUILT' COMPLIANCE. DATE: 1A-c-l 5 ' BUILDING OFFICIAL FILE COPY .202xG 64 I I I - I . v . / , _ . • 4 „,... 14 * ,,iip•,3/4" . ,. 'I '''''4- I, '':#1, .(, ' . . . • '' . , •, • r;,',.. '•• api ... «' v . .. 1" • . il• :. • I. ! . 'y i ;i• , 4, ie • ...e ,f. . . if...,, .4,,,, . .4.. 1, v 1'•*4 ' '....telit-„" " ..-1--* JO i" ' rt ,. ,..-, • . . '' " 4; - IA%01, 44-,, ,040 • 'Pk ,4"Al t' .. ` : 4 1 ' , 4, .. - ..."1 • '6i '''' , , , , . '''. • ...' 4,1.4 t 16. 4* ill ..• . ., .,4.0,* t ' ' 1 '4,11. . • ', `416 . -0. i , „.._.- •' ' i - . « • - i, .v_ — . . « " 0...,•; Ate. " • , 4. • - Ail , ' r .,. 74. . • ‘ -'.; ,k tg'4"`"-. .41. rtk-, , ,'Ile „Zig •„-.., _ .r-'t k lirlit IL ,.' *- .- ' '': "b ... . • -:s• .., , ,,,,„tr / ' • * ,- 4.1, , • * 42 '',.':, ' ' 't * Illi41111.7 ' ' v, .NT a: -, ', 'q r. ' . • - log. A. . 1 ., . ia. .t. ...,,__ .......==,,........ 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' (• t�, k ' ••1 `.`I ,� \%TD • � �• .1 • t a .��' k: 414,• • • • • • • • Y�pd as fry `�1. vrm,y t 4 1 1 1 N i , - ' ___r__ es < L Ci4 ,, LO i i \ cb It , , 1— , 1\\\\ , , (5 .--1 (,,,, A- ,i' , _ ,(•-c3c k k. X. eBol Ise Cascade - Double 1-3/4" x 7-1/4" VERSA-LAM® 2.0 3100 SP PASSED FB01 (Floor Beam) BC CALCe+ Member Report Dry I 1 span I No cant. October 15,2019 09:08:23 Build 7295 Job name: Andy's Folder File name: Gable Beam 29 Liverpool Dr Yarmouth Address: Description: City, State, Zip: Specifier: Customer: Designer: J Andrew Shakliks Code reports: ESR-1040 Company: Mid-Cape Home Centers 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 11 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 1 01 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Lk B1 10-08-00 B2 Total Horizontal Product Length=10-08-00 Reaction Summary (Down / Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live B1, 3-1/2" 61 /0 560/0 B2, 3-1/2" 499/0 852/0 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 10-08-00 Top 7 00-00-00 1 Gable Wall Load 90 PLF Unf. Lin. (Ib/ft) L 00-00-00 10-08-00 Top 90 n\a 2 Roof Load 30/20 7 Unf. Lin.(lb/ft) L 08-00-00 10-08-00 Top 210 140 n\a Controls Summary Value %Allowable Duration Case Location Pos. Moment 1840 ft-lbs 22.0% 100% 1 06-04-00 End Shear 950 lbs 19.7% 100% 1 09-09-04 Total Load Deflection L/776(0.158") 30.9% n\a 1 05-06-11 Live Load Deflection L/999 (0.031") n\a n\a 2 06-00-00 Max Defl. 0.158" 15.8% n\a 1 05-06-11 Span/Depth 16.9 %Allow %Allow Bearing Supports Dim.(LxW) Value Support Member Material B1 Column 3-1/2"x 3-1/2" 621 lbs 7.0% 6.8% Spruce-Pine-Fir B2 Column 3-1/2"x 3-1/2" 1350 lbs 15.2% 14.7% Spruce-Pine-Fir Notes Design meets Code minimum (U240)Total load deflection criteria. Design meets Code minimum (U360) 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 �-r~} b d a • F• • • 1• • e I-�- Page 1 of 2 ®Boise Cascade - Double 1-3/4" x 7-1/4" VERSA-LAM® 2.0 3100 SP PASSED FB01 (Floor Beam) BC CALC®Member Report Dry I 1 span I No cant. October 15, 2019 09:08:23 Build 7295 Job name: Andy's Folder File name: Gable Beam 29 Liverpool Dr Yarmouth Address: Description: City, State,Zip: Specifier: Customer: Designer: J Andrew Shakliks Code reports: ESR-1040 Company: Mid-Cape Home Centers Connection Diagram: Full Length of Member a minimum= 1-1/2" c=4-1/4" b minimum=4" d=24" e minimum= 1" Install screws with screw heads in the loaded ply. Connectors are: SDS 1/4 x 3-1/2 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®,AJST"", ALLJOIST®, BC RIM BOARDTm,BCI®, BOISE GLULAMTM,BC FloorValue®, VERSA-LAM®,VERSA-RIM PLUS®, Page 2 of 2 i,,9 i1j - rl,r 7 VED I ,� F Y�4 TOWN OF YARMOUTH f y 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451 iTelephone(508)398-2231 Ext.1292 Fax(508)398-0836 t y, 44111 y'`' { -s- OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE '` W W� AMENDMENT FORM ("MINOR CHANGE REQUEST") A minor change request must be submitted within one year of the original approval date or while the work is still in progress. Only a minor change may be approved by the Committee without the filing of a new application. PLEASE TYPE OR PRINT LEGIBLY y Original Application #: /f /7.5' Original Approval Date: /O/7 /?c�y Address of proposed work: v 2//' 17CX�< y °7J2/, ? ./ Owner(s): lifeF / Pl;//14g )V Phone#: ' ' C -c-9(:) r Mailing address: ,.?CI L/G/C kROZ.-- 4 j ) / 77'7i / 72,e Email: ! Preferred notification method: Phone Email U US Mail Agent/Contractor: 4 P /(7/4> / ( i e#r- , � —�( � �� 6. y? --) Email: ✓`r4i TUk Preferred notification method: C Phone Email Please describe proposed change(s) and attach plans/photos (as necessary): C)///G ( iA/ z'ii% -r''i' 72.X r4 -��-A /3 .2_ 5%4 I ioy/, y' PI tic-5 /0 s t'/NG 4 e)e>e s 4LL P N,L-_, S ,l/ vL Ge/L-$ � y Signed (Owner or Agent) Date (9/, / T - <n 62C 'i Approved by OKH Denied by OKH New C/A required? Yes No Reason for Denial: i O D JAN 21 2020 JAN ?. 1 LUZO 1 r ,:,1. ,_J-rH TOWN CLERK 1 L OLD K KING S HIGHWAY SOUTH YARMOUTH, MA < ,Z.C' c: Signed OKH Chairman .%L . ,i =,, .- Date l f // a,b-,€:?0 „c70 C AMENDMENT# iT -A=092- A I 11/2015 • -4 ir f .04 -,. - i• .4.- rit a, • IRIP 1;--- t, ,--- 4 1111.,- - . .....-A I`„ pt, 4 1 1 "", ----• - „, , , ..... to', :',.._ 4r4, ._ , -`• 'r—iiit,•-• i : — 4.1., - „• ..7,.. -• - . -'"--— < , ,,,7 _ , . , ..: ,--,-;-- -- .-- -- --- _ _. - . '-: : 17-: .,-:". 417-1#1_,*,-r1-17 ::::-Ilt ,:::: :1/2:140-1°-74:441: .., C3 uai c=> . . ...._ .."". e. — > 0 --)-r— , ,;ti-. , .0.6.;ei :1, -, ,...r., : o f , IF..,' 1- .,..%G - _ ...., r... :,---)--- , , , .. ..—.._ LL ,—, -.4- ( ,. I A - t 4... -0 - c-r-11:- , , . . . . .. -.4F --- . .. .. i C .4'':,41/. ,....:.,_ • - i.,".-..`.• -'`'`' .."% %O. .._, , ... ..,.•.‘ --- ,,--- •-- ,---t-r4„. 1 : CV '•• _ig LI — :::2,1 cc , I0.-..,0 ev, ..„ <g ,- i ts!'l ---' 3 I 0 : - i _I- I --. . . . - '-- . -•.----------,----- ----- -- - # # _ ,,,,....+,, - --- , -.-_,-_- ,:.-_-2„ - - --_,„......., ........ _ - ME . J, „ ..„._,„„ • •_ . ,. . , . . r..,...,„,.., . . . ,,.. , . ..... . .„ _, ..._ , , , i , -.. •, . _ i ' •i.......,, .._., ,.. _._ .„. :_,.. . ,...,...,. . . . , .. , ....,..... ::; , 1 , . , - „„•„, .. ,. ...., ,. . , ....„ ‘,.. , „.. . . ... ......._........_,.... ..,...,. ., , , _ ______. . . . . • 4 4 _ . , I I y .. ..„. RECEIVED , -...,,... ,. JAN i 1 /020 i. .L. _ 1 , _,-- TOWN CLERK SOUTH YARMOUTH, Mil i i .. -..:;,_.,:-.•---._ , ..: A _ O' r. i W I 4` , x I , � -'" _ s �eN`T idtLy./' "fin.. �C! Sz \ - iiik— it -- I. Q 0 I >_ Yid } , ..,. err ; . s' iri,„1„,,........... i li. • Y, ,. I! o 0 :. -1 + v _, 4 i &iA r a Q t r la 1111 111 11 .. „. .,,,, - .. . . _,__ 41111111.4404... Wordilk 1111 • 4110111 J v n Vim, - r v _, ,' •