Loading...
HomeMy WebLinkAboutBuilding Permit InformationBuilding Permit Information 57 General Lawrence Rd, So. Yarmouth "I. mkYr C14 44a4w 1 J 1Z4 ONE S TWO pAMTLY ONLY BUff-DING FERMUT Town of Yarmouth Bnildlag De &rtm t .l t� 14b Rm 28, South Yarmouth, MA - 92 508-398-VJI act 1261 Fax508-398-0836 MAzaCllwem SMtn BuMingD�e, 780 C� BulldmgPVM*Applicatrorr Tb Coy. o ct Rda', f?focait Or Dtmoltrh d Oh,, or 74o-F=ily DWC114 This Section Fair Qti7cisl Usa Brn7dirtg laarmhNurnber. DIM Applied: SaildiZ& 0MCW (1'rint?iame) REr. !._....� a ��,,,,,,�� SECTION I: SITS IN UltmAl lu ��pp,,te ---� 1 Gern`t9l'a"Lawrence Rd IZ/AzsessorsMap &Parcel Wu 89rx 1.1 a 1s this im 1h,,,t7— X no td�p l fumtxr ptvicel Numba 1.3 Zvni,Wosmsdoit: �utyDlmeasians: 239 I�S�?2� Z7°ins Aimi Propnscd U e Lal Arai {sq ft) Fronfl {R) is Rdldia=Setback, rm Fiver Yvd NO gtdcd 30 1.6 Water Supply, (M[11.c.4U, Public ❑ Povea ❑ e Side Yscds Rcgnirod I Provided Rat Yard } M MoodZoaelnrormalinnr L$Sewage l3isAos,system; Zone _ OuWde F1aad Zone? Munici p �etk if C1 F� Can sire dlsp�i syy�� SEC 1ON z: PROPERTY OWMRSIM' Gtr. �. Z1P NO, apd Srrea --- ', ..« . Tticphone Email S9CTTDN3: DESCRE MdN 012nop{3= WQW (chet)f,.n1i that apply) New ConZ-Uction Existi:tg Budding 13 0wn -o= 1cd ❑ Repairs s ❑ Altsrativo 5 1] P () () Additiaa ❑ DcumGtiou ❑ Aoeessaryljldg.C! Number ofUmits Othrx ❑ specify, Brief Dm ipd n of Proposed Work',. e a e w Bern 1. Building 3. Plumbing 4,Mechanical (WAC) 3. Maehantcai IF" S S2?CI IQIV : Y?SITMATEA CQNSCRUMO N COSTS T:stimaud Costs: _ Offic1zl175e Only . 1. ]Rd ug Permit F$�- S O ].Palma how fee is Standard chytrown.Appue ion IF" D .ToW Project Costs Utntn b) x mu.14I a_;_„� 'x 2- Mar Mar Fete;S i . a_ ToWProjectCost I s 140, 519 Total All Fees: S ChcckN0. _ ChetkAAlomt~ Cush Amount 13 Paid in FuIi 13 ouutanri q Bsleace Do--- 10 I i- -rrnrr gE12YICB3 SEC-MNS: Cull" - - S-OB9397 3- S 1 Caastrndioa Sape"kmv t.ltnmt (CSL) Scott Ryan Mitchell. Ltca+,eN—m - Namc of CSL Iloldrr ust CSL Typo (sn hslacr) U PO BOX 824 Type P No. and S"W U Urutstricted u[IdI u to ]3 Osterville MA 02655 A Risser is led l&a P.amil R malaruy b"Itin Gstptc� ZIP AC Root5n Cowfln w$ Window end SId[a Solid Fuec" 508-858-7095 scoryamit@gmail.c rruulettonlSnrtlingA lira Fel Full rtddrm g Demalition &2 red Home improvemcutContractor(WC) 199897 10-16-2 H aware and Accessary Installs HIC itoyistrntion Number Nlrnti riDete � i�`} �cA.asisw"Naamc office@hardwareand 'NrASille MA 02655 781-473-0606 accessarvin Ci /To 5�te ZIP Tel bone $'LC ON 6' W GP -ICU ' COWENSATION I[NSOTI ANCE A"MAVTT (RiC.L c 152. g 15C(�l r pensation rnstanoc atTzdavit mwt b eomplated and submstud with this application, Pads Pmwill result in this demo! of the Issuance of the building Permit.avit Attacbed9 )(el .......... t No ........._ 0SFiCT10N7a:0Y NMAUTU R r7ATI0NToBECOMJ?T.TSI'rsDWWN OWNER'S AGE[ (T ORBTitL]]II�IG PETtf the subject property, hereby a,tb,nzpSeoft Mitthe11 behalf, 2n all M=ers to work autborized this buEding permit applicatian. 4/27/21 tr`ameM c=rta lsarwte) Bate SECTION 7b: oWNFkt oaAuTHoRJUD AGENTDECLA-RATI01'{ 13y enterin; mx name below, I hereby attest under the pains and penalties of pe4my that ab of the infgrmatloll wntained is this application is ttuq and a ctuste to the hest of my lmowledge and undentaildin& Scott Mitchell_ 4/27/21 Print Owner's or Authorized A =V-3Pame (Electronic Signature) Date NOSES. 1. An Owner who aNinv `building petmlt to do hlslbtrr awn work, or an owner wbo hires am tmrea�lstered couhactnr (not rezLitttd In the Home Improvement Contractor (MC) Program), will at ,have acew to the arbitration program or guaranty fund under M.G.J. c.142A Other important information on the I-EC.Prograttt can be Fotmd at www-mass- Joovlacat information on the Construction SWmIsor License pp be found at 2. Wbeu substantial work is planned, provide the infotmatioa below Total floor un (sq. fk) (including garage, finished ba&cmt nt/attira, decks or parch) Gross livin; area (sq. ft) Habltable room count Ntmiber of fireplaces Ntnvbcrof bedrooms Ntunber ofbaftnoms Number ofhalflbaths TI'pe ofteating system N=ber of decks/ porches Type ofcovlsng system Eack med Open 3. "Tonal Project Square Footage" may be substituted for'Total Project Cost, The Commonwealth ofMassachirsetts Department oflndustrlalAccidants 1 Congress Street, Sulte 100 Boston, MA 02114-2017 UV. www.mass.gov/din U orkers'Compensation InsuranceAffidavftt Buflders/Contractors/Eicctricians/Plumbers. TO BE FILED WITH THE P)ERNiM(NC AUTHORITY. Applicant Inrorination Please rrint Leoihl Name (Business/Organizadon/lndividual): Hardware and Accessory Installs, LL Address: 75 N Main St. #584 City/State/Zip:Randolph, MA '02458 Phone#: 781-473-0606 Are yea an employer! ChecIt the appropriate box: 1.01 am a employerwith employees (full and/or part-timt:l.+ Z� I am a sole proprietor or partnership and have no employees working for me in any eapWty. [No workers' crimp. insurance required.) 3.Q 1 am a homeowner doing all work myself. (No workers' comp. insurance required.] t 4.❑ 1 am a homeowner and will be. hiring contractors to conduct all worst an my prop". I will ensure that all contractors either have workers' compensation irow ance or are sole proprietors with no employees. 5.® 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. insuranee.t T BD 6.0 We are a corporation and its officers have exercised their right of exemption per MGL C. IS2. I i j4), and we have no employees. (No workm' comp. insurance requirad_1 'Any appl item that checks box 0 t roust ■tso fist n..t tr,. —r.,., r._i......� Type of project (required): 7. ® New construction 8. [] Remodeling 9. ❑ Demolition 10 El Building addition I LE] Electrical repairs or additions 12. ❑ Plumbing repairs or additions 13.0 Roof repairs 14.0 Other Homeowners who submit this affidavit Indicating they are doing all work and then hire outslda contractors must submit atln�ew affidavit indicating such. tContractors thst check this box must attached An additional sheet showing the name of the sub -contractors end state whether Or not those errtiaes have employees. If the sub-connacwra have employees, they must provide their workers' comi policy number. I inn an employer tll al Is pravidina workers' catrrpensation Insurance for my employees. Below is the pollcy and job site Infonna Lion, Insurance Company Name: Hartford Insurance Company of the Midwest Policyr4orSelf-ins.Lic.4:76 WEG AB7KL2L Expiration Date: 6 / I / 2 1 Job Site Address: 57 General Lawrence }7d City/state/Lip: S.Yarmouth MA 02664 Attach a copy of the workers' compensation policy decfaradon 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 du hereby cert� r rder the pains anrf penalties of perjury Thai the ir{jorntation proulded above Is true and correct, pna re: Date: 4 / 2 7 / 21 ant 508-856-7095 Officlai rise only. Do nol sprite In this area, to be completed by city or tnrwlt official. City or Town-, Permit/License n Issuing Authority (circle one): I. Board of Hentth 2. Building Department 3. City/Town Clerk A. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone §TOWN OF Y'ARMOUTH 1146 Route 28, South'Yarmouth, MA 02664 .508-398-223� ext.-1261 Fo 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 ' ��`'Y-'z-�'�`"`'� Work Address Is to be disposed of cat the following location: WV-1 Ct D �S Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. 5 �f�flZ[ Signature of Application Date Permit No. Office of Consumer Affairs & Business Regulation - Mass.Gov Page 2 of 2 Zip code Click on the registration number to view complaint history. You can also view arbitration and Guaran Fund history. The list Is current as of Tuesday, May 18, 2021. Search Results RegistrantNamiRESPONSIBL INDIVIDUAL Hardware and �Rebello, Brian Accessory Installs ; 11-C. _..--......_..__ .. -- ........ E- _ _._ ... . Site Policies Contact Us EGISTRATVMVRESS NUMBER APO Box 824 ,Osterville, MA .02685 ---- EXPIRATI(WATU DATE E 10/16/2022 turre f t © 2018 Commonwealth of Massachusetts. Mass.Gov(D is a registered service mark of the Commonwealth of Massachusetts. https://services.oca.state.ma.us/hiellicenseelist.aspx 5/19/2021 Office of Consumer Affairs & Business Regulation - Mass.Gov Page 1 of 2 FE-2 Mass.gov Office of Consumer Affairs and Business Regulation (OCABR) Home Improvement Contractor Registration Lookup To search by registration number, enter the registration number in the textbox below and click the 'Search' button. Please note pressing the Enter key will clear fields. Search by Registration Number 199s97 Search You must click the "Search Registrant" button to search by name or location. Please note pressing the Enter key will clear fields. Search by Registrant Company Search Registrant name Search by Registrant last name Search by Registrant First name City/Town State https.//services_oca.state.ma.us/hic/licenseelist.aspx . 5/19/2021 r�. , s .r 24 o�X aon {�, :01 r °d"nu a Cn Q� 'otSU� O a EL Cp 4 / 1 TOWN OF YARMOUTH } I WATER DEPARTMENT .�•�X r 99 Buck Island Road West Yarmouth, MA (12673 Telephone: 150R) 771-7921 • Fax: 15013) 771-7998 BUILDING PERMIT APPLICATION FOR WATER DEPARTMENT SIGN 01; E TRANSMITTAL FORM 57 General Lawrence Rd BUILDING SITE LOCATION: PROPOSED WORK: Detached 2 car taaracie construction APPLICANT: Scott Mitchell ADDRESS: PO Box 824, Osterviile MA 02655 TELPHONE: 508-858-7095 RESIDENTIAL AND /OR. COMMERCIAL BUILDING Water Department: Delermines Compliance of Water Availability and or existing location Engineering Department: Determines Compliance for Parking and Drainage Consen•alion Commission: Delcrmines Compliance to Wetlands Act: i.e. If lot(s) border any *pe of wetlands. streams, ponds, rivers, ocean, bog* , boys, marshland. ETC... Health Department: Delennines Compliance to Statc and "Cohn Regulations, i.e, rc-quircments for Septage Disposal and other Public I lealth Acliviles Fire Department: Determines Compliance to Stale and Town Requirements for Personal Safety, Property Protections, i.e. Smoke Defectors, Sprinkler Systems,etc 5119/21 APPLICANT SIGNATURE, DATE OFFICE USE.: CONI\IFISTS ON PERMIT APPROVAL OR DENIAL REVI i�l B R'ATER DIVISION (SIGNATURE) wa DATE C� x r =c :1] go = O 3] m m m 0 C r � QNM �-r Q , on `-' � z r-- mN Cliff r Mr '. ' r ut 0 ►-o iLf _ VOW i MOM IW W��V�4t�W(.idN � N,.fK YVaa •.� � ,.nww .r ra.w . w LOCUS MAP tcrs 1'.1om's Namis .+� Ta ruua ar ZONNQ SL1MtulAPY- 2o "1 %.-H&SMCI 4olat0. HL LOT am 4&" u rK Lot norIAm "dr usrla- tint if W wiaraye= mm V. 1a' al. w .K a0I dll . 20' pll 4M xla lr Ar la.r - 1YY 7,1 4w m - �4L 11— fbri faa Y&4 Kdq y1' 1{„ IOM aR a I wv a" K K m matm— *--. --T SITE PLAN 087 GENERAL LAWRENCE ROAD SOUTH YAFiMOU7H4 MA RYANN FAMEU r al. (", �., .'1 wa eqr ITL : aaq W.U. A. Z rL ►iL s�► +.... rr.�i r .,. w ,rawsree. r. aK+! Y' SERVICE NO. L0955 11-3-97 NAME: Diolindo Fells Jr Maryann Fells STREET r"7 1,;1"Trtice PJ. VILLAGE ncUL11 Yarmuut", -5 METER NO. op 941 Pao Y TOWN OF YARMOUTH N,LCE0UL D A. HEALTH.DEPARTMENT MAY 19 2021 PERMIT APPLICATION SIGN OFF TRANSMITTA SIAURH DEPT. To be completed by Apphcanf. Building Site Location:. 57 6cnt,k Proposed Improvement: Applicant: �Cd� A Address: Tel. No.: � M 7"z zf Date Filed:L,71— ""If you would like e-mail notification of sign off, please provide a -mall address: a_d [zfLte Owner Name: Owner Address: t Lin --act Owner Tel. NoP 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: (I.) 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 S application signed by licensed installer with fee. REVIEWED BY: l /l� \ l �tfJ� DATE: � 7 A / // PLEASE NOTE COMMENTSI ND ITIO SQ�� � ,� � TOWN OF YARMOUTH Building Department (508) 398-2231 ext.1261 -------------------------- PERMIT NO :BLD-21-006782 ISSUE DATE 06/16/2021 � �­x-----------------«a-.__--. APPLICANT SCOTT RYAN MITCHELL BUILDING PERMIT JOB WEATHER CARD PERMITTO Addition AT (LOCATION) 57 GENERAL LAWRENCE RD SOUTH YARMOU ZONING DISTRICT R-40 Bldg. Type: !Residential SUBDIVISION MAP BLOCK LOT 1078 289 BUILDING IS TO BE ............................. CONST TYPE V B ( USE GROUP R-3 REMARKS New Construction per approved plan 780 CMR MSBC, 9th Edition - Detached two car garage with storage above (781473-0505)A CERTIFIED AS -BUILT IS REQUIRED BEFORE FINAL INSPECTION CONTRACTOR - LICENSE ;CS-089397 ICanstruction Supervisor SCOTT RYAN MITCH ELL SCOTT MITCHELL Ostervnle MA 02555 AREA (SQ FT) a683 107 92] EST COST($) 111440519.00 PERMIT FEE ($) 11,050 00 OWNER Maryann Fameli •:.--x - - - BUILDING DEPT BY ADDRESS, 57 GENERAL LAWRENCE RD SOUTH YARMOLIT H �y MA 02664 - PHONE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS, THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM INSPECTIONS REQUIRED FOR ALL APPROVED PLANS MUST BE RETAINED ON WHERE APPLICABLE CONSTRUCTION WORK: 1) FOUNDATIONS OR JOB AND THIS CARD KEPT POSTED UNTIL SEPARATE PERMITS ARE FOOTINGS. 2) PRIOR TO COVERING STRUCTURAL FINAL INSPECTION HAS BEEN MADE. REQUIRED FOR ELECTRICAL MEMBERS (READY FOR LATH OR FINISH WHERE A CERTIFICATE OF OCCUPANCY IS PLUMBING/GAS AND COVERING) 3) FINAL INSPECTION BEFORE REQUIRED, SUCH BUILDING SHALL NOT BE MECHANICAL INSTALLATIONS. OCCUPIED UNTIL FINAL INSPECTION HAS OCCUPANCY 4) REFER TO DETAILED INSPECTION BEEN MADE. SCHEDULE POST THIS CARD SO IT IS VISIBLE E BUILDING INSPECTIONS APPROVALS WORK SHALL NOT PROCEED PERMIT WILL BECOME NULL AND VOID IF INPSECTIONS INDICATED ON THIS CARD UNTIL THE INSPECTOR HAS CONSTRUCTION WORK IS NOT STARTED WITHIN CAN BE ARRANGED FOR BY TELEPHONE APPROVED THE VARIOUS SIX MONTHS OF DATE THE PERMIT IS ISSUED AS OR WRITTEN NOTIFICATION. STAGES OF CONSTRUCTION NOTED ABOVE. Commonwealth of Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Official Use Only PernutNo. BLDE-22-000339 Occupancy and Fee Checked Rev.1 /07 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL' WORK All work to be performed in accordance with the Massachusetts Electrical Code (WC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7/20/2021 City or Town of: YARMOUTH To the inspector of Wires: By this application the undersigned gives notice o bis or her intention to perfonn the a ectrical work described below. Location (Street & Number) 57 GENERAL LAWRENCE RD Owner or Tenant FELLS MARYANN Telephone No. Owner's Address EPPICH SALLY J, 57 GENERAL LAWRENCE RD, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? 'Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Garage addition & grounding. Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Cell: Susp.(Paddle) Fans No. of Transformers Total KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ rnd. In- ❑ rnd. No. of Emergency Lighting BUnits No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Ittitlatine Devices No. of Ranges No. of Air Cond. Total ons No. of Alerting Devices No. of Waste Disposers Heat Pump I Number I Tnns No. of Self -Contained Detection/Alerting Devis s No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Connection Other: No. of Dryers Heating Appliances KW Security Systems:* No,ofD lees orEnuivatent No. of Water KW Heaters No. of No. of Ballasts Slims Data Wiring: No. of Devices No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Eauivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to start: Inspection to be requested in accordance with NIEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Matthew P Dennen Licensee: Matthew P Dennen Signature LIC. NO.: (1fapplicable, enter "exempt" in the license number line.) Bus. Tel. No.: Address: PO BOX 88, BUZZARDS 13AY MA 025320088 Alt. Tel. No. - *Per Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License 21609 OWNER'S INSURANCE WAIVER: I am aware that the License does not have the liability insurance coverage normally required by law. But my signature below, I hereby waive this requirement. I am the (check one) Owner/Agent Signature Telephone No. ❑ owner ❑ owner's agent. PERMIT FEE: $50.00 71 Town of Yarmouth 1146 Route 28 South Yarmouth, MA 02664 �"• 508.39B.2231 RECEIPT RECORD & PAYER INFORMATION Record ID: BLDE-22-000339 Record Type: Residential Electrical Property Address: 57 GENERAL LAWRENCE RD, SOUTH YARMOUTH, MA D2664 Description of Work: Garage addition & grounding. Payer: Applicant: Matthew P Dennen Matthew P Dennen PO BOX 88 BUZZARDS BAY, MA 025320OBB PAYMENT DETAIL Dale Payment Method 0712D12D21 Check Reference Cashier Comments 14323 KELLIOTT FEE DETAIL Fee Description Invoice # Singie Inspection Fee 72354 Receipt No.: 68720 Receipt Date: 07/20/2021 Quantity tree Amount 1,00 $50.00 $50.00 Amount $50.00 Current Paid $ 50.00 $50.00 AA_Receipt_Tempiate.rpt Print Date: 07/2012021 Page t