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HomeMy WebLinkAboutBLD-23-003045 ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department oi� "y 1146 Route 28, South Yarmouth,MA 02664-4492 it`, 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 Th's Section,F�or Official Use Only Building Permit Number: �—l./l Date Applied: Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION R E C O I V E D. 1,�1Pro erty Ad ress: 1.2 Assessors Map&Parcel Numbers V' c Caac_i w c Lohe, to ham. NOV 30 2022 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: BUILDING DEPARTMENT By _ ^---- _ 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: Public❑ Private 0 Zone: — Outside Flood Zone? Municipal D On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: ScUh Carlos Gcyh ,►ve_s u.) laVvYNOtkik m 4 v ' -3--3(0si 7 Name(Print) City,State,ZIP A C_caciwnot,,sl Lore. Th ,N,73 -6.3 cleanco has whcc t o-le 9tm,;,Q- c No.and Street Telephone Email Aa�ress U SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 1 Existing Building 0 1 Owner-Occupied 0 1 Repairs(s) 0 1 Alterations) 0 I Addition 0 Demolition 0 + Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': 7 JPzre\ CAU-1O \ Ltrrre_cd 6-1 -the KiLch - Li L cna rwNi hey anti nepa i r - trewm v in re-n cn Clop{ SECTION 4:ESTIMATED CONb t. tJCTION COSTS. Estimated Costs: ± Item (Labor and Materials) Official Use Only 1.Building S 1. Building Permit Fee:S I Indicate how fee is determined: 2.Electrical $ l$Ntandard City/Town Application Fee 0 Total Project Cost(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 34,U0 ,CiA,' 4.Mechanical (HVAC) $ List: 7" 5.Mechanical (Fire $ . , Suppression) Total All Fees:$ , , Check No. Check Amount: Cash ' I,.1..:(, 13\ ..) 6.Total Project Cost: $6.0 00 0 Paid in Full Outstanding Balance a� 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 IN/1 I Masonry RC 1 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 Na.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 0 No 0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWWNER'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. r a Print Owner'sW, e(Electron c Sig`ature) 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 conta' ed in this a plication is true and accurate to the best of my knowledge and understanding. Print O er's or orized 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" • zs • '� • The Common wealth of Massachusetts t Department of Industrial Accidents 1 Congress Street, Suite 100 i Boston, MA 02114-2017 ��• www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly � ame(Business/Organization/Individual): 3 'pk1 C.c r t O S Gov)�c\V�,S Addre : ,1 1 Address: � Coach►'naps La he >,je,scr `Fao.V)10 U}h l City/State/Zip:\fYc - OZ G-4 3 _ 365i Phone#: Ili( dog al co-)- Are you an employer?Checkthe appropriate box: - Type of project(required): I.❑I am a employer with employees(full and/or part-time).* 7. ❑New construction • 2.0 I am a sole proprietor or partnership and have no employees working for me in • y capacity.[No workers'comp.insurance required.] 8• ❑Remodeling 71 l�lam a homeowner doingall work myself. t 9. El Demolition y [No workers'comp.insurance required.] .6 j I am a homeowner and will be hiring contractors to conduct all work on myproperty. I will 10 ❑ Building addition ensure that ail contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. ID I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12. Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.' 13.p Roof repairs 6.0 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 in 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.I/: 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 ce tify under the pains and penalties of perjury that the information provided above is true and correct. Signature: , )„„-,, C Date: 14 30 ro2v2 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#: of . TOWN YARMOUTH . lh BUILDING DEPARTMENT ���� ; ".��`� 1146 Route 28, South Yarmouth, MA. 02664 S08-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: IL/ 3© / a a fJOB LOCATION: ae....03-) (©hCCA"Je.5 c2y CO 1 rmaOS th C i U3 •�c-'Y-vrpu,4-\ NAME STREET ADDRESS SECTION OF TOWN "HOMEOWNER" o ti CO@ lTcA S _ Lc"C, 1- 303 al(j NAME jeo rl HOW,PHONE WORK PHONE PRESENT MAILING ADDRESS CITY 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 SIGNA r� t APPROVAL OF BUILDING 0 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:homeownrlicexernp Bk 35506 Pg267 #58255 11-28-2022 @ 01: 22p 1(3k.t CA as KN` reA- I j 1QW1ALL MEN BY THESE PATS AN AN OFFICIAL OFFICIAL THAT I, Charlotte H. Pitnerbo , 1 Newbury, Essex Courkty441.safhusetts, as she is Trustee of Coachman's Trust, created Declaration of Trust dated August 31, 2022, a Certificate of even date for which, made purwaat tp the provisions of M.G.IL cdi.1i84 §35, is recorded with the Barnstable Registry of DeedsAin3ook 35355, Page 347 AN OFFICIAL OFFICIAL COPY COPY for consideration paid, being the sum of FOUR HUNDRED FIFTY THOUSAND ($450,000.00) DOLLARS, grant to Jean Goncalves of 24 Coachman's Lane, West Yarmouth, Barnstable County, Massachusetts; r, Q All right title and interest in and to a certain parcel of land, known and numbered as 24 Coachman's Lane West Yarmouth, said Barnstable County, bounded and described as follows: >- 3 The land, together with the buildings thereon, situated in Yarmouth (West), Barnstable County. Massachusetts, bounded and described as follows: SOUTHWESTERLY by Coachman's Lane, a 40-foot way, as shown on plan of land hereinafter described, a total distance of 133.07 feet; NORTHWESTERLY by land now or formerly of Adele M. Brunmark (LC 8 No. 30537A), as shown on said plan, a total distance of 138.29 feet; o NORTHEASTERLY by Lot 4 (Park), a portion of Lot 6, as shown on said plan, a distance of 125.04 feet; SOUTHEASTERLY by Lot 6 as shown on said plan, a distance of 94.71 feet. Said premises are shown as Lot 5 on a plan of land entitled "Confirmation Plan of Land in Yarmouth, Mercer Engineering Corp. Surveyors July 1967," said plan being duly filed with the Barnstable County Registry of Deeds in Plan Book 246, Page 72. The within described premises are conveyed subject to and with the benefit of easements, and restrictions of record insofar as the same now in force and applicable. MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 11-28-2022 @ 01:22pm Date: 11-28-2022 @ 01:22pm Ct1#: 416 Doc#: 58255 Ct1#: 416 Doc#: 58255 Fee: $1,539.00 Cons: $450,000.00 Fee: $1;377.00 Cons: $450,000.00 Bk 35506 Pg268 #58255 I, Charlotte H. Pitman, of Vet$dewbury, Essex County, Ntabsaahusetts, hereby certifies: AN AN 1. That I e,mFthigiTruEteg 4 Coachman's Ttis ccea e4 u iddr written Declaration of Trust dated 4igiust331, 2022 COPY 2. That this certific@ter is given in certificatiokt of kecording said Trust at the Barnstable CouitRegistry of Deeds as authozc141 by the provisions of M.G.L. C. 1846 4b . CQerdfigatg,aLBook 3535,EPIgeI347,prckcq sor to conveyance of certain of thurpattrty of the Trust, and furtebtliatihe said Trust has not been revoked, or amended, remaining in full force and effect to the date of this certification. 3. That under the terms of said Trust, the Trustee has full power to buy, sell, mortgage, contract or otherwise deal with real estate. 4. That under the terms of said Trust there are no conditions precedent to the trustee's power to so deal with real estate nor is there any other condition of the said trust which is, in any manner, germane to the affairs of the said Trust. For title, see deed dated August 24, 2015 and recorded with said Deeds in Book 29093, Page 29. See also SELLER'S deed dated August 31, 2022 and recorded with said Deeds in Book 35355, Page 348 EXECUTED as a sealed instrument on November 26 , 2022 Cjtia i bAk.-.qA , - / rii i`S- -- Charlotte H. Pitman Trustee as aforesaid COMMONWEALTH OF MASSACHUSETTS Middlesex County, ss. On November, 2022, before me, the undersigned notary public, personally appeared Charlotte H. Pitman, Trustee as aforesaid personally known to me, to be the persons whose name is signed on the preceding Quitclaim Deed, and acknowledged to me that she signed it voluntarily for its stated purpose, and her free act and deed, and to the extent that any portion of the within is in the nature of oath or certification-she-r_ijade.oath to the truth and accuracy of same. 0, 4‘.404,&:.7.2:____-414 4 Malcolm H. Houck _ Notary Public -_ My Commission Exp.: 12/15/2O2 .= 2 JOHN F. MEADE, REGISTER BARNSTABLE S RECEIVED & RECORDED ELECTRONICALLY §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 -2 9 rCSC c 6M 6(11 c , to ) t4 vy i, Work Address Is to be disposed of oat the following location: 111445 Any'S k cyh Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. c • 4— : L S' ature o�APPlo Application Date Permit No. r J 1 1 �� 6a ] ) a o c: m .., , ..... . . i� . 1 7 l c I to Q r 5 Cz Ct.rmai. ;s: - L, 4 4 U 0 O W x La_ au r-t- 0BoiseCascade' �,g - Double 1-3/4" x 14" VERSA-LAM® LVL 2.1E 3100 SP PASSED EN • FB01 (Flush Beam) BC CALC®Member Report Dry 11 span I No cant. 6 Build 8435 R E I V E D Job name: 24 Coachmans Lane File name: 24 Coachmans Lane Address: 24 Coachmans Lane Description: DEC EC 05 2022 City, State,Zip: West Yarmouth, MA, 02673 Specifier: Customer: Jean Carlos Goncalves Designer: Kevin Lonkart BUILDING DEPARTMENT Code reports: ESR-1040 Company: Mid Cape Home CenierA, r 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 l 1 1 1 1 1 1 1 1 1 1 1 1 . 1 0 T 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Jk / / 18-00-00 B1 B2 Total Horizontal Product Length=18-07-00 Reaction Summary (Down / Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live B1, 3-1/2" 2230/0 1247/0 B2, 3-1/2" 2230/0 1247/0 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 18-07-00 Top 14 00-00-00 1 Attic Unf.Area(Ib/ft2) L 00-00-00 18-07-00 Top 20 10 12-00-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 15366 ft-lbs 52.9% 100% 1 09-03-08 End Shear 2931 lbs 31.5% 100% 1 01-05-08 Total Load Deflection L/378(0.575") 63.5% n\a 1 09-03-08 Live Load Deflection L/590(0.369") 61.0% n\a 2 09-03-08 Max Defl. 0.575" 57.5% n\a 1 09-03-08 Span/Depth 15.5 %Allow %Allow Bearing Supports Dim.(LxW) Value Support Member Material B1 Column 3-1/2"x 3-1/2" 3477 lbs n\a 37.8% Unspecified B2 Column 3-1/2"x 3-1/2" 3477 lbs n\a 37.8% 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. Design based on Dry Service Condition. BC CALC®analysis is based on IBC 2009. Calculations assume member is fully braced. Connection Diagram: Full Length of Member r} b d a • 1• • I# • • • --r.- a L Page 1 of 2 ®BoseCascadeDouble 1-3/4" x 14" VERSA-LAM® LVL 2.1E 3100 SP PASSED • ENGINEERED WOOD PAC/DOTS • FB01 (Flush Beam) BC CALC®Member Report Dry I 1 span I No cant. December 2, 2022 16:05:29 Build 8435 Job name: 24 Coachmans Lane File name: 24 Coachmans Lane Address: 24 Coachmans Lane Description: R E C E I V ED City, State,Zip: West Yarmouth, MA, 02673 Specifier: Customer: Jean Carlos Goncalves Designer: Kevin Lonkart DEC Q Code reports: ESR-1040 Company: Mid Cape Home Cent•rs 55 202 Connection Diagram: Full Length of Member BUILDING DEPARTMENT a minimum = 1-3/4" c= 10-1/2" b minimum =6" d =24" e minimum = 1" Calculated Side Load=0.0 lb/ft 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 BOARDTM, BCI®, BOISE GLULAMTM,BC FloorValue®, VERSA-LAM®,VERSA-RIM PLUS®, Page 2 of 2