Loading...
HomeMy WebLinkAboutBLD-23-003003 • ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department of r 1146 Route 28, South Yarmouth,MA 02664-4492 , - ...4.tki 508-398-2231 ext. 1261 Fax 508-398-0836 Massachusetts State Building Code,780 CMR '_, \t i Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only 'RECEIVED Building Permit Number: PL _a-3.- eba--n- Date App • ---- r. SeI►( -r )1 fr p d, NOV 2 8 2022 Building Official(Print Name) ignature Date " BUILDING DEPARTMENT SECTION 1:SITE INFORMATION Br. _ 1.1 Property AY eric-j ��"J ZZ 221. 1 1.2 Assessors Map&Parcel Nu 1.1a CCIss this aannjjaccccepted street?yes y no Map Number Parcel Number 1.3Zoni Information: 1.4 P 9pper -Dimensions:� ` Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 3o 3O 6 20 26 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 0 On site disposal system A Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of R cord: Sr i f � — 14-Y tik)NIS t OA A- 024o Name(Print) City,State,ZIP la 21%6-CO al Alene k Ti c3Y1 vJr'f . Z59-5 cG/Jr zC�1{e 77n1iL. Cam No.and Street op(T C.f 31 Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction ►'- Existin• :uilding 0 Owner-Occupied 0 1 Repairs(s) 0 Alteration(s) 0 Addition 0 I e j i;onr^► r a`L Acie�sb Bldg. 0 Number of Units I Other Li Specify: : ief: •. . ofgiopose. W,rk2: IZSoit_iN Itjeuj 1{4YY1 G dY1 (JAC..irr1T LOT' * DEC 22 2022 <� BUILDING DE:0.-\ro1., SECTION 4:ESTIMATED CONSTRUCTION COSTS. . ._ Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ j od o 1. Building Permit Fee:$16)d\ Indicate how fee is determined: 2.Electrical $ 110 00C) II Standard City/Town Application Fee / 0 Total Project Cost3(Item 6) multiplier x 3.Plumbing $ L/U OCCJ 2 loan() , . Other Fees: $ vv j� 4.Mechanical (HVAC) $ Z.5 Glad List: tL Zfl/ r 5.Mechanical (Fire Suppression) $ Total All Fees:$ - - 6.Total Project Cost: S 665 Check No. Check Amount: Cash Amo ❑Paid m Full ®Outstanding Balance D :16 a SECTION 5: CONSTRUCTION SERVICES 5.11 Construction Supervisor License(CSL) ��, If� O7 7 l7,3 t_ 1 1-c 1 License Number Expiration Date Name of CSL Holder �6 �,i (art te- e --unit'�3 List CSL Type(see below) No.and Street Type Description Ek,y (�/1 A 0 / Unrestricted(Buildings up to 35,000 cu.ft.) l( �v �1"� ICJ R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering • WS Window and Siding SF Solid Fuel Burning Appliances 5et—5 Z SU" t��rnAIL' C ltk I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) /605/17 Q /z/f � mi HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name Z65&rnmont grout k.oAy v&I-r 4f3( a zQ ffvy,n 1-• Cory No.and Street Email address f4ym 4)%t mk—024d I ,rr 2.5q-5z5� 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 permit. ermit. Signed Affidavit Attached? Yes 0 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 i tru d curate 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.) !'7 Z (including garage,finished basement/atticdecks or porch) Gross living area(sq.ft.) ',Z4 Habitable room count Number of fireplaces I Number of bedrooms 3 Number of bathrooms ��Z- Number of half/baths J Type of heating system 'A4(Z._._ Number of decks/porches Z Type of cooling system Lk.- lit I'd_ Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" • The Commonwealth of Massachusetts Department of Industrial Accidents .��{= 1 Congress Street, Suite 100 vk ='a,6= Boston, MA 02114-2017 ;_�•`•y www.mass.gov/dig Yorkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): et_ .6 Lc a ISgiFy fSf)!LZt3 Address:265' <'c,trl mom 4-nay L1 hki L2 Iv!( 431 City/State/Zip: tiV''.45 '4- 02.0( Phone #: 5G&-2-/— 526 0-- Are you an employer?Check the appropriate box: Type of project(required): l.❑I am a employer with employees(full and/or part-time).* 7.ONew construction Z.I am a sole proprietor or partnership and have no employees working for me in anca aci8. Remodeling Y P h' [No workers'comp. insurance required.] 3.❑I am a homeowner doing all work myself. [No workers'comp. insurance required.]t 9. Demolition • 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 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. insurance.t 13.0 Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.11 Other 152,§1(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. 1Contractors 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.m: 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$250.00 a day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under th gain an enalties of perjury that the information provided above is true and correct. Signature: ( Date: ( f Phone y: 50e-a59-5�j1� Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: • TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 Fax 508-398-0836 Office of the Building Commissioner BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G. L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111/5 I hereby certify that the debris resulting from the proposed work/demolition to be conducted at �� -y f5t -4-2-y Work Address Is to be disposed of at the following location: e (YSPci-sl Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. -L.4( ( 'Cr Signature of Applicant Date Permit No. Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Cons t i%1Spv i sor if CS-104384 6(pires: 07/27,2023 STEVEN L HETZEL 72 PINE CONE DR WEST YARMOUTH MA 02673 r t()/1V1:1L Commissioner di t!. mrGe� THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Individual • Registration Expiration 165119 . 01/06/2924 STEVEN HETZEL -- � D/B/A LEWIS BAY BUILDERS y =� • STEVEN HETZEL 72 PINE CONE DR. ` t � ��� -d( W.YARMOUTH,MA 0267$.1 t Undersecretary 0 BAYBERRY RD Location 0 BAYBERRY RD Mblu 22/ 227.1/ / / Acct# 105266 Owner HETZEL STEVEN L Assessment $208,700 PID 105266 Building Count 1 Current Value Assessment Valuation Year Improvements Land Total 1 2023 $0 £ $208,700 _._ $208,700 Owner of Record Owner HETZEL STEVEN L Sale Price $300,000 HETZEL LYNN L Certificate Care Of Book & Page D1468119/0 Address 265 COMMUNICATION WAY APT 431 Sale Date 09/28/2022 HYANNIS, MA 02601 Instrument 00 Qualified 0 TOWN OF YARMOUTH HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant: Building Site Location: (90 �( 4 t3 r- Proposed Improvement: Uel.k1 Co'Y\ cTl cl — Lo Applicant: -k-t—u 7J Telly Z�� Tel. No.: O Z61- 2-5Z Address: 265 Cowin ,71eivvo'' cd!'� v * 4 31 l !tin r s r"r14. 02tv0/ Date Filed: /h-£('2-7.-- **If you would like e-mail notification of sign off please provide e-mail address: `7 � l /44-lL-e4oz`y Owner Name: /fr 7'1 Owner Address: 415,1/L - Owner Tel. No.: 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: on,- Ai DATE: J.) - PLEASE NOTE COMMENTS/CONDITIONS: C7-ywR T01%\ OF 1 AR\1O1 Tt! .�{' s: ` '� WATER DEPARTMENT 0, : 'I 99 Buck Island R:a,I '1• L tar .1 11,""..t ?c me utfl, \1 (� _! 1 �'�•",� Falr=,xlrrnst rti8 —1--92 I • Ftty: l-08, ?"I-"!)'.Jti BUILDING PERMIT APPLICATION FOR WATER DEPARTMENT SIGN OFF TRANSMITTAL FORM BUILDING SITE LOCATION: � _._'O PROPOSED WORK: K U..) t �E`T1 P- 1c APPLICANT: Oak) LewIS t I S ADDRESS: 2ta 1 t'►'l U S1t t? 1 dYi %1 ({' I tv +5 N. 026'0 t \ IILPIIONE: dq _ Z RI.SIDF\TI,\L AND OR C'OM\Il R('I:\I. BUILDING 11'atcr Department: Determine,Compliance of Water \+ailahiltt} and in existing location 1•.usmcerut_I)epanment Determines Compliance for Parkinu and I)rainaec Conservation Commission Determines('cmtplidlice to Wetlands Act: i c It hilts)border any type of «ctlands. Streams.ponds.river,.ocean. hog,. hods, marshland. ETC.,. I lealili Department: I)etei-mines Compliance to State and I ivy n Regulations, i.e. requirements air Septage Disposal and other Public Ilealth Actiyues Fire I)epartmenl: I)et ermines Compliance to State and'km n Requirements for Personal Safety. property Protections. i.e.Smoke Detectors,Sprinkler Systems,etc APPLICANT SIGNATURE I)1TE OH-ICE USE: COMMITS IS O\ PI•.R 1I I ;APPROV%I,OR DE\L11. it.5•�,¢x L 3 " S t---�r/.c w !TY /1 04 St,, `c e (! Y c.. v J, 'LA( — e 1,144 3 `1� �� /a -r /,fsr ev,'LIrn1 r.— OV C&-3' i pi-4411- yid S /Cam . /'//t ,0-z RFVIEWE 1' WAT>r R DIVISION(SIGNATURE) / DATE. . I k' ..: 1,,; ! c TOWN OF Y A R M O U T H ,,� ;1., 1146 ROUTE 28 SOUTH YARMOU I I M ASSACI IUSE rrs 02664-4I51 w►sr n s ••., 3 rd 1'ctephone(508)39$ 2231,Ext. 1250—Fax(508)760-4830 p l:✓ Engineering and Surveying Division Building Permit Revi- DEC 12 2022 Residential and/or Commercial Buildings BUILD►NG pEPART� NT Name of Applicant: Iti Telephone or Email Address: 5e.,9 Z51 - Zvi Z- /SL/46T '1-erf ill NIL- L`4� Proposed Building Location: 60 'K -4 . ter "f: r►'lovi. -74 j ( 1 Date Submitted: 1 ( l Id I zz Requirements for review: Please submit one(1) copy of plans.to include: 1. For Residential: Site Plan showing proposed and:or existing buildings, proposed contours with bench mark, water service location,and septic system location. For Commercial: Site Plan showing details required by the Zoning By-law and revisions required by Site Plan review, if any. Note: Site plans must be sired and stamped by a Licensed Professional Land Surveyor and Engineer or Sanitarian. 2. House or Building- Floor Plan(s)and Elevation Plan(s) 3. One(1) copy of application. Amanda DO . .a..a _ Lima " 12/5/2022 w`""'@"'" 'en.tn.u°S Reviewed By: Dam 2022.12 °�15"'�°'�° Date: PLEASE NOTE Comments/Conditions:Retain stormwater on site during and post construction. Remove unsuitable soils around drywells as encountered. No detail provided for drywell. Include 2' width of stone around LB with fabric on tops/sides. H2O for drywell in front yard near driveway. Pnnted on Recycled Paper ♦y Extra Features Extra Features Legend No Data for Extra Features Land Land Use Land Line Valuation Use Code 1300 Size (Acres) 0.22 Description RES ACLNDV MDL-00 Frontage Zone Depth Neighborhood 0060 Assessed Value $208,700 Alt Land Appr No Category Outbuildings Outbuildings Legend No Data for Outbuildings Valuation History Assessment Valuation Year Improvements Land Total 2023 $0 $208,700 I $208,700 Property Location 0 BAYBERRY RD Map ID 22/227.1/// Bldg Name State Use 1300 Vision ID 105266 Account# 105266 Bldg# 1 Sec# 1 of 1 Card# 1 of 1 Print Date 9/27/2022 CURRENT OWNER TOPO _ UTILITIES STRT/ROAD LOCATION CURRENT ASSESSMENT JACOBSON JOHN W Description Code Assessed Assessed 815 RES LAND 1300 208,700 208,700 56 BAYBERRY RD SUPPLEMEV AL DATA YARMOUTH,MA Alt Prcl ID 105266 VOTE WEST YARMOUTH MA 02673 MISC VOTE DATE CHANGES PRIVATE BETTERMENTS PLAN # VISION V\/'S'O A' ZIP CODE GIS ID M_304591_822092 Assoc Pid# Total 208,700 208,700 K-VOL/PAGE SALE DATE CAI V/I SALE PRICE VC PREVIOUS ASSESSMENTS(HISTORY) JACOBSON JOHN W D803106 0 06-14-2000 U I 0 Year Code Assessed Year Code Assessed V Year Code Assessed 2023 1300 208,700 Total 208,700 Total Total EXEMP IONS OTHER ASSESSMENTS This signature acknowledges a visit by a Data Collector or Assessor Year Code Description Amount Code Description Number Amount Comm Int APPRAISED VALUE SUMMARY Total 0.00 Appraised Bldg.Value(Card) 0 T SESSING NEIGHBORHOOD Appraised Xf(B)Value(Bldg) 0 Nbhd Nbhd Name B Tracing Batch Appraised Ob(B)Value(Bldg) 0 0060 NOTES Appraised Land Value(Bldg) 208,700 PARCEL CREATED FOR FY 2023 PER Special Land Value 0 LAND COURT PLAN 11435A Total Appraised Parcel Value 208,700 Valuation Method C Total Appraised Parcel Value 208,700 BUILDING PERMIT RECORD VISIT/CHANGE HISTORY Permit Id Issue Date Type Description Amount Insp Date %Comp_ Date Comp Comments Date • Id Type Is Cd Purpost/Result 03-27-2020 WD 54 Field Review 06-07-2017 BH 02 CL Cyclical 01-01-2014 BH 01 1 CY CYCLICAL 2014 07-14-2004 GM 00 Measur+Listed 08-06-2003 GM 02 Measur+2Visit-Info Card I 08-06-2003 GM 01 Measur+1Visit 09-1A-1995 • D.H _ 00 Measur+Listed LAND LINt tiALO' ON-SEC1ION B Use Code Description Zone Land Type Land Units Unit Price Size Adj Site Index Cond. Nbhd. Nbhd.Adj Notes Location Adjustment Adj Unit P Land Value 1 1300 I RES ACLNDV M 9,681 SF 13.26 1.00000 6 1.00 0060 1.300 WF12 1.0000 21.55 208,700 Total Card Land Units 9,681 SF Parcel Total Land Area 0 Total Land Value 208,700 Property Location 0 BAYBERRY RD Map ID 22/227.1/// Bldg Name State Use 1300 Vision ID 105266 Account# 105266 Bldg# 1 Sec# 1 of 1 Card# 1 of 1 Print Date 9/27/2022 CONSTRUCTION DETAIL CONSTRUCTION DETAIL(CONTINUED) Element Cd Description Element Cd Description Style: 99 Vacant Land Model 00 Vacant Grade: Stories: Occupancy CONDO DATA Exterior Wall 1 Parcel Id IC I Owne Exterior Wall2 IB IS Roof Structure: Adjust Type CodeLET Description Factor% Roof Cover Condo FIr Interior Wall 1 Condo Unit Interior Wall 2 COST/MAVALUATIO Interior Fir 1 Interior FIr 2 Building Value New Heat Fuel No Sketch Heat Type: AC Type: Year Built Total Bedrooms Effective Year Built Depreciation Code Total Bthrrns: Total Half Baths Remodel Rating Year Remodeled Total Xtra Fixtrs Depreciation Total Rooms: Functional Obsol Bath Style: Ext.Comment Kitchen Style: Trend Factor 1 Condition Condition% Percent Good RCNLD Dep%Ovr Dep Ovr Comment Misc Imp Ovr Misc Imp Ow Comment Cost to Cure Ovr Cost to Cure Ovr Comment OB-OUTBUILDING&YARD ITEMS(L)/XF-BUILDING EXTRA FEATURES(B) Code Description L/B Units Unit Price Yr Blt Cond.Cd %Gd Grade Grade Adj. Appr.Value BUILDING SUE-AREA SUMMARY SECTION Code Description Living Area Floor Area Eff Area Unit Cost Undeprec Value Ttl Gross Liv/Lease Area 0 0 0 0 Ownership History Owner Sale Price Certificate Book & Page Instrument Sale Date HETZEL STEVEN L $300,000 D1468119/0 00 09/28/2022 JACOBSON JOHN W $0 D803106/0 06/14/2000 Future Owners Ownership History i Owner Sale Price Certificate Book& Page Instrument Sale Date IHETZEL STEVEN L $300,000 D1468119/0 00 09/28/2022 Building Information Building 1 : Section 1 Year Built: Living Area: 0 Replacement Cost: $0 Building Percent Good: Replacement Cost Less Depreciation: $0 Building Attributes Field Description , Style: Vacant Land Model Grade: I I Exterior Wall 1 Building Photo Exterior Wall 2 (https://images.vgsi.com/photos2/YarmouthMAPhotos//default.jpg) Roof Structure: Roof Cover Interior Wall 1 Interior Wall 2 Interior Fir 1 Interior Fir 2 i Heat Fuel . Heat Type: { AC Type: Building Layout Total Bedrooms: (ParcelSketch.ashx?pid=105266&bid=104441) Total Bthrms: Building Sub-Areas (sq ft) Legend Total Half Baths: _. __ _ Total Xtra Fixtrs: No Data for Building Sub-Areas Total Rooms: _ __ Bath Style: Kitchen Style: Num Kitchens Cndtn Num Park Fireplaces Fndtn Cndtn ` -� �)-} ;; D'b690—S :ON 'e0f 5 o 0 Q U ZO—Z£99:'9MO — % 1 a :~¢ SOS\21VA—s}oafoAd:31I3 rn ` ,L o , 01 g 0 't 1401.1.0 2 v o = p :TRIOSOS'8 ,a y u� 'dnoa0 3S8 ZZOZ Q -=' ` la0d 'S80 4 s £L9Z0 t'« z -8 c.; - .' 11.nou mA 1SaM 30V7 © �, )aa'S u!eIN 617£ cam. - ^ v )Sq. lilt 1 = -0 r r-- 3INNdIH � voiNnww oo 59z z ' '8 SIM31 ` `I . z 1A31S ^ r 3 N. d321d 9 z Q AA c.� o `: E o — "v 1�l/// v ^. 7mum 4 Ida"(v Is10 o -a ag q;nom taA C • ` . \,, v G .� �.. O :� O d nJ T g;_ o 'O � / ��'� po 3 13/0 4 as O Nsv O co snot,'ON a Alv3 'kin, rNda3U! o z � Q ; s sShit d0H1 'OS30 MVO '0N :SNOISIA38 Town of Yarmouth Conservation Office 'kf bdirienzo@yarmouth.ma.us � M w1;.' Conservation Commission Building Permit Sign-off Application TO BE FILLED OUT BY BUILDING PERMIT APPLICANT: Building Site Location: &) (3M 6e/C.z 12OI-1> Map # 22 Lot(s) # 221 Property Owner: . W/LJ !1 -12— Date filed: r Z *Applicant: (.Lets FAl Applicant Address: Z15 Corn owntcH'rkO\ WPs/, O T y s1 , tk y l Ji itlAN c) lc'( Email: 1-I-TZ '[VYA-I L- CCY(\ Telephone: 60.V-2_ Z6 2-- Please note: by submitting this application,the applicant grants permission to the Conservation Office to enter the location to conduct a site visit(if needed). Proposed Project Description: at) PUG"rn I--I0l.( c�Y- Site Plan Title/Date: qI 27 / Z`Z 5Q 1-v C S`�S -tom (�)t\ PA� ( tt� I TO BE FILLED OUT BY CONSERVATION ADMINISTRATOR: Does the proposed project require a permit? li�s Refer to: SE83- 23 Cu or DOA permit Comments from Conservation Commission: Approved onditionally Approvgsl_�' Rejected Conservation Commission Sign-off Signature: Date: IZ t ct 1 ZZ *TO APPLI ANT: All work-related debris shall be taken offsite or disposed in a legal upland location. At the end of each day, the area shall be clean and no debris shall be in the Resource Area. If work is permitted under an Order of Conditions, please arrange a pre-construction site visit with the Conservation Administrator. At the time of site visit, the MassDEP File Number sign must be installed, along with the erosion control/work-limit line. A copy of the Order of Conditions must remain on-site during construction. Please refer to the Order of Conditions for further details. Home Energy Rating Certificate Rating Date: Projected Report Registry ID: Based on Plans Ekotrope ID: 7d1jAr8v HERS® Index Score: Annual Savings Home: Your home's HERS score is a relative 60 Bayberry Rd 55 performance score.The lower the number, $ 2 708Builder: West Yarmouth, MA 02637 the more energy efficient the home.To learn more, visit www.hersindex.com *Relative to an average U.S.home Steve Hetzel Your Home's Estimated Energy Use: This home meets or exceeds the Use [MBtu] Annual Cost criteria of the following: Heating 59.1 $1,006 2018 International Energy Conservation Code Cooling 0.6 $37 2015 International Energy Conservation Code Hot Water 10.7 $178 2012 International Energy Conservation Code Lights/Appliances 19.4 $1,201 2009 International Energy Conservation Code Service Charges $0 2006 International Energy Conservation Code Generation (e.g. Solar) 0.0 $0 Total: 89.9 $2,421 HERS Index Home Feature Summary: Rating Completed by: More Energy Home Type: Single family detached Energy Rater. Chris Mazzola Model: N/A 0 Exist Community: N/A RESNET ID: 8873503 Homes Conditioned Floor Area: 2,822 ft2 Rating Company: Home Energy Raters LLC '20 Number of Bedrooms: 3 180 State Rd,Suite 2U Sagamore Beach MA 02562 Reference ., Primary Heating System: Furnace•Natural Gas•95 AFUE 508 833-3100 Home tooPrimary Cooling System: Air Conditioner•Electric•13 SEER 90 Rating Provider: Energy Raters of Massachusetts 60 Primary Water Heating: Residential Water Heater•Natural Gas•0.92 Energy 2 Woodlawn Street Amesbury,MA 01913 70 Factor 978-270-3911 eon House Tightness: 2.5ACH50 $O Ventilation: 80 CFM•8 Watts w This Home Duct Leakage to Outside: 60 CFM @ 25Pa(3.88/100 ft2) 1., Me,e,e,,. 30 Above Grade Walls: R-21 20 to Ceiling: Vaulted Roof,R-37 Zero Energy Window Norse p Type: U-Value:0.3,SHGC:0.3 — Less Energy Foundation Walls: N/A Chris Mazzola,Certified Energy Rater OM; ittS`' Framed Floor: R-30 Date: 12/15/22 at 3:08 PM I e kot ro Ekotrope RATER-Version:3.2.3.3053 1 The Energy Rating Disclosure for this home is available from the Approved Rating Provider. This report does not constitute any warranty or guarantee. Building Specification Summary Property Organization Inspection Status 60 Bayberry Rd Home Energy Raters LLC Results are projected West Yarmouth, MA 02637 Chris Mazzola 508-833-3100 Bayberry Rd 60-7d1jAr8v Bayberry Rd 60 Pre Builder Steve Hetzel Building Information Rating Conditioned Area [ft2) 2,822.00 HERS Index 55 Conditioned Volume [ft3] 28,372.00 HERS Index w/o PV 55 Tilerrnai Boundary Area [112] 7,659.90 Number Of Bedrooms 3 Housing Type Single family detached Building Shell Ceiling w/Attic R38,BFG,14",8x16,G1; U-0.026 Windows(largest)1 U-Value: 0.3, SHGC: 0.3 Vaulted Ceiling 1 R37,LDF,10",10x16,G1,C; U-0.031 Window/Wall Ratio 10.15 Above Grade Walls R21,FG,6x16,G1; U-0.057 Infiltration I2.5ACH50 Found. Walls I None Duct Lkg to Outside 160 CFM @ 25Pa (3.88/ 100 ft2) Framed Floors R30,FG,10x16,G1; R-30 Total Duct Leakage 60 CFM @ 25Pa (Post-Construction) Slabs I None Mechanical Systems Heating Furnace • Natural Gas • 95 AFUE Cooling Air Conditioner• Electric• 13 SEER Water Heating Residential Water Heater• Natural Gas•0.92 Energy Factor Programmable Thermostat Yes Ventilation System 80 CFM • 8 Watts Whole House Fan N/A Lights and Appliances Percent Interior LED 100% Clothes Dryer Fuel Electric Percent Exterior LED 100% Clothes Dryer CEF 3.4 Refrigerator(kWh/yr) 691.0 Clothes Washer LER (kWh/yr) 284.0 Dishwasher Efficiency 270 kWh Clothes Washer Capacity 4.2 Ceiling Fan None Range/Oven Fuel Electric Ekotrope RATER-Version 3.2.3.3053 All results are based on data entered by Ekotrope users.Ekotrope disclaims all liability for the information shown on this report. Ventilation You are required to meet the requirements of ASHRAE 62.2. There are three general options. Exhaust only (bath fan on timer or 24 hour low speed), Supply only (more typical in commercial fresh air brought into the return). Or Balanced (HRV or ERV) brings in the same amount of air that is exhausted but transfers and recovers energy. Budget (homes <-2.,000 sq. ft. or less,budget system) 1) Exhaust only with a fan that has controls built in (low speed 24 hour fan low speed setting, a delay that keeps it running after someone leaves the bath. (depending on actual CFM you may need or want to split the load between two fans). Examples a. https://www.broan-nutone.com/en-us/product/ventilationfans/ae50110dcl b. https://na.panasonic.com/us/home-and-building-solutions/ventilation-indoor-air- quality/ventilation-fans/whispergreenr-selecttm-fan-50-80-110-cfm 2) Exhaust only with a wall switch control a. https://www.aircycler.com/pages/smartexhaust b. https://www.broan-nutone.com/en-us/accessory/82w Best Having a balanced system allows you to filter incoming air and ensure there is adequate exchange. Broan has a nice HRV or ERV system that uses DC motors and self-balances. It is sized to be adequate for most homes HRV https://www.broan-nutone.com/en-us/product/freshairsystems/b110h65rs ERV https://www.broan-nutone.com/getmedia/b7fa97a7-b1a4-4b26-badf-aba9305000d4/Spec- Sheet-B 130E65.pdf?ext=.pdf Video https://www.youtube.com/watch?v=zW-rtQl2esM Fantech also has a simple to install inexpensive line especially https://www.ecomfort.com/Fantech- SE704N/p31417.html?gclid=CjOKCQiA64GRBhCZARIsAHOLriKMjvpKQnildykT5asYfz3 PTKETplgd7 GFGCchK-AWo1TZGMAQJrOIaAuPmEALw wcB There are lots of vendors to look at but Broan has done a nice job managing energy consumption and noise. Some systems will have fresh in and stale out of every room but the price can be significant. The final ASHRAE calculations are done when we have measured the blower door. In some situations you may need to supplement with an additional bath fan. INSPECTION SCHEDULE Please be aware of the building code that is being enforced in your town. Reaching the mandatory infiltration rates are difficult and require advanced air sealing. As a builder, you need to make sure your sub and insulation contractors do the proper and adequate air sealing to help ensure that your building passes final blower door testing. 1. PRELIMINARY SITE INSPECTION — RECOMMENDED This on-site visit is not required, but can be beneficial to identify any issues that could present a problem at the Final Inspection. Contact us when you anticipate the duct system being 100% roughed in. All duct systems must be tested to receive rebates—maximum total duct leakage is 6% regardless of system location. Please retain 1 of each window type's NFRC label to properly model the fenestration values. 2. INSULATION INSPECTION — MANDATORY In order to prevent issues at the final inspection which can delay obtaining your Certificate of Occupancy, contact our office to schedule the mandatory insulation inspection once the insulation work is complete, but before the wallboard goes up. 3. FINAL INSPECTION — MANDATORY Contact our office to schedule the mandatory Final Inspection as your project nears completion. The Final Inspection includes a blower door, duct test(unless ducts have been previously tested), and flow test for all bath fans. The following items must be present at the time of the Final Inspection: • All insulation and major air sealing details completed • Mechanical systems in place • 24-HR bath fan control in place and power to the bath fans • LEDs 75% energy efficient lighting • Energy Star refrigerator and dishwasher in place • Permanent utility meter(s) in place Re-inspections are invoiced at$250 per visit. Failure to comply with incentive program requirements will result in a$350 incentive fee repayment. Home Energy Raters LLC will be unable to facilitate any incentive applications if the Insulation Inspection was missed. HOME ENERGY RATERS LLC 180 STATE RD SUITE 2U,SAGAMORE BEACH,MA 02562 I 508.833.3100 ( ENERGYCODEHELP.COM I INFOeENERGYCODEHELP.COM 12/9/22, 11:17 AM Mail-Sears,Tim-Outlook 60 Bayberry • Sears, Tim <tsears@yarmouth.ma.us> Fri 12/9/2022 11:16 AM To: Steve Hetzel <slhetz@hotmail.com> 1 attachments(376 KB) Xerox Scan_12092022110342.PDF; Steve, I have reviewed your application and have attached a checklist showing all the items missing from your application. Please submit these items for review This email is considered a written denial of your permit application per Section 105.3.1 of the Massachusetts State Building Code. Section 105.3.2 states in part that "an application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing, unless such application has been pursued in good faith" You may appeal this denial to the Building Code Appeals Board in accordance with M.G.L. c. 143 §100, within 45 days of this notice. Timothy Sears CB0 Deputy Building Commissioner Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsearsfyarmouth.ma.us https://outlook.office.com/mail/sentitems/id/AAQkADE3MDQ5NWZmLTkOYzItNDIwNi1 iMDQxLWNkMGQyNmE4NzE5NAAQAC%2Bfen2glv1 IvJTLGUx... 1/1 U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2022 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for(1) community official, (2)insurance agent/company, and (3) building owner. SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: STEVEN &LYNN HETZEL A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Company NAIC Number: Box No. 60 BAYBERRY ROAD City State ZIP Code WEST YARMOUTH Massachusetts 02673 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) ASSESSORS MAP 22, PARCEL 227,TITLE IN CERTIFICATE 231178 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude: Let. 41.6422 Long. -70.2446 Horizontal Datum: ❑ NAD 1927 x❑ NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance A7. Building Diagram Number 1B A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 0.00 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0.00 sq in d) Engineered flood openings? E Yes ❑ No A9. For a building with an attached garage: a) Square footage of attached garage 384.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0.00 sq in d) Engineered flood openings? ❑ Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1. NFIP Community Name&Community Number B2. County Name j B3. State YARMOUTH 250015 BARNSTABLE Massachusetts B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood 1 B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 25001C0588 J 07-16-2014 07-16-2014 AE/X 11 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9: FIS Profile I1 FIRM ❑ Community Determined [] Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area (OPA)? ❑ Yes Ox No Designation Date: ❑ CBRS OPA =KAA C..rw. naa n 47 /i7Mp\ Rcnl,ancc oll nrcvin,is criitinnc Form Pin 1 of R OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30, 2022 IMPORTANT: In these spaces,copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 60 BAYBERRY ROAD City State ZIP Code Company NAIC Number WEST YARMOUTH Massachusetts 02673 SECTION C—BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: x❑ Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations—Zones A1—A30,AE,AH,A(with BFE),VE,V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/A1—A30,AR/AH,AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters. Benchmark Utilized: GPS RECEIVER Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a)through h)below. ❑ NGVD 1929 ❑z NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 12.6 ❑x feet ❑ meters b) Top of the next higher floor 22.6 14:I feet I 1 meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑ feet ❑ meters d) Attached garage(top of slab) 12.0 x❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 12.6 0 feet ❑ meters f) Lowest adjacent(finished)grade next to building(LAG) _11.1 x❑ feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) i_ 12.6 x❑ feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 11.2 El feet ❑ meters SECTION D—SURVEYOR,ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude In Section A provided by a licensed land surveyor? El Yes ❑No n Check here if attachments. Certifier's Name License Number KIERAN J. HEALY 48135 _ Title SURVEY MANAGER Company Name BSC GROUP, INC Address 349 ROUTE 28,UNIT D City State ZIP Code WEST YARMOUTH Massachusetts 02673 le Signature 1 Date Telephone Ext. 12-12-2022 (508)778-8919 4586 Copy all pages of this Elevation Certificate and all attachments for(1)community official, (2)insurance agent/company,and(3)building owner. Comments(including type of equipment and location, per C2(e), if applicable) THE LOWEST FLOOR OF THE BUILDING IS THE FIRST FLOOR ON A RAISED SLAB.THERE IS NO ENCLOSED AREA BELOW THE BASE FLOOD ELEVATION. THE FIRST FLOOR OF THE HOUSE ENCLOSES AN AREA OF 1,558 NOT COUNTING THE ATTACI IED GARAGE.THERE ARE NO FLOOD VENTS PROPOSED AS THE LOWEST FLOOR IS 1.6'ABOVE THE B.F.E. FOR THE DWELLING AND 1 0'ABOVE THE B.F.E FOR THE GARAGE SLAB.ALL UTILITIES WILL BE ABOVE THE FIRST FLOOR FEMA Form 086-0-33(12/19) Replaces ail previous editions. Form Page 2 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30, 2022 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 60 BAYBERRY ROAD City State ZIP Code Company NAIC Number WEST YARMOUTH Massachusetts 02673 SECTION E— BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, Band C. For Items El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG)and the lowest adjacent grade(LAG). a) Top of bottom floor(including basement, crawlspace, or enclosure)is ❑feet ❑meters ❑above or ❑ below the HAG. b) Top of bottom floor(including basement, crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the next higher floor(elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or ❑below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? H Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A(without a FEMA-issued or community-issued BFE)or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 3 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30, 2022 IMPORTANT: in these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 60 BAYBERRY ROAD City State ZIP Code Company NAIC Number WEST YARMOUTH Massachusetts 02673 SECTION O—COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8—G10. In Puerto Rico only, enter meters. Gi. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2 ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE) or Zone AO. G3. ❑ The following information(Items G4—G10)is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued C7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor(including basement) of the building: r- feet ❑ meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) - ❑ Check here if attachments. FEMA Form 086-0-33(12/19) Replaces an previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30,2022 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 60 BAYBERRY ROAD City State ZIP Code Company NAIC Number WEST YARMOUTH Massachusetts 02673 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View"and"Rear View";and, if required,"Right Side View"and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. � _ - am _ roil — ,,,„ ---, ,, tit.p.. , , 4."44,..,,,,,,,,,„ 7 r4 n is 6 ,ice, r1 f rr rr IIIIiIItN »: ...a -. —_ s\ --, 7,1 MEM UNE I '41 1101 Ir..""ltrir141122.11t1 1111 41,51.4., r isi 71., -. 6111 70-. II II 1,41:: 'Ili ill' 117:7:' , i aline ,; ., . ice ► ; 1 FRONT ELEVATION Photo One Photo One Caption PROPOSED FRONT ELEVATION --imam.— s■ es .F,1.nr.Yi'N �.� mina orm—fricik'� h ' a i/Nn 1111 1'!KJ r tTa� tN'�j ! r .- "I,I , ,.a,,,...'�.. N u. r! Alm". '�.,� �'L"�,ty ,�+.e �.g�7� lac+ I y l �yJ{t y Wr{■^i ft., 6 1f {`[ , 1 -2.y--`41'r�°J.1('.':y�,Ir�.,I •N i ♦ n , �- ,NM iM/' f��l+M YI� -t�✓`�f� III�.p-"N af.i M+G.1� �..& e-:'tY�i I'�N 9 tyl I'1 ��n� , �� ['Ni Y.1"1 '� 1 ti p a. ��...� w �l.a.._r F.� *�+��I��i� r�sm�ji"�,r�" 04.."i�{yy'� .. :: :: '" _L an si �L A " �, „ r, j �; • �yt'sar`t r• rr,r■j.4yn 'a ^s {�air/ .,r.ab(a, ►"r ` " .. �.v ,` I ;r1N.,#.'n111 r.Fl.taf �.fHl ni f �R'� ; yi� rij+i" VI t gLI:,!..rA-Erit-f• .� , RSN N V.4tr r4 N " �....- �� `.. 1-{c«r '1'.«�.ifl imam - f i . {h7 .114�isgnlik� REAR ELEVATION I— , Photo Two Photo Two Caption PROPOSED REAR ELEVATION —CI Pffo----Two 1 FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30,2022 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit, Suite,and/or Bldg No.)or P.O. Route and Box No. Policy Number: 60 BAYBERRY ROAD City State ZIP Code Company NAIC Number WEST YARMOUTH Massachusetts 02673 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, 'Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8. Photo Three Photo Three Photo Three Caption Clear Photo Three Photo Four Photo Four Photo Four Caption Clear Photo Four FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 6 of 6