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HomeMy WebLinkAboutBLD-22-006070 ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department . of"r jQ M° 1146 Route 28, South Yarmouth,MA 02664-4492 , 508-398-2231 ext. 1261 Fax 508-398-0836 ,.;�!'' ■ Massachusetts State Building Code,780 CMR ., Renovate Or Demolish _Building Permit Application To Construct, Repair,: :: a One-or Two-Family Dwelling R C E I V E D This Section For Official Use Only Building Permit Number:Q\n-4"\4,' 0C> '07 6 Date Applied. ` ' APR 1 9 2022 'i)I. ' SRA(s ��7 ';.6— BUILDING DEPARTMENT NT Building Official(Print Name) Signature By — = SECTION 1:SITE INFORMATION 1.1 Proper Address: 1.2 Assessors Map&Parcel Numbers 3/Proper Address: S ! 011-f A-tiE is . I.!/ 3 , ) ( 'Poi 1-'0,000 1.1a Is this an accepted street?yes i no Map Number Parcel Number p A✓re! 21 1.3 Zoning Information: 1.4 Property Dimensions: 'R- 2.S SiN lE f404.'17 •tyut✓ 12.123 S' A.Z4 •tfr Zoning District Proposed Use D e curie /mom Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided R quired Provided Required Provided 3o 3o. L. 017/ s /i.l;X Zi 2..1.4 1.6 Water/ Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public El Private❑ Zone:A—// Outside Flood Zone? �/ Check if yes❑ Municipal 0 On site disposal system SECTION 2: PROPERTY OWNERSH7Pt 2.1 Owner'of R cord: VA N/A se- 6er,4v,+ Nis 0 L;Veles4 If* a 264V Name(Print) City,State,ZIP 3/ 64lJLott AtJlva 4. 5 • y A*/kstovTAs S4fr 30 - y BiAN G•re c cool 641T,rt/1T No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction itii Existing Building 0 Owner-Occupied fit' Repairs(s) 0 Alteration(s) ❑ I Addition 0 Demolition ❑ Accessory Bldg. 0 Number of Units I Other 0 Specify: Brief Description of Proposed Work`: A t(e€v fe LJ4-i J LAN, aF E)0i*Sr At / J Ter -1w e il4 eq. b u,1 dL 4 A Pw 4,1 fs/• 3 8 4 7-14 a v d•r es., Q. ,AtWAs A- k.4,tk.0.e-- — SECTION 4: ESTIMATED CONSTRUCTION COSTS. ( •-°- —1 Estimated Costs: Item Official Use On1y ' (Labo and Materials) J U L 2 9 2022 ; 1 1.Building $ t 7 r pod 1. Building Permit Fee:St.S)1.c1 Indicate of lwJe i determined;_ 1 Standard City/Town Application Fee B Ur ' r a a r By w - 2.Electrical $ 3 0 Total Project Costa(Item 6 Nut\1I ipl er E 3.Plumbing $ p a/ 2. Other Fees: S__- (2141 * 4.Mechanical (HVAC) $ f 0 D d List: 5.Mechanical (Fire Suppression) $ 1 Total All Fees:$ Check No. Check Amount: Cas ount: 6.Total Project Cost: $ I 01 o,0 -- ❑Paid in Full ffrl Outstanding Balanc Due:%�(oc\ /\\(1./A SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) I )0/ ) d 7 v C A 4/0 5 ii. 1i 6u ei n,A License Number Expiration Date Name of CSL Holder • �'/.zr 113 R 0 C4 p 7:As. J NO YL$ "" 0A/ List CSL Type(see below) No.and Street( Type Description S Y.h R r`1O uTf It 1.a O 246 SI U Unrestricted(Buildings up to 35,000 cu.R) City/Town,State,ZIP R Restricted l&2 Family Dwelling / M Masonry C�` '6V e,Ace e RC ( Roofing Covering WS Window and Siding Co . 3 7- e� 5 7Z 1'/A 7714 i L'(0�1 SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 15,3 2-- Ii e w C O N 170.41 L riev✓ HIC Company Name or HIC Registrant Name HIC Registration Number Expiration Date No.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 t/ ❑ No .0 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 ftt" 474Aelled. AU7/I/A'ATi MJ to act on my behalf,in all matters relative to work authorized by this building permit application. VA i4 T. (12%yeity A l,e 71 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. CARle5 /1. ri (vei/10,e) oy - 10 - Zo2 .. 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.00v/oca Information on the Construction Supervisor License can be found at www.mass.eovldps 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 3 Number of half/baths 0 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" STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION FOR A BUILDING PERMIT Date: April 3, 2022 I, VANIA OLIVEIRA _own the property at 31 BUSCOTT AVENUE in South Yarmouth , MASSACHUSETTS I have authorized C & F Remodeling and Carlos H. Figueiroa to act as my agent to apply and obtain a building permit from the Town of Yarmouth Building Department in accordance with 780 CMR the Massachusetts State Building Code. SIGNATURE OF OWNER 4Aci� OWNER'S ADDRESS OWNERS EMAIL: biancato@comcast.net OWNER'S TELEPHONE 508-364-1552 C&F Remodeling Inc and Carlos H. Figueiroa's: address is 20 Captain Noyes South Yarmouth MA Act:30RD® CERTIFICATE OF LIABILITY INSURANCE DAE(MM/DDIYtYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Debi James NAME: Leonard Insurance Agency,Inc PH�Na Exti: (508)428-6921 FAX X Na): (508)420-5406 683 Main Street L debi@Ieonardagency.com ADDRESS: Suite B INSURER(S)AFFORDING COVERAGE NAIC* Osterville MA 02655 INSURER A: Atain Specialty Insurance INSURED INSURER B: The Commerce Ins.Co. 34754 C&F Remodeling Inc. INSURER C: Associated Ind.Of MA-ARWC 26158 INSURER D: 20 Captain Noyes Road INSURER E: South Yarmouth MA 02664 INSURER F: COVERAGES CERTIFICATE NUMBER: 21-22 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. N R TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MMIDD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL reUABIUTY EACH OCCURRENCE $ 1,000,000 DAMAGE;0 RENTED 1 CLAIMS-MADE X OCCUR PREMISES(Ea occurnce) $ 100,000 MED EXP(Any one person) $ 5,000 A CIP403384 04/18/2021 04/18/2022 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'. GENERAL AGGREGATE $ 2,000,000 X POLICY n jE0. n LOC PRODUCTS-COMP/OP AGG $ 2,000,000 _ OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ 250,000 B OWNED v SCHEDULED RVM277 01/18/2021 01/1B/2022 BODILY INJURY(Per accident) $ 500,000 AUTOS ONLY AUTOS X HIRED N., NON-OWNED PROPERTY DAMAGE $ 250,000 _ AUTOS ONLY AUTOS ONLY (Per accident) Medical payments $ 10,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y U N 1 000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ , ,000 C OFFICER/MEMBER EXCLUDED? N N/A WCC-500-5018589-2021A 04/30/2021 04/30/2022 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED REPRESENTATIVE MA 02653 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs & Business Regulation - Mass.Gov Page 1 of 2 Mass.gov Office if C . nsumer � ff . irs . nd : usinss Re . lation (OCABR HIC Registration Complaints Registration # 153792 Registrant C & F REMODELING INC Name CARLOS FIGUEIROA Address 20 CAPTAIN NOYES RD. City, State Zip S. YARMOUTH, MA 02604 Expiration Date 01/07/2023 Complaints Details No complaints found for this registrant. You can also view arbitration and Guaranty Fund history, Back To Search Site Policies Contact Us https://services.oca.state.ma.us/hic/licdetails.aspx?txtSearchLN=153792 4/21/2022 Office of Consumer Affairs & Business Regulation - Mass.Gov Page 2 of 2 © 2018 Commonwealth of Massachusetts. Mass.Gov® is a registered service mark of the Commonwealth of Massachusetts. https://services.oca.state.ma.us/hic/licdetails.aspx?txtSearchLN=153792 4/21/2022 r Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction bupervisor CS-104107 Expires: 08/25/2023 CARLOS H FIGUEIROA 20 CAPTAIN NOYES ROAD SOUTH YARMOUTH MA 02664 SOP 4 n „ • Commissioner ,ue.(& f . tJ(.4rcitzL §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-223*1 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 3/ l/ s 0 t'* 4 v e,ua e 5. ygiz,-jo at Work Address Is to be disposed of oat the following location: \ an iv'o v tna K s fr. S-1 a4 k /3 ✓'rNe,c'i rvrt/ 1'ufrtire r Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. 2 Signature of Application Date L�ltzles 1-1-• 1%I Guei g .04 Permit No. i The Commonwealth of Massachusetts Department of Industrial Accidents ~` Office of Investigations , 600 Washington Street ' Boston, MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(BusinessOrganizatiorvindividual): Carlos H Flgueiroa C& F Remodeling Inc Address: 20 Captain Noyes Road City/State/Zip: South Yarmouth MA Phone#: 508-237=9592 Are you an employer?Check the appropriate box: , Type of project(required): 1. 1 am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6 New construction listed on the attached sheet. 7. Remodeling 2. V I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' 9. Buildingaddition [No workers' comp. insurance comp. insurance.* required.] 5. We are a corporation and its 10. Electrical repairs or additions officers have exercised their 11. Plumbing repairs or additions 3. I am a homeowner doing all work myself. [No workers' comp. right of exemption per MGL 12. Roof repairs insurance required.] ;- c. 152. §1(4),and we have no employees. [No workers' 13.'/ Other CO"' PROJECT comp. insurance required.] *Any applicant that checks box#1 must also fill out the section kelo% showing their workers'compensation policy information. Homeowners who submit this airdasit indicating they are doing all work Ad then hire outside contractors must submit a new ailiidanit 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 has e employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ASSOCIATED IND OF MA ARWC Policy#or Self-ins.Lie.#:WCC-500-5018589-2021A 04/30/22 Expiration Date: • Job Site Address: 3/ FI f$/'ill 4vg,4/4/e City/State/Zip: S• Y4tfll#UTAK`ft Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1500.00 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. Be advised that a copy of this statement may be forwarded to the Office of investigations of the DiA for insurance coverage verification. I do hereby certify nder 'ns and penalties.of perjury that the information provided above is true and correct. Signature: Date: p Y B C/2z Phone#: 508-237-9592 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#: Sears, Tim From: Sears, Tim Sent: Tuesday, May 3, 2022 10:49 AM To: 'chfigueiroa@hotmail.com' Cc: Hudson, Heidi;Water Department; Lima, Amanda Subject: 31 Bliscott Ave Carlos, I have r viewed your application for new construction and there are some items needed. Health Department sign off(under review) Conservation sign off "--3.4 Water Department sign off Engineering sign off 5. FEMA Elevation Certificate based on construction drawings 64 HERS Certificate Floor plan needs to have smoke/co/heat detectors marked as required per sections R314, R315 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 CBO Deputy Building Commissioner Town of Yarmouth 508-398-2.231 Ext. 1259 mailto:tsears@yarmouth.ma.us 1 Fart TOWN OF YARMOUTH � APR 19 2022 ° HEALTH DEPARTMENT o. .441:• HEALTH DEPT. * ' 074 �=•� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: 5/ /56-floili 4 v Ava e. Proposed Improvement: tv ✓i Aif/E CAbi y h o 01t_ ' 5' /ePvoe,1 S, .3 call 4-rAbtroEt! aN c4a /f/q ,u 2<,'otei-.t/ 1,7/xl La) o2 ('4✓ pee le u.v 1/44 7 •Av Applicant: C4R/oi 11. , lc-lye/Am /,t/ geA4/' /cc UAAii4Tel. No.: .14V •237 Cc2- l/'vP/dA Address: a U Iq/TA/'v d/OY/J �P J 74 I' nt i vTK/ ,y, Date Filed: i2`G ✓ **ffyou would like e-mail notification of sign off please provide e-mail address: CA/1-15 t/eot c WIT H4;L. !0AI Owner Name: VA llJ/M /bt'if✓/A,t//s OC/ yP/,0,0► 94J1 €°/e Zi C 'a.A;4. leers Owner Address: 3/ 6// S Co-4 4UeLnIe. 74e(/1tDi)rl H-4 Owner Tel. No.: id?- 3G y ("Jdie) J..... c/l✓m/4-Adi (lle k ,a.... , rs✓ _ /Sty RESIDENTIALAND/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: - DATE: 7- 2 �� Z PLEASE NOTE COMMENTS/CONDITIONS: YARMOUTH WATER DIVISION 99 BUCK ISLAND ROAD WEST YARMOUTH, MA 02673 PH.: 508.771.7921 FAX: 508-771-7998 2therev Te.foetZ,oFio liveed re, 4-e, BUILDING PERMIT APPLICATION go tit- DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET Bldg. Site Location (.0741 ACJ.0t1dMap #: Lot #: / V...eivoard 2., 7,06w- iemo Proposed Improvement: )eiv Aloitte. iA/ ),Z.ee exi:5t:(11 Ata 14. throw Applicant: / Address C4jr Al Tel. #: (.49--1"9"6-72-Date Filed: 4p12. 202 RESIDENTIAL AND / OR COMMERCIAL BUILDING Water Department: Determines Compliance of Water Availability and or Existing Location Engineering Department: Determines Compliance for Parking and Drainage Conservation Commission: Determines Compliance to Wetlands Acts; i.e. If Lot(s)Border any Type of Wetlands,Streams, Ponds, Rivers, Ocean, Bogs, Bays, Marshland, Etc . Health Department: Determines Compliance to State and Town Regulations, i.e., Requirements for Septage Disposal and other Public Health Activities Fire Department: Determines Compliance to State and Town Requirements for Personal, Safety, Property Protection;, i.e. Smoke Detectors, Sprinkler Systems, Etc ekthi Signature of of applicant Date PLEASE NOTE: COMMENTS: Pogi 1514 -r-34p (pair+Ttiel.- 4-41411.1 Air Nek.o Cary J4- Se ......4-71 15 4"/Nee- 04-r- Kt te4 ._ Revieweiiister Division— Date /.1720A. 7- a~ ,'-� C' SERVICE NO. NAME Ci441. 14027 5/26/00 Gervanio Oliveira hots- 3a STREET 31 61ISefltt. INkeE VILLAGE • I ' METER NO. g z- 23. �� zs'-t tee St riteK l 7 ' 43-Fy copper' • 451, 1e A 4 I / l- %co R-YE v 'po►e 338 5 r frf °1 tre6v. r, rs ti . 0 -I 44, f MAP lltelA,AA0 ' 1 a .'"'...Mr' 04 0 '.. . t t ,11,,• t , ,:1 1',.:1 '/ . 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I CI 1 ./." 2 5 i , ., ,,, • „, , ..... ,:. v • 1 ...., ., 1 .0 ---kleiNt. 78\ TOWN OF YARMOUTH stAl 1146 ROUTE 28 SOUTH YARMOUTH lvEASSACHUSETI.S 02664-4451 V-C..4t,togiami4W Telephone(508) 398-2231,Ext. 1250—Fax(508)760-4830 Engineering and Surveying Division Building Permit Review Residential and/or Commercial Buildings . iuj ,.t.'er'l5 6 e 0 Y Alk/i A OliVeRoA Name of Applicant: C 4 ri I ro r C14 'i ye 'R 0 A A 00 C. o-r PIA;t. t 0 Af Telephone or Email Address: Proposed Building Location: 3 / )315( '44. A tJEAkie Date Submitted: ° ( Bulidln 37 75'i 2- - C4/11/11,5 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 signed 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(I)copy of application. Amanda DOWN signed by Amends Lima ON umknanda Una o.Engineering Lima orna*.abble@yerrnouth Luau.. t./S 0400 Reviewed By Date: 7/1/2022 PLEASE NOTE Comments/Conditions: Retain stormwater on site during and post construction to extent possible. tot Premed de Recycled Paper og--- 4 c Town of Yarmouth G o ,V. Conservation Commission ° Budding Permit Sign-off Application dii F' 21 022 ro I3E,FILLELI Oi I BLI4.DING,PERMIT 'SIC NI By Building Site Location: 31 BLISCOTT AVENUE, SOUTH YARMOUTH Map# 4 Lot(s)#3- (PORTION OF 2) Property Owner: VANIA OLIVEIRA Date fled:APRIL 2022 *Applicant: CARLOS H F I G U E I ROA Applicant Address: 20 CAPTAIN NOYES ROAD SOUTH YARMOUTH , MA 02664 Email: CHFIGUEIROA@HOTMAIL.COM Telephone:C Q `�Q� "237"9592 Proposed Project Description: BUILD A NEW SINGLE FAMILY HOME AFTER RAZING A EXISTING HOME. NEW HOME IS A 2 STORY CX 4 BEDROOM, 3 BATHROOM HOUSE WITH A GARAGE. RDA APPROVED ON Site Plan Title/Date:NEW SEPTIC WILL BE INSTALLED PLAN DATED IS 91412021 TO BE FILLED OUT BY CONSERVATION ADMINISTRATOR: Does the proposed project require a permit? "rb Refer to: SE83- (or ppq perm•t Comments from Conservation Commission:Approved Conditionally Approved Rejected Conservation Commission Sign-off Signature: Date: 41 .0„1 \ r();„ TO 'CANT: 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 pm-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. Q. 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O m.mn DESIGN 9 'a♦Aa0°Ruu we. F.n.A• �' ASSOCIATES L1.J111 LL '•A • . III 21 \_ m.l no GARAGE SLAB , et nR. /0E'D^'0O1°" .n s • STRUCTURAL ENGINEER: TAYLOR • 'IF-. 1 r DESIGN LLC .M.a.%� -- m.em. -- r.--I-.___._...-.._.._. I& STAMP: n n i i .. m m.l r� ym.�..nawaa I: -- almaNua.�• � —� a�� .Pru�'— wLn�� - - • PROJECT. ...... L -I •1/ "^ _-� PROPOSED MULTI 1 v1'BEAMS AN+I^� T OLIVERIA :RaN.R,MAA•AIA :P_T I 1 �1 I • RESIDENCE r -1 \vs/ 31 BLISCOTT AVENUE ES.YARMOUTH,MA. x nuts — $ IJ , Mt (TITLE: — .ROMS Of,0.1.0M• px. ,�.R1 1'I FOUNDATION PLAN ri DETECTOR % �.. ® SYMBOLS SCALE:1N£-1'-cr 1 O.Manmo. ®J TYPICAL L V L/G L U L A M O 9Yp1 OjHro• PROJECT E SHEET BOLTING/NAILING FOUNDATION PLAN 20.31 A.0 SCALE Yz"=1'-0" SCALE:%B"='I'-0" OF Issued for Construction: 10/29/21 10/ 1 oi29i21 14 .• -,: • ,I: i ,,. s • 3 !..i ei, a t, t 1 , t .. ..,.. 1 Z I 0 ' , . • ' „, 1,Z . Z' ,.` ' 3 i -a i 0j 1 0 i ... . - I _ .. I XJ • . - I ' • -,,,-- --1. -4 i ± i TI A ! 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O .- . cir c 0 4i) 0 . o cn c n 0 0 co ry p D' a {i 2S XC S1 = fstlEtg‘ A# i y 2 _ '•f�i' O< - ry_ m -. t n ` i 1 LI II'r 1 IP Z N Y Mr • pc D ! • * - 1 le > O %.it . 1L � •� ;; Z I ;, r '-_.. ,! 1 1 II 1 IIII j I 1 i s- .1. I j j 5- p _ ° ���fff Y � 1 jai^! { ��i = -,444 f»i�# A ' n j o _1 cn G 0 I c) 4Ci 0 N CD N 0 N c = Qz m m0 O C m 1� 3 ; n tilill'hp4 .{j 5 i ,. 5 a' �"z D ,�^ °i3 3it 8 r � G." N - F0 prTimo 5-t ! `Di n s--4;ca A §`68 i s 8 bg ,,. - CAPE COD H.E.R. . RATS Cape Cod HERS Raters PO Box iota South Yarmouth, MA 02664 (508) 737 - 8011 MMILOIsi PERFUNINCE TESTOIS&MMUS Code Verification: The following home plans, as proposed, for 31 Bliscott Ave. in South Yarmouth, MA meets the necessary HERS Index Score rating needed to comply with the 2018 IECC energy code requirements with MA stretch code amendments. PROPERTY/BUILDER INFORMATION Date: 6/20/2022 Building Name: 31 Bliscott Ave Yarmouth Rating Org.: Cape Cod HERS Raters Owner's Name: Oliveira Residence Phone No.: 508-737-8011 Property Address: 31 Bliscott Ave. Rater's Name: Chris Picariello South Yarmouth, MA 02664 Rater's No.: 6397177 Builder's Name: Builder Address: Rating Type: Projected Rating Rating Date: 6/19/2022 Weather Site: Barnstable, MA File Name: 31BliscottAveSYarmouth REM.bIg GENERAL BUILDING INFORMATION Conditioned Floor Area (sq ft): 3458 +/- Housing Type: Single family, detached Conditioned Volume (cubic ft): 36200 Foundation Type: Enclosed Crawl Space (Vented) Insulated Shell Area (sq ft): 9781 HERS Index: 53 + Number of Bedrooms: 4 BUILDING SHELL Ceiling w/Attic: None Window Type: Anderson 400 Vaulted Ceiling: R-40, 10-16, U=0.030 Window U-Value: 0.29, 0.28, 0.27 Above Grade Walls: R-21, FG2, 6-16, U=0.058 Window SHGC: 0.29, 0.28, 0.27 Foundation Walls (Cond): N/A Infiltration: HTG: < 3.0 ACH50 CLG: < 3.0 ACH50 Foundation Wall (Uncond): None Duct Leakage: < 4 CFM/100sq ft of Cond. Floor Area Frame Floors: R-30, 10-16, U=0.035 Total Duct Slab Floors: N/A Leakage Limit: <138.32 CFM25 MECHANICAL SYSTEMS Heating: (2) Fuel-fired, Forced Hot Air System; 96%AFUE Cooling: (2)Air Conditioner (electric), 14.0 SEER Min. Water Heating: On-Demand Water Heater; 0.96 EF, 0.0 Gal Programmable Thermostat: Heat: Y Cool: Y Note: Where feature level varies in home design, the dominant value is shown All components must be field verified 8 tested prior to certifying a Confirmed HERS Rating for occupancy. Please contact us with any questions or to schedule your inspection. Prepared By: Chris Picariello Certified HERS Rater Cape Cod HERS Raters U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30,20k_ 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: VANIA T. &GERVANIO S. OLIVEIRA A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Company NAIC Number Box No. 31 BLISCOTT AVENUE City - State ZIP Code SOUTH YARMOUTH Massachusetts 02664 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) ASSESSORS MAP 41, PARCEL 3.1 AND DEED BOOK 33032/141 &31 1 51/249 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude: Lat.41.6526 Long.-70.2175 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 8 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 1450.00 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 8 c) Total net area of flood openings in A8.b 1600.00 sq in d) Engineered flood openings? x❑Yes ❑ No A9. For a building with an attached garage: a) Square footage of attached garage 640.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 4 c) Total net area of flood openings in A9.b 800.00 sq in d) Engineered flood openings? ❑x Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name&Community Number B2. County Name B3. State YARMOUTH 250015 BARNSTABLE Massachusetts B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel 68. Flood 89. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 25001C0589 J 07-16-2014 07-16-2014 AE 11 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile ❑x 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 No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 1 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: 31 BLISCOTT AVENUE City State ZIP Code Company NAIC Number SOUTH YARMOUTH Massachusetts 02664 SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: 0 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 ❑ 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) 7.5 0 feet ❑ meters b) Top of the next higher floor 14.5 x❑ feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑ feet ❑ meters d) Attached garage(top of slab) 8.5 0 feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 12.3 0 feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 7.4 n feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 11.9 0 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 11.0 0 feet ❑ meters SECTION D—SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to he 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 he 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? ❑X Yes ❑No ❑Check here if attachments Certifier's Name License Number KIERAN J. HEALY 48135 UA4 ,TOF Title ' s SURVEY MANAGER ;s , Company Name :4 a KIERAN.1, BSC GROUP INC 1 HEALY No.48»6 Address ' ,�. 349 ROUTE 28, UNIT D rt ai t","0 Sv � �_ City State ZIP Code '''P.►rm0` WEST YA OUTH Massachusetts 02673 Si rpat' Date Telephone Ext. ( 06 01 2022 (506)778-8919 4586 (1)community (2) agent/company, O C py a ItI p ge of this El ;'. anon ertificate and all attachments forofficial, insurance and 3 buildingowner. Comments(including type of equipment and location, per C2(e), if applicable) THIS FLOOD ELEVATION CERTIFICATE IS BASED ON PROPOSED DRAWINGS Form Page 2 of 6 FEMA Form 086-0-33(12/19) Replaces all previous editions. ELEVATION CERTIFICATE OMB No. 1 008 Expiration Date:ate: 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: 31 BLISCOTT AVENUE City State ZIP Code Company NAIC Number SOUTH YARMOUTH Massachusetts 02664 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 natura 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? ❑ 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 whc 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: 31 BLISCOTT AVENUE City State ZIP Code Company NAIC Number SOUTH YARMOUTH Massachusetts 02664 SECTION G—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. G1. ❑ 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 G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor(including basement) of the building: ❑ 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. Replaces all previous editions. Form Page 4 of 6 FEMA Form 086-0-33(12/19) p 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: 31 BLISCOTT AVENUE City State ZIP Code Company NAIC Number SOUTH YARMOUTH Massachusetts 02664 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. r 1 11 I I I 33x ,ctr x 2tr t .: �� 1l�1 r "cs sas r 1111111'r Tr tsr .sustiA F42.-414 r��z II s. .ra xtrtr * [( a.a.a at- in satn,R .rta 1 ifirmrii all ., ss t att�s srztpnn .11. " ',,,„,„_w.~ S.'t' `S; .,5,!?S•:..f.d..i 7k„f't' .!»"..S"�3 t?eiR».71�. �I ,,a ' '' I ID x iG' �' a . rn l:.li ° t r w r ; Sawa *�,rrrrr� �I } 1 -• '.' tS� 2 r FRONT ELEVATION ..,.,1 (north) Photo One Photo One Caption FRONT ELEVATION Clear Photo One �:3:7'. 1 It •��€ a .. , II III 111 m'i araurs� 111 —Watt 7iFilistrw It•1I N:.1.1 .1111 liar-Afieflitt Wrs s��rc ^a acs v r.z s.a r "" =' sra.n. mrtr r r^_ rixvauta ►stxasausa i t. —.1t T. "trYhI$x 1fa 3At �1 ..�> in ii 3 ^sxuetsa>ry I1II i wsti+snaxtu 1l sr raga , Nf.- i 1I 1 L t141.=,:� � . 1hh♦ &WR (T ''F'11' !ap L .„. SE71{ II1 - - _r 't ct. R.RrL d1 k:I'MIZZA .. ._ -" S tlf .- �.�, ?�� es.�°�r�.x. .axrran...t.�r' � ..�...., as."• 'vnrr�cr.�. - , s...,-� : r.i"srarimunrnutueauswsts.�mtnrat ram+ ransa ` •• R..KdiWIiW-,...KKf"1:SeK,�'4KA REAR ELEVATION (south) -....-_....- Photo Two Photo Two Caption REAR ELEVATION Clear Photo Two 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: 31 BLISCOTT AVENUE City State ZIP Code Company NAIC Number SOUTH YARMOUTH Massachusetts 02664 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. 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