HomeMy WebLinkAboutBld-23-004650 -6mart
,
R E C E 1 v tisty & TWO FAMILY ONLY- BUILDING PERMIT
1 Town of Yarmouth Building Department ilk
"r
1146 Route 28, South Yarmouth,MA 02664-4492
FEB 2 1 2023 508-398-2231 ext. 1261 Fax 508-398-0836 • „"1
Massachusetts State Building Code, 780 CMR ......
BUILDING DEPARTe Permit Application To Construct, Repair, Renovate Or Demolish
a One-or Two-Family Dwelling
This Section or Official Use Only
Building Permit Number: G . - SO Date Applied:
r • QAcS cam— 3"643
Building Official(Print Name) gnature Date
SECTION 1:SITE INFORMATION
l*P pert�Afdb'rDesi4� oqt 5., c Z'w 1.2 Assessors Map&Parcel Numbers
1.1 a Is this an accepted street?yes VI no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property 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
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public Private❑ Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2. w Aer'of Rec R247 I- d7L/ i?/igJt/t a39O7
Name(Print) City,State,ZIP
1e'tr' G'/� 403 ev8"7 0 l5,
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check_all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 I Repairs(s) 0 Alteration(s)Jg Addition 0
Demolition Accessory Bldg. 0 Number of Units Other 0 Specify:
Br' f Description f Pro osed Work2:
rI - C j�f0° fin- 6.b3x,
,46 `i LI., £FA" 6 OC�r L6Pk RFCFIVED
SECTION 4: ESTIMATED CONSTRUCTION COSTS. 0
Item Estimated Costs: Official Use Only AR 2023
(Labor and Materials)
1.Building $ k or& A/ 1. Building Permit Fee:$ i 70 Indicate ho T6,fea-iILs-deD' � 'e�� �. .H "11%
BU
iiii Standard City/Town Application Fee By.___ ___ __
2.Electrical $ s
0 Total Project Cost (Ite' 6)x multiplier . x.
3.Plumbing $ 2. Other Fees: $ CAC � 35 co/
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees:$
Check No. Check Amount: Cash
6.Total Project Cost: $ 0 Paid in Full \pY Outstanding Balance e: I\ 1 1(�
5 _
i '
' SECTION 5: CONSTRUCTION SERVICES
5.1 donstruction/ct Supervisor License CSL) Cg p6f O 9 /iff r i41
b4Pi ! ��45
License Number Ex ration Date
Name of CSL Holder �/� y /
/9g U1 h) /D� \ Yam-,' List CSL Type(see below) is
if
�I�Syand Street �/J� p Type Description
/el /1/75 OC�a l U Unrestricted(Buildings up to 35,000 cu.ft.)
City/Town,State,ZIP R Restricted I&2 Family Dwelling
M Masonry
RC Roofing Covering
WS Window and Siding
/7���7 SF Solid Fuel Burning Appliances
!C I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) -�
HIC Registration Number Ex iration Date
HI0rp23 i r FZyiranVlye -- d5� /1 1"
tex,$ ' /?/455 s f f 1114,067 ,`I Email address
City/Town,State,LW [Telephone v \
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
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize 2)/AA'�/C) AkjePH/
to act on my behalf, in all matters relative to work authorized by this building permit application. /�
Z'i d7O i Q e /LS/v-J
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.
/j gi,,4_ _
0e343 OveA Ait#7.ar
Print Owner's or Authorized Agent's Name(Electronic Signature) Da
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"
The Commonwealth of Massachusetts
= = 1 Department of lndicstrial.Accidetzts
!Earn 1_ 1 Congress Street, Suite 100
' 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 Plea le Print Legibly
Al) 6
Name (Businesss/Organization/Individual): PI 10/3 n-LialG, l
Address: `q c e2/1 /' to zo 1z0,40t
City/State/Zip:, 6Adx- , 11214.....S 664"/Phone #: S6 e4 Yi
re you an employer?Check the appropriate box:
I. I am a employer with employees(full and/or part-time).'
Type of project(required):
7. ❑New construction
2.❑I am a sole proprietor or partnership and have no employees working for me in
any capacity.[No workers'comp. insurance required.] 8. Remodeling
3.❑I am a homeowner doing all work myself. [No workers'comp. insurance required.]t 9. ❑Demolition
4.❑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.ri Electrical repairs or additions
proprietors with no employees.
5.111 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12.El Plumbing repairs or additions
These sub-contractors have employees and have workers'comp. insurance.[ 13.0 Roof repairs
6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other
152,§I(4),and we have no employees. [No workers'comp. insurance required.]
'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. '
c� /
Insurance Company Name: / 2/ " f24 id U i.
V 2044
Policy#or Self-ins.Lic.#: l(f ce ^ �2 t 2 41, Expiration Date: 9 3
Job Site Address: ! J 5914)y�/ n/ ZAP' City/State/Zip:,; / /21 i
Attach a copy of the workers' compensation policy declaration page(showing �on����
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 i under thepains and penalties of perjury that the information provided above is true and correct.
Sienature.;_.1 mot'/ 2 J1V4
Date: .6. t0,1/ , .?
Phone#: E� S -- .. /6 g_e 7
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 ejsuultiing from the proposed work/demolition to be
conducted at 9'/ 5/1P J( 1
Work Address
Is to be disposed of at the following location: 7144 L7fL 2-a 'd
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111, Section 150A.
237‹) /1414 c7/ /7
Signature of Applicant Date
Permit No.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
D....+...-, NA h,..-,,++,-. nn1l1Q
UVJIVI I, IVIQJJQVI IUJGLIJ VL I 1 V
Home Improvement Contractor Registration
t, Type: Individual
:;:'"': Registration: 200876
DAVID WALSH rli IMP
,4 = Expiration: 02/03/2025
198 OWL POND ROAD a +►+ __
BREWSTER, MA 02631 ..e hlkill
.ram .....M.�......r..
// f
Update Address and Return Card.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the
HOME IMPROVEMENT CONTRACTOR expiration date. If found return to:
TYPE:Individual Office of Consumer Affairs and Business Regulation
Registration Expiration 1000 Washington Street -Suite 710
200876 02/03/2025 Boston,MA 02118
DAVID WALSH
DAVID M.WALSH
198 OWL POND ROAD ,,,,,ii,% 'zG1.,
BREWSTER,MA 02631
Undersecretary Not valid without signature
Commonwealth of Massachusetts
Division of Occupational Licensure
Board of Building Re ulations and Standards
I i'
Cons ion$visor
CS-098932 l pires: 11/24/2023
DAVID M W SH '`
198 OWL MID tit
BREWSTER 891 08•' j
aVUI:LVAS.I. J
Commissioner (Jl, biEen(ttat..
•
•
•
•
•
. -
N. ---c-
ci
5,..1.1
- "--aieffi
\*i N
4- -511
C...
•?.. ---I N.--
\cl
_.,
'"P• ...........-- • Li_,
---r- ..4
?..--
,
--„, ---- -...
N ,
-.R. r•
,
I
- .......
r ....
--..i.
"st I . NseT 4
•.. ", -G"L' 06L \
4..) —.•• "14 4....% c_.... ---. (7,I_,
--
c.x 0
----I--
-c—
.......' .. ..... 2 ,---o -\,\
\'V......--, g.-
tcJ
vi-
*BoiseEa PRODUCTS I� . Triple 1-3/4" x 9-1/2" VERSA-LAM® LVL 2.1E 3100 SP PASSED
FB01 (Drop Beam)
BC CALC®Member Report Dry 12 spans I No cant. February 17,2023 14:08:30
Build 8545
Job name: Duchame File name: Walsh-Duchame
Address: 44 Studley Road Description:
City, State,Zip: South Yarmouth, MA Specifier:
Customer: David Walsh Designer: Kevin Lonkart
Code reports: ESR-1040 Company: Mid Cape Home Centers
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 3 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 4 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 * 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
l l l l l l l l l l l l l l . I l l l l l l l l l l l l l l l
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 01 1 1 1 1 1 1 1 1 1 1 1 1 1 1
k
J /k
1 o-oo-oo 1 o-oo-oo
B1 B2 B3
Total Horizontal Product Length=21-04-08
Reaction Summary (Down / Uplift) (Ibs)
Bearing Live Dead Snow Wind Roof Live
B1, 5-1/2" 1524/194 1735/0 1657/0
B2, 5-1/2" 3966/0 5174/0 4606/0
B3, 5-1/2" 1382/194 1557/0 1493/0
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 21-04-08 Top 14 00-00-00
1 Second Floor Unf.Area (Ib/ft2) L 00-00-00 20-11-00 Top 40 10 06-00-00
2 Roof Unf.Area(Ib/ft2) L 00-00-00 20-11-00 Top 15 30 12-00-00
3 Bearing Wall Unf. Lin. (lb/ft) L 00-00-00 20-11-00 Top 80 n\a
4 Ceiling Unf.Area (Ib/ft2) L 00-00-00 20-11-00 Top 10 10 07-00-00
Controls Summary Value %Allowable Duration Case Location
Pos. Moment 7804 ft-lbs 32.4% 115% 8 04-06-07
Neg. Moment -9310 ft-lbs 93.4% 115% 8 10-08-04
End Shear 2988 lbs 27.4% 115% 8 01-03-00
Cont. Shear 4876 lbs 44.7% 115% 13 09-08-00
Total Load Deflection L/671 (0.184") 35.7% n\a 8 05-00-12
Live Load Deflection L/999(0.117") n\a n\a 23 05-02-06
Total Neg. Defl. L/999(-0.003") n\a n\a 2 11-04-15
Max Defl. 0.184" 18.4% n\a 8 05-00-12
Span/Depth 13.0
Allow %Allow
Bearing Supports Dim.(LxW) Value Support Member Material
B1 Column 5-1/2"x 5-1/4" 4121 lbs n\a 19.0% Unspecified
B2 Column 5-1/2"x 5-1/4" 11603 lbs n\a 53.6% Unspecified
B3 Column 5-1/2"x 5-1/4" 3713 lbs n\a 17.1% 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 unbraced length of Top: 00-00-00, Bottom: 20-00-00.
Page 1 of 2
Boise Cascade' • Triple 1-3/4" x 9-1/2" VERSA-LAM® LVL 2.1E 3100 SP PASSED
��✓✓ENGINEERED MOOD PRODUCTS
FB01 (Drop Beam)
BC CALC®Member Report Dry 12 spans I No cant. February 17, 2023 14:08:30
Build 8545
Job name: Duchame File name: Walsh-Duchame
Address: 44 Studley Road Description:
City, State,Zip: South Yarmouth, MA Specifier:
Customer: David Walsh Designer: Kevin Lonkart
Code reports: ESR-1040 Company: Mid Cape Home Centers
Connection Diagram: Full Length of Member
4 •
•
a minimum= 1-3/4" c=3"
b minimum =6" d = 12"
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: FMFLOO5
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 GLULAM TN,BC FloorValue®,
VERSA-LAM®,VERSA-RIM PLUS®,
Page 2 of 2
