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iod/add' ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department 1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 ' .. ': Massachusetts State Building Code, 780 CMR -_ ' Building Permit Application To Construct, Repair, Renovate Or Demolish :: ;r.•' a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: 15W-23'CDTDO b Date Applied: ' tVED Building Official(Print Name) Signature OCT tae2022 SECTION 1:SITE INFORMATION 1.1 Pro er Address: 1.2 Assessors Map&ParcelNum�er �LDING DEPARTMENT v S 1 'yavY ►CIABy' 1.1 a Is this an ccepted street?yes no tiVit 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 0 Private CI _Zone: Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yesO SECTION 2: PROPERTY OWNERSHIP` 2.1 Owner'of Record: ie tvne� Mo�l� badgeS Wt - ya✓�wR w oz��}3 ,-Name(Print) City,State,ZIP tof 6eituis 110d1/1 -112, I q Oti ,yonc es gt rAm aac r e+ No.and Street Telephone Emaiddress SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 ( Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: goyim ill wait 1inh-e•hW-'en .+.WQ inznirls SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 1. Building Permit Fee:$ISO Indicate how fee is determined: 2.Electrical $ RIStandard City/Town Application Fee 0 Total Project Cost'(Item,k x multiplier x 3.Plumbing $ 2. Other Fees: $ 3 ST OU 4.Mechanical (HVAC) $ List: n�/ (� 5.Mechanical (Fire �/ vl Suppression) $ Total All Fees:$ 1� AA Check No. Check Amount: Cash unt: 76.Total Project Cost: $ /0, 675) ❑Paid in Full ®Outstanding Balance Du : 11S " SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) • License Number Expiration Date Name of CSL Holder List CSL Type(see below) No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP R Restricted I&2 Family Dwelling M Masonry RC Roofing Covering • WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 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 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 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 is true and accurate to the best of my knowledge and understanding. wyvum ob3 4- 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.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/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" ,. ilt The Commonwealth of Massachusetts / Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 4•154•`'y www.mass.aov/dia ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Moil l + J.eitetiei � midge c ✓ Address: t + tbettilt Niel City/State/Zip:VW 'ICI /f vlCA'l Mt QuI? Phone #: 144-212,.'tvG1 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. ❑New construction 2.0 l am a sole proprietor or partnership and have no employees working for me in an capacity.[No workers'comp. insurance required.] $• El Remodeling • 3. I am a homeowner doing all work myself. [No workers'comp. insurance required.]t 9. CI 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.❑ Electrical repairs or additions proprietors with no employees. 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12'❑Plumbing repairs or additions These sub-contractors have employees and have workers'comp. insurance.t 13•❑Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per NIGL c. 14.❑Other 152,§I(4),and we have no employees. [No workers'comp. insurance required.] *Any applicant that checks box Rl 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.r: 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 certify under the pains and penalties of perjury that the information provided above is true and correct. iSignature: (�(,�� �y�\�"�__ -"( Date: 10 /i3 f ZZ Phone#: - N 2,-- kOq 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#: y oF'Y`�R�E TOWN OF YARMOUTH p of 7. BUILDING DEPARTMENT 4'1 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE:JOB LOCATION: J e Item -r MO 19 Md e (,,,A�_ S Val {' a,✓4,YI,(/- '1 �L- NAME '1'1 ,ET ADDRESS SECTION OP TOWN C� 33 «HOMEOWNER" Je1✓€141N-Wuttid �-Z4z-i0.61 / 9'� HPHONE WORK PH NE PRESENT MAILING ADDRESS (/* 15 S ?eh vve + c— CITY OR TOWN STA 1'h ZIP CODE The current exemption for `Homeowner' was extended to include owner—occupied dwellings of one or two units and to allow such homeowners to engage an individual for hire who does not possess a license,provided that such homeowner shall act as supervisor. (State Building Code Section 110 R5.1.3.1) Definition of Homeowner: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is or is intended to be, a one or two family attached or detached structure assessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner;such"homeowner"shall submit to the building official, on a form acceptable to the building official,that he/she shall be responsible for all such work performed under the building permit. (Section 110 R5.1.3.1) The undersigned `homeowner' assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned 'homeowner' certifies that he / she understands the Town of Yarmouth Building Department minimum inspection procedures and requirements and that he / she will comply with said procedures and requirements. HOMEOWNER"S SIGNATUREUMCIA 11 APPROVAL OF BUILDING OFFICIAL INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch.142. Yes No If you have checked ves, please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent h:homeownrlicexemp 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 (0415e-k1 c 'Oath wPS-1' yauimc, 014 .E Work Address 074013 Is to be disposed of at the following location: 1✓rty)S-ev 5 .1/M Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. 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I or../.2) , t /6/0) _ _ I ST Re3..q ._ PL-/t4 MICHETA CUDILO, P.E. Consulting Structural Engineer 123 Cottonwood Lone, Centerville. lAessochusetts 02632 --, • 7 i,' . .2 ,r i / /4 -1- r' ,;‘,1 ..„..::-. Drown By: MC t- ; 1 • j ' ; --. t Date: /)i 4?/. "-Drawing - Sca le: AS NOTED Rev. (;) - S K gc2z. . :I , . .,,,,, pi\,......• , ,. File Naniei Hp,::'. ,,A:... Project \ , A • • e . - _ - \-- 4-- . a A le \A i_. r-- -4.. _ . . , ix -,:.. • ,_,.... _....._-:.....- c.,i .. - - . \ % ll IT" s .9 < 4 • A, .• ;•-iik ‘.. .., * • 7-- 1 4 .211 4. ... -5 '-----ft ..1 0 .7< -,‹ •_, I Ii F•rei's.; .. A s i•trc , 1 1 i 0 . ,.....4.4.4.4.,,,, At'b--°3 tiZ 4 LAW.f W/ Z X r o pr6,..-. _ . , I, / *._ . . , t•Giti,-/ E---> ' .•' (..) `,-_,A0 - -7? ' '' 1 . / 3 sTRUCTU , _ MICHELE CUDILO, P.E. c' No :2 WALL g-tt-vovt• - Consulting Structural En ine -,2 sit9'6"/ ..._ ______. 123 cosonwead [Am, contervos, Massachusetts OM As4'SSiONAt ---It. - - 1Z-- 51' , kill C-411014*5 Drown By: MC Ddte:-.1 Lill.-4°-/.12-2:1 r awing __6+ i!) IT\-( Is rA-TO scoleY4-As" sar(vt-ofivr) *Rev. 0 I(- ---- ,0----- [ IA1 -r1 00-n-I i mA , _ -7-1)22— S Rio tioin—el/f&OITOLiviect No•:—,(5:37- FORTE y� MEMBER REPORT FAILED Level 2,Floor: Flush Beam 4 piece(s)1 3/4"x 11 7/8"2.0E Microllam®LVL Support 1 failed reaction check due to insufficient bearing capacity. Support 2 failed reaction check due to insuftcient bearing capacity. Overall Length: 14'4 15/16" + 0 0 14 13'9 15/16" I Q All locationslo� are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal. Design Results actual 0 Location Al owed Result i.W Loads Combination(pattern) System:Floor 1 - Member Type:Rush Beam f lemher Reaction(lbs) /379(u�2" (69-1(2.25i") F<�'rft n 170 G,) -- 1.0 D+1.0 L(All Spans) Shear(lbs) 6160 @ 13'1 9/16" 15794 Passed(39% :WC) 1.00 1.0 D+1.0 L(All Spans) Building Use: 2 Building Code:IBC 20t118 Moment(Ft-lbs) 25738 @ 7'2 7/16" 35696 Passed(720/0) 1.00 1.0 D+ 1.0 L(All Spans) Design Methodology:ASO Live Load Def.(in) 0.341 @ 7'2 1/2" 0.352 Passed(L/496) -- 1.0 D+ 1.0 L(All Spans) Total Load Defl.(in) 0.506 @ 7'2 1/2" 0.704 Passed(L/334) -- 1.0 D+1.0 L(All Spans) •Deflection criteria:LL(L/480)and TL(L/240). •Allowed moment does not reflect the adjustment for the beam stability factor. •Member should be side-loaded from both sides of the member or braced to prevent rotation, r,i ,^ Boring Length Loads to Supports(lb.) V� Supports Total AvaIlable Req Dead Naar Liao !Factored Andes -Stud wall-SPF 3.50" 2.25" 2.48" 2442 5043 7485 11/4"Rim Board 2-Stud wall-SPF 3.50" 2.25" 2.38" 2313 4757 7070 I 1/4"Rim Board •Rim Board is assumed to carry all loads applied directly above it,bypassi the ber being designed. Lateral firedog Scialito Intervals Comments Top Edge(Lu) 14'2"o/c Bottom Edge(Lu) 14'2"o/c •Maximum allowable bracing intervals based on applied load. Dead. , Moor Live Vertical Loads Location(sw.) Tributary Width (030) (1.00) Comments 0-Self Weight(PLF) 1 1/4"to 14'3 11/16" N/A 24.2 1•Uniform(PSF) 0 to 14'(Front) 14' 10.0 30.0 2nd 2•Uniform(PLF) 0 to 14'(Front) N/A 35.0 - wall 3•Uniform(PSF) 0 to 14'(Front) 14' 10.0 20.0 att 4-Point(lb) 0(Front) N/A - - Weyerhaeuser Notes Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values.Weyerhaeuser expressly disclaims any other warranties related to the software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project.Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards.Weyerhaeuser Engineered Lumber Products have be ed by ICC-ES under evaluation reports ESR-1153 and ESR-1387 and/or tested in accordance with applicable ASTM standards.For current code evaluation reports,Weyerhaeuser product literatu ils refer to www.weyerhaeuser.com/eroodproducts/document-library. , ,O �540y The product application,input design loads,dimensions and support information have been provided by M.CUDILO,P.E. 22 MGUO�ivaPl n $sbIt? ForteWEO Software Operator lob Notes ' `"'"' 10/6/2022 2:28:20 PM UTC MICHELE CUDILO,P.E. MICHELE CUDILO CONSULTING STRUCTURAL ForteWEB v3.4,Engine:V8.2.2.122,Data:V8.1.3.0 ENGINEERING INC. File Name:2022-307HagopianBettysYarm (508)737-8521 Wcyertueusrr mcudilo©comcast.net Page 1/ 1 GENERAL NOTES AND MATERIAL SPECIFICATIONS: (Residential IRC Construction) SK-1 FOUNDATIONS 1.All workmanship to conform to the requirements of the Massachuscns State Building Code,latest edition. 2. For site location and grading information,see Site Plan,by others. 3. Assumed net allowable soil hearing capacity,q=3000 psf,for a medium sand/gravel composition. Other soils encountered. contact the Engineer of Record. 4. Concrete: Minimum 28 day strength.Pc—3000 psi.3/4"aggregate,designed per American Concrete Institute Code,latest issue,maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min.5/8"diameter, 12"long,w/2-112"hook spaced per Code Checklist,or in concrete piers w/Simpson ABU-series base;SPACED 2'o/c for slab-on-grade construction(i.e.Garage,Basement.etc.). b.) All walls to have min.2#4 top horizontal.2"clear,to prevent shrinkage c.) All walls longer than 25'shall have vertical control joint with waterstopping between wall joint. FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2.Structural Design Loads: Dead Loads:Actual Weight of Building Components • Live Loads:Snow Load =30 psf(plus drift)with applicable reduction AMC Storage=20 psf Living Floor 40 psi Sleeping Floor=30 psf Decks and Balconies=40 psf Wind Load: Criteria used for 110 MPH Exposure B or C as noted per plans 3. Structural Steel: (as required) a. ASTM A572 Grade 50;shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307, 1/2"diameter;punched holes: 9/16"diameter. b. Welds: Shop weld cap and base plates to columns:shop weld bearing plates to beams;use E70xx electrodes. Altemati'ely,field weld by certified welders. c. Deflection Criteria: L/360 total load deflection. 4.Timber Framing: a.All new timber framing:Spruce-Pine-Fir No.2 with Fb=I000psi,E=I.300,000 psi,or better. b.Pressure treated timber(P.1'.):Southern Pine with Fh=1300 psi, E.=1;600.000 psi,or better. c.Laminated Veneer Lumber:All 1...V.L.shall be 1.9E L.V.L.with Fh=2925 psi,E=1,900 ksi,Fv=285 psi,Fe_per=750 psi, Fe__par=3035 psi. Parallam(PSL):All PSI.shall be min. I.9E ES with Fb°--2900 psi,E=1,900 ksi,F'v=285 psi,Fc,_per-750 psi, Fc_par=2900 psi. Note that Microllam and Parallam may he used interchangeably. I. Deflection Criteria: L/480 Live Load,L/360 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 5.Metal Connectors: As manufactured by Simpson Strong-l'ie Co.shall he handled and installed per manufacturer requirements.with all nail holes filled,with the size nail as specified by mfgr.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced I6"o/c: Railer to Ridge Plate: Collar tics min. I x6(u 16"o/c at top or Simpson Straps over top of plywood spaced 16"o/c b. Rafter ends to top plate: Simpson I12.5A c. Band Joist: Simpson straps at 4'o/c: CS-I4R-48"centered at hand joist 6.Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise.Bolt holes in wood shall be 1/32"larger than bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers.All nuts shall be • retightened at completion of job. 7.Blocking: a.Blocking shall be solid blocking,2x minimum,and full depth of member. h.Stud Walls:provide blocking at 8'-0"o/c,maximum height. Corners to be blocked at 48"o/c with plywood edge nailing to this blocking for the first 48"of these building corners. c.Nailing Scheduler Solid Blocking to Bearing 2-8d toenails ea.side Blocking Between Studs 2-1Od toenails ea.end,or 2-I6d end-nails ea.End d. Ncw Frtuning: Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all edges:attach plywood edges to this blocking 8.Nailin.LSchedule: All nailing shall be in accordance with the WFCM Table 3.1 unless noted herein specifically. Multiple Studs 16d l< 12"staggered a.All nails shall be common wire nails. • h.Sub-bore where:nails tend to split wood. 9. Headers less than 4'-0",use 2-2x6:all others per MA State Building Code. 4 • I