HomeMy WebLinkAboutbld-23-000389 - I-1 1-lith-X
ONE & TWO FAMILY ONLY- BUILDING PERMIT _ P4
Town of Yarmouth Building Department
1146 Route 28, South Yarmouth,MA 02664-4492 ; J' _ 7/�l/ f�iJq
508-398-2231 ext. 1261 Fax 508-398-0836
Massachusetts State Building Code,780 CMR 44.—e
Building Permit Application To Construct, Repair, Renovate Or Demolish
a One-or Two-Family Dwelling
1\ tT�his Section For Official Use Only RECEIVED
Building Permit Number: &J).23--VW3 7 Date Applied.
fit% SRC,{s %-1.- JUL �� 2011
Building Official(Print Name) ignature B 1rNG DEPARTMENT
SECTION 1: SITE INFORMATION a,,_
1.1 Property Address 1.2 Assessors Map&Parcel Numbers
1.1 a Is this an accepted street?yes c no Map Number Parcel Number , /� -
Vim► ,
1.3 Zoning Information: 1.4 Property Dimensions:
Ile, IDO IZy q3)
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
5-7 ' Pi t r- 2-.1.1 IC, yy
1.6 Water Supply: (M.G.L c.40,§54) 1.7'Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private❑ Zone: Outside Flood Zone?
— Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
11.e,re ei ^}ye i y G.o rear e I z 5 PI• "'5 Ad cues( l*9ii o Y'(A
Name(Print) City,State,ZIP v i 5 5 I
1 (3 jdl-Y Em c' 2 j 77(f-2$f- o 1 J 5 o t&.`tt. t&. ( .c,,
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction Z' Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition Ell Accessory Bldg. 0 Number of Units Other I50Specify: (7ecisC
Brief Description of Proposed Work2: CL ram.•p • a"-L T
2 X r 9 ' •••9 19Q.0 k o_ v.
(
SECTION 4: ESTIMATED CONSTRUCTION COSTS:
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ `��/ a U p 1. Building Permit Fee:$,Ck(o Indicate how fee is determined:
v ( / -11 Standard City/Town Application Fee
2.Electrical $ s
0 Total Project Cost (Item 6)x multiplier x4.
3.Plumbing $ 2. Other Fees: $ hh�
4.Mechanical (HVAC) $ List: VV
5.Mechanical (Fire . .$
Suppression) Total All Fees:$
Check No. Check Amount: Cash o t: ,),
6.Total Project Cost: $ ///v Q 0 0 Paid in Full V Outstanding Balance ue: C6
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
61f2 _I{oc li/zg/z3
y-t(/i License Number Ekpiration Date
Name of CSL HoldEr G C
List CSL Type(see below) S
Zz? 12✓N I (( ci
No.and Street Type Description
Unrestricted(Buildings up to 35,000 cu.ft.)
Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Window and Siding
Covering
f eh T k,2_ k y 1Q_ '
r g'v-5-3,V ( v v�`�`J- SFFWS Solid Fuel Burning Appliances
C' -1 G O-ST•'v'e- I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
4)2. r /0-69 a 7 Z6�zZ
HIC Registration Number xpiration Date
HE Company Name or HIC Registrant Name //
No.and Street 14 P Ac.F,ew, 05.1c.cimr:.`�
Email ress
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 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 Lit Fctray itie. k e.ire ac k
to act on my behalf, in all matters relative to work authorized by this b iding permit application.
4)4 e Q`; •
ZC(z /z4-
Print O er's Name(Electr c 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 accur to he best of my lcnowledge and understanding.
Print Owner's or Authorized Agent's Name e onic 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.aov/oca Information on the Construction Supervisor License can be found at www.mass.aov/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 i/
3. "Total Project Square Footage"may be substituted for"Total Project Cost" L(S
o�'YaR TOWN O'F YARMOUTH
•. r; C BUILDING DEPARTMENT
0 - he*� - y 1146 Route 28,South Yarmouth,MA 02664
" ;:,"„ =crd4* 508-398-2231 ext. 1261 Fax 508-398-0836
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 ' 1c-y 1�c� fl
Work[Address
Is to be disposed of at the following location: ycw ✓ i f --
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111, Section 150A.
,�
Si at re of Application Date
Permit No.
The Commonwealth of Massacl►rtsett.s
Department of Industrial Accidents
IR ° ,t Office of Investigations
rye,,_,y 600 Washington Street
µ „I-s; Boston,MA 02111
r'Y0,L'S+ 'r W.mass.gov/din
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
the deck man inc
Name(Hu,cness Organizatso&lndavidual):
Address: 227 run hill rd
City/State/Zip: brewster ma 02631 phone#: 508-896-5333
Are you an employer?Check the appropriate box: Type of project(required):
1-❑ I am a employer with 4. ❑ I am a general contractor and I
employees(full andor part-time).* have hired the sub-contractors 6- ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have 8. 0 Demolition
working for me in any capacity. employees and have workers" 9. ❑Building addition
[No workers'comp.insurance comp.insurance.-
required.] 5. 1(We are a coaporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself.[No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance required.]t c. 152.'1(4).and we have no
employees.[No workers' 13.❑Other deck
comp.insurance required]
'Any applicant that checks box 01 must also fill out the section below showing their workers'compensanou policy information.
Homeowners who submit this aSdavit mdscatiag they ate doing all work and then hire outside contractors must submit a new affidavit indicating such
:Contractors that check this box must atuched an additional sheet showing the name of the sub-contractors and site whether or not those entities have
employees If the sub-contractors have employees.they Est provide their workers'coup.policy Dumber.
I am an employer that is providing workers'compensation insurance for ins employees. Below is the polio'and job site
information.
Instu ance Company Name:
Policy 0 or Self-ins.Lic.0: Expiration Date:
Job Site Address: City/State/Zip:
Attach a coPe 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 S1.500.00 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 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 certifs•niuder the pains and penalties of perjury that the information provided above is true and correct.
*/ 7-22-22
Si �t Date.
Phone i*: '50 ,96. 333
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit:License 0
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#:
Commonwealth of Massachusetts
Division of Occupational Licensure
Board of Building Reeiiations and Standards
Constlon S ,rvisor
CS-042401 � pires:11t2912023
JEFFREY C kjENNEMUTH
227 RUN HILL ROAD
BREWSTER h/1A 02631
Commissioner dI, �. . Dntira
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR
TYPE:Corporation Registration valid for individual use only
figgLsjiaugn it tion before the expiration date. If found return to:
106821 07/26/2022 Office of Consumer Affairs and Business Regulation
DECK MAN,INC. 1000 Washington Street -Suite 710
Boston,MA 02118
JEFFREY C.HENNEMUTH
227 RUN HILL RD
BREWSTER,MA 02631
Undersecretary of va without signature
ofY+R TOWN OF YARMOUTH
,, .. _ : 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone(508)398-2231 Ext. 1292-Fax(508)398-0836
M.A, it 202
'OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
L......_P,OLD HIia
H /AY/AYAPPLICATION FOR
CERTIFICATE OF EXEMPTION
Application is hereby made for the issuance of a Certificate of Exemption under Sections 6 and 7 of Chapter 470 of
Acts of 1973, as amended, for the proposed work as described below and on plans, drawings, or photographs
accompanying this application.
Type or print legibly: � ��� '6Y r ��
Address of proposed (�work: \ 'C `' C J t
. `�Ct ��` , Map/Lot# �
Owner(s):^ .D. � �l"'\& 1� ?Q QC Qom, C't2 \ Phone#:�R '� r 1�a a
All applications must be submitted by owner or accomp led by letter from owner approving submittalal of application.
Mailing address' \� \ (\ c)--. . �.-8-3Q, Ci f' ear built: ` k
Email U,,(')c Q -\ \ . (t R, Preferred notification method: V/ Phone ✓ Email
54)
Agent/Contractor: t `t"k" \\ Q.oc, 1'\sk.. f VN-4` . Phone# V� , •,
Mailing Address' . - ` -C\t`\ ,\\, ' s .( cl`VC 1,. CY .(-0-
Email:-Ick-C1 C\(_ (.C:)4-)\ NPre erred notification method: ✓ Phone „o'' Email
Description of Proposed Work(Additional pages may be attached if necessary):
0.C C'L(t14 Cv S (-1 Nk`•\ C_k,_ W\\V`ZN C Q \ Q..>
CS --‘\k-S.., \k" ,.. e.)
\......."4. 9
Signed(Owner or agent) AS:%10i(1. Date. ` Y 'Q d
a Owner/contractor/agent is aware that a permit may be required from the Building Department.(Check other departments,also.)
This certificate is good for one year from approval date or upon date of expiration of Building Permit.whichever date shalt be later.
For Committee use only:
Date: 300; ✓Approved Approved A ppr(WED j Denied
Amount 9 C.,U) Reason for denial, !1 i
MAR 0 9 2022
Cash/CK#. (241
Rcvd by: r
YARMOUTH
OLD KINGS HIGHWAY
Date Signed 3'411)). Signed
5 '`/ V Pi`eL d1at 1 �' l
APPLICATION#:
VS 2017
Sherman, Lisa
Subject: FW:22-E021 9 Bray Farm Road
From: RICHARD GEGENWARTH [mailto:r.gegenwarth@comcast.netj
Sent:Wednesday, March 9, 2022 12:28 PM
To:Sherman, Lisa<LSherman@yarmouth.ma.us>
Subject: RE: 22-E021 9 Bray Farm Road
Attention!: This email originates outside of the organization. Do not open attachments or click links unless
you are sure this email is from a known sender and you know the content is safe. Call the sender to verify if
unsure. Otherwise delete this email.
Ok by me.
Richard
On 03/09/2022 8:38 AM Sherman, Lisa<lsherman@yarmouth.ma.us>wrote:
Hi Richard,
Can they go ahead and replace the deck? APPROVED!
MAR 0 9 2022
Thanks Richard, YARMou�;1
OLD KING'S HIGHWAY
Lisa
From: RICHARD GEGENWARTH [mailto:r.Regenwarth@comcast.netj
Sent:Tuesday, March 8, 2022 4:58 PM
To:Sherman, Lisa<LSherman@'varmouth.ma.us>
Subject: Re: 22-E021 9 Bray Farm Road
1
Attention!: This email originates outside of the organization. Do not open attachments or click links unless
you are sure this email is from a known sender and you know the content is safe. Call the sender to verify if
unsure. Otherwise delete this email.
Hi Richard,
The residents want to replace their deck at 9 Bray Farm Road;
replacing wood with composite materials. The deck is behind the
house and can't be seen from the street.
Please let me know if you need any additional information.
Thanks Richard,
Lisa APPROVEV
MAR 0 9 2022 E
Ye'R!.iC)UTH
Lisa Sherman 0t.D KINC;;HrHVI `>
Office Administrator
Old Kings Highway Committee/Yarmouth Historical Commission
Town of Yarmouth
508-398-2231,ext. 1292
lsherman@yarmouth.ma.us
2 ���t
TOWN OF YARMOUTH
A, ° HEALTH DEPARTMENT
„AktPERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant:
Building Site Location: 7 5 Y'!-7, )
Proposed Improvement: I(
Applicant: J P uIA Tel. No.: �v 9 2-_SlUS
Address: % 2: �� �,� I-4 ' I 414 1 ,.) e, Date Filed: 7- 2 Z
**/fyou would like e-mail notification of sign off please provide e-mail address:
Owner Name: .JcfSY . ( Uv la- It
Owner Address: I,‘>yv Owner Tel. No.: 7 2 - -c I ,—
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,
RECEIVED and septic system location;
(2.) Floor plan labeling ALL rooms within building
JUL 25 2022 (all existing and proposed) —
Note: Floor plans not required for decks, sheds, windows, roofing;
HEALTH DEPT. (3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: DATE: 7 o) c
PLEASE NOTE
COMMENTS/CONDITIONS:
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- HEALTH DEPT.
NOT SUITABLE
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''' '''-'- I/e r._...•^. 2..--.. '''""-M......:Pa 7 4"414 %%./..1/40ve I, ,.....
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f 5' REMOVAL OF UNSUITABLE SAIL REW � y
I AROUND PERIMETER Or LEACNG'1G FACILITY. '�--- - l� \\\ 1 �. s
rr DOWN TO SUITABLE SOIL LAYER. REPLACE PROVIDE 25' OF 40 NIL UN'ER AT 5'
VA TM CLEAN LIED. SAND, TO MEET -"OFF SAS N AREA SHOWN. TOP Al 2.
01 ,SSPEO'ITCATIONS OF 310 CMR 15-255(3) ELEV. 34,5'. BOTTOM AT EL 30.5'i �
....._..),.,!, -141,5.5...1,/, ' '—--- Q.......\.._.....::\ ,\..,,,,.._..._...,,,\,....._ ,-...„....„..,
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BENCHUARK: I
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Il I•r CASEMENT SILL
a40.65' NAVM t-=
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f— 1 ..J Y.orM,c:
'r'++� � BEDROOM' UWNC v I DAHILL A.
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c '�'�+1 ROOM BEDROOM Cnril
KITCHf.N tvD.t65U2
9
~` BEDROOM �'armouth lie.ltb D er r i t "�ss� �
BAT1! o Mr+c 1 P O 1I E1: ore t
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NIG DETAIL e- , - 3-2-1� D --f
FLOOR PLAN Name ------
Date. DANIEL A
I_ = ;'r:' NOT r:) ,CALL
HEALTH DEr I.
Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: Qr ki L(" y�d I/0 ri Map: )Cl Parcel: 14 I
Owner Name: v C,CC 1 f Permit U: i19 U - / 02V
) — I O— 1 i� r Date Installed:
New: Repair: r y
Installer Name: C SC. ri-ejionInstaller Phone: ..5,42' 116-'211-4
Installation of(list all components,both newly installed and lxisting to remain in use): c"')( 6,6J X 2
n e Ap 1, 1
r n s ,���, p° N /i1�//L1Cj 1 I /frthi Jr� � 7v//L
Leach Capacity(gpd): �,(� Ground Water Depth(Inche : /Z Health Inspection by: V
D/ /G.
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter)
Bt( i çA( (&e\
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HEALTH DEP
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WATER DEPARTMENT
99 Bock Wand Roof!
p
1V(..!;t 'ttrrnouth, :AA (}2 i
1-792 1 • Fax; ,..,oh, 771.7998
-
BUILDING PERMIT APPLICATION FOR
WATER DEPARTMENT SIGN OFF
TRANSNIITTAL FORM
•
I:WILDING SITE LOCATION:
7
PROPOSED WORK'. 0,C'
(72...a.e., ,..C. -1-..----€....
APPLICANT: P,, *2m EA 42 1,4-4-0771-1-
ADDRESS: 2 2:—? /4 }4.1 4/i. irli
TELPHONE: *2-
-5-4;"'* '"
RESIDENTIAL AND 'OR COMMERCIAL BUILDING
Water lkpartment: I ktermines Compliance of Water Axailabilit,v and or existing location
l*ineering Department: I ktermines Compliance for Parking and I)rainage
Conservat ion Commission: Determines Compliance to Wetlands Act: i e. It lot(s)border any type of
w et lands.streams. ponds.rivers.ocean. hogs,boys.marshland. ETC.,.
I Ica ilk I kpart mem: Determines Compliance to State and'['own Regulations, i.e.
requirements for Septage Disposal and other Public !leak!)Activitcs
lire I kparimeni: I ktermines('ompliance to State and Town Requirements for Personal
Safety, Property Protections, i.e. Smoke Detectors,Sprinkler Syslems.etc
7
*I-SIGNATURE DATE
OFFICE USE: COMMENTS ON PERMIT APPROV‘I. OR DENI xl.
/2 41,22
Kr Eri viLw RV WATER DIVISION(SIGNATURE) DATE
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ANCE ..:%',-.THE
API• , 1 , „,.iv! Inc 4 ...1 i;+;.,,tor„ ; tiS BUILT'
COMFL-.110E.
DATE:"1.` .-
Azek composite railing
7 r P arc "`
11iLmL, 36i
azek decking
2x8 's@16" O. C. 1/
i,'S"ledger o I
Ai
_. ' 2-2x8
Ii
6' or less
4" x6"
��-� attached with 5"7edger
Ilf
locks
I—r
_er ''1.1 .,!
,� V DP-75
s
Al pp ,
. .
• , • . '
ii
siding cut out and flashed for
HOUSE code deck attachment
joist hanger 5/4"x 6" Azek decking
1 (.........._.,.4............................)
\\,,,
2x8 €' I6O. C.
0::::::7: ,:::::::c
\5" ledger locks e 5" O.C.
aluminum flashing
SIDE VIEW TOP VIEW
5" ledger locks 4x4
i
lik,:::/ . 11 i
'II All posts glued
1 blocked in and
� \i 1 1 1 1 lagged�.
Block C :,i:;:. .., a
: \
simpson 6" structural lags
when going through double
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4 �'� �- bbl 24) � _ :i ce bean tss: � LL
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c� 22" 7,4„ .K 7'4, t 11-9-- 7'4„ 7'4" , --'.- —=7'4' .c=22"
. LE 10'
8'
~ 2 x 8's @ 16" O.C.
T
, , 0 0 0 0 cr.„,_
4„ �g, rAl ' 36'
o 4'
r- -- ` _ = DTT1Z lateral attachment
1.1
= DP-78
- � 2x12cut
stringers C7
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