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HomeMy WebLinkAboutBLD-22-004868 p 1,4 Pti Zs vc-' •: peg,: R O TE o►. TWO FAMILY ONLY- BUILDING PERMIT p/`� >� l Town of Yarmouth Building Department MAR �� U�2 1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836m... Massachusetts State Building Code,780 C1v1It BUILD NG uLNF hTAn c, ,ov 8nilding bermitApplication To Construct, Repair, Renovate Or Demolish E 1 -V E a One-or Two-Family Dwelling This Section For Official Use Only U` 0 22 Building Permit Number: &h.. -amid,2C(, Date Appli • Run D NG DarHR-rnENT By Building Official(PrintName) • gnature Date SECTION 1:SITE INFORMATION • 1.1 Property,d?ress: i 1.2 Assessors Map&Parcel Numbers 1.1 a Is this an accepted street?yes 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 0 Private 0 Zone: _ Outside Flood Zone? Municipal© On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 w r'ofRe ord: ,,� �e F f 1/ N e(Pr nn C� ery State, /2J •4 O L 6 9 ?i?- Pi/Kink 1)2ltAQ_ G_ Q 9 - C4� No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building❑ Owner-Occupied ❑ [ Repairs(s) 0 Alteration(s) ❑ I Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other ElSpecify: - Brief Description of Proposed Work2: P.e._ r, ,77 r.e 4,-a t ,hcl,,, ittei- V t.D i iv $ i c-k-S , pew- p/a.,.s SECTION 4: ESTIMATED CONSTRUCTION COSTS, Item Estimated Costs: (Labor and Materials) Official Use Only 1.Building S cif c5-D®0 1. Building Permit Fee:$ 11)6 Indicate how fee is determined: 11 Standard City/Town Application Fee 2.Electrical $ lo L . ❑Total Project Costa(It ) ltt er x 3.Plumbing $ i aft) 2. Other Fees: $ l,!V " r3 4.Mechanical (HVAC) $ 20, coo List: V. 5.Mechanical (Fire Suppression) $ 0 Total All Fees:$ 6.Total Project Cost: $ 3 04064 Check No. Check Amount: Cash Amount: U 0 Paid in Full Eli Outstanding Balance Due: /3 I SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) N of CSL Holder License Number Expiration Date r r List CSL Type(see below) U s v /Iv No.andeec Ty.e Description // (/J J'y/f1/k Si- 400 Unrestricted(Buildings up to 35,000 cu.ft.)City/Town,State,ZIP Restricted 1&2 Family Dwelling M Masonry Di r ek s- 1414_ O c�-/ RC Roofing Covering WS Window and Siding l7 —bif- �g/ a,,,5„,...„.41., SF Solid Fuel Burning AppliancesTelephone I Insulation mail address D Demolition 5.2 Registered Home Improvement Contractor(HIC) Ab45 i/Ue I Yk B t oc /9 5/�a� a BI�complly�//y Name or.HIC Registrant Name HIC Registration Number ira on Datz N� and Street in I a ,�/� Uhl . h� UQr aSDS�1P asic,r !1f A- 6-24Zr- (i/? ��" Email address City/Town,State,ZIP Telephone 'J SECTION 6:WORIOCRS'COMPENSATION INSURANCE AFFIDAVIT MCI.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.. ...❑ • 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 p ,f t f I-Q_ to act on my behalf,in all matters relative to work authorized by this building permit application. e -r' LQ. ;:.. Print Owner's Name(El_ onic 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 acc o the b of knowledge and understanding. Print 0 er's or Authorized Agent's Name(Ele onic Signature) Date NOTES: I. 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/dns 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.$.) 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 • =:51 Department oflndustrialAccidents 1 Congress Street, Suite 100 1 '4-h' 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 Please Print Legibly Name (Business/Organization/individual): '44•�j l l J � Address: I 11 i^ 1 • City/State/Zip: /a— Z,l 11S Phone#: Are you an employer?cheek the appropriate box: Type of project(required): l am a employer with____-employees(full and/or part-time).* ?Q I am a sole proprietor or partnership and have no employees working for me in 8. El Rem construction any capacity.[No workers'comp.insurance required.] • El Remodeling 3.0 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 1.0❑ Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.El 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 I ❑Plumbing repairs or additions 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 NIGL c, 14.0 Other 152,§I(4),and we have no employees.(No workers'comp.insurance required.] *Any applicant that checks box Al must also fill out the section below showing their workers'compensation policy information. 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 ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. ' "� Insurance Company Name: ç l/u1TV A.tuS Policy#or Self-ins.Lic.#: rp V� r ' "1 ��}~�ra`0 Expiration Date: 3 i Job Site Address: lib rh kc),A1,( l i City/State/Zip: ff' Attach a copy of the workers' compensation policy declaration page(showing the policy ambera p ifrattion 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 cop of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. A 1 do hereby ce tify tinder t ,a ns nd penalties of perjury that the information provided above is true and correct. Sta nature: Phone#: I , I/ . 45(1 Date: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License 4 Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: £ g G.,. oor * ' Residential &Commercial Construction, supervisor, Code consultant-Owner's representations and Inspections 11 Virginia Street,Boston, Ma 02125 617-504-6815 Vareas02125Pemail.com CS-84571 Master s. metals 8075 Ap. Plumber 26903 H.I.0 194424 OSHA 3011-602019441 March 1, 2022 Reference: Peter Le Remodel the entire house with decks and dormers as per plans Contract 1. Flooring 2. Heating/AC 3. Framing, sheetrock, and insulation 4. painting 5. Kitchen and bathroom 6. Doors and windows, Molding trim 7. Dormers, Electrical, plumbing 8. Windows, 9. Gut out and dispose of 10. Roof and siding replacement We will start work as soon as the permit is issued and complete within 2 days after we start work and complete all work within 6 month One third due at signing of contract$100,000, 2nd third due when rough electrical, plumbing, heating, insulation and final 3rd payment at completion of all work Total 300,000 i Pet Le Owner,' Var s DaSilveira • §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-22311 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 yv Vvtati fla'vt%f � - Work Address Is to be disposed of oat the following location: !)u e `J Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 1 1, §150A 3 -2 z Signa of Application Date Permit No. Sears, Tim From: Sears,Tim r Sent: Monday, March 7, 2022 2:49 PM To: 'vargas02125@gmail.com' Subject: 40 Mayflower Terrace Vargas, I have reviewed your application for renovations, and there are some items needed; �/. Health Department sign off(under review) 'R' Conservation sign off �13. The site plan submitted is not stamped . Engineering for all beams 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 CB() Deputy Building Commissioner -- Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsears@varmouth.ma.us 1 GENERAL SPECIFICATION SHEET Project Address: FOUNDATION: Material: Exposure (Not to exceed 18"): CHIMNEY: Material/Color: GUTTERS: Material/Color: � n ROOF: Material: T-5,0nAT Pitch (7/12 min) Ev.-vs Height to Ridge: 2' -q Color:w l woo9 SIDING: Material/Style: Front: op W(,Shn\,y Sides/Rear: WC.... S\c\vrc45 COLOR CHIPS Color: Front: M WV:yr E`t.\c,TtNG Sides/Rear: evpr'cuycflt. TRIM: All windows&doors to be trimmed with: 1x 4 1x5 (Circle one.) ' $ T Material: PCZ£ , Color: U�kl�-CS Mc"CC� �.�r � DOORS: Qty: V Material: 000i15 Color: WM\'' E Style/Size (if not listed/shown on elevations): ow ale'a W,l LGHW t - STORM DOORS: Qty: Material: Color: GARAGE DOORS: Qty: Mat'l: Style: Color: ^ WINDOWS: Qty/side:: Front: I Left: ? Right: Rear: 'I Color: 6.1\NA.12, Manufacturer/Series: Ar un 440•0 Material: Grilles(Required : Pattern (6/6,2/1,etc.) & Grille Type:True Divided Lite: ElSnap-In: Between Glass: Permanently Applied: Exterior Flintenor STORM WINDOWS: Qty: Material: Color: SHUTTERS: Mat'I: U Style: Paneled Louvered Color: Gctvel SKYLIGHTS: Qty: Fixed Vented Size Color: >> 07) DECK: Size: AZx L\4 Decking Mat'I: Pc'ZG-Y- Color:ftay'c\ern °fir Railing Mat'l: Crib\. (S`ac\ Style: ( -\o\ _ Color: WALLS/FENCES*(Max 6' height): Height: Mat'I: Style: Color: (Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area. UTILITY METERS/HVAC UNITS: Location: Screening: LIGHTS: Qty: Style: Color: Location(s): LIGHT POSTS: Qty: Material: Color: Location(s): Additional information: 2-General APPLICATION#: --"A IV) TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTERE D i r.` ABUTTERS' LIST + L OLD KINGS H1GHVIA. Applicant's (Owner) Name: Fig-\-eAr Property Address/Location: L v Y47 N.L/e{ 1— C.? Hearing Date: '2) D 3) 21 Notices must be sent to the Applicant and abutters (including owners of land on any public or private street or way) who's property directly abuts or is across the street from the Applicant. Please provide the Assessor's Tax Map and Lot numbers only. The OKH Office will send out notices using the addresses as they appear on the most recent applicable tax list. Note: Instructions for obtaining the abutters Map and Lot numbers can be found on the Old King's Highway Department page on the Town website: www.yarmouth.ma.us Map Number Lot Number Applicant Information: ' 0 3 Abutter Information: l �) 11c ho Il © Application #: 91 :k\6 1 3 8.2018 - Q -a a j 92 V c ? � �- - iv om ` P O k ASV D r m T r r- A Q i A` T Hec d N V. VG T N a M T g o 4g (13 co tG _ T 5 0) CV 0 0 T O T T d T n N r — - 9Aayflo ex 'e� O T a.Is..- t T. 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'''F2.• 7.' .",...:,;-„C.!,), . .,.. ,,..,...;:ii.f....1..„,;:i.: ..,..• .4-;:iiii.IF:F--gl,"......- i;F' • ----, r.-7..7.?- '. • Fl - +....1' 0 ''' '1,,f •-Fili,g7FAV,--•?.,..F::•.:;:''",, ------....-----• ''''''''' -- 13-414.P1F,FT.. .,-..:' .` • , .. .-` '..''',F.V-PWFFi:.•!,:. , . . . . .. .„ . ... , ----F., . . .- Details Page 1 of 1 Licensee Details Demographic Information Full Name: ROBERT B MORRISON Owner Name: License Address Information City: South Yarmouth State: MA Zipcode: 02664 Country: United States License Information License No: CS-034902 License Type: Construction Supervisor Profession: Building Licenses Date of Last Renewal: 3/10/2021 Issue Date: 9/23/2011 Expiration Date: 9/23/2021 License Status: Active Today's Date: 6/15/2021 Secondary License Type: Doing Business As: Status Change Reason: License Renewal Prerequisite Information No Prerequisite Information No Available Documents https://madpl.mylicense.com/Verification/Details.aspx?result=b88b2937-1 d86-4edb-856a-... 6/15/2021 ',% TOWN OF YARMOUTH .r HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET - To he completed by Applicant: " Building Site Location: .9 /'k A-1 jl)1/e Pro osed Improvement: el/44)-4 --C. Eiti 7; (i-g.• 4Iv s Applicant: Uh/pS~ 4-.5% /tt/er1'x& Tel. Na.: 0/7Se V 6 S— Address: // a r,f i,7/ 5,74 - ' ,t 0Z/Z 5` Date Filed: 3 -3 - **/fyou would like e-mail notification of sign off please provide e-mail address: Owner Name: 19 e. (err LUZ Owner Address: 030 ill41' ,Ui. .. pee t ry ot-az/6•1 Owner Tel. No.:f t 7 3/ /6 30 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; '�iS��ICD (2.) Floor plan labeling ALL rooms within building MAR 0 3 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. 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