Loading...
HomeMy WebLinkAboutBLD-23-001323 tQtZr/--- , ONE & TWO FAMILY ONLY- BUILDING PERMIT j Town of Yarmouth Building Department "i.•--.__ 1146 Route 28, South Yarmouth,MA 02664-4492 1 508-398-2231 ext. 1261 Fax 508-398-0836 Massachusetts State Building : wn*Code, 780 CMR � ��� ; Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling RECEIVED This Section For Official Use Only - Building Permit Number: 1311J 23—gb 132 3 Date Applied: _ sEp 12 2A22 fit" (� i ignature I 4 — )\.k BUIL,DItaDEPARTMENT Building Official(Print Name) By. Date SECTION 1:SITE INFORMATION 1.1 PropeZ Address: 1.2 Assess rs Map&Parcel Numbers 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Informatio 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 30 _ 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 Owner'of Record• trQOKp Pa LkISe-4 Q + y0,1rwlb0 VA r bZ1 1. Nae(Print) City,State,ZIP i114 L{od Sv,Y1�P r Late_ 51?g-zgo-4SSZ Idvao tDaKIscA2.42Seghncx.i I .tow\ No.and Street' Telephone Erfiail Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 1 Existing Building❑ Owner-Occupied 0 Repairs(s) 0 Alteration(s)% Addition ❑ Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: i,vS-1-n)) .0 x. w 6 ' 51; 11N 7 jo k' 1 0 .sz•e.o t c. A 5 +- 'ia L S /a H A e g,e L. SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) _ '�'3C 1. Building $ 1. Building Permit Fee:$VP, _Indicate how fee is determined: 2.Electrical $ 1'Standard City/Town Application Fee 0 Total Project Costa_Wem 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ ,3 J it/0 4.Mechanical (HVAC) $ List: eie4t 3 7 37 5.Mechanical (Fire Suppression) $ Total All Fees:$ 5 ...1 i Check No. Check Amount: Cash lint: -L, 6.Total Project Cost: $ ) pod :0 Paid in Full Outstanding Balance D : o\Vlp\'L SECTION 5: CONSTRUCTION SERVICES l 5.1 Construction Supervisor License(CSL) a J /' . aC c--D00 ' ��plom J rJ License Number Expiration Date Name of CSL Holder i ., �O N 5 List CSL Type(see below) No.and Street Type Description Cc) Gs-t ., N s a'1 0 U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP R Restricted I&2 Family Dwelling M Masonry o,;) Z"70 RC Roofing Covering WS Window and Siding J �p / SF Solid Fuel Burning Appliances JT�—'3b7—J 8 gyp, ck A4 .� ""v^'Cr C9 I Insulation Telephone Email address T)A i $ D Demolition 5.2 Registered 119A4mprovement Contractor(HIC) ( )• ,0$4r1�ru APS7)(2 _222 �3 HIC Registration Number Expiration ate HICif 3 Cpn gany J or HIcRegistrant Name 1 O� ST No.and Street �A �" 7 PU I • AEmail address EC�K�A i i C D }r� CO $.1`-�N ,�, 5 o ) City/Town, State,ZIP Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes 0 No AB' SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize pa. lei poicfirini to act on my behalf, in all matters relative to work authorized by this building permit application. 61,Dote_Ta Gt/scj1 6 r p oluj as Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNERC OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjtuy that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. d$OV2 7'a��Ic' e,/�/ � mt wner's or Authorized Agent's ame(Electronic ignature) 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.eov/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" i \ The Commonwealth of Massachusetts —NI—. / Department of Industrial Accidents 1= "��— 1 Congress Street, Suite 100 I'F=_ Boston, MA 02114-2017 um s• 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): T Ou 3 qcs yyl OA) Address: el] lo,v A St City/State/Zip: co.•es?�-- ....,,/,,,, E jY1 Phone #: ss . f— ]-S85I Are you an employer?Check the appropriate box: Type of project(required): I. I am a employer with / employees(full and/or part-time).* 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. Ell 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 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. I2.❑Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.t 13•❑Roof re/pa-irs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other "e.c 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. tContractors 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: A-2—y)- -N 5 Policy#or Self-ins.Lic.#: S d )/ . -7 Expiration Date: /, /),D3 Job Site Address: li-1 5Ti-;,4 --, ipA.7 City/State/Zip: 4�, �' P� tat.K.pa(TM Attach a copy of the workers' compensation policy declaration page(showing the policy numbe 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 here tify under ains and penalties of perjury that the information provided abov is tru and correct. Signature-i - _ Date: `� .Z .� Phone#: S-a ? — -31. 7 - .co' ,c 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 resulting from the proposed work/demolition to be conducted at A S 7 n,c) .� Work Address Is to be disposed of at the following location: 1/:..)a- JYN ' m t' Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Signature of Applicant Date Permit No. Sears, Tim From: Sears, Tim Sent: Wednesday, September 21, 2022 1:02 PM To: 'david.dadmun@gmail.com' Subject: 42 Springer Ln David, I have reviewed your application and there are some items needed. 1. The maximum span for a 2x10 is 14ft, the plans are showing 16ft 2. There should be a footing under the corner of the jog in middle of deck Please update your plan and submit 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 CBQ Deputy Building Commissioner .1 own of Yarmouth 508-398-2231 Ext. 1259 mailto:tsears@yarmouth.ma.us 1 Commonwealth of Massachusetts ® Division of Professional Licensure Board of Building Regulations and Standards ConStruction-SUOrcrsar,1 & 2 Family CSFA-074205 Expires: 12131/2022 DAVID L DADMUN 43 POND STREET WEST DENNIS MA 02670 Commissioner clui '. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Individual before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 128718 08'2412023 1000 Washington Street -Suite 710 DAVID DADMUN Boston,MA 02113 DiBIA U.L.DADMUN CUSTOM BUILDERS ~— ( DAVID L.DADMUN 43 POND ST UNIT 7 `z----- VV.DENNIS,MA 02670 Undersecretary Not valid without signature LOCUS INFORMATION REVISIONS: NO. DATE DESC. CDN CURRENT OWNER: BROOKE C.PAULSEN OVERLAY DISTRICT: NONE — — TITLE REFERENCE: DEED BOOK 33250 PAGE 107 NITROGEN SENSI TIVE ZONE NOT IN A ZONE II _ PLAN REFERENCE: PLAN BOOK 91 PAGE 93 FEMA FLOOD — ZONE DISTRICT: "X",DATED 7/16/2014 ASSESSORS MAP: 31 PANEL p25001C0588J — = PARCEL: 144 MINIMUM LOT SIZE: 25,000 S.F. — fr 9: LOCUSEXISTING LOT SIZE: 8,3644 S.F. w ZONING DISTRICT: FROM g . SETBACKS: FRONT 30' I CERTIFY TO THE BEST OF MY a SIDE 20, EXISTING BUILDING COVERAGE: 1,012t S.F.(12.1%) PROFESSIONAL KNOWLEDGE.INFORMATION h PROPOSED BUILDING COVERAGE: 1,2563 S.F. (15.0%) AND BELIEF THAT THE LOT CORNERS, EXETER RD DIMENSIONS AND SETBACKS TO THE LEGEND STRUCTURE AS DETERMINED BY INSTRUMENT SURVEY AND AS SHOWN ON LOCUS MAP a UP UTILITY_POLE "" THIS PLAN ARE CORRECT. NOT TO SCALE C.B.0 CATCH BASIN —OHW— OVERHEAD ELECTRIC LINE DMH® DRAINAGE MANHOLE o EHH ELECTRIC HANDHOLE SMHm IHESF00MEN • 4 ��•GMET !IE • m —G—a CZiD 11• ¢ POLE/TRANSFORMER —TR LINE 1 T ' R I A NE I RAN .H LY, LS Sf L FOR THE BSC GR UP INC. P RING„Jaw_,o,LN�DE 0 - PAS 10 a1 ELO G-��.. �- POLE* N35'19'00"E FWNO CERTIFIED ==- -- UlIU1Y 1 %TV' �I a9 PLOT PLAN • N3•+BODE GASP ®GA E • * 42 SPRINGER LANE -wCorn IN o �W AsIr GO 17 FO'1 OW£AY I WEST YARMOUTH \ MASSACHUSETTS +. N m.t' (BARNSTABLE COUNTY) �— ILL— ` _., — e �. PROPOSED . N 000 FRAME;,EL„I,G I DECK LOCATION \ • . Hz I p� ,, ate'" 3 1 -• 24.3 i —o gg SEPTEMBER 7,2022 I'• ce ------I —t_-, �I '4 s'. I PROPOSED lg�)EE DECK 88 .$ • I 10.4I A B. R g.\ It 4 ,-. RECEIVED 6 4• 7072 S ._....._❑ FIRE . / PIT JAMES C a JNALLE P OO kR >R= I f HEALTH DEPT. THE OLIMER,FAMILY TRUST A SPRINGER LANE • Aaaaa M05 31 Nn- * I 0. PARCEL 145 I 42 R C PAUA EN E 42 SPRINGER LANE ASSESSOR MAP 31 , ;,, PARCEL 144• ' .^ ..--1 ill 1 L•.. —. - - 0.2' I+REPARw FOR: i r40 BROOKE C. PAULSEN 1 42 SPRINGER LANE WEST YARMOUTH, MA 02673 R 4 brookepaulsen2425@gmail.com B NOTE _ D, • ON AN AS-WE SYSIEIA T SE CARD on,IS 1W FILE A. EL BSC (/•+�T/"�T m NEALTII.,ILL LET A' h Uh UIILIDES 7500' f7 - GKl f1 Il! TO 9E CONFIRMED PRIOR TO ANY • - N}9'S9'40"E t0i V✓lJ CONSTRUCTION. al , srocKAOE FE"� 349 Route 28,Unit D W.Yarmouth,Massachusetts g R CNARSNv sau& 02673 CHRISTOPHER L DUNLAP 508 778 8919 1. 39 SPRINGER LANE ASSESSOR MAP 31 N/F I PARCEL 143 © 2022 95C.....Irc. B CAPSTAN ROAD ti ey4 SCALE: 1"- 10' AS MAP 31PARCEL 152 XlIP 4 - 0 5 10 20 rtn M FILE:5069600-CPP tDWG. NO:6837-02 SHEET 1 OF 1 C JOB. NO: 50696.00 LOCUS INFORMATION OVERLAY DISTRICT: NONE REVISIONS: NO. DATE DESC. ® • CURRENT OWNER: BROOKE C.PAULSEN — — N TITLE REFERENCE: DEED BOOK 33250 PAGE 107 NITROGEN SENSITIVE ZONE NOT IN A ZONE II _ PLAN REFERENCE: PLAN BOOK 91 PAGE 93 FEMA FLOOD _ ZONE DISTRICT: 'X',DATED 7/16/2014 ASSESSORS MAP: 31 PANEL/25001C0588J — • = PARCEL:• 144 MINIMUM LOT SIZE: 25,000 S.F. — ¢ LOCUS ZONING DISTRICT: R-25 s SETBACKS: FRONT 30• EXISTING LOT SIZE: 8.384t S.F. c) 2 SIDE 15' EXISTING BUILDING COVERAGE: 1,0122 S.F.(12.1%) I CERTIFY TO THE BEST OF MY n REAR 20' PROFESSIONAL KNOWLEDGE, INFORMATION h PROPOSED BUILDING COVERAGE: 1,256*S.F.(15.0%) AND BELIEF THAT THE LOT CORNERS, EXETERRO DIMENSIONS AND SETBACKS TO THE LEGEND STRUCTURE AS DETERMINED BY INSTRUMENT SURVEY AND AS SHOWN ON LOCUS MAP • UP UTILITY.POLE ." THIS PLAN ARE CORRECT. NOT TO SCALE C.B.• CATCH BASIN —OHW— OVERHEAD ELECTRIC UNE DIM DRAINAGE MANHOLE o EHH ELECTRIC HANDHOLE SMH0 II1FOSMER OLE •GMET GAS METER "NORMAN TRH CD AGSUNE // FORMERE/TRANSFORMER —W— WATER UNE �a:At':and sv� 7 R LAN RAN H LY, LS SP FOR THE BSC GR UP INC. RING PUBLIC-���WIDE , EOOE PAS �—' LPX k MELD �` Aff. 0516'00'E FaI CERTIFIED —� 172.W _�\ — CB.i PLOT PLAN ® GLS N35'16.OD'E ®GATE 75.16' * T 42 SPRINGER LANE 305.0 : \S2519oCX IN CONCRETE LD ❑ IxFRA) E SAY I WEST YARMOUTH O a \' MASSACHUSETTS I �_ _:---- to.1' (BARNSTABLE COUNTY) I I PROPOSED 1 . 3 —• 1 STORY DECK LOCATION r FRAME OXLTLNG NZ MET =o SEPTEMBER 7,2022 R t • -24.3 -• -L- I 1. PRDECK , a°OSED 158 ' 8os $ w.a' R i o Et. RECEIVED THE 46 MEP°TRUST ` HEALTH DEPT. $ ASSESSOR YAP 31 ( _ ) NAPARCEL II3 L``.'�) gRE C PAl0.5EN 42 SPRINGER LANE I. ASSESSOR MAP 31 . 6 PARCEL IN — _.l 111 _ 6.2• + PREPARED Fat: L is.r _ 1I BROOKE C. PAULSEN 42 SPRINGER LANE WEST YARMOUTH, MA 02673 brookepoulsen2425@gmail.com NOTE Sor, µ ASYSTEM LT BE C R OSLN FEE 7' •I.. 14, CSC GRoun q rnt nrt rRMw1N 6oARo aF NEAL M.Au LOCAnoNs Q URUtIES 25. CONSTINCnON 00' - a�• n) CONFIRMED PRIOR TOANY • - N3639'•O'E - t , ST II = A°E FENCE srax 349 Route 28,Unit D W.Yarmouth,Massachusetts RICHARD V scw& 02673 I CFR ISTOPHER L DUNLAP 508 778 8919 36 SPRINGER LAM ASSESSOR MAP 31 5 CAFOI.YN A LYNCH jT' PARCEL 143 ©2022 SSC Group,Inc. e CAPSTAN ROAD A AI SCALE: 1'- 10' ASS MAP 31PARCEL 152 1/4 r� I 0 5 IS 20 rm I FILE:S0696W DPP DING. NO:6837-02 JOB. NO: 50696.00 SHEET 1 OF 1 TOWN OF YARMOUTH cr. ; HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant: Building Site Location: L�� s 1 k-. ti 7 'r- v-- Proposed Improvement: (Q V/ ‘e c. x 4:1 `, \`' _ �- � A,,v Applicant: \ \- u Te1. No.: Address: � 3 �G ti �- 7 (o )—� r— ) -- ti , Date Filed: J //, 1 4-1 **If you would like e-mail notification of sign off,please provide e-mail address: Owner Name: 1 e. a )•t Owner Address:L/ S )) Z Owner Tel. No.:T6 — 73 7 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; (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: �` I - c)--` I ASE NOTE COMMENTS/CONDITIONS: (J % m m �") v c, � :A „ COT c. _ c. c.,\ a, ck .11 - ! � Cr ve. y RA M ,� `i' -1, :. , iii U c f 44444,, j d..4' :.I';\ cl I r / , L v —r \ S `U\ 4J 'J It- .. , _ Y In �\ �y 1;� 04 z � , A t ` c.b o. 0- Z.h \ c 0 � (i o y \f c) 4, a\ . 1 It c( 0 N 2 ;... • 0 jr q ,) r••••\ cz 9, °-- U1 a .. >. "1' . () z 7.1 ..› 0 .- -J g ` --- ,_ , N ‘'•I' -A Q - 1 ni V \i E cNi v -1-• ..;-.. ...-- ..... .,J-, 0 N to ( 1... ........ - . Q. ,. ----. -, -. ....,... ..... — r't, v 1 0 A. cn il -4, .,, \N ci o-- V\ , \\--, ,V) •.r .. '..). r- a \ .•!. cn _ ,Y.- • ^% CI Ira ,•. LaLii ..- e ',..;••••• • a) 0 cn .), r\ t 3 l'•% 4 Oft i A 1,1 CZ Ca -,•.4- il= cr.,. rn ") ---G 0 ---? 5. r; i 4 ,--, ; 1-.. - P —.. k,-7 -x . . r-•': 1 flarl 1.,, ...., 3 ' N i 1 \'' \I 0 i. . C...) ( -..) I 1 1 -, 4•4:-. 4-. F 1 : 0-- -._.:,...9 i 1 kf' " 1 i 1 C CY' 1 I i 1 V.."' Ni. . %. •* -N >1 P."' rvi• ! - tki • ..).N O f,Y fc 1��'V OF 1.1h\1t ►l+ll I o 4. WATER DEPARTMENT tit z ' e ,19 fiircf. ..,--.cwc^c 1\, •r \arriur tll+ MA 1!21 t I. tr i'ixrn, ,++:L ' •,'`r • f.t\: r",tlfi, "I-''r+►ki BUILDING PERMIT APPLICATION FOR WATER DEPARTMENT SIGN OFF TRANSMITTAL FORM MIMING SITE LOCATION: r, 1 �'i.. �- �/�, )`--Z PROPOSED WORK: /.) 5 ._�.1 r ` \n APPLICANT: ,'��+✓� -�c,`•�, u'.�__. ADDRESS: 47) t�c�a.. -T C,., z S-t 1 �c A.),L) J» 4 'fELPIIONE: 5 `� � 1- 5 I / An„, t�• `\"flrr, 2i e . G �`)4r14C4/>t RESIDENTIAL AND OR ('OM\IE.RCIAI. BUILDING Water Department: Determines Compliance of Water A%ailahilit and or existing location Engineering Department: I)etertnines Compliance for Parking and Drainage Conservation Commission: Determines Compliance to Wetlands Act: i e. II•lolls)border any type of etlands. .treams.ponds.ricers.ocean. bogs. boys. marshland. ETC... l Iealth Department: I etermines Compliance to State and Town n Regulations. i.e. -requirements Ii►r Septage Disposal and other Public Ilealth Activites I ire I)cpartmcnt: Determines Compliance to State and fown Requirements for Personal Safety, Property Protections. i.e. Smoke Detectors, Sprinkler Systems,etc ... n 7 APPLICANT SIGNATURE: I)\I F . OFFICE USE: COMMENTS ON PERMIT APPROWAI. OR DI \I: I. RE:WI . v ' BY WA ER DIVISION(SIGNATURE) I).vTF: