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Home My WebLink Aboutbld-23-003350 A' R ®U 10NO? ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department Y - 1 — E I V E D 1146 Route 28, South Yarmouth,MA 02664-4492 : � 508-398-2231 ext. 1261 Fax 508-398-0836 Ali% '-' Massachusetts State Building Code, 780 CMR r DEC 15 2022Bui dirt'Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling B1: N(fFPARTMFNT 6y nIT'his Section For Official Use Only Building Permit Number: (51L<Q3-0033S() Date Applie �' 5ek-5 11`4%3- Building Official(Print Name) ignature Date SECTION 1:SITE INFORMATION 1.1 Proper Address: - 1.2 Assr ooM ar umbers Cos Vi i to pa; 1.1 a Is this an accepted street?yes 1✓ no Map Number ` Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: I1 /(ol Gua Zoning District Proposed Use Lot Area 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? Check if yes❑ Municipal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 O ner'of Record:.Frovetikekiy. ya44,004A Nange nt) City,State,ZIP 1,06 e ')(,� No.and Streto i�t l 12� Telephone /77 Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 1 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 I Accessory Bldg. 0 Number of Units Other fY Specify: StA Nick Deck- Brief Description of Proposed Work2: rako Lk w ©e .0 ' ) (7 SECTION 4:ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ t,‘, .op 1. Building Permit Fee:$ 170 Indicate how fee is determined: 2.Electrical $ Ell Standard City/Town Application Fee \(,�; 0 Total Project Costa to 6 x multiplier x ) 3.Plumbing $ 2. Other Fees: $C I, ,C), 60,a) List:4.Mechanical (HVAC) $ 10 .\ 5.Mechanical (Fire Suppression) $ Total All Fees:$ \� r� Check No. Check Amount: Cash 6.Total Project Cost: $ t� ❑Paid in Full 11 Outstanding Balance DZoe,_ I C) ' 1 -/A r 4 i it SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 4 737 /�� 1V ,P- License Number Expiration Date J K Name*folder tit itiList CSL Type(see below) No.attfl Street Type Description V N-L V7�/ U Unrestricted(Buildings up to 35,000 Cu.ft.) 11 R Restricted I c&.2 Family Dwelling C7Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 1744/k? r2c.40,U• VJiueie,,v Insulation Telephone address D Demolition 5.2 Re istered Flomeprover ent Contractor(HIC)ait i kl(7 S �_14 r �� I_I�` (°�/r-lam I . fx HIC Registration Number Expiration Date HICrCo tt e LIAisWAI�rant Name ) n N . treet ) /�1�y ( � 'tLtO-�! C.31'Lt. s J/t` t V L/4(/ _`1 ? 32( ` �il address City/Town, State,ZIP �{ �Telephone 1'1 S2 I I cL. 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 Issuanc 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 (gratt4 KOAfix4l - to act on my behalf, in all matters relative to work authorized by this building permit application. Ca , po it(V'Olef1-2-7 C2-)c7,2 Print 0tier'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 • this a lic tion iktrue d accurate to the best of my knowledge and understanding. 112_, ___ ___,--,-12_--.)022_, , Print Owne's or thori ed Agent's Name(Electronic Signature) Date NOTES: 1. An Owner w o 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.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) 3 W // (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) , 1� 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 Industrial Accidents =�'� 1 Congress Street, Suite 100 ,� Boston, MA 02114-2017 we SV•y`,� www.mass'go v/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): Srl Kra_-1 (,I- Address: i-1 -kic�i ( � City/State/Zip: -6111t l(( A IAA- 021(-/ -ione #: e77I/-- (d / q 2_ Are yo 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 ca aci8. ❑ Remodeling an y p ty.[No workers'comp. insurance required.] 3,0 I am a homeowner doing all work myself.[No workers'comp. insurance required.]t 9. El Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Li Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑ Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.6 am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.t 13•❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[Other <ih I r 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. 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 otic number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site I information. Insurance Company Name: b i. aeyK • Policy#or Self-ins.Lic.Al: K. q w �3 /''7 Expiration Date: `--/ ?--96r S Job Site Address: C V—( • _ti tAxcek Zot City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy nuber and expiration on 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 ai s andper&dties of perjury that the information provided above is true and correct. Signature: Lit„(,, --_ Date: /Z - /2 ; j'2-'2- - Phone#: i ,t ,(0 1 (Z5---- 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 1 conducted at W 4-t64.LZ A Work Address Is to be disposed of at the following location: / wrçç Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. hi i 2 42 -? z Signa re of Applicant Date Permit No. 12/20/22,3:13 PM Mail-Sears,Tim-Outlook 65 Witchwood Rd Sears, Tim <tsears@yarmouth.ma.us> Tue 12/20/2022 3:13 PM To: Brianjosephkinsella@gmail.com <Brian josephkinsella@gmail.com> Cc: Slack, Christine <CSlack@yarmouth.ma.us>;Water Department <WaterDept@yarmouth.ma.us> Brian, I have reviewed your application for the deck and there are some items needed. ,_1! alth Department sign off . -ater Department sign off — lac'e-RSe.._ �F otings are required to be 12" minimum acers are not allowed behind deck ledger per Table R507.2 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 CBO Deputy Building Commissioner Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsearsjyarmouth.ma.us https://outlook.office.com/mail/sentitems/id/AAQkADE3MDQ5NWZmLTkOYzItNDIwNi1 iMDQxLWNkMGQyNmE4NzE5NAAQADGNzrIbLzIGgc3z%2Fojt... 1/1 LOCUS MAP SECTION DETAIL - COMPONENTS r °I. 111114& L 8D !.I glalil TOP OF FOUNDATION NOT TO SCALE CPS,s+µ �K= Ru1=11w1i.° EXISTING SEPTIC TANK 27.01t PROPOSED El.. 28.0' PROPOSED / °a �,� DISTRIBUTION BOX SOIL ABSORPTION SYSTEM EL. zza'm '� ' 11421 ial�' iIA-1 i �irlir ir�i)iW Jri-u�� i , (i)a•.te•,°a•om tl�q,ma �, 4 EL 25.0'3 1 o wsrA L 0lfL11VA110N NRT Y a►tn m, b I... WHIP a OP GRADE aPtitR r�prt7o. rAmrt '$ ,AA�ORa�' ®1 a �-- H ,,a,L.-x., �9:S wY&P.m-�...�..•. .,. 1, 'ys // CL 24.54' i tXioo, .JgI I f {� LOCUS \ SEPIC TOM \ �. 23.925 y .,�. 23.7S77>' :2 'r' �/ WW1 w IJAF,,,AT OWLET • 24.2� EL. 23 65 NOT TO SCALE s.s/� - . DESIGN CALCULATIONS �... FLOW RATE 4 BEDROOM DWELLING = 440 G/P/D REQUIRED (110 G/P/D PER BEDROOM x 4 BEDROOMS) MAP 78 NO GARBAGE GRINDER ALLOWED PCL. 254 NOTES SEPTIC TANK; -x • •--- 1. ALL PRECAST COMPONENTS TO 8E H-10 RATED. ALL COMPONENTS WITH ANY ANTICIPATED VEHICULAR T 440 G/P/D x 2 = 880 C/P/D REQUIREDTRAM !SE EXISTING 1000 GALLON SEPTIC TANK lxl�'41i 1/9F'iLtIF� _ TO BE H-20 RATED. SOIL ABSORPTION SYSTEM; PCL 86 _- 25 • w 2. ELEVATION DATUM IS FROM USGS QUAD IMP. __ L* 3. MUNICIPAL WATER IS AVAILABLE. 30TTOM:T(40)(15) MIN/IN 600 S.F. I SOIL �10' 0 Z £ NT 28 4.AND ALL CONSTRUCTION ALLA ER APPLICABLE LOCAL, STATE AND rl'.OEW. 800)(0.74) = 444 G/P/D PROVIDED / CODES AND REGULATIONS. JSE: (1) 40' x 15' x 0.5' DEEP LEACH FIELD 1p E�$EYEH� -f" l t '� 5. INSTALLER/CONTRACTOR TO REVIEW&VERIFY ALL AS SHOWN IN DETAIL. ELEVATIONS AND OR TO AND REPORT ANY DISCREPA ALL DISTRIBUTION 10' yADE1,� // \ , ..' TO DESIGNER PRIOR TO CONSTRUCTION OR ASSUME, BOX �1 INSTA L R/COP'. \ PCL. 78 \ .25 � 6. INSTALLER/CONTRACTOR IS RESPONSIBLE FOR MNMTAINIL tttF� • .- -�' y DIG SAFE PRIOR TO CONSTRUCTION.E WORK AREA, VERIFING CT CITIES AND N071FYIN. DEEP HOLE DATAtgE-��"� - I ® -. � Ir DRIVEWAY PCL. 87 7. ANY CHANGES TO OR DEVIATIONS FROM THIS PLAN MU5i -A ' 0 BE APPROVED IN WRf11NC BY J.C. EWS DESIGN CO. M' PERFORMED BY: JASON C. EWS• R.S., S.E. ^ _ O BOARD OF HEALTH. WITNESSED BY:AMY VON HONE, YARMOUTH SON DISTRIBUTION \C'-' I f 8. FINISH COVER OVER COMPONENTS IS NOT TO EXCEED 3' TEST GATE: OCTOBER 5, 2011 LINE TYP. PRO-•SED EXISTING f:�. Wes'W' �" PER 310 CMR 15.000. S.A.S. SEPTIC TANK �` / $ \ ` 9. ALL ABANDONED SEPTIC SYSTEM COMPONENTS TO BE ..�1 PUMPED DRY AND FILLED WITH CLEAN SAND OR REMOVI AY #1 ELEV. 4 a ''� \�/ v DW g '�8 ~ 10. ALL COMPAND ONNENTS TO BE WIIII FRONDED WITH WATERTIGHT Law,u10 $ LEACH SH GRADE g r \ E �B'0 ''ii A t 1. ALL SEPTIC TANKS. DISTRIBUTIOS PORTS WITHIN Er OF N BOXES MAD PIPING TO on14/1 FIELD S, BE INSTALLED WATERTIGHT. J,• C) 12. NO KNOWN WELLS EXIST WITHIN 100' OF PROPOSED 2e.a' A 13 D BOX AREA.10 BE PLACED ON COMPACTED STABLE EWE. ° PCL 79 i 30.5' .. . LOT J 4 i. ��- G LOWY WO 1YP. N/�.. J 27 PLOW LAND 12' ,19.99' ^26 PCL 88 °"°/4 N SEPTIC SYSTEM UPGRADE PLAI'i E„•,3' S.A.S. DETAIL 27% 25 25 „ . ,,• 15.3' 26 EXISTING PCL 84 J.C. ELLIS DESIGN SUBJECT:LEACH PIT65 WITCHWOOD ROAD NO WATER F7Ka1MTFRm (ABANDON) -..- H cF�y ^%mouth Health De artmen FINI 11■ �I�.• SOUTH YARMOUTH, MA �/� ; APPROVE ! �I PREPARED FOR: ��` / ' JOSEPH ` ,4y� l� M. DOROTHY BUTTERS aON iN 1 I SE I it ;. C�JII/. / • STOPHER n,, ;`„i • ll C23D4 VERNON STREET 1L NE:1126 NI. , m ,� S�'', --' I Z"�xi - �0tt'- NORWOOD, MA 02062 _.—. ',5TEa, _ .• PROPERTY OWNER AND P.O. BOX 2152 ASSESSORS • 5°Hr,A- i� PCL 80 C._r I (6�i CONTRACTORS TO VERIFY BRIER, MA 02631 MAP 68 PARCEL 85 SCALE: 1'. 30' I ALL WATER LINES AND GAS (508)385-2228 — .__.. SON IS, R.S. JO EPH REGO, P.L.S. , UTILITIES ON PROPERTY. Email: jcelliade,ionevenzon.oat DATE: OCTOBER 17, 2011 REVISED: SHEET 1 OF I , T ® DATE(MM/DD/YYYY) A�o CERTIFICATE OF LIABILITY INSURANCE 07/15/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 8Y THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: biBERK PHONE 844-472-0967 FAX 203-654-3613 P.O. Box 113247 IA/C.No.Ext): (A/C,No): E-MAIL customerservice@biBERK.com Stamford, CT 06911 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# National Liability&Fire Insurance Company 20052 q INSURER A: j Briars Klnselia INSURER B: ! BK Construction INSURERC: 21 Liberty Trail INSURERD: Harwich, MA 02645 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTITO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT Tp ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. j INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD, POLICY NUMBER JMMIDDIYYYY) (MMIDDIYYYY] COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 0 DAMAGE TO RENTED $ 0 CLAIMS-MADE OCCUR PREMISES(Ea occurrence) MED EXP(Any one person) $ 0 PERSONAL&ADV INJURY $ 0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 0 POLICY PRO LOC PRODUCTS-COMP/OP AGG $ 0 JECT $ OTHER: COMBINED SINGLE LIMIT 1 $ AUTOMOBILE LIABILITY (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE HIRED NON-OWNED (Per accident) $ AUTOS ONLY AUTOS ONLY 1 $ 1 UMBRELLA LIAB OCCUR EACH OCCURRENCE i $ EXCESS LIAB CLAIMS-MADE AGGREGATE 1 $ DED RETENTION$ PER WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS LIABILITY Y/N 100000 ANYPROPRIETOR/PARTNER/EXECUTIVE N NIA N9WC338199 01/16/2022 01/16/2023 E.L.EACH ACCIDENT $ , A OFFICER/MEMBER in EA EMPLOYE $ER EXCLUDED? 100 000 (Mandatory in NH) E.L.DISEASE- r If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 Professional Liability (Errors & Per Occurrence/ Omissions): Claims-Made Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Additional Named Insured:BK Construction CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE ANCELLED BEFORE Brian Kinsella THE EXPIRATION DATE THEREOF, NOTICE WILL 'BE DELIVERED IN 21 Liberty Trail ACCORDANCE WITH THE POLICY PROVISIONS. Harwich, MA 02645 AUTHORIZED REPRESENTATIVE I ©1988-2015 ACORD CORPORATION.I All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ./fr %riiii./rv/lie7f e/..7�ii ),... ir/yi//� Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Individual Commonwealth of Massach •Registration Expiration i s Division of Occupational Lice lsu re 187678 • 05/09/2023 =I- Board of Building Re ulations and -tandards BRIAN KICo-1S Lira „eviso LA DiBfA BK CONSTRUCTION —tt .P CS-072739 " , Wit 06/10/2024 BRIAN KINSELLA 21 LIBERTY TRAIL ,c�,�;,�r,� t BRIAN J k� r i . / r`' 21 LIBERTY F' t 1 a i-II;I✓i1rJ:Gt;,MA 02615 -----.I.--_ ..� -� `l� � t1ARWICti Mdl,02W5= 4 Undersecretary .� „� t 4.A y ixi - - vVilis ffiJJivt4i T_./A. A. !1- �/`"ffiw ,r J constriction Supervisor • Unrestricted-Buildings of any use group iivhich contain Registration valid for individual use only less than 36,000 cubic feet(991 cubic metes)of enclosed before the expiration date. If found return to: space.Office of Consumer Affairs and Business Regulation ,,+ 1000 Washington Street -Suite 71 a Boston,MA/02118 . # ` f ( 4 i/ t ti I' Ottid OW signature Failure to poviko.as current edition of the Massachusetts State Building is cause for revocations of this license. For information about this!icez se �____________ _______- Call(617)727-3200 or visit www.masa gov/dpl Commonwealth of Massachusetts v. Division of Professional Licensure a" = "nr k i ,'` Hoisting Engineer This card acknowledges that the recipienthas successlu y completed a HE-183052 Expires:08/10/2023 30-hour Occupational Safety and Health Training urse in BRIAN J KINSELLA Construction Safety and Health 21 LIBERTY TRAIL BRIAN KINSELLA HARWICH MA:02645 s , CURTIS CHAMBERS 8/30/2018 Commissioner Ji /� 'Ye'-..�'� (Trainer name—print or type] (Course end date)' * --, 12 Thompson Rd Webster MA 01570 Fla I.a;, et hi' w w R wtvRPEPA.com 508 826 5757 Certificate ofAttendance and Completion training Renovator per 40 CFR part 743.22 Lead-safe Renovator-supervisor Brian Kinsella 21 Liberty Trail °o, Harwich MA 02645 Course&Exam Date:03/31/18 Expiration Date:03/31/23 Certificate R-I-18867-18-051 • To Whom It May Concern, I'm writing to give Brian Kinsella permission to acquire a permit for my house located at 65 Witchwood Rd in South Yarmouth. Any questions,I can be reached on my cell phone. 774.212.1779. Thank you • r Richard Provencher m ._ a .. .m�,.�: . t ;':-.''- = ..EexK. q'.`` .-., ? '' x, "•.1 .. '`r ' 4: "F• f " a siil ''fir'', 4,,,. , .,. .„,..,:,,: F- ,. • '•.,-,,-,,,,,:.1. 'C.f.-';'..:','' "'",;'..'..,' '...';.,,%W.-',.,,? • n.r ^ � :cr.i� µmy.-3 J . a � r ..-: ,V- y ." 'i 3` ",.A j ` f - - d, ' ups. ns .'- -, '' i.t-": . _ ` ' "��' �+2 ' �'P� �,,�" A F r h, t .. , y #„ �Esy` 4 y"•'Yy f:.r [flfl I ! e; Ep,er1'3'Ml{4i4.iM�ti¢: . .44{�'/t_ `f1lie ¢f - ' ; 0 �� ^ ,�.^ �� s k3:z.fi.• ttSo}N1r�ji3 dF fX o' �,i��T' 4 («-7V eE •�'•,YFg} �}ft ?3ifi 'iCW S`i -, ^h -`.+S'- _4 � -:x * .k` rr_ '. • -yy '�,a . 0044. • ". .€*g `y -. „ b 'A tip'`'.- • i' - `' `4`' S -'. �- ` .y{ y.'�t '_ .= x > ydc+�s.: +,x. v s,..i,,.x k ,y . f • . .'r ,.• t. ..... '' • •`T T T- i •�3t` Y' tx t ' r. • �, • 'fi i. � 4 ' .1,, i .4 _ _ " dr t yam" e .,fit ` • A - ,4,.. • - k r` wfi w - i�C. ., - ,:! � 4--,•r ¢f '"fit' � ..5 .�. »�'�*.• 4'�+5, ``f ?a. x k s 4; 4 sf°l 6 • • • F r # T a^ c3y 3' S64- s ` .fi x i t a ¢, ` k-. h4a�S !M:a n , Aa ,41• 1-;.max { "% ^ F , " � V E '`.- .,,,Z...., * - ' e R t t" 'if . ` F• n 1 y `� ct' d' x 'W�fft" �V-A z? r k •r tki ' '� - 4 ' C.. ,.. . .of 4 k-rp , "]L. - : t. ��" � "�' � � .. � .,,r�� - y'�h i� R t-�:4•, dry.. � , ram r y ,A Tvr i t u 7 rick e �,a4 e Vr; gtx '.. fit^ 3'?*i: _ • a.# Y` , ✓ „ `., lk,, "yalI �. • , Y�SE•' +x 7 F * ti '''' • •� •y ss ,, •t +i'i _ *r' s /t -3 •• • S- � R A St1,` . �47X..+',",4CS7Y _�. :b,, k + `i € u. k� ., t, A.,.w y.a t .-- .ram '- a.' S';.! ' a • ` ,�y • s �,y 3 -,y • !"iJ'R ^Yx, 4� it ,"*:, i. .Y''-t 5 F a7•}',1rT a2 '0- i � t � w' Wx�+ '. # ":.ac« ti SEA' c 1 .,� s ;+. 4. - ▪ • �1 y<- :' • "s{ ei .44t �r'�* 4 ., ,r Mom, } X \ _f• '3ro e •+T.:' �4 fi* . i:._ 4.rr i .'�` ' .# .{ ,., t.- , ', 't . 1 _ 3 " ,gip - . '+. .ax t p ..pr - « �#.., tom, i-- t' - s • . - Y ¢, t}. 4' 1,, '4--' { + �x : "74.�i`r.' y ' s: :.'i. -'- �"". . - ":r k J -- . ru �•,. A • TOWN OF YARMOUTH ie-7.441 A c HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant: Building Site Location: L(b itsaaj_ Piet—) Proposed Improvement: C"? P--4 f7. Applicant: <-P Tel. No.:779 t,-/� Address: 9-4 Ce t 1-4 &wAcN Date Filed: )2.— /, &2Z **/f you would like e-mail notification of sign off please provide e-mail address: , (1 a,(G 55r ki 1 I t A Q_ d, Owner Name: 7-4 e� 7c V'evl(,L Owner Address: CAS- L d ( W Pdt.:_- Owner Tel. No.:L�7--g2/-* /777 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 ) / 4-1-24 PLEASE NOTE COMMENTS/CONDITIONS: `. ov Y t/i TOWN OF YARMOUTH ! R! C V 4E D HEALTH DEPARTMENT 3 —I ! " DEC .,.- PERMIT APPLICATION SIGN OFF TRANSMITTA SHEET BUILDING DEL'gkTlyl�' To be completed by Applicant. Building Site Location: '-s' 1 Ott IjO - Poott- r----, Proposed Improvement: e t/ ,.,,,!.1_, `k ` - )4 r7. Applicant: i ..., 5 {L, Tel. No..7 ` -/ / , Address: F Date Filed: / 0`57- ,- `•/ ou would like e-mail notification of sign off please provide e-mail address: ,, t Owner Name: .,% ... .w t . .kt M 7 !-? `7 Owner Address: � �� `�". .. �- Owner Tel No.: RI;SIDI.\TIAL 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. 4- REVIEWED BY ,', ' r" DATE: / ,. , %/ . i PLEASE NOTE COMMENTS/CONDITIONS: 1 f _.____ .. SERVICE/40. • ig9 M. Dar°tb,Y Butters ‘1/45ilef /6 0 NAME ; 120460A 34.23..79I . .._ STREET 1....0 taitchwood Road - Lot 3-4 •••••••••*.r.' VILLAGE South Yarmouth, , .. yi,779/03 ,le pkr Ak-l4-57 METER NO.Ii._......2 ,„.„ 2 ,1.....: .22._ f-9,2_ Z21 --1 *1 IS ./ / / / ., 37.'13 \ 6 ..90.-3 ..4. -.."i _ -...., 7- 9-7 6 1164 t . ...._ • LOCUS MAP SECTION DETAIL — COMPONENTS • ,-1.`. —"'� 'OP OF f OUNDA.TtO NOT TO SCAU c¢x y� SEPTIC EXISTANKc+ 2�'0*NG PROPOSED �� i EL. 26"0� PROPOSED SOIL ABSORPTION SYSTEM c n DISTRIBUTION SOX a �) ., ._ ._.._.._. v...r >,r.es'coy*too,run 4. Ii I y ;4 H EL. 25.C'3 AMTAtia CITfPfn]KY EP. EL. 24.54' t wee a same UNA t _.4..f ' - {^ Loco ��° I- • Arms ea suRz u emu'� EL 24-29' Et 25 as' NOT TO SCALE [.. . . , . . 1 9J 'o. i AT. 63' DESIGN CALCULATIONS '----.. I \ \ MAP 7$ 4 BEDROOM DWELLING A. 440 G/P/O REQUIRED '110 G/PfD PER BEDROOM z 4 BEDROOMS} 6 PCL. 234 NOTES NO GARBAGE GRINDER AL-OWED t I ALL ,PRECAST COMPONENTS TO RE -t0 BAT=. Au. 1 F§EPTC TAti+(; i: i a.;9d ^^"•" 1 i4O 0/P/I e 2 • 880 C/P/0 REQUIRED .] t . - �1- ....-- � COMPONENTS art114 ANY ANTicIPATEG KN ICULAR NAM SSE ettsoNG 13g0 CAU_ON SEPTIC TANK fl > -.._ _ TO 8E H-20 RATED. f+C;L, RE i 2. E'„FVAMSN CA:dY r5 MOM USES QUAD MAP _____5"*PT?ON ca illt: _ 2b ::3 * 2. MLBdiCiPA1 WATER '^a Av40.4 E. 'C RA I. . <2 tAINpN -CLASS �.SOIL `}., 4. AL}.CONSTRUCTION TO CONFORM yRTN S10 CUR tS.00 )OTT013 (40)(15) At 500 S.F. / }e „ 'J ^,.. "1Q. ...m""- 27 , AND ALI,C'HE3t APPLICABLE LOCAL, STATE AND 1-- €Rl.. 600x6.74) 444 0/P/0 PROVIDED i,/ / \ CODES AND REGULATIONS. iS£: ( }10• [ "�• :0.5' MP LEACH FIF1G ',VS'__ v,SE� a--/.' .� 3 INSTALLER/CONTRACTOR 10 REVIEW to Mtn,A.I. „'�'_ 1 ELEVATIONS AHD orms AND REPENT ANY DISGREPANC: AS SNOWN 3N DETAR. OtSTRFBLSTK3N 1Q vADE.. f i f/;�;;�!,, R�fSOPS3ES IONER PfROR TO CC!�t3I!R'"i1WN OP Assoc Ail R tANN-ANN 80k PCL. 78 1 �� .0 't /� _ :25 .+•- i 4 SAFE WORK CAREA,VOWING ALL UTR- ES ONTRACTON IS RESPONSIBLE AND Noon,* y7 T oic SAFE PRIOR TO CONSTRUCTION. DEEP HOLE DATA r— / t^ Pct e7 7 u+Y CwwGES TO OR DEVIATIONS PROM 7NIS PUH NUS' _`j I 17 8E APPROVED N WRTING 8Y d.C.. r-s tXSK" C7. AA: PERrORMEA 8Y:;ASON C. ELLS. R S., S.E. o y '1, (a.. / ` l .- 0 9CY1R0 of NEA[.TB. *(TRESSED EY:AMY EON NONE. YARMOUTH ROH DfbTRIBUTION ,■ - /. ...Nc"• © a. DINtSH COVER PYE.R ^OAIPCNENfS a5 NOT TO EXCEED J TEST DATE OCTOBER 5, 2011 UNE TYP. '-.•.'�..ED COSTING v :.8......' �/ W W' © PER 310 CNN 13.DOD. S.A.S. SEPTIC TANN \ ` 9. N.L PUMPED DR&D SEPTIC SYSTEM CLEAN TO SE re; #1 uI. } / J b N+6 1 Y AND CLEAN$ANux;WITH CL) SAND CR Khoo aC•-.- 21C it Q I F 1D.Ni COMPONENTS TO BE PROMO WITH*ATERT14.47 x � T��t I� 0 ACCESS PORTS wrOGN e'OF FFNtst GRADE 1. ,OrA4(1 t'ELO $ `... a-y8.0' III 1 t.g 7N'$TAU„E.T SEPTIC i WATERTIGNTBtlTICN LA7xES AND PR>INC TO xT' ri.A7 ~ ��ii 11 T I.. © 12. No NOWN WELLS EXIST*THIN too'or PROPOYkO t -I Pa 79 LOT ��. \--__...- . i3 C-8Ox i0 RACED GW COMPACTER STABLE LLitiE. ,ms/e • . ,A.. .... ._,,,.. 11.9Qi S.F.t UL27 \\ I pt T7p' IS' f+ .•: 27 f1CL 88 L+- '�s I•.9.45 29 .404.41;*0 *e :. j- 2 SEPTIC SYSTEM UPGRADE Pt At; PM•ar I S.A.S. DETAIL 27 j f 2$ <1 W N I �-- 26 ivoEXIStg1C -CL. 84 J.C. ELLIS DESIGN `„'s:r--- 65 WITCHWOOD ROAD rw — • rb.s' Pff 40 aIIA otOVNulm ) 1t*Entt uth Health De artmar1 a SOUTH YARMOUTH, MA ,y'[ "'r., / "% h` APPROVE 1Y PREPARED Frog: L! M. DOROTHY BUTTERS 4 4 t : C/O PAUL E. CHARRON s eP Ea i —" 234 VERNON STREET �P� �'. NORWOOD. MA 02062 < i - "- �-��> I _ P.0. 909 2152 ASSESSOR'S 5.ra PROPERTY CavNER AND s hrA" ,1_ EL. CONRACTORB 'T`0 VERIFY 8RE*STER, AtA 026,11 MAP ea PARCEL 8$ sr�ur ,'« JTY y AA((,,..WATER LINES AND GAS (509)385-2228 ' , 4 , UTIUTIEs oN PROPERTY. Etna ANTrdssI9POYertzoo net DATE:OCTOBER 17, 2011 —.-.- SON lSi. f2.5, JO. EPH REGO, P.L.S. "? RENISEO. SHEET 1 Cr i • 1., S I TOWN OF VAR‘101.ii,I i 01... 4.t kl,,N,': A WATER DEPARTMENT E", --ff- :4' RECEIVED ! V7:,,::10 West Varmouth„MA 02u7.> It lophone: ,Siteo 71-7921 • Fax: i7itlfii 771-- 98 1 i DEC 2 2 2022 i { BUJCUING DE:PAR-FM EN-1 I BUILDING PERMIT APPLICATION FOR NVATER DEPARTMENT SIGN OFF TRANSMITTAL FORM BUILDING SITE LOCATION: &,_5'.. tit)q-Cekt,kie)A, 12-J-. ' PROPOSED WORK: Tird), --D,,,,..k...... 24)--,‹- /7 . APPLICANT: V24-C 4,1 givN5>___I Gi— ' ADDRESS: 2-t t.„( ...."---c ------1-4.-( 1 - I-ar- cu 6.11 14/1+ 'OM 6— TELPIIONE: 7:Z27-24 h if:2s- bop/0,1-6y. kfrtge144-a_‘-‘4.6 i. (id Ai RESIDENTIAL AND .OR COMMERCIAL BUILDING Water Department: Determines Compliance of Water.1‘ailabilit and or existitai location lingineering Depannient: I klermines Compliance for Parking and Drainage Conservation(ommission: I)elermincs Compliance to Wetlands let: i e. II Ions)border an type of ‘‘etlands. streams.ponds,rivers.occan. hogs.boys. marshland. ETC... I Icalth Department: I)etcrinines Compliance to State and Town Regulations. i.e. requirements for Septaee Disposal and other Public I lealth Actkites Fire I)cpartmcnt: Determines Compliance to State and Town Requirements for Personal Safety. Property Protections. i.e. Smoke Detectors, Sprinkler Systems,etc / _0_.„ - /2 —45 APPLI '.ANT SI -ATURE DATE OFFICE USE: ./ ONINIENTS ON PERNIFI APPROVAL OR DENIAL REVIEWED BY WATER DIVISION(SIGNATURE) DATE ItIOfik _, .:, , i .._z i -, ______ Dove- I 3,141Immliwt- 69.! 1 , g PT -61-AP --'1 '- irlr'd. • \ ' L US 28 ,70iir liarts.crs _ .-..v---- ..-....-. . kind , , _,......_ _,.. ._._ _., _____ 61 • 5 ..ax8 Pi ' r1 4 a f 01 1-1 1;1- •i,. ' . , . ,-; ::1_0-4-3--4-ct 20' - ---:,-,,_----I 0 '' 5747/4-Vim rir* 11 r_ i 1 ' OtarloW2rS {--- 1 a -" I 1 1 /...... .4.4101 ni On C lik , t f ' {..-. if104110 itY Vie _ — ......_ ____ ........_. ... ABA ra 5/4a6 dege. _ rucrher- AkekkolinsTone, CLI/ •