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HomeMy WebLinkAboutBLD-23-0000184 . M ONE & TWO FAMILY ONLY-BUILDING PERMIT Town of Yarmouth Building Department of r - RECEIVED 1146 Route 28,South Yarmouth,MA 02664-4492 �' ;� �- - - --_� 1 508-398-2231 ext. 1261 Fax 508-398-0836 JUL1 ZQ Massachusetts State Building Code,780 CMR uil in Permit Application To Construct, Repair, Renovate Or Demolish _ _ __ a One-or Two-Family Dwelling LBUILDING DEPARTMENT nY — This Section For Official Use Only Building Permit Number: 0),..29)-O1%)1/ Date Applied: '/Z-y ZI- Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1. r addrss: 1.2 Assessors Map&Parcel Numbers s titt/I i/ V - V cliff 1.1 a Is this an accepted street?yes Vno 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 Waterer Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public lie- Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 O ner'of Reco d: ` � �,j : v`0h Q► -rrt ✓d/ Varitedtl-. st0 OZ6 ,tNam (Print) City,State,ZIP `,S- G1dt% r Ta. )Nb-3- '`� '-`t c 6 (�4t\y i e c-1 Crr.(i,) .Corr' No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 I Existing Building 0 Owner-Occupied 0 I Repairs(s) 0 Alteration(s) ❑ 1 Addition Demolition 0 I Accessory Bldg.0 Number of Units Other 0 S c : Brief Description of Proposed Work 2: 7Y 3 b Azaram 6.-1 . , I a OCT 212022 1 0 Gtmut 1-ci 6 OrOtima-eA 0/4 /0/4? "-' _...___ ....__ _i YSCTIOTIMATEDCOL(UCTIQNCQS SBUILDINU DEV-- I Mt N Y _ ___ _ Estimated Costs: Item (Labor and Materials) Official Use Only 1.Building $ 1. Building Permit Fee:$ c)O Indicate how fee is determined: ‘3 Pi Standard City/Town Application Fee 2.Electrical $ ❑Total Project Cost'(Item 6)x rain/�' her x l.v 3.Plumbing $ 2. Other Fees: $ 0 C 71- C� 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees:$ Check No. Check Amount Cash ount: 6.Total Project Cost: S 6,60 ❑Paid in Full Outstanding Balance Due: 1-40 r SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 11$, 4 _06?z? ' Toopl License Number / Expiration Date Name of CSL Holder 2 /I,lj,.e...? List CSL Type(see below) No.and Street Type Description ‘50 At• VCe✓tea it OZ4(e(/ U Unrestricted(Buildings up to 35,000 Cu. ft.) Pit `� Restricted I&2 Family Dwelling City/Town,State,ZIP M Masonry y RC Roofing Covering WS Window and Siding /y ,/ SF Solid Fuel Burning Appliances 56�j- zZ4c 2 fi r aka t +K,I Insulation Te one ail address D Demolition 5.2 Registered Home Improv eat Contractor(HIC) r- HIC Registration Number Expiration Date FIJI Cow Name or .Registr t Name N and S Email address trimeet Q,-ttiovl r I1f . a z64, 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 F I,as Owner of the subject property,hereby authorize ahevi �oeipa1 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. CiS 7— 7 - z-- 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" ►� The Commonwealth of Massachusetts _='�11' l Department oflndustrialAccidents i`_...= I Congress Street, Suite 100 Boston, MA 02114-2017 .: www.mass.gov/dia \Yorkers'Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. A licant Information Please Print Le ibl Name (Business/Organization/Individual): i-66e on ( Address: 2 deb 54, �oiJ/ .-iCtg' W- /l(Q.• 0 at City/State/Zip: Phone#: 5O g' 9Z Z-6 F/2_ Are you an employer?Check the appropriate box: 1. I a employer with Type of project(required): employees(full and/or *part-time). ,� 2 I am a sole proprietor or partnership and have no employees working for me in New construction any capacity.[No workers'comp.insurance required.] 8. 0 Remodeling 9. ❑Demolition 3.❑I am a homeowner doing all work myself[No workers'comp_insurance required]t 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Ell Building addition ensure that all contractors either have workers'compensation insurance or are sole 1 I.0 Electrical repairs or additions proprietors with no employees. 5.Q I am a general contractor and I have bired the sub-contractors listed on the attached sheet. 12.El Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.' 13.❑Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] I�' Other *Any applicant that checks box 141 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. $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. Lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy Ii or Self-ins.Lic.m: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration age showing Failure to secure coverage as required under MGL c. 152, page (showing policy number and expiration date). a criminal violat and/or one-year imprisonment,as well as civil penalties in the form of STOP WO1RK on ORDER and fine of upunishable by a fine uptp to$1$250.000.O 0 day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance a coverage verification. I do hereb rtify under the pains and penalti-ex rjury that the info ?nation provided above is true and correct SiEnature .- ". Ar �' �.t. 4/�-� (►ate: 7— -7 --4 Z Phone T: 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 S. Plumbing Inspector 6.Other Contact Person: Phone#: o� 44t TOWN OF YARMOUTH BUILDING DEPARTMENT ... r„%. '°� 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: JOB LOCATION: F5— c�� i'� Se J t a/nu) N E STREET ADDRESS SECTION OF TOWN "HOMEOWNER" C)k v\ Teccr NAME HOME PHONE WORK PHONE PRESENT MAIL[ TG ADDRESS $ ? -- CITY OR TOWN STATE 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 SIGNATURE )./."-ek.7— eat-r---- 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 = -'dr'Y' ii TOWN OF YARMOUTH r,.r�. `r0`, BUILDING DEPARTMENT -40t.� 1, , 1146 Route 28,South Yarmouth,MA 02664 cF,� ra; 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 93" I1'jai`el 5Cvi? One 1477L- Work Address - Is to be disposed of at the following location: fcVMWI1L. -buMp. Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. 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N‘k1 Cr, Applicant: Jt+(I q- Ml1 B(1nLJTel.No.:a03-gLig-`-fJ5-!o Address: WI [.TI(1 0 , �a yafiltvatio O SS Date Filed: **If you would like e-mail notification of sign off,please provide e-mail address: f nit-r-cG-I e �+��-y C' .� Owner Name: 0 0°�1 t`1 d-' W C�- 10 Owner Address: . \ A.. & y Owner Tel.No.c 63 - (--P-(, '// 3 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, G;, AW D and septic system location; (2.) Floor plan labeling ALL rooms within building JUN 3 0 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^ I I —2'` 2" PLEASE NOTE COMMENTS/CONDITIONS: Sears, Tim From: Sears, Tim Sent: Tuesday, July 19, 2022 3:14 PM To: 'robd7771 @yahoo.com' Cc: DiRienzo, Brittany;Water Department Subject: 95 Wilfin Attachments: 9th Edition flood FAQ.PDF;work in flood zone packet.PDF Bob, I have reviewed your application for the addition and there are some items needed. '---------'1. Water Department sign off / Conservation sign off u3. Plans need to be updated to conform with the 9th Edition State Building Code N,..4Floor plan for new bathroom showing fixture layout with clearance dimensions per Figure R307.1 . This property is in a flood zone. please complete the attached paperwork 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:tsears@varmouth.ma.us 1 Gv 1 1-fin flcQG�.. i o ' it / L J-Ott-'6 T- 0,4ta . • tAikoui4- tcp--/ f3 bLyyk fko.A..1 J L4(1 , p \J ()LNG( 1)Dec RFCFRIED r OCT 18 2022 BUILDING DEPARTMENT j o Y �- Cont2' servation Office g , y)G` Town of Yarmouth bdirienzo(cD.yarmouth.ma.us ev „� ' /4" Conservation Commission _,. Building Permit Sign-off Application TO BE FILLED OUT BY BUILDING PERMIT APPLICANT: Building Site Location: l 6— Le) l /$ - AO' c- Map# 3 / Lot(s)# 2 -S /J, /3'/ PropertyOwner: (�\ vi o+H�. I'Y�i✓'(/ t/g t/'y Date filed: *Applicant: e..1 a ` a. ( H ot b`f Applicant Address: 22 122 .22 q rd S 01.27 Pr/i vC f ymoci P4s s Email: Citcl ifl- 15--1/ H et y G� 90 &r"a t l •C*Telephone: 2? y 3 car1 Please note:by submitting this application,the applicant grants permission to the Conservation Office to enter the location to conduct a site visit(if needed). Proposed Project Description: Site Plan Title/Date: (e/ `Red r\0 '�7 ta `n `lGrni\civ;rh. PAA lG)3 \ 1 (Co 7o 1y ks•c e me ` 951.1,\T‘rO Pt of d k.Vo , J i 2'i I l 1 TO BE FILLED OUT BY CONSERVATION ADMINISTRATOR: Does the proposed project require a permit? Yt3 Refer to: SE83- •r DOA permi Comments from Conservation Commissio,: Approve• Conditionally Approved Rejected Conservation Commission Sign-off Signature: p4/7______ Date: 9-zc - 22 *TO APPLICANT: All work-related debris shall be taken offsite or disposed in a legal upland location. At the end of each day, the area shall be clean and no debris shall be in the Resource Area. If work is permitted under an Order of Conditions, please arrange a pre-construction site visit with the Conservation Administrator. At the time of site visit, the MassDEP File Number sign must be installed, along with the erosion control/work-limit line. A copy of the Order of Conditions must remain on-site during construction. Please refer to the Order of Conditions for further details. ;.• ro j- -7 -1 -7 ovIA. TOWN OF NARvit..-)1Tt WATER DEPARTMENT 0.-"T ty 944 Bock kland Road ur•T•o•rts;m:'' rmut h. N.1A 02G- 1.7921 • rax: BUILDING PERMIT APPLICATION FOR WATER DEPARTMENT SIGN OFF TRANSMITTAL FORM BUILDING SITE LOCAllON: ZU. e 9Sr. 11C.' ho.. , c , . PROPOSED WORK: ikf 3(c.' APPLICANT: evk ‘412 t4-471 C-I‘ C1 „.„_. ADD de RESS: - -5-ur 5(-, '.01,1 cr44 P4- TELPHONE: Sd ?** ?2 RESIDE N'FIAL AND -OR COMMERCIAL BUILDING Water Department: Determine.Compliance of Water .1k ailabil0 and or existing location lingineering Depanmem: Determines Compliance for Parking and Drainati,e Conservation Commission: Determine.Compliance to Wetlands VA: i e lot(s)border any type of wet limds. stream..pond5, riAers.ocean bogs, boys. marshland. ETC. [kaiak Department: I)et ermines Compliance to State and Town Regulations. i.e. requirements for Scptage Disposal and other Public I lealth Activates Fire liepartments I)etcrmincs Compliance to State and town Requirements for Personal Safety, Property Protections. i.e. Smoke Detectors,Sprinkler Systems,etc APPLICANT SIGNATURE DATE OFFICE USE: COMMENTS ON PERMIT APPROVAL. OR DENIAL REVD.\ :D BY WATER DIVISION(SIGNATURE) DATE t4ifElf --ir ., . 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(1) 0 03 1•3 it --AN43 .."4', '.1, ti •ns N3 W 4 0 0 _o .93 4 cn A, K c ,,, :4 -. o -',I co -c.n "co ,, Sp, '', Z iff,r, • Iv I • DEED REFERENCE M r f CERT. 195057 % RECORD OWNER '� JOHN & MARY BARRY 8 WEDG£WOOD COURT NEWTOWN, CT 06470 . LONE j s 6 R-25 LOCATION MAP Assessors Mop 34 Parcel 3 . Area - 9,831 S.F. kALORK MU T CONFORM TO ALLSUN 3 U 2822 N R ' REGU ATI . \ HEATH DEPT.. , UT WATER UERT AT . • / cp°� �ti . ,,„ lOT 76 ,�`e LOT 7 5 0`��'- f''- 5,631 S.F F. 4 '` � 0.22 Ac. ________...---\ -tea EXISTING 3' i 'NO E s/' OECt: PROPOSED . 1 r ' ''''' Ir-- I ,_ 7;60,6.0 r- s�� DECK 00 . ,.• ... \ Ili 10OF 2i ADQITI©N_.o-8 18 iesTEpHE t a. • 'CP ...--`' No. 8 V m {a . fsSt-ifWL.4rtyml:ijjr______, SOUTH YARI,OUTH, MA 02664 774-268-2035 CERTIFIED PLOT PLAN IN YARA4OUTI-1, MA i CERTIFY THAT ME BUILDING ON THIS LOT IS LOCATED AS SHOWN ABOVE AND IS LOCATED h'fTH/N A HIGH FLOOD HAZARD AREA ZONE Al COMMUNITY-PANEL NUMBER 250015 0006 C, MAP REVISED JULY i7, 1986. 95 frWWiLFIN ROAD SOUTH YARWOUT H, MA PROJECT: 12-001 I SCALE: 1 n= 30' DATE.- 10/31/16 PE 0 NAME STREE /,T -14:,.-',-4-'' 6 z.-, ,1><J1s..,/ VILLAGE -1 ,-• .--,,4, . SERVICE NO. '.-' k" - "" - -- cA .„. ,..-2 ....t 3 Go ,-- — METER NO. '? /AerhayniffilL*194tie._ 1 . aT. , .., 1 1 t 1 /. , . ... , . ,.... , . , • , ,.., Ni,:r`• NN , it ..‘,. 1 A.: - 4-X ,,i7-e-1..-• 4-7,..r_.-I. i _........... /. / .4- :1 /-...--- Sample Notice for Property Owners, Contractors, and Design Professionals TO: Property Owners, Contractors, and Design Professionals FROM: Mark GryIls Town of Yarmouth, Building Commissioner SUBJECT: Notice for Work on Existing building in Special Flood Hazard Areas Substantial Improvement/substantial Damage Worksheets The community's floodplain management regulations and code specify that all new buildings to be constructed in Special Flood Hazzard (SFHAs) (regulated floodplains) are required to have their lowest floors elevated to or above the base flood elevation (BFT). The regulations also specify that substantial improvement of existing buildings (remodeling, rehabilitation, improvement, or addition) or building that have sustained substantial damage must be brought into compliance with the requirements for new construction. Please note that a building may be substantially damaged by any cause, including fire, flood, high wind, seismic activity,land movement, or neglect. It is important to note that all costs to repair a substantially damaged building to its pre-damage condition must be identified. There are several aspects that must be addressed to achieve compliance with the floodplain management requirements. The requirements depend on several factors, including the flood zone at your property. The most significant compliance requirement is that the lowest floor, as defined in the regulation/code, must be elevated to or above the BFE. Please plan to meet with this depai anent to review your proposed project, to go over the requirements, and to discuss how to bring your building into compliance. Our regulations define these terms: Substantial Damage means damage of any origin sustained by a structure whereby cost of restoring the structure to it's before damaged condition would equal exceed S0 percent of the market value of the structure before damage occurred. Substantial Improvement means any reconstruction, rehabilitation, addition, or other improvement of a structure, the cost of which equals or exceeds 50 percent of the market value of the structure before the "start of construction" of the improvement This term includes structures that have incurred "substantial damage," regardless of the actual repair work performed. The term does not, however, include either: Requirement for application for Permits for Substantial Improvements and Repair of Substantial Damage Please contact the Town of Yarmouth, building Department (508-398-2231 Ext. 1261) if you have questions about the substantial improvement and substantial damage requirements. Your building may have to be brought into compliance with the floodplain management requirements for new construction. Application for permits to work on exiting building that are located in special Flood Hazzard Areas must include the following: • Current photographs of the exterior (front, rear, sided) • If your building has been damaged, include photogr phs of the interior and exterior; provide pre-damage photos of the exterior, if available n � • Detailed description of the proposed improvement (rehabilitation, remodeling, addition. etc.) or repairs • Cost estimate of the proposed improvement or the cost estimate to repair the damaged building to its before-damage condition • Elevation certificate or elevation survey • You may submit a market value appraisal prepared by a licensed professional appraiser or we will use the tax assessment value of the building • Owner's affidavit (sign and dated) • Contractor's affidavit (signed and dated) , HG:d1Z---' i -f+ -67. te-h 1.-- v „..4, 2 r Project Narrative for 95 Wilfin Road, South Yarmouth, MA Assessor's Map 34, Parcel 3 Lot 75 L.C. Plan 14114-A We are looking to expand because the house is small so our plan is to add a 7-foot addition to the left side of our house staying within the regulations of setback. The foundation footings and wall elevations to match existing elevations of the house. New basement area 7 feet x 24 feet with a 7 ft. x 8 ft. opening cut through for access. Crawl space next to existing crawl space 7 ft by 12 feet with a 4ft access opening. The rear 12 x 12-foot roof to be removed and new rafters sheathing, roofing and siding to accommodate the new 19-foot roof width with new valley added to rear main roof. The main roof to be extended over new 7foot addition to match existing roof in elevation and pitch. The entire roof shingles to be stripped and replaced with new architectural style roof shingles: ridge to be vented. The front deck to be extended by 6 feet with stairway access in front of slider. Material and Design to match existing deck. Existing driveway material to be cut back to accommodate new deck extension. All work to be performed in a workmanlike manner and all debris to be transferred to Yarmouth Waste Department. Substantial Improvement Worksheet for Floodplain Construction (for reconstruction, rehabilitation, addition, or other improvements, and repair of damage from any cause) Property Owner: \ �I 1 , n Address: 95 W • IF 0ad •:tk- Q fl�C. khi fl • Permit No.: Pare s, , / (r{ Location: a Iy1 si 6e„liya rDescription of improvements: t'fI zi ,� i J i U e Present Market Value of structure ONLY(market appraisal or adjusted - assessed value,BEFORE improvement, or if damaged, before the damage occurred), not including land value: j `S 19Lf1 7 , 61) Cost of Improvement- Actual cost of the constructon*'(see items to include/exclude) $ 81,OM.Cla Include volunteer labor and donated supplies" Ratio= Cost of Improvement(or Cost to Repair) X 100 - I t(a % Market Value it a- ratio is 50 percent or greater(Substantial Improvement), entire structure including the existing building must be elevated to the base flood elevation (BFE)and all other aspects brought into compliance. Important Notes: 1. Review cost estimates to ensure that all appropriate costs are included or excluded. 2. If a residential pre-FIRM building is determined to be substantially improved. it must be elevated to or above the BFE. If a non-residential pre-FIRM building is substantially improved, it must be elevated or dry floodproofed to the BFE. 3. Proposals to repair carnage from any cause must be analyzed using the formula shown above. 4. Any proposed improvements or repairs to a post-FIRM building must be evaluated to ensure that the improvements or repairs comply with floodplain management regulations and to ensure that the improvements or repairs do not alter any aspect of the building that would make it non-compliant. 5. Alterations to and repairs of designated historic structures may be granted a variance or be exempt under the substantial improvement definition)provided the work will not preclude continued designation as a"historic structure.' 6. Any costs associated with directly correcting health, sanitary, and safety code violations may be excluded from the cost of improvement. The violation must have been officially cited prior to submission of the permit application. Determination completed by: 2„,„/,12,,,r Date: 1 0 isy, on-- . .._.. _. . ._ CHryR,,ISTINE A.M�{A,RTIPD 4 Notary Pubic,Coll l of Massachusetts tViy Commission Expires Febnay 23,2029 I� „�»*�'7 a • 4°oF^R TOWN OF Y4RIOLITII I= � BUILDING DEPARTMENT �`_`\,-„ '-`__. ` 1146 Route 28, South Yarmouth. MA 02664 ' Telephone 508-398-2231 ext. 1261 Fax 508-398-0836 Owner's Affidavit: Substantial Improvement or Repair of Substantial Damage Property Address: 9 5 to ( fill) 1?cl, & i# y \�' 10 Parcel ID Number: PGA ram ' 3 Owner's Name: c!0 h,a l • 4.rJry Yl Maycie 1 Owner's Address/Phone: R, - G() i, f1�i r ��,'.7l1- a 1i t ctI n Mel ate`/ Contractor: n-- Okn it 6wy m 1 CL r Contractor's License Number: Date of contractor's Estimate: AO, ) qq? - L)S c4' Ma n'1�r eC �. ., R03 - 94 - 3S cJOhn \Joh/10t4ec c%o. CO#yr I hereby attest that the description included in the permit application for work on the existing building all improvements, rehabilitation, remodeling, repairs, additions, and other forms of improvement. I further attest that I requested the above-identified contractor to prepare a cost estimate for all of the work, including the contractor's overhead and profit. I acknowledge that if, during the course of construction, I decided to add more work or to modify the work described, that the Town of Yarmouth will re-evaluate its comparison of the cost of work to the market value of the building to determine if the work is substantial improvement. Such re- evaluation may require revision of the permit and may subject the property to additional requirements. I also understand that I am subject to enforcement action and/or fines if inspection of the property reveals that I have or authorized repairs or improvements that were not included in the description of work, and the cost estimate for that work that were basis for issuance of a permit. wner's Signature: // ` 6,1 Date: fbl,klZ,a�- CHRISTINE A.MARTIN Notarized: 11)1414-11/24(11/6"--- " ' Way Public,Commonweal of Marsacbusatts iyna:��ssanxptses Fury ,29 Costs for Substantial Improvements and Repair of Substantial Damage Included Costs Items that must be included in the costs of improvement or costs to repair are those that are directly associated with the building. The following list of costs that must be included is not in- tended to be exhaustive, but characterizes the types of costs that must be included: ■ Materials and labor, including the estimated ■ Structural elements and exterior finishes value of donated or discounted materials (cont.): and owner or volunteered labor = Windows and exterior doors ■ Site preparation related to the improvement or repair (foundation excavation. __fling in Roofing. gutters, and downspouts basements) ' Hardware ■ Demolition and construction debris disposal• Ei Attached decks and porches I Labor and other costs associated with demolishing, moving, or altering ■ Interior finish elements, including: building components to accommodate L Floor finishes (e.g., hardwood. ce- improvements, additions, and making rmic, vinyl, linoleum, stone, and repairs wall-to-wail carpet over subflooring) ■ Costs associated with complying with any Bathroom tiling and fixtures other regulation or code requirement that is triggered by the work, including costs Wall finishes (e.g.. dr��+ail, paint, sruc to comply with the requirements of the co, plaster, paneling, and marble) Americans with Disabilities Act (DA) ElBuilt-in cabinets (e.g., kitchen; utility, I Costs associated with elevating a structure to entertainment, storage, and bathroom) an elevation that is lower than the B}'h Interior doors ■ Construction management and supervision Interior finish carpentry ■ Contractor's overhead and profit ■ Sales taxes on materials — Built-in bookcases and furniture II Structural elements and exterior finishes. = Hardware including: El Insulation Foundations (e.g., spread or continu- ous foundation footings, perimeter walls, ■ Utility and sen-ice equipment, including: chainwails, pilings, columns, posts, etc.) - EIV,A.0 equipment =: Monolithic or other types of concrete Plumbing fixtures and piping slabs Electrical wiring. outlets, and switches Bearing wails, tie beams, trusses 21 Light fixtures and ceiling fans Joists. beams, subfloorin„ framing, - Security systems ceilings - El' Lnterior non-bearing walls Built-in appliances Exterior finishes (e.g., brick, stucco, - Central vacuum sid- ing, systems painting, and trim) Water filtration, conditioning, and re- circulation systems 4 of 7 SAMPLE NOTICE FOR PROPERTY OWNERS, CONTRACTORS. AND DESIGN PROFESSIONALS • Excluded Costs Items that can be excluded are those that are not directly associated with the building. The fol- lowing list characterizes the types of costs that may he excluded: Clean-up and trash removal ■ Outside improvements, including III Costs to temporarily stabilize a building so landscaping, irrigation, sidewalks, driveways, that it is safe to enter to evaluate required fences, yard lights. swimming pools, repairs pool enclosures, and detached accessory structures (e.g.. garages, sheds. and gazebos) Costs to obtain or prepare plans and specifications 11 Costs required for the minimum necessary work to correct exisrng violations of health, ■ Land survey costs safety_ and sanitary codes •! Permit fees and inspection fees 11 Plug-in appliances such as washing I Carpeting and recarpeting installed over machines. dryers, and stoves finished flooring such as wood or mina • SAMPLE NOTICE FOR PROPERTY OWNERS. CONTRACTORS, AND DESIGN PROFESSIONALS 5 of 7 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency OMB No.1660-0008 National Flood Insurance Program Expiration Date:November 30,2018 ELEVATION CERTIFICATE ., • Important Follow the instructions on pages 1-9. • Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner. SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Budding Owner's Name Policy Numberr: MARY 134rRY A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and. Box No. Company NAIC Number. ?S YA/2L-FTN RcAD City State ZIP Code Scu V YARMoUTH o7.40- A3. Property Description(Lot and-Block Numbers,Tax Parcel Number,Legal Description,etc.) A5E5. iz5 MAP 34 PARCEL. 3 ) Lor75. L,<< PLAN -A A4. Building.Use(e.g.,Residential, Non-Residential,Addition,Accessory,etc.) R 5 N7IAL M. Latitude/Longtiude: Let. '-H.(,In i'1 5 Long. -7d,2o3 60 2- Horizontal Datum: ❑ NAD 1927 a NAD 1983 A6. Attach at least.2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Bunting Diagram Number airtt A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawispace or enclosure(s) sq ft b) Number of permanent flood openings in the crawispace or enclosure(s)within 1.0 foot above adjacent grade 3 c) Total net area of flood openings in AB.b �(/3(p sq in d) Engineered flood openings? CD yes [ No A9. For a building with an attached garage: NA a) Square footage of attached garage sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b sq in • d) Engineered flood openings? ❑Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NAP Community Name&Community Number B2.County Name B3. State Y4g h 0U1-1-4 Z 50015 3¢R ARL$ CobiNty f B4.Map/Panel B5.Suffix B6. FIRM Index B7.FIRM Panel B8.Flood Zone(s) B9.Base Flood Elevation(s) Number Date one AO,use Base Revised Date Lc Flebod Depth) ZSoo«- �lctCy 16,Zoiy J�ILY ib, 20r� l�.0 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9: ❑FIS Profile ('FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 12/NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes [/�No Designation Date: ❑ CBRS ❑ OPA • ELEVATION CERTIFICATE OMB No00oa Expiration n D Dateate:November 30,2018 IMPORTANT:in these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number. ---7-0H/N ( )4kV EAU)/ -`ls wraliAl _City , State ZIP Code Company NAIC Number _ itt-{ Aeannar{c{ • 1'lA E3 4 b4 SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑Building Under Construction* Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1 V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO: Complete Items C2.a--h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters. Benchmark Utized: Ab 1L Vertical Datum: NA VD '88 Indicate elevation datum used for the elevations in items a)through h)below. - ❑ NGVD 1929 [ NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 2. . 7 [✓'feet ❑ meters b) Top of the next higher floor /0 . 1 [n feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) NA . 0 feet ❑meters d) Attached garage(top of slab) NA . ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building .0 [ 'feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) . y (feet • ❑ meters g) Highest adjacent(finished)grade next to building(HAG) a . . Rifest ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including i . 2 [eet ❑ meters structural support SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available.I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1p01. Were latitude and longitude in Section A provided by a licensed land surveyor? Yes El No ❑Check here if attachments. Certifier's Name License Number AiizE T s S4��YO�G o� STEi;NEN G eP f 3.0AIAL LAND g r Company Name Address 4Np sumo() CityOke State ZIP Code {'-_, ' `t"" Sahli Y CrrN OM //, Sig ; , re Date Telephone . ,--� ,ziyi,, 774- 2 6E- �3s Copy 's pages of this Certificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner. Comments(including type of equipment and location,per C2(e),if applicable) (,Ijate,r heater is oh blracks -ee *ri +ks al, a -( tt 46ve toaseg,evtf" fic.sc, t'Jfvrcte4,0, a �� coas� .,�pre( ate ,dso OA to -gook 1'41 is of- + e, 64 ebie - 060r • ELEVATION.CERTIFICATE - OMB No. 1680-0008 Expiration Date:November 30,2018 IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(Including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number. k/rLF=N ReAP City ��,j State ` ZIP Code Company NAIC Number ' . yqaMo�� rl MA 0 ouzo( SECTION E—BUILDING ELEVATION INFORMATION.(SURVEY NOT REQUIRED) ; J • FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1—E5.If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A,B,and C. For Items E1—E4,use natural grade,if available. Check the measurement used.In Puerto Rico only, enter meters. Et. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a) Top of bottom floor(Including basement, crawispace,or enclosure)is . ❑feet ❑meters ❑above or below the.HAG:: b) Top of bottom floor(including basement, c rawlspece,or enclosure)is ❑feet 0 meters 0 above or ❑below the LAG. EZ For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 1-2 of Instructions), the next higher floor(elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or 0 below the HAG. E3. Attached garage(top of slab)is 0 feet ❑meters ❑above or ❑below the HAG. • E4. Top of platform of machinery and/or equipment servicing the building is ❑feet El meters ❑above or 0 below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the comrhunity's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION ' • Tlie ro owner or owner's authorized representative who completes Sections A, B,and E for Zone A(without a FEMA issued or commpunp BFE)or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge. •. Property Owner or Owner's Authorized Representative's Name . Address City State ZIP Code 0 Signature Date Telephone • Comments Check here if attachments. 4 660-0 ELEVATION CER u iFICATE Expiration November 30,20'18 IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Btflding Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number 4S U11LexND • City. State ZIP Code Company NAIL Number xsi �I,40M0)TN MA [] C2(s64 SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A B,C(or E),and G of this Elevation Certificate.Complete the applicable item(s)and sign below.Check.the measurement • used in Items G8-G10.In Puerto Rico only,enter meters. Gi. D The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer,or architect who is authorized by law to certify elevation information.(Indicate the source and date of the elevation data in the Comments area below.) '432 0 A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE) or Zone AO. G3. ❑ The following information(Items G4-G10)is provided for community floodplain management purposes. • G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued • G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑ meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑ meters Datum • G10. Communiy's design flood elevation: ❑feet ❑ meters Datum Local Official's Name Title • Community Name Telephone Signature Date Comments(including type of equipment and location,per C2(e),if applicable) • • ❑ Check here if attachments. r_�r ••• - , B o. -0008 • - BUILDING PHOTOGRAPHS OM N 1660 See Instructions for Item A6. • . ELEVATION CERTIFICATE •Expiration Date:November 30,2018 • - IMPORTANT:In these spaces,copy the corresponding information from Section Address(including Apt, Unit,Suite, and Box No.• FOR Number COMPANY USE • Building Sheet and/or Bldg.No.)or P.O.Route a q5 kAiZt_ciN ,611cfr? • City State ZIP Code (ii oz-t.6.1 Company NAIC Number • 5ot5P-i YA Thooli4 , loRwighatccSrcrideirle•dito athnold3r If.using the Elevation obtainNAP flood insurance, Certificate to with. taken;aFtontaffivIcevrat alenia:ist.R2eabruiv.Idming.;.aphnoo,toisrgzopttlaeob:Dfhe flood Identify all photographs---- instnictions for Item A6. mustdate show "Left Side View." When applicable, photographsmore phorographtbsetnafbunbdati°will fitmcnwitilthisrepPagreEs1.6:setatithvee Ce):32nIntinpualestioofn Page. openings vents,as indicatedin Section A8.If submitting • t" '''in' 1 - ----",:e.'•. . 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Expiration Date:November 30,2018 t - IMPORTANT:In these spaces,copy the corresponding information from Section A. • FOR INSURANCE COMPANY USE Budding Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number: is5 vtisi...c2N P-611) • City , State ZIP Code Company NAIC Number 5001-H Yil 01001/4 M-41 a ot:.64 If.using the Elevation Certificate to obtain NAP flood insurance, affix at least 2 building photographs below according to the instruction for Item A6.Identify all photographs with date taken; "Front View"and"Rear View";and, if required,"Right Side View"and *Left Side View.' When appGa3bie, photographs must show the foundation.with representative examples of the flood openings or vents,as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. ...r . _. jik r A ' ---.45/47,,, '' •,-,;.;4... „' .iw,, ' '' •04,';‘, +. ' .. .:4:,'.4 *. •, .. 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A - ii- - tg, - • .. , ••••• ..::: ,-,-... • --. ...e.....,..tt--, 1*10 1 z* - 1',' ,._4.-wk.,io,%&,..m.1.11%.,--?...,,,....a.--.. • __________ - 4- _ . •'''------ :'-,, :''' 2-' -;-...:-. ::-..-';'..t - .,:t ';`,'-'*,...' !-'1V .-•:,fr •t*--4-4.,, .,,!•,;tf : :/*-:- ,. %.e,-trfr. --!r_.7,74: --- - - --,---,-**---44•-:`-'r .-41,:!,-.--:•-i',,,,,-,....et,,t---,,,,-.40,,- -, .-, -- _-_-,,, - '447:-.-47-=',, •-i-- -: .•''''' ' --'1'-,-;k1-**• '..*,,,7,..-- wifr*,, 1-47,;...' -'', • --corr-- -!'t =,: '-...44=Al': :"="r=0'. - `, z_.„--_,-___, "..4 —_—------ Photo Two Photo Two Caption 6A iC VIEW 1 2- /6 - • .... - • - T 95 WILFIN RD Location 95 WILFIN RD Mblu 34/3/// Acct# 3261 Owner BARRY JOHN Assessment $468,000 PID 3261 Building Count 1 Current Value I Assessment �f Valuation Year Improvements Land Total I p 2023 I $196,800 $271,200 1 $468,000 Owner of Record Owner BARRY JOHN Sale Price $262,000 BARRY MARY P Certificate Care Of Book&Page D1172461/0 Address 95 WILFIN RD Sale Date 08/26/2011 SOUTH YARMOUTH, MA 02664 Instrument Qualified U Ownership History I Ownership History I Owner Sale Price Certificate Book&Page Instrument Sale Date BARRY JOHN $262,000 i j D1172461/0 . 08/26/2011 HARRINGTON KEVIN F $0 I C168286/0 1F 02/20/2003 j HARRINGTON KEVIN F $0 i 183467/0 02/14/1974 1 I HARRINGTON KEVIN P $0 /0 l Building Information Building 1 : Section 1 Year Built: 1955 Living Area: 914 Replacement Cost: $278,211 Building Percent Good: 7 Replacement Cost Less Depreciation: $194,700 1.— Building Attributes Building Photo — Field Description Style: ' Ranch ..�. ', .: Model Residential •.,' ' Q ® , ;.:; ,, Grade: Average ""' `a41° - F i ,� Stories: 1 Story t , Occupancy 1 — ; .i it I ''1 1, Wall 1 Wood Shingle ' kl �, Exterior Wall 2 Roof Structure. Gable/Hip Roof Cover I Asph/F Gls/Cmp 1 " , " *. Interior Wall 1 K PINE/A WD (https://images.vgsi.com/photos2/YarmouthMAPhotos/A00\02\06\78.jpg) Interior Wall 2 Drywall/Sheet Building Layout Interior Fir 1 Hardwood ; WDK Interior Fir 2 10 Heat Fuel Oil Heat Type: Forced Air-Duc 12 BAS AC Type: +None Total Bedrooms: 3 Bedrooms 12 Total Bthrms: 1 12 Total Half Baths: 10 30 I Total Xtra Fixtrs: Total Rooms: 0 ,f. 4 ; Bath Style: �Average 1 WD4 24 Kitchen Style: ;Modern 4 4 BAS --,Num Kitchens 100 8 UBM -- ---I Cndtn 1 I 1 Num Park I — 8 12 Fireplaces WDK 5 5 5 1 0 Fndtn Cndtn 10 1 10 1 Basement 18 (ParcelS ketch.ashx?pid=3261&bid=3398) Building Sub Areas(sq ft) Legend 1 Gross Living Code Description ' Area Area BAS 1 First Floor 914 914 UBM Basement,Unfinished 770 0 ;WDK Deck,Wood 298 0 1,982 914t Extra Features Legend Size Value Bldg# 1 Code Description i FPL1 FIREPLACE 1 ST 1.00 UNITS $1,500 1 s EOS End Outs Shwr 0.00 UNITS $0 1 Land Land Use Land Line Valuation Use Code 1010 Size(Acres) 0.23 Description SINGLE FAM MDL-01 Frontage 0 Zone Depth 0 Neighborhood 0070 Assessed Value $271,200 Alt Land Appr No Category Outbuildings Outbuildings Legend Code Description Sub Code 1 I Sub Description I Size Value 1 Bldg# I SHD1 SHED FRAME I 80.00 S.F. $600 1 1 Valuation History Assessment Valuation Year Improvements Land Total 2023 $196,800 $271,200 i $468 000 1 2022 j $156,400 I $243,700 1 $400,100 I I l , 2021 $132,300 I $228,900 $361,200 (c)2022 Vision Government Solutions, Inc.All rights reserved. ♦ ♦ ♦ ♦• ♦ ♦♦♦♦♦••♦♦♦ ♦� ♦ l d i ♦ ♦ ♦• ♦• ♦ p� t ♦♦�♦•♦•♦ A ♦♦♦♦�• • ♦; .. ♦ ♦ ♦ ♦ ♦ �;� i ♦ < y • • ♦♦i♦•ii• .II , 1 • ♦ ♦ ♦ ♦ c-' ti. ♦•♦•i♦• ♦ ♦ ♦ ♦ H 7 + ♦ ♦ ♦ t!'v S Jr I) x .. .. 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' 1 Y i _ ref - - _'+'K 3,'� ,_,mac . i _JY- , 'r^ { '71 F k TOWN OF YARMOUTH Y; _ BUILDING DEPARTMENT (o >� \-����_ St 1146 Route 28, South Yarmouth, NIA 02664 u� Telephone 508-398-2231 ext. 1261 Fax 508-398-0836 Contractor's Affidavit: Substantial Improvement or Repair of Substantial Damage Property Address: Parcel ID Number: Owner's Name: Contractor: Contractor's License Number: Date of Contractor's Estimate: I hereby attest that I have personally inspected the building located at the above-referenced address by the nature and extent of the work requested by the owner, including all improvements, rehabilitation, remodeling, repairs, additions, and any other form of improvement. At the request of the owner, I'have prepared a cost estimate for all of the improvement work requested by the owner and the cost estimate includes, at a minimum, the cost elements identified by the Town of Yarmouth that are appropriate for the nature of the work. If the work is repair of damage, I have prepared a cost estimate to repair the building to its pre-damage condition. I acknowledge that if, during the course of construction, the owner requests more work or modification of the work described in the application, that a revised cost estimate must be provided to the Town of Yarmouth, which will re-evaluate its comparison of the cost of work to the market value of the building to determine if the work is substantial improvement. Such re- evaluation may require revision of the permit and may require revision of the permit and may subject the property to additional requirements. I also understand that I am subject to enforcement action and/or fines if inspection of the property reveals that I have made or authorized repairs or improvements that if inspection of the property reveals that I have made or authorized repairs or improvements that were not included in the description of work and the cost estimate for that work that were basis for issuance of a permit. Contractor's Signature Date: Notarized: 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands �,''s ---sWPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Town of Yarmouth Wetland By-Law, Chapter 143 A. General Information Important: When filling out From: forms on the Yarmouth computer,use Conservation Commission only the tab key to move To: Applicant Property Owner(if different from applicant): your cursor- do not use the John&Mary Barry return key. Name Name 95 Wilfin Road Of: ♦ Mailing Address Mailing Address South Yarmouth MA 02664 City/Town State Zip Code City/Town State Zip Code fon 1. Title and Date(or Revised Date if applicable)of Final Plans and Other Documents: The Barry Residence,#95 Wilfin Road,Yarmouth,Addition to Existing 3/24/2017 Residence Date Certified Plot Plan in Yarmouth MA 95 Wildin Road 10/31/16 Title Date Title Date 2. Date Request Filed: 8/19/2022 B. Determination Pursuant to the authority of M.G.L. c. 131,§40,the Conservation Commission considered your Request for Determination of Applicability,with its supporting documentation, and made the following Determination. Project Description (if applicable): proposed 7'addition and deck extension within land subject to coastal storm flowage Project Location: 95 Wilfin Road South Yarmouth Street Address City/Town 34 3 Assessors Map/Plat Number Parcel/Lot Number wpaform2.doc•Determination of Applicability•rev.5/18/2020 Page 1 of 5 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands ` F''s WPA Form 2 - Determination of Applicability (\ Pp tY Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Town of Yarmouth Wetland By-Law, Chapter 143 B. Determination (cont.) The following Determination(s)is/are applicable to the proposed site and/or project relative to the Wetlands Protection Act and regulations: Positive Determination Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of Conditions(issued following submittal of a Notice of Intent or Abbreviated Notice of Intent)or Order of Resource Area Delineation (issued following submittal of Simplified Review ANRAD)has been received from the issuing authority(i.e.,Conservation Commission or the Department of Environmental Protection). ❑ 1. The area described on the referenced plan(s)is an area subject to protection under the Act. Removing,filling,dredging,or altering of the area requires the filing of a Notice of Intent. ❑ 2a.The boundary delineations of the following resource areas described on the referenced plan(s)are confirmed as accurate.Therefore,the resource area boundaries confirmed in this Determination are binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding such boundaries for as long as this Determination is valid. ❑ 2b. The boundaries of resource areas listed below are not confirmed by this Determination, regardless of whether such boundaries are contained on the plans attached to this Determination or to the Request for Determination. ❑ 3.The work described on referenced plan(s)and document(s)is within an area subject to protection under the Act and will remove,fill,dredge, or alter that area.Therefore, said work requires the filing of a Notice of Intent. ❑ 4.The work described on referenced plan(s)and document(s)is within the Buffer Zone and will alter an Area subject to protection under the Act.Therefore, said work requires the filing of a Notice of Intent or ANRAD Simplified Review(if work is limited to the Buffer Zone). ❑ 5.The area and/or work described on referenced plan(s)and document(s)is subject to review and approval by: Name of Municipality Pursuant to the following municipal wetland ordinance or bylaw: Name Ordinance or Bylaw Citation wpaform2.doc•Determination of Applicability•rev.5/18/2020 Page 2 of 5 4 LMassachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Town of Yarmouth Wetland By-Law, Chapter 143 B. Determination (cont.) ❑ 6. The following area and/or work, if any, is subject to a municipal ordinance or bylaw but not subject to the Massachusetts Wetlands Protection Act: 0 7. If a Notice of Intent is filed for the work in the Riverfront Area described on referenced plan(s) and document(s),which includes all or part of the work described in the Request,the applicant must consider the following alternatives. (Refer to the wetland regulations at 10.58(4)c.for more information about the scope of alternatives requirements): ❑ Alternatives limited to the lot on which the project is located. 0 Alternatives limited to the lot on which the project is located,the subdivided lots, and any adjacent lots formerly or presently owned by the same owner. ❑ Alternatives limited to the original parcel on which the project is located,the subdivided parcels, any adjacent parcels, and any other land which can reasonably be obtained within the municipality. ❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate region of the state. Negative Determination Note: No further action under the Wetlands Protection Act is required by the applicant. However, if the Department is requested to issue a Superseding Determination of Applicability,work may not proceed on this project unless the Department fails to act on such request within 35 days of the date the request is post-marked for certified mail or hand delivered to the Department. Work may then proceed at the owner's risk only upon notice to the Department and to the Conservation Commission. Requirements for requests for Superseding Determinations are listed at the end of this document. ❑ 1.The area described in the Request is not an area subject to protection under the Act or the Buffer Zone. 2.The work described in the Request is within an area subject to protection under the Act,but will not remove,fill, dredge, or alter that area.Therefore, said work does not require the filing of a Notice of Intent. ❑ 3.The work described in the Request is within the Buffer Zone, as defined in the regulations, but will not alter an Area subject to protection under the Act.Therefore,said work does not require the filing of a Notice of Intent, subject to the following conditions(if any). ❑ 4.The work described in the Request is not within an Area subject to protection under the Act (including the Buffer Zone).Therefore, said work does not require the filing of a Notice of Intent, unless and until said work alters an Area subject to protection under the Act. wpaform2.doc•Determination of Applicability•rev.5/18/2020 Page 3 of 5 4 LMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 2 - Determination of Applicability ,` pP � tY Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Town of Yarmouth Wetland By-Law, Chapter 143 B. Determination (cont.) ❑ 5. The area described in the Request is subject to protection under the Act. Since the work described therein meets the requirements for the following exemption, as specified in the Act and the regulations, no Notice of Intent is required: Exempt Activity(site applicable statuatory/regulatory provisions) ❑ 6.The area and/or work described in the Request is not subject to review and approval by: Name of Municipality Pursuant to a municipal wetlands ordinance or bylaw. Name Ordinance or Bylaw Citation C. Authorization This Determination is issued to the applicant and delivered as follows: ❑ by hand delivery on ® by certified mail, return receipt requested on 9/19/2022 Date Date This Determination is valid for three years from the date of issuance(except Determinations for Vegetation Management Plans which are valid for the duration of the Plan). This Determination does not relieve the applicant from complying with all other applicable federal, state, or local statutes,ordinances, bylaws, or regulations. This Determination must be signed by a majority of the Conservation Commission.A copy must be sent to the appropriate DEP Regional Office(see https://www.mass.qov/service-details/massdep-reqional-offices- bv-community)and the property owner(if different from the applicant). wpaform2.doe•Determination of Applicability•rev.5/18/2020 Page 4 of 5 4 0Massachusetts Department of Environmental Protection ?.-- Bureau of Resource Protection - Wetlands ' WPA Form 2 - Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Town of Yarmouth Wetland By-Law, Chapter 143 C. Authorization (cont.) Signatures: -- l i rb _ , t MO s Signature- >1 Anted Name tj(JY\S- \A _ Signature Printed Name Q _ J re_kck ��ShUt Signatu Printed Name S' re Vted Name Signa ? j Printed Name / ..,__.._..__..._ Printed Name ,1 . _ _-- tom* ` C, Signature Printed Name Signature _ Printed Name D. Appeals The applicant, owner, any person aggrieved by this Determination, any owner of land abutting the land upon which the proposed work is to be done, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate Department of Environmental Protection Regional Office(see https://www.mass.00v/service-details/massdep-regional-offices-by- community)to issue a Superseding Determination of Applicability. The request must be made by certified mail or hand delivery to the Department,with the appropriate filing fee and Fee Transmittal Form(see Request for Departmental Action Fee Transmittal Form)as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this Determination. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant if he/she is not the appellant. The request shall state clearly and concisely the objections to the Determination which is being appealed. To the extent that the Determination is based on a municipal ordinance or bylaw and not on the Massachusetts Wetlands Protection Act or regulations, the Department of Environmental Protection has no appellate jurisdiction. wpaform2.doc•Detemrmatfon of AppI cabil ty•rev.5/15/202C Page 5 of 5 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: Request for Departmental Action Fee L ,_, Transmittal Form Provided by DEP Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. Request Information 1. Location of Project a.Street Address b.City/Town,Zip c.Check number d.Fee amount Important: 2. Person orpartymakingrequest(if appropriate, name the citizen group's representative): When filling q 9 P' out forms on the computer, Name use only the tab key to Mailing Address move your cursor-do City/Town State Zip Code not use the return key. Phone Number Fax Number(if applicable) 3. Applicant(as shown on Determination of Applicability(Form 2), Order of Resource Area Delineation (Form 4B), Order of Conditions(Form 5), Restoration Order of Conditions(Form 5A), or Notice of men X Non-Significance (Form 6)): Name Mailing Address City/Town State Zip Code Phone Number Fax Number(if applicable) 4. DEP File Number: B. Instructions 1. When the Departmental action request is for(check one): ❑ Superseding Order of Conditions—Fee: $120.00(single family house projects)or$245(all other projects) ❑ Superseding Determination of Applicability—Fee: $120 0 Superseding Order of Resource Area Delineation—Fee: $120 Send this form and check or money order,payable to the Commonwealth of Massachusetts,to: Department of Environmental Protection Box 4062 Boston, MA 02211 wpaform2.doc•Request for Departmental Action Fee Transmittal Form•rev.5/18/2020 Page 1 of 2 4 � _ F R ` .��.> , --_ TOWN OF c<. T �;y _IT -�:i' BUILDING DEPARTMENT MAST'-'",.SL,•Z' F.�, , =' .r. 1146 Route 28, South Yarmouth.o��th, 1'1�, 02664 Telephone 508-398-2231 ext. 1261 Fax 508-398-0836 Contractor's Affidavit: Substantial Improvement or Repair of Sub stantial bstantlal Damage Property Address: Parcel ID Number: Owner's Name: Contractor: Contractor's License Number: Date of Contractor's Estimate: I hereby attest that I have personally inspected the building located at the above-referenced address b nature and extent of the work requested by the owner, including all improvements, rehabilitation, y the remodeling, repairs, additions, and any other form of improvement. At the request of the owner, I have prepared a cost estimate for all of the improvement work the owner and the cost estimate includes, at a minimum, the cost elements identified by the Town of requested by Yarmouth that are appropriate for the nature of the work. If the work is repair of damage, I have cost estimate to repair the building to its pre-damage condition. I acknowledge that if during pre pared a g course of construction, the owner requests more work or modification of the work described in the application, that a revised cost estimate must be provided to the Town of Yarmouth, which will re-evaluate its comparison cost of work to the market value of the building to determine if the work is substantial improvement. S c the re- evaluation may require revision of the permit and may require revision of the permit and may subject uh property to additional requirements. J the I also understand that I am subject to enforcement action and/or fines if inspection of the property reveals that I have made or authorized repairs or improvements that if inspection of the property reveals that I have made or authorized repairs or improvements that were not included in the description of work and t estimate for that work that were basis for issuance of a permit. he cost Contractor's Signature Date: Notarized: TOWN , RI:k, . :' -- :. 1146 Route 28, South Yarmouth, -, . _. v ' r;' 508-398-2231 ex t Fax -3 :--:V. .. w; Office of the Building oIl issic: :.' FINAL COST AFFIDAVIT FOR WORK IN FEMA FLOOD ZONE To the Building Commissioner. In accordance with 780 CMR Section 109 of the Massachusetts State Bui ina Code, the total estimate cost of construction, including all related costs* of the building at q,,) i fi r) Ro ae 0"fh a r wiz k i and constructed, reconstructed, „ altered, repaired, or extended under building permit no. �� _�?� _�� �� l amounts to$ 9(oi 1 o1.,O0 (3 0)- a 3 OU 5 i to 8' 1, NIel.rq C . 13d ,f ( ,being referred to as the owner/agent identified below,do solemnly swear that the statements n ade herein are strictly true, correct and made in good faith. *Related construction costs include all work done with or concurrently with the work contemplated by the building permit including construction, reconstruction, repairs. demolition, HVAC work, etc. Furnishings and portable equipment are not part of the total construction costs. IQ . jJL Signatu f ow r/agent - U°US.)- 3 3 , a03o Notary Public Signature My Commission Expires Notary Seal: 'fry SARAN ROSE PINKNEY �t►l,s Notary Pubbc,Commonweal h of Massachusetts My Commission Expires August 23,2030 t 4