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Home My WebLink AboutBLD-23-002349 ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department 1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 A • _�'' Massachusetts State Building Code, 780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish :.,. ..,•'` C E I V E D a One-or Two-Family Dwelling ] 0-CT 312022 This Section For Official Use Only Building Permit Number: , _(�� Date Applied: 1 t •?rait7.DiNr. DEPARTMENT Building Official(Print e) ' attire Date SECTION 1:SITE NFORMATION 1.1 Pro erty Address: 1.2Asses ors Map&Parcel Numb rs 1.1 a Is this an accepted street?yes no Map Number Parcel Number 14 Zoning Informatio 1.4 Pro rty D,mensions: 7A 2 Zoning District Proposed use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outside Flood Zone? Public V Private 0 Check if yeses Municipal 0 On site disposal system p" SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner' Record: r-/0 --:i bQ C,Lr t si".-0— 4 .1 .-..-\ Li Name(Print City,State,ZIP , � ' ,,n,` t I 6 ,1 231 26 if.7 g;Ile co AAA 6.4 Low&• (c \ No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 E 'sting Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition Accessory Bldg. ❑ Number of Units Other 0 Specify: Brief Description of Proposed Work2: rr 4! a k S . 0 01 0 tZ A- gv-is--e_ In c. - S n Q\.- ---e---------17-7---.) *r 0 c*--- °(-1+1 °— SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building Q.! 'O $ rto O ty.-i- 1. Building Permit Fee:Sp,tV) Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ s 0 Total Project Cost (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: WA/0LO 5.Mechanical (Fire $ Total All Fees: $ Suppression) Check No. Check Amount: Cash Amount: 6.Total Project Cost: S 7 C 0e5):7 0 Paid in Full ❑ Outstanding Balance Due: ' SECTION 5: CONSTRUCTION SERVICES 5.1 Constructio Supervisor License(CSL) 1 ( s 19X k C,b j 1.9\i\ Ufa /�v � � +�to A. . \`�'�A#" ►� License Number Expiration Date Name of CSL Holder PQ /�(Z Y ct7 1 �p k-A-t- List CSL Type(see below) L No.and Street r� Type Description �� •a ` � ' U Unrestricted(Buildings up to 35,000 Cu.ft.) City State,ZIP ° ✓( ` R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering rl Ti (� WS Window and Siding p �^ (� SF Solid Fuel Burning Appliances IY 17 ai r7b�7 ` 0 A4 ACi` '00 49/Ai I Insulation Telephone Email address — td r•14 D Demolition 5.2 Registered H me Improvement ContractorC) (� 2� 1 ®C let )2 W �� ` HIC R---)istration Number Expiration Date lifEcirp.igny Natrior HIC Registrant N No. andSt�v l ^ 2 at ,,� � HA 1 � Email address City/Town, State,ZIP loll Teleph ne �14 / SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be complet d submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance o e building permit. Signed Affidavit Attached? Yes ❑ No ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES F R BUILDING PERMIT I as Ownerofthe subject property, t � n- a s bI hereby authorize l�" � ,f4 {� '�� to act on my behalf, in all matters relative to work authorizkd by his building permit application. Print O et's lectronic Signature Date — • SECTION 7b: OWNER1 OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contain d in this application is true and acc ate to the best of my knowledge and understanding. ‘ 9,\ t.at iv( k ';—•<'-- A A KM 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.uov/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" The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 \—� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Indivdual): CO Ig4)\PC F— (J' € r N — GAddress: " \ 66 City/State/Zip: V(✓c ts.) ©`o� 11 Li` Phone #: 6 `'l r 7 L Are you an employer?Check a appropriate box: Type of project (required): LE I am a employer with employees(full and/or part-time).* 7. ❑ New construction 2 le am a sole proprietor or partnership and have no employees working for me in Jr1an 8. [] Remo ma y capacity. [No workers'comp. insurance required.] 3. I am a homeowner doing all work myself. [No workers'comp. insurance required.]t 9. mOlitlOn 4. I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 n Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.U Electrical repairs or additions proprietors with no employees. 12.D Plumbing repairs or additions 5. 1 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.: 13•Q Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per iNIGL c. 1 4•❑Other 152,§1(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 al!work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: V A t‘1.7s--/ N Policy r or Self-ins.Lic.#: ( C__ ' >L.) a 1,n Ex t pi I � ii7 ratio Date: Job Site Address: ` � �� City/State/Zip:ate/Zip: 1-( 01 Attach a copy of the workers' compensation policy declaration page(showing the policy number 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 hereby certify under the pains and penal( s of perju hat the 'nformationprovided above is tru and co 'rect. Signature: Date: 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 5. Plumbing Inspector 6. Other Phone#:Contact Person: Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards ConstrOtliitilpskrvisor CS-083606 ' "'` `' 15pires: 10/10/2022 WILLIAM A.WA-,, 1 15 UNION STTEE SUITE 3 .,, 1 '' - BOSTON MA 01)01k, J ,C 6v 0sfia ,c .�� Of S'S it:10 - Commissioner ( a s �. e`&n .�..: ,7,6fi&ettedafrit€44,60,841ealewittwetoon HOME IMPROVEMENT CONTRACTOR • TYPE:Individual • Registratn Expiration 18Q :`q 10/19/2023 WILLIAM A HE • ( WILLIAM l/7 193 PUNNEWEI S #. �,`, �c NEEDHAM,MA 0249 Undersecretary • • 10/24/22,6:31 PM Details Licensee Details Demographic Information Full Name: WILLIAM A. HEARN Owner Name: License Address Information City: Boston State: MA Zipcode: 02114 Country: United States License Information License No: CS-083606 License Type: Construction Supervisor Profession: Building Licenses Date of Last Renewal: 10/20/2022 Issue Date: 1/5/2011 Expiration Date: 10/10/2024 License Status: Active Today's Date: 10/24/2022 Secondary License Type: Doing Business As: Curragh Dobbin Inc Status Change Reason: License Renewal Prerequisite Information No Prerequisite Information No Available Documents https://madpl.mylicense.comNerification/Details.aspx?result=3e7a11 eb-bf71-4434-bd0e-90d3eb4a5224 1/1 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/dervolition to be conducted at � 1vle4 Work Address ci\,) Is to be disposed of at the following location: � xl o Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. 12C2 Signature of Applicant Date Permit No. • g•Y TOWN OF YARMOUTH Ate BU LDING DEPARTMENT • l ' 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext.261 .. BUILDING DEPARTMENT TOTAL DEMOLITION SIGN-OFF FORM State Building Code (780 CMR) Chapter 33, Section 3303.6-Service Connections "Before a building or structure is demolished or removed, the owner or agent shall notify all utilities having service connections within the structure, such as water, electric, gas sewer and other connections. A permit to demolish or remove a building or structure shall not be issued until a release is obtained from the utilities, stating that their respective service connections and appurtenant equipment, such as meter and regulators, have been removed or sealed and plugged in a safe manner." "All debris shall be disposed of in accordance path 780CMR 111.5." Building or Structure Location: (v3 R I/i"& 5' Map: II Lot: ,� z 6�{`7 Owner's Name: '' i1 �si,AA �ddress:/N3 ( "�� i Phone: 6/ 7 ›� Contractor's Name!() t ddress: 1'\Phone: 6 r7 h g 1 Eversource: Date: A (� By: C c�- Title: National Grid: Date: 7 � - By. Title: Water Dept.: Date: 1 i 0y to / Title: Board of Health: Date: /0— By: ( -''`") , I Title: c Condition: l0-Q-k^'d Fire Dept.: Date: ' By: so./ Title: 6`^-r- • Historic Commission: Date: q( 4�t By: 1,15z chef Title: RC a`"n Conservation: Date: °i 2(1(22 5 Q By: q,i, 0, Comcast: Date: e , \cc j 9 3/15 247 Station Drive EVERSeURCE Westwood,Massachusetts 02090 ENERGY September 27, 2022 10501711: 103 River St, Bass River Dear William Hearn, At Eversource, we're committed to delivering great service. This letter serves as confirmation that the electric service at this location has been removed. Based on this information, there is no electric power at this address and you may proceed with the demolition. If you have any questions, please contact me at (888) 633-3797. Sincerely, Wavtdct'Pith&viteL Electric Services Support Center national grid gd October 25, 2022 Mr. William Hearn River Street Trust P.O. Box 146644 Boston, MA 02144 TO WHOM IT MAY CONCERN: RE 103 River St., South Yarmouth, MA This email is to confirm that there is no live gas at this property. This ielier DOES NOT precludetre excavator or homeowner from calling Dig See at l T b" , wart Sate klW requfres anyone oft tog = to doing cety The 00 to an I it tlxii LAW and anai be ;; ' -- of watt Wet of a gas as*ODINS NOT rehve the ' 1o81I. ItIsa iethr Law requhement. I can be reached directly at 508-760-7439 should there be any further questions. Sincerely, Yetylo Ellen Whelan Customer Connections, NE National Grid 127 Whites Path S. Yarmouth, MA 02664 (7) 508-760-7439 TOWN OF YARMOUTH °.. WATER DIVISION 4 - , , 99 Buck Island Road �I; West Yarmouth,MA 02673 � E '' Telephone:508-771-7921 Fax:508-771-7998 October 4, 2022 William Hearn RE: 103 River Street, South Yarmouth —Cut and Cap complete and inspected The Yarmouth Water Department performed a cut and cap of the water service at 103 River St, South Yarmouth on 9/26/2022. This service has been paid in full. If you have any questions please don't hesitate to give us a call 508-771-7921 Sincerely, Yarmouth Water Department C:\Users\pscabrera\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\IDEU42BW\103 River st-cut and cap.docx TOWN OF YARMOUTH y 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451 Telephone(508)398-2231 Ext. 1292 Fax(508)398-0836 HISTORICAL COMMITTEE MEMORANDUM TO: Mark Grylls,Building Commissioner FROM: Lisa Sherman,Office Administrator,Yarmouth Historical Commission DATE: September 13,2022 SUBJECT: 103 River Street—Demolition Request On September 8, 2022 The Yarmouth Historical Commission assembled and considered the above referenced property due to a request to partially demolish sections of the structure. The intended purpose of the partial demolition is to preserve the front section of the house and demolish the sections behind the front façade and a more recently added porch to the left of the front section. A Notice of Intent to Demolish A Historic Building form was filed with the Yarmouth Historical Commission by William Hearn, the owner of the property, in conjunction with Mark Sangiolo from Sangiolo Associates Architects. This application was considered by the Yarmouth Historical Commission at their meeting September 8, 2022. The Commission commended Mr. Sangiolo and Mr. Hearn for their plan to restore the historic front section of the house. Mr. Sangiolo and Mr. Hearn agreed to add a faux chimney to be placed where an original chimney stood; otherwise,the plans presented were unanimously approved by the Commission. Accordingly,the applicant can proceed with the partial demolition. Please let me know if you have any questions. 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Conservation Commission e`?"° Building Permit Sign-off Application TO BE FILLED OUT BY BUILDING PE MIT APPLICANT: Building Site Location: 1 0 g. LAC t jc2 c ( — � -Map# 1)— -' Lots)# Date filed: \ �Jc� S.*C 1 1 rJ ) ' `'Z Property Owner: *Applicant: \ 9._ 2____ 4'S 49"0 R, ke crirjA,)sr-T ,^��/ G ("- Email: Ad ress: C1 S- 0 �nrie e) , o OLyi- -\ l "1A © �( 1 : e\l - 00RAAG-r-- Qoej. /0 Telephone:_ 611 , ?6 Email. �- n'► 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: r < _ Oe'lY1 O L rr _f0 t Q (kO FAsc.N3-7J- cT Q/3 Site Plan Title/Date: 0T ' �� ‘ J L�" 7 Gln a L «Ge,r".F, Q-e_rr\,;a" 1 U3 4- 10 L\ ¶ - v-r S-}- , J 23 I zt TO BE FILLED OUT BY CONSERVATION ADMINISTRATOR: Does the proposed project require a permit? AJO - r- (Ztvnew Refer to: SE83- or DOA permit Comments from Conservation Commissi n: Approve Conditionally Approved Rejected Conservation Commission Sign-off Signature: 1`jZil,i O Date: -Z6- 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. -..e^'e .y. --.+._P. .as^F�,r rn--m-.. ...... — ... —+wma��3z'.m.r.r—r••: 'A.....e.'r`�,a _ _. i. 0`=. TOWN OF YARMOUTH * o HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: 17 Building Site Location: Proposed Improvement: ) f r 1 Applicant: tr r I .� f f' )` 1 Tel.No.: ! 1 ;4 2 rl PP } Ad dress: „ek,,,t 1 / S`l ry C HA i� Date Filed: / /r r /2 _. G� 249�� **/f you would like e-mail notification of sign off please provide e-mail address: 1 �2 47, E � "i a ( '-77 ? 2A-7� Owner Name: -- ..�, Owner Address: / / Lif'1t)(� t„oe / l `-r- _ v Own, et Tel. No.: RESIDENTIAL AND/OR COMMERCIAL BUILDING r 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 Iabeling 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. DATE� �-- REVIEWED BY: PLEASE NOTE COMMENTS/CONDITIONS: