HomeMy WebLinkAboutBLD-23-004178 1)lv > TWO FAMILY ONLY- BUILDING PERMIT
RECEIVED Town of Yarmouth Building Department
l 146 Route 28, South Yarmouth,MA 02664-4492
JAN 2 6 2023 508-398-2231 ext. 1261 Fax 508-398-0836
Massachusetts State Building Code, 780 CMR
_Bui T- permit Application To Construct, Repair, Renovate Or Demolish
-. BU I Lq+N /+� ' L a One-or Two Family Dwelling
By:
This Section For Official Use On
Building Permit Number: I Date Applie .
M Sei1rS ��- a�6-d3
Building Official(Print Name) Signature
Date
SECTION 1:SITE I_NFORMATION
1 kroperty Address: 1.2 Assessors Map &Parcel Numbers Si/4,m !-� iAi. •l, i01
1.1 a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4
Property Dimensions:
Zoning District Proposed Use Lot Area
(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided d Re uire Provided
q Required 1 Provided
3® 31 •s 423 d a1 • r.
1.6 Water Supply: (M.G.L c 40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public Private 0 Zone: Outside Flood Zone?Check if ye Municipal Iunici al 0 On site disposal system fz
SECTION 2: PROPERTY OWNERSHIP1
2 1 Owner'of Record:
ifreAct,a77 A4 ZV67-3
N e(Print)
City, tate,ZIP
\c1 tip /64f/Ad
No. and Street Telephone P Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction 0 Existing Building 0 I Owner-Occupied ❑ Repairs(s) 0 I Alteration(s) % Addition 0
Demolition ❑ 11 Accessory Bldg. 0 Number of Units
Other ❑ Specify:€,gSrLrNrN
I Brief Description of Proposed Work':
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item I Estimated Costs:
(Labor and Materials) Official Use Only
1. Building $ 1. Btulding Permit Fee:$
,�. o� 1M Indicate how fee is determined:
2 Electrical $ 5 av le Standard City/Town Application Fee
3. Plumbing CI Total Project Cost' I e 6)x multi lier x
S O dO• 2. Other Fees: $ C a to 3s,.00' 1/
4. Mechanical (HVAC) $ List:
111
5. Mechanical (Fire
Suppression) $ Total All Fees:$
6. Total Project Cost: $ Check No. Check Amount: Cash a3
l, �Da 0 Paid in Full Y 9 Outstanding Balance D e: I S p�
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) -
Avid i/oA4�y' ail�' 6aa8� .
License Numberr Expi ation Date
Name of CSL Holder //�
�C a /27N g-t, `,,j List CSL Type(see below) •
No.and StreetType Description
S. q netaia u7g U I Unrestricted(Buildings up to 35,000 cu. ft.)
City/Town,State,ZIP R Restricted Ic?c2 Family Dwelling
M Masonry
AV 02 6 t< r RC Roofing Covering
WS Window and Siding
"71SF I Solid Fuel Burning Appliances
-6` -7 2 01 kA/ i 59 P a n All"( I
I Insulation
Telephone Email address t C D Demolition
5.2 Registered Home Improvement Contractor(HIC) I/ Along //474,,
Compan Name or HIC e2istr t Name , HIC Registration Number Expiration Date .
%�� m,�C l hc,,A I O 5qi € art r -Caws
Li
R Stu et
a d t upie 5'og-S7.2:"7ga Email address
City/Town, State,ZIP /I/Q 0266 Telephone
SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(2MI.G.L. c. 152.§ 25C(6))
i
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes 0 No ❑
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 t4rol /AleSt
to act on my behalf, in all matters relative to work authorized by this building permit application.
' ,- b(b-ri
Print Owner's Name(Electronic Signature) /�.�c� �j
/ate
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
contained in th' plication is true and acc ate to the best of my knowledge and understanding.
6? --.1-7/
Print Ow er's or Authorized Agent's Nam lectronic 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
wtiww.mass.gov/oca Lnformation on the Construction Supervisor License can be found at www.mass.gov%dos i
2. When substantial work is planned,provide the information below j
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
i
3. "Total Project Square Footage"may be substituted for"Total Project Cost'
;-\\ The Commonwealth of Massachusetts
_i, Department of Industrial Accidents
=�NI1; 1 Congress Street, Suite 100
lik 7=1: Boston, MA 02114-2017
1.1 www.mass.go v/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERtMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): f q ,U Ihoos tQj,
Address: 3v1‘ ad n7A/ 4 S7
City/State/Zip: j/2, ic.t#f0%/'k Phone r: 6-C9 $"-W- 76
Are you an employer?Check the appropriate box:
Type of project(required):
1.E I am a employer with employees(full and/or part-time).*
7. El New construction
gig I am a sole proprietor or partnership and have no employees working for me in
S. Remodeling
any capacity.[No workers'comp. insurance required.] �
3.0 I am a homeowner doing all work myself. [No workers'comp. insurance required.]t 9 J Demolition
4.�I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition
ensure that all contactors either have workers'compensation insurance or are sole l I.E Electrical repairs or additions
proprietors with no employees.
12. Plumbing repairs or additions
5.0 I 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 r
152,§1(4),and we have no employees. [No workers'comp. insurance required.]
'.Any applicant that checks box TI must also fill out the section below showing their workers'compensation policy information.
Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
+Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy f or Self-ins. Lic.y: Expiration Date:
Job Site Address: City/State/Zip:
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 certi'�der the pa' an penalties of perjury that the information provided above is true and correct.
Signature: / Date: //2 /?2
Phone T: C/d 4- '76 2
Official use only. Do not write in this area, to be completed by city or town official.
City or Town: Permit/License r
Issuing Authority (circle one):
I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone#:
• :o :Y R ,. TOWN OF YARMOUTH
BUILDING DEPARTMENT
H' '' 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261
� .GnECSE'�,0 T
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DA lE: �/ ,
JOB LOCATION: '(I I1iiiq a utti 'tif'41) CO ', Clair/( fi'9 0-?664'
NAME ,STREET ADDRESS SEC' ON OF TOWN
"HOMEOWN ER"/I iORL-1 / 2/d W()f?o -
NAME HOME PHONE WORK PHONE
PRESENT MAILING ADDRESS &9L oIj 141.avd CP7-7
,S: ouY/i m 6,7ZZy .
CITY OR TOWN ST• E ZIP CODE
The current exemption for 'Homeowner' was extended to include own- —occupied dwellings of one or two units
and to allow such homeowners to engage an individual for hire who des not possess a license, provided that such
homeowner shall act as supervisor. (State Building Code Section 1 1 R5.1.3.1)
Definition of Homeowner:
Person(s)who owns a parcel of land on which he/she resides or i,tends to reside,on which there is or is intended to
be, a one or two family attached or detached structure assessory o such use and/or farm structures. A person who
constructs more than one home in a two-year period shall not b. considered a homeowner; such`homeowner"shall
submit to the building official, on a form acceptable to the bui sing official,that he/she shall be responsible for all
such work perfoitiied under the building permit. (Section 111 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 a a that he / she will comply with said procedures and
requirements.
HOMEOWNER"S SIGNATURE
APPROVAL OF BUILD G OF±ICIAL
INSURANCE COVERAGE:
I have a current liability insurance policy or its ubstantial equivalent, which meets the requirements of MGL
Ch.142. elp No
If you have chec ed yes, tti e please indicate the
,�p .coverage by checking the appropriate box.
A liability insurance policy Other type of indemnity Bond
OWNER'S S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Ch . :r 142 oft e N ss. General Laws and that my signature on this permit application waives this requirement.
0
,' j Check one:
Signature of Owner or Owner's Agent Owner
h:homeownrlicexemp
TOWN OF YARMOUTH
•yg BUILDING DE PAR TIl�IENT
�, -�±t — 1146 Route 28, South Yarmouth, MA 02664
508-398-2231 ext. 1261 Fax 508-398-0836
BIDING DEPARTMENT
DEMOLITION DEBRIS DISPOSAL AFFIDAVIT
Pursuant to M.G.L Chapter 40, Section 54 and 780 CMR, Chapter I, Section 11 15,
I hereby certify that thee debris resulting from the proposed work/demolition to be
conducted at v S.;11/4/Z Zeg,
Work Address
Is to be disposed of at the following location: i/' l// , l01/6)
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111, Section 15OA.
Signature of Application Date
Permit No.
THE COMMONWEALTH OF MASSACHUSETTS
•
Office ofHOME ConsumerIMPROVE Altai s�!T A CONTRA BusinessCTOR Regulation
I
Blatratiga
TYPEfn?J dual
fiEifithlien
•
114239 '_ 1 d 11/13/2024
DAVID L.HANBURY
DAVID L.HANBURY
326 OLD MAIN ST.
• S.YARMOUTH,MA 02664
Undersecretary
•
•
rt• Li Commonwealth of Massachusetts
,• Division of Professional Licensure
Board of Building Regulations and Standards •
• Consiti+ visor • tr
CS-061815
DAVID L HA � f pires:06/20/202 ••
PUR , 1, � '
326 OLD MA I; i ♦�' 'E
SOUTH YARI UTpf ' t `; �.
Commissioner &Q, t +�_
�.�'1 � � �JZN7C.Q,COk.,; ;..
0
ot:Ygk Bk 35415 Pg144 #50134
TOWN OF YARMOUTH 10-11-2022 @ 08 : 06a
� C BOARD OF APPEALS
•
" =-' DECISION
FILED WITH TOWN CLERK: August 22,2022
PETITION NO: 4960 c
HEARING DATE: June 23,2022 pCt
". g -
PETITIONER: Harry and Nora Ward 4
•
i3
PROPERTY: 62 Silver Leaf Lane,West Yarmouth,MA
Map 22,Parcel 143 N
Zoning District: R-25 ..�
Title: Book 12450, 190
MEMBERS PRESENT AND VOTING: Chairman Steven DeYoung,Sean Igoe, Dick Neitz,,
Dick Martin,John Mantoni.
Notice of the hearing was given by sending notice thereof to the Petitioner and all those owners
of property as required by law;and to the public by posting notice of the hearing and publishing
in The Cape Cod Times. The hearing opened and was held on the date stated above.
The petitioners are Harry and Nora Ward who seek relief in connection with property owned by
them at 62 Silver Leaf Lane, West Yarmouth, MA. Property located in an R-25 zoning district.
Petition seeks to allow for a family related accessory apartment to be located in the basement of
the home. The basement apartment has apparently been existing for some time as it has a
designation of"62A Silver Leaf Lane" a designation not recognized by the Board, the Board of
Assessors, or the Town Engineer.
This petition was previously presented on June 23, 2022. At that time,the petitioner sought relief
for a family related accessory apartment greater than 800 ft.2. The Board resoundingly informed
the petitioner's representative that this relief would not be granted as it is the policy of the Board
not to legislate bylaws and the bylaws are very specific as to the limitation of a family related
accessory apartment being only 800 ft.2.The petitioner then requested that the matter be continued
to allow for the reduction of any footage in excess of the 800 square-foot limitation. This request
was granted and the matter was continued to August 11,2022.
At the continued hearing, the petitioners' representative, Kieran Healy of the BSC Group did a
fine job of presenting the petition. He explained that the plans had been revised so as to limit the
size of the apartment to less than 800 ft.2, to leave unfinished a storage area at the bottom of the
staircase into the basement and to place the door in the kitchen wall so that the unfinished storage
area would provide for a means of egress for the apartment dwellers.No one in the audience spoke
in favor or in opposition to the petition and no new exhibits were received at the hearing.
Mr. Igoe expressed concerns that the storage area would remain unfinished and not used for
additional apartment space. Mr. DeYoung expressed reservations about the location of the door
from the kitchen into the unfinished storage area indicating that it made the expansion of the
Bk 35415 Pg146 #50134
utl Yq COMMONWEALTH OF MASSACHUSETTS
��r •'� r� p TOWN OF YARMOUTH
q y BOARD OF APPEALS
Petition#: 4960 Date: September 12,2022
Certificate of Granting of a Sneclal Permit
(General Laws Chapter 40A, Section 11)
The Board of Appeals of the Town of Yarmouth Massachusetts hereby certifies that a Special Permit has been
granted to:
Harry and Nora Ward
5 Greenmount House
Harolds Cross Road
Dublin,Ireland
Affecting the rights of the owner with respect to land or buildings at: 62 Silver Leaf Lane, West Yarmouth,
MA;Map#: 22; Parcel#: 143; Zoning District: R-25;Book/Page: 12450, 190 and the said Board of Appeals
further certifies that the decision attached hereto is a true and correct copy of its decision granting said Special
Permit, and copies of said decision,and of all plans referred to in the decision, have been filed.
The Board of Appeals also calls to the attention of the owner or applicant that General Laws, Chapter 40A,
Section 11 (last paragraph) and Section 13, provides that no Special Permit, or any extension, modification or
renewal thereof, shall take effect until a copy of the decision bearing the certification of the Town Clerk that
twenty (20) days have elapsed after the decision has been filed in the office of the Town Clerk and no appeal
has been filed or that, if such appeal has been filed, that it has been dismissed or denied, is recorded in the
Registry of Deeds for the county and district in which the land is located and indexed in the grantor index under
the name of the owner of record or is recorded and noted on the owner's certificate of title. The fee for such
recording or registering shall be paid by the owner or applicant.
RUE COPY ATTEST.
Steven DeYoung, Chairman
•
eMMC t GPM t TOWN Gi.EF:K
SEP 1 2 2022
JORN F. MEADE, REGISTER
BARNSTABLE COUNTY REGISTRY OF DEEDS
RECEIVED G RECORDED ELECTRONICALLY
'. - �.+ vim;- .-:..s ,r-.'Y o T-a'*F
*"n .rtt� . . :fir i, ^�-
ov- TOWN OF YARMOUTH
' ``4 9
0 HEALTH DEPARTMENT
,.�
ka _ ,, . y.
s-' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant. '
Building Site Location: 6+ S��r2 L�'✓�/ 4444-2- P€7,/7.0(///// A <
Proposed Improvement:\@ R e tc,, /T Y'S/S?' o- /'-�,U!S / 5, a�i,�.v l~ f� �e��.1
,,, ,,0 4 .c'r /tiff s . W, +1. A.A•-..) AM(1$ ue/ -' /aZ0/..IS,,a
Avd ,i...:Zirr--7,,,e/ r r'r7. z .i). .._ s, _46-114.0, -t- ske../L____
..___.,
Applicant: h / / J/ 4/ )/701/ 57 57� 7d�„2
Tel. No.:
Address: 3'2t 71 „o' C7'
t�� �',�/ri�7�G�`(� �� D��j-,�/ Date Filed: / ' .1,C - 1
**/f you would like e-mail notification of sign off,please provide e-mail address:
Owner Name: //t,UR,j i /J 2.1 / #'
Owner Address: 6. CartnAlleaigli f U Owner Tel. No.:
/fir 02a/S CRo )ik
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: /!. C-'. all '3
COMMENTS/CONDITIONS: PLEASE NOTE
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