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HomeMy WebLinkAboutBLD-23-004649 . RE EIVED O NE & TWO FAMILY ONLY- BUILDING PERMIT FE 2 1 2023 Town of Yarmouth Building Department 1146 Route 28, South Yarmouth,MA 02664-4492 BUILDIN DEPARTMENT 508-398-2231 ext. 1261 Fax 508-398-0836 it By - - Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: 3L.I--23-�DV-ilA t7 Date Applie eN � �, S ��_ 3-i 3-),3 Building Official(Print Name) • Signature Date SECTION 1:SITE INFORiMATION L1 Property Address: 1.2 Assessors Map&Parcel Numbers 1 ,�/it i• (;_,--lN C'%`s:Ya-mdia 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) /4` Front Yard Side Yards Rear Yard Required I 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 Private❑ Check if yes❑ Municipal El On site disposal system t SECTION 2: PROPERTY OWNERSHIP' 2.1,Awneri of Record: zG4c-c-- e /e//T .S' yG-64r7a6`.ix Name(Print) City,State,ZIP /3 847--2i t��"--e l'CO— J.yai..V z d —s 77—C'/J7 Je,,-16o A-,,cOm No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORT{2(check all that apply D New Construction ElExisting Building 0 1,Owner-Occupied ❑ l Repairs(s) 0 Alteration(s d XIV L.Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: 2 2J23 Brief Description of Proposed Work2: iy/,,/S� i'j�G'---re/z/ pc4--/ /`� BUILDINt.,DEPARTMENT SECTION 4: ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ �j/or/Vf 1. Building Permit Fee:$ 15.0 Indicate how fee is determined: 2.Electrical $ N Standard City/TownApplication Fee / 0 Total Project Costa p )x multiplier x 3.Plumbing $ 2. Other Fees: $ 4t 1 31_ 3..caY 4.Mechanical (HVAC) $ 3-- e) List: 5.Mechanical (Fire 5.7T $ Suppression) Total All Fees:$ 1 ` a- Check No. Check Amount: Cash t: �� 2j 1 qi',-)3 6.Total Project Cost: $3/ L�/2 0 Paid in Full l Outstanding Balance Du : \\c SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CO / 1/ 3 License Number Expiration Date ame of CSL Holder /4 ' List CSL Type(see below) No,and Street Type Description �s�( f e'(j ,� el 7 ( Unrestricted(Buildings up to 35,000 cu.ft.) own,� ,ZIP Restricted 18c2 Family Dwelling NI Masonry RC f Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 522C-#72-33er ' `j " trj0/0K0-% I Insulation Telephone Email address /..deT D Demolition 5.2 Registered Home Improvement Contractor(HIC) , 34( '//10/"%y -e -,) HIC Registration Number Expiration Date HIC Company Name or}pIC Regilstrant Name h 6J //Clf(/1�) icy 7/mtrAy, No.and Street Email address jy0---mpec/ o2-e ,ok-y77-3341 City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes 0 No 0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERIVIIT I,as Owner of the subject property,hereby authorize-7H?0f y {y—t-•;-.452-79 to act on my behalf,in all matters relative to work authorized by this building permit application. t J Clt/k/CITJ /`''/hL/// 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 containedcoai� in this application is true and accurate to the best of my knowledge and understanding. .l/�?Gi1 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.tiiass.aov/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.) Aid-0 (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces /v Number of bedrooms Number of bathrooms Number of half/baths Type of heating system1f1)7j Number of decks/porches Type of cooling system 9)41fT Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" The Commonwealth of Massachusetts let;ill r Department of Industrial Accidents .....17 hi 1101 1 Congress Street, Suite 100 1/4tV 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 v lease Print Le�ibl //Z'fl'7fdtX-' Y Name (Business/Organizationllndividu ). aJ2y i ' '//c ')j J / ✓ Address: 6 (—I ryCOkai�-/ City/State/Zip: �� / / Y� 4f 9 Phone #: Se, -- /77—.33i1'f Are you an employer?Check the appropriate box: - Type of project (required): I. .l am a employer with 3 employees(full and/or part-time).* 7. L, New construction 2.Q I am a sole proprietor or partnership and have no employees working for me in ca aci8. Remodeling an Y p ty.(Aio workers'comp. insurance required.] 3.El1 am a homeowner doing all work myself. [No workers'comp. insurance required.]t 9. ❑ Demolition 4.Q I am a homeowner and will be hiring contractors to conduct all work on my property. I will I O Q Building addition ensure that all contractors either have workers'compensation insurance or are sole I I.Q Electrical repairs or additions proprietors with no employees. 12.Q 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.! 1 •❑Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. I Q Other 152,§I(4),and we have no employees. [No workers'comp. insurance required.] *Any applicant that checks box ml must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy 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: %/ /4 CQ - i-: ,GZn Policy#or Self-ins.Lie.#: 2-tO/ft/6 3 e-ie Expiration Date: /c/—/.s —Zg Job Site Address: 113 l 9r. `',r-r'ef•-C-/v City/State/Zip: s, O�GG��/�, Attach a copy of the wor cers ,GYGi9c � ' 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 penalties of perjury that the information provided above is true and correct. Sitrnature: /.i3/7" � ��/ 3} Date: ,7 Phone#:sw �77r33l ,S di'- 2` '47- 7�f'/7✓✓✓Cf Official use only. Do not write in this area, to be completed by city or town official. City or Town; Permit/Licenser 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#: §TOWN OF YARMOUT. 1146 _'oute 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 Fax 508-398-0836 Office of the 1;uilding Commissioner BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Ch. 40, §54 and 780 CMR - Section 105.3.1. #4. I hereby certify that the debris resulting from the proposed work/demolition to be conducted at 3 peaT.-?,` .S r GrisioarA Work Address / Is to be disposed of oat the following location: O� .1i/L,j,-�'//' c Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. 7--yi - z Signature of Application Date Permit No. Commonwealth of Massachusetts • Division of Occupational Licensure Board of Building Regulations and Standards Constructiorpervl r,1 & 2 Family CSFA-046234 Expires: 11130/2024 TIMOTHY GRAY ` 68K NICOLEVTA'S WAY MASHPEE MA4,02649 3 11. t11` THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Corporation Registration Expiration 102634 07/0112024 'IMOTHY GRAY BUILDING&REMODELING,INC. IMOTHY GRAY ' "COLETTAS WAY -E,MA 02649 IJr,aers.7:c(0,:. Registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs aiid Business Regulation 1000 Washington Street -Suite 710 Boston,MA 02118 `!ot valid without signature o = ' TOWN OF YARMOUTH HEALTH DEPARTMENT o • '''Lsj,4? • PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: Pa// / � • r/ Ci Proposed ' ovement: L -411 � f%i`� /��f � -mil .r ftme Applicant: /;; , Tel. No.:SSG" e/77-33cy ` Address: 61'. /7/l4/"C''1'P " 711 #7-e/ _Date Filed: ,7-'2/-2-3 **If you would like e-mail notification of sign off,please provide e-mail address: ///41.07 7 `> y6"'l/<--7r1//6 Owner Name: jL`' /-r7't' Owner Address: /jam p(AVi�� C rr Owner Tel. 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: a�@LOtvQ'b and sep tic Site lan sho tebuildings, water line location, system location; rs c' 20?3 (2.) Floor plan labeling ALL rooms within building (all existing and proposed)— DEpT, Note:Floor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. / y f REVIEWED BY: DATE: PLEASE NOTE COMMENTS/CONDITIONS: l'T . ,. . ..,-.1 ,$) ) _ . .,..... t... 4 ' 1* 4 '. .,...,, -s-•.--1 ,....._. Q m _ . I . -... 711 , --,... , ...s. •.• ---,, :4 . ...1?„ ., ,..C, i...!! ,. 4 , • I , . . •.:,,, I i flit 1 . i. 1 , .:{,* i5. „.. , to / , A ' .„, , ,.. 1 14! la tt, - --, . .... , L'`?,, '-`a . t , -'s, . ; " ...., •, .. .. .1, .,. . „ ._. c , k ...-. • X .. , . . •. ,..._,(,, 0 f = . n 'r.4-4 .... .. , , -, w _ l . it ,,. .I FP i. tet n.111.,AI 1. 4 - ''''''. NM ,i . if '; • if L.,_.„..Kass . ...: ... :. • /,.• . ...„, , . . - . ,: • i.:.1 ft .. .4.: 3, cr, ii. j 6 v w O . • • . • . 1 • • IECC2018 RESIDENTIAL ENERGY EFFICIENCY DETAILS ' �-0. ' CLIMATE ZONE 5(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION TABLE 402.1.2(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) FENESTRATION SKYLIGHT CEILING WOOD FRAMED WALL FLOOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE WALL �. U-FACTOR U-FACTOR R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE 0.30 AMME MASS.ND. 0.55 49 20 ar 13.5 30 15/19 10(t FT.DEEP) IS/19 ^ a �� S Lam-L_t `/ \,;. u NOTES: 2x4 ON FLAT W/ ' RIGID INSULATION 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. BETWEEN STUDS 2.15/19 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR , - UP I I I \ OF THE HOME OR R=19 INSULATION CAVITY AT THE INTERIOR OF THE BASEMENT WALL 3.REFER TO IECC 2018 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS J UP UP LINE LEPTIC - O 4.13*5 MEANS R5 CONTINUOUS INSULATED SHEATHING ON THE WALL EXTERIOR $ &R13 CAVITY INSULATION $ I Z - \/ INSULATE EXIST. h I z d WALLS 1,3015IECC REWIRES ABASEMENT WALLBVNUEOFtYtp.TIPS MEANS EITHER RIB NOTES § © — CRAWLSPACE H Cg1TINUOVS INSULATION ON EITHER THE INTERIOR CC EXTERIOR OF THE FOUNDATION.OR ISHRIP OWNIA's,MAYS VITY METeMBTHH TS,ON THE A CONTINUOU INTERIOR THE SI INSULATION ON THE ALTERNATIVELY NTE TOR OPERTERICR OF THE FOUNDATION AND R II CANTYI BATT)INSULATION MAY BE INSTALLED xMW TILE R DETERMINEOFTHESTRUCTURE AS E Of NR A VE SC BARRIERS THE TO INTEGRATE / 10'-0' ELECTRICAL - © — TH ERESTOSLO LOCATION NAS TYPE Of AI. V,BARI THE WORK PANEL T 3-2EBGIRT I _3R ACEO UTT IxsuunONaftpRAr BOX WTCOLUMNS (ATTACHED STORAGE -NEW ET,WALLSPER DETAIL VERIFYALL HEFIELUCT SOFflTSIN THE FlELD Y,-MR.DRYWALL x ELUEBOARD HVAC IVEECRAWLSPACE.sL� TrLDRMMnDNEBE AN GAMEROOM���A�;TM�E EREIN 520 S.F. ACCESS I PANEL tj - IB l — - z 2-2zBGIRT - -- -} FTAII FOR BASEMENT FINISHING �•••• CLOS. CLOS. 0— _I 10'A' I. 14'A' 2Y-0' 12'-0 s 3-13-,L3 AAA BASEMENT PLAN 4-> '''ai ■ A / LEGEND: © SMOKE DETECTOR © CARBON MONOXIDE DETECTOR ti It' I—I EXISTING WALLS ri��}�}+ EXIST.2 z 8's EXIST.1 x B's }l�lt(II -- 3IxBST.2 _- L_� CONSTRUCTION TO BE REMOVED GIRT _ NEW CONSTRUCTION NEW TDGFI HLO THAN NG NO LOWER THAN TOP WEIGHT NOTES: GAMEROOM GL�.LONIGDD 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS &DIMENSIONS IN THE FIELD iimmmammmimmmmmommmilmi NEW 2 x t WALLS = 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, PER DETAIL _: F M 17 ,�02 x� DETAILS,&FINISHES IN THE FIELD WITH OWNER Dili L_•J ma f [] H 3.) VERIFY ALL PLUMBING.HVAC&ELECTRICAL DETAILS W/OWNERS DURING FRAMING CONSTRUCTION 24.0' HEALTH DEPT. 4.) CONSTRUCTIONALL CONFORM STATE BUILDING CODE,9 HEDIT ON AMENDEMENT&I MASSACHUSETTS RC2015 0 BUILDING SECTION @ BASEMENT 5.) TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE,900 PSI MIN. / 6.) FOLLOW ALL REQUIREMENTS OF THE IECC2018 RESIDENTIAL ENERGY 1 - 7Qr'Sbn 1 C. 40 4(2 EFFICIENCY &VERIFY ALL DETAILS WITH THE 1-\i 16! C .)& l INSULATION CONTRACTOR FOR THE STRETCH ENERGY CODE T.SE DRAWN.PRIOR TO START OF SCALE: DRAWING NO.: a 1.43 COTUBREWITSTER BAY DESIGNROAD . LLC NEW REMODELING FOR: 1/4"=1'-0" • MASHPEE MA. 02649 MAILLET RESIDENCE DATE: PH.(508)274-1166 THESE DRAWINGS REWIRES THE 43 PUTTING GREEN CIRCLE SOUTH YARMOUTH MA ., <DRRN.N.FRDTEEnDN 2/21/2023