HomeMy WebLinkAboutBLD-21-004145 ONE & TWO FAMILY ONLY- BUILDING PERMIT
Town of Yarmouth Building Department
1146 Route 28, South Yarmouth, MA 02664-4492
s .. 508-398-2231 ext. 1261 Fax 508-398-0836
Massachusetts State Building Code,780 CMR { `0
Building Permit Application To Construct, Repair, Renovate Or Demolish . '
a One-or Two-Family Dwelling
(� ��� JJThisSection For Official Use Only
(�J`
Building Permit Number: 21- t,1)1f / f'Date Applied:
1 N •A(5 q- 1-t- .3
Building Official(Print Name) i azure Date
SECTION 1:SITE INFORMATION rr__ C E I y E -0 .
t.l rypert ��rees 0 1.2 Assessors Map&Parcel Numbers t --.1
`
1.1 a Is this an accepted street?yes no Map Number Parcel Nu er
1.3 Zoning Information: 1.4 Property Dimensions: BUIL p �-'
eY .Enrr
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required I Provided Required Provided Required Provided
1.6 Water Supply: (IvI.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private 0 Zone: Outside Flood Zone?
— Municipal❑ On site disposal system 0
Check if yesO
ss.."" SECTION 2: PROPERTY OWNERSHIP' t j b - q37-3-09 16
2.1 wner'of Reco
Le41,vay\e wee rcl tAi Sic `tecrr,r,a.AA 1 MA 1 O36'7 3
Name(Print) City,State,ZIP
______ ?\ttai 4 - ?to i b- Fe(y4fel en;4takotrns;l.corn
No.and Str e Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK' (check all that apply)
New Construction 0 Existing Building❑ Owner-Occupied ❑ Repairs(s) Et Alteration(s) El I Addition 0
Demolition 1g I Accessory Bldg. 0 ' r.�Nutmber of Units Other 0 Specify:
E22 Brief Description of Proposed Work2: \ L Y��1L3 -t.. .dA� ot-e_. dGC_e a 1,4 ce-
co\ t.0 w- ` c S.
'3v� c i
SECTION 4: ESTIMATED CONSTRUCTION COSTS.
•
Estimated Costs:
Item (Labor and Materials) Official Use Only
- -)) 1. Building f 0% 30 C ' 1. Building Permit Fee:$ Ice, Indicate how fee is determined:
❑Standard City/Town pplication Fee
2.Electrical — $ 0 Total Project Cost3 em 6)x multiplier x
3.Plumbing $ 2. Other Fees: $ _
4.Mechanical (HVAC) $ List: 5 4 IGc,
5.Mechanical (Fire . .
Suppression) $ Total All Fees:$ E . i V E C
Check No. Check Amount: Cash • win-7-_ ...
6.Total Project Cost: $ /0 , 3 0 0 0 Paid in Full Outstanding Balance r�: 3
I BTILDIN DXF"EllIvIENT
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted l&2 Family Dwelling
City/Town,State,ZIP �I Ivtasonry
RC Roofing Covering
•
WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Company Name or HIC Registrant Name
HIC Registration Number Expiration Date
No.and Street
Email address
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
I,as Owner of the subject property,hereby authorize
to act on my behalf,in all matters relative to work authorized by this building permit application.
Y p�CF
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.
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.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.) (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"
wd
`; v The Commonwealth of Massachusetts
Department of Industrial Accidents
t c 1 Congress Street, Suite 100tr
Boston, MA 02114-2017
,r3�•"°y www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricianslPlumbers.
"%,w, TO BE FILED WITH THE PERMITTING AUTHORITY,
Applicant Information Please Print Legibly
Name (Business/Organizatio dividual ' L e I iv on Q. Fe V .e`,re--- (taw t&r
Address: 6 Pcjp7Le.�� �
1y
City/State/Zip: OSS� la r(1ON,-H} Phone #: (-5N) .202 1 66 681
Are you an employer?Check the appropriate box:
Type of project (required):
I.[I am a employer with employees(full and/or part-time).'
7. D New construction
2.0 I am a sole proprietor or partnership and have no employees working for me in ,
any capacity.[No workers'comp. insurance required.] 8. Remodeling
3.0 I am a homeowner doing all work myself. [No workers'comp. insurance required.]r 9. Demolition
41K 1 am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 [ Building addition
ensure that ail contractors either have workers'compensation insurance or are•sole 11.0 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.[ 13.[Roof repairs
6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.O 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 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: h O V\ e...
Policy#or Self-ins.Lie. #: Expiration Date:
•
3.
Job Site Address: ( CApN^ b1 2t I City/State/Zip:(U .�Gfyy1pw V T}� '- l®t7)6 .)3Attach 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.
1 do hereby certif under the pains and penalties of perjury that the information provided above is true and correct.
Signature: �11,�,11kR I l j
/ ��11 // r� r Date: I
Phone#: C�- 2� c E �a �j d GV1s_.i _ SJ 144.Date,:
4) diin `e62_
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
�.1 Contact Person: Phone#:
§TOWN OF YARMOUTH
1146 Route 28, South Yarmouth, MA 02664
508-398-2231 ext. 1261 Fax 508-398-0836
Office of the Building Commissioner
BUILDING DEPARTMENT
DEMOLITION DEBRIS DISPOSAL AFFIDAVIT
Pursuant to M.G.L. 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 -3lo 7l lock W o�� Yá(m 0��11 I 6,7
Work Ad ress
Is to be disposed of oat the following location: TOLUV1 d VAN(YnOliti Q
,d(O Fe-teslr 'PAL- 4 e s� *Ayr cutti
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Ch. 111, §150A.
Ila ()pc? �
Signature of Applicati Date
Permit No.
�./
�w.�
�"'� TOWN OF YARMOUTH
o� 'Y``tR�E
ps
o - BUILDING DEPARTMENT
� ;X, �,..,, '�� 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261
�" HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DATE: 1 A' ' C �� 1
JOB LOCATION: + �'(- 3 b AgYLe �jy gok ctJl�4- Yarmox-viiicnc�.,0
NAME STREET ADDRESS SECTION OF TOWN b sloe \
"HOMEOWNER" LQ L►Vo - e, ce, •�;`,r0`— tS- d. I (6c0 a,�
NAME HOME PHONE WORK PHONE 131315
PRESENT MAIL IG ADDRESS lQ 11'`^ -
�l to)'
CITY OR TOWN STAIN 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 perfoiuwed 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.
k t
HOMEOWNER"S SIGNATURE
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
lC apter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement.
X9 AX, 1QL(i O ._ . e:
Signature of Owner or ner's Agent Owner Agent
h:homeownrlicexemp
V
LI
TOWN OF YARMOUTH
. c HEALTH DEPARTMENT
•
`�''• °`� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:Building Site Location: t(O tiz,� II'01 ui6j* 34YvlsW,Ati 1ht Oa613
Proposed Improvement: ,re vG Jec.v. Q,nQ L u)\ NS
Applicant: Le 'tt'Q&4 c•-- Tel. No.: - \ �3'1 �1S9
Address: 3 b l 1' k "(c u ll tea 6 3 Date Filed:
**If you would like e-mail notification of sign of please provide e-mail address: ( . (�f►n
Owner Name: L€ 1\JO v\Q Ce,
(olo J
Owner Address: 3 b �9(,2 i3,`t.c4� �%� Owner Tel. No.: (SOR 1 313 i 3 c1
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:
— =J (1.) Site Plan showing existing buildings, water line location,
and septic system location;
APR' 1 b 2021 (2.) Floor plan labeling ALL rooms within building
(all existing and proposed)—
HEALTH DEPT. Note:Floor plans not required for decks,sheds,windows,roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: ' Y Av l✓ DATE: :✓ fut - t
PLEASE NOTE
COMMENTS/CONDITIONS:
ii
ah.
`a.G iaaF;Y 1POI E�.__%"E< I"v B'xdn
14 slow
'.
wC"� \ Fi..; / ���r.0�i,''s,;,aAy4:ax»: 4 tl���H`:,�r,.: �;7°�• y' ;,,. ..
� '.y shy,'- +X�W.?nWry� �1 ,.:. =',v�,`.• .. �+ti�`.•��:";,,,
"fir � &,c, "..,• . '-n; '
J.. + a
,t1' a
.. - r / yam
s
r/ _,""
-%: ;. ,.. %fix,"y: : ''�.�_Z.,..
�� `. / • ',�'��,:y Vic:,,`- :;�e:;,;° �\\
;„,
` : t . �h� ' 6 rx,j? -®�"\.j nc,,sv/ite0' h', „q R6 ;* '346. � y.:<• ; , f • "66 a ' *it!;,smay��#(, ,c ,,�'" a \pRI,l 'a ,,• � 0 ,r fl4i,t^', � , ,\ r . ,,.. .„k , ..,ok
� ( � ' , �,..i ';/CJ ice\ .;,.�; `.� « ,
, l'ir ,;. " - a
ai a w, x> ' � „wr. , 9
a c $' .,,,,, $ems '' 6, iA`s ` v ,z:i,&V,,,i,,-.;',,,"^
S@,• a a c\\\ ,',''4 004� "{,. 8'9,'...,7'"'„F''' `„ :"4 ,;,"'fir
•<.H F ,yam N ..
.\"a,". .• • ' ' ice .v';� " €;; -. a. .1 � ' " :
• ., .� • '',.! wc=.' .¢.a z . - „. . ,,'"F
YARMOUTH TOWN CLERK
Ov••Y4.4
$ " i4,4 TOWN OF YARMOUTH '23FEI 94Am9:07 REC
S ,., BOARD OF APPEALS
DECISION
tTtAcut" Bk 35722 _ P9191 413503
04-07-2023 a 02 = 59
FILED WITH TOWN CLERK: February 24,2023
PETITION NO: 5001
HEARING DATE: February 9,2023
PETITIONER: Lelivone M.Ferreira
PROPERTY: 36 Appleby Road,West Yarmouth,MA
Map 32,Parcel 143
Zoning District:R-25
Title: Book 21584,Page 112
Land Court Lot#8
Plan: Book 71,Page 117
MEMBERS PRESENT AND VOTING: Steven DeYoung,Doug Campbell,John Mantoni,
Jay Fraprie and Sean Igoe.
Notice of the hearing has been 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 held on the date stated above.
The petitioner is Lelivone Ferreira who did a fine job of representing herself in seeking alternative
relief for her property located at 36 Appleby Road,West Yarmouth,Massachusetts. This property
is located in an R-25 zoning district. The petitioner seeks either the grant of a Special Permit
pursuant to bylaw§104.3.2(2)or a Variance pursuant to §203.5 for front setback relief. The site
has a newly constructed,L-shaped deck located in the side area of the house which faces
Pinewood Road. This property is on a corner lot and its true frontage is on Appleby Road. The
deck replaced an existing deck and is on the same footprint except that a staircase has been
moved.
The Board has historically considered relief on a corner lot and what would be otherwise the side
yard if not for the intersecting roads.This deck is essentially built within the side yard though it
faces Pinewood Road. The Board noted that Pinewood Road is a dead end. Further,the Board
found that the relief should be by way of Special Permit and that in this instance it was shown that
there would be no undue hazard nuisance nor congestion caused should=rel i ' t ' a that
the deck structure would not be a substantial detriment to the present or -,, rtit- clans . k
neighborhood or town. ` ¢°, h r �,!; _ r
•4ji; Y d
''t� � 5
ST
.,,
,,. , a
4(;)
( '/T.1 isPCLERK
` `µ + 1 6 2023
Bk 35722 Pg192 #13503
A motion was made by Mr. Igoe, seconded by Mr.Fraprie to grant the request for a Special
Permit. On this motion made and seconded, a roll call vote was taken with all members voting in
the affirmative in support of the motion. Subsequently,the requested Variance was allowed to be
withdrawn,without prejudice.
No permit shall issue until 20 days from the filing of this decision with the Town Clerk. Appeals
from this decision shall be made pursuant to MGL c40A section 17 and must be filed within 20
days after filing of this notice/decision with the Town Clerk.Unless otherwise provided herein,the
Special Permit shall lapse if a substantial use thereof has not begun within 24 months. (See bylaw
§103.2.5,MGL c40A §9)
11.=,,,,'ettc)......
Steven DeYoung, Chair
CERTIFICATION OF TOWN CLERK
I, Mary A. Maslowski, Town Clerk, Town of Yarmouth, do hereby certify that 20 days have
elapsed since the filing with me of the above Board of Appeals Decision#5001 that no notice of
appeal of said decision has been filed with me, or, if such appeal has been filed it has been
dismissed or denied.All appeals have been exhausted.
•(Ntdfrit4t4 .
Mary A. aslowski
MAR 1 6 2023
st iv 4,, =.4,4, �,
f •
t
k. 23
1 ... Bk 35722 Pg193 #13503
•0F-YR : COMMONWEALTH OF MASSACHUSETTS
�fi_ ! �0 TOWN OF YARMOUTH
ojiili r y BOARD OF APPEALS
Petition#: 5001 Date: March 17,2023
Certificate of Granting of a Special 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:
Lelivone M.Ferreira
36 Appleby Road,West Yarmouth,MA
Affecting the rights of the owner with respect to land or buildings at: 36 Appleby Road,West Yarmouth,
MA; Map 32, Parcel 143; Zoning District: R-25; Title: Book 21584,Page 112; Land Court Lot#8; Plan:
Book 71,Page 117 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.
Steven DeYoung, Chair
,
41/7
i k
BARNSTABLE REGISTRY OF DEEDS ° '
John F. Meade, Register `
J .
I1 H tiJ.,.��sLL COUN tiuxpp!`{7r'
nenISTRY OF DEEDS MAR 1 yT'ZQ23
A THUG COPY,ATTEST
1OHtd F',t+ ttAVE
Sears, Tim
From: Sears, Tim
Sent: Friday, November 18, 2022 3:34 PM
To: Ferreirakenia@hotmail.com
Subject: 36 Appleby
Lelivone,jI ve reviewed your updated information and the plot plan shows the new deck encroaches into the setback and will
equire relief from the Zoning Board of Appeals.
Please call with any questions
Regards,
Timothy Sears CBO
Deputy Building Commissioner
Town of Yarmouth
508-398-2231 Ext. 1259
mailto:tsears@varmouth.ma.us
1
Sears, Tim
From: Sears, Tim
Sent: Thursday, January 28, 2021 10:59 AM
To: 'Ferreirakenia@hotmail.com'
Cc: Slack, Christine; Franklin, Mary C.
Subject: 36 Appleby Rd
oc(►,, J 4o ?sql„
Lelivone,
I have reviewed your application for the deck, and there are some items needed;
41 Health Department sign off
ater Department sign off
2 sets of plans showing all framing details of deck as required by code
XCertified plot plan showing setbacks to proposed deck.
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
Building Inspector
Town of Yarmouth
508-398-2231 Ext. 1259
mailto:tsears(E yarmouth.ma.us
1