HomeMy WebLinkAboutbldps-23-004593 ONE & TWO FAMILY ONLY- BUILDING PERMIT
Town of Yarmouth Building Department p....
1146 Route 28, South Yarmouth,MA 02664-4492
508-398-2231 ext. 1261 Fax 508-398-0836
Massachusetts State Building Code, 780 CMR
Building Permit Application To Construct, Repair, Renovate Or Demolish :.;_ cs..•'
a One-or Two-Family Dwelling
This Section For Official Use Only REGEiyED
Building Permit Number: J L -23-(b_ Cf3 Date Applied:
r^ Se c 5 FEB 16 2)23
Building Official(Print Name) Signatu E3Gill IkgeDEPAi2TMENT
SECTION 1:SITE INFORMATION By. --
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
/ 19rn9.M s'Rr44
1.1 a Is this an accepted street?yes no Map Number Parcel Number
1.3 ZoningInformation: 1.4 Property Dimensions:
R- y s / -Qa '
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
dta Ft ao".31
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public IRK Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system Er'.
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
6A/AilJc" �:),-TrrsckAi Pa.s T ar.267S
Name(Print) City,State,ZIP
/o/yr729.:7,5,4k71-49 417-780-
' % ? �a��e.�7en l....Q,,Q�/• .`�.��,
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 1!21 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work'`: S syl,./jQJ,b,., �o..-.� Poo / `ix 3
SAG..✓J or' S:ie pi!
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs:
(Labor and Materials) OffieiaCUse Only
1. Building $ 1. Building Permit Fee:S/5) Indicate how fee is determined:
2.Electrical $ ❑Standard City/Town Application Fee
❑Total Project Cost3(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List: d,741
5.Mechanical (Fire
Suppression) $ Total All Fees:$
• 6.Total Project Cost: $ ff a00 0O Check No. Check Amount: Cash Amoun .
oojf Q 0 Paid in Full 0 Outstanding Balance Due:
4_11
•
j r
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) —
-4 ,4 • License Number Expiration Date
Name of CSL Hold
List CSL Type(see below)
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.)
City/Town,State,ZIP R Restricted 1&2 Family Dwelling
Ivi Masonry
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 i�l'am 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 .
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 yr-7y_ i-P
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.
0,1/7 -'---&//4js ",
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.sov/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"
z \ The Commonwealth of Massachusetts
i, I =�� ._ Department of Industrial Accidents
12
1 Congress Street, Suite 100
Boston, MA 02114-2017
■'.SV• •� 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/Individual): ZOAr57 ,L971AAA,r
Address: /Q/yr��,;, 55/ k/
City/State/Zip: v -,,'7Q.2'% /7- 7�0_ o yd.
T Phone #:
Are you an employer?Check the appropriate box:
Type of project(required):
L❑I am a employer with employees(full and/or part-time).*
7. ❑New construction
2.❑l am a sole proprietor or partnership and have no employees working for me in
any capacity.[No workers'comp. insurance required.] 8. E Remodeling
3.0 I am a homeowner doing all work myself [No workers'comp. insurance required.]t 9 ❑ Demolition
4.R1 am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 111 Building addition
ensure that all contractors either have workers'compensation insurance or are sole
proprietors with no employees. 11. Electrical repairs or additions
5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12.❑Plumbing repairs or additions
These sub-contractors have employees and have workers'comp. insurance.t 13.0 Roof repairs
6.0 We are a corporation and its officers have exercised their right of exemption per MIGL c. 14.[1]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: /(//�
Policy Y or Self-ins.Lic.A:
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 certify under the pains and penalties of perjury that the information provided above is true and correct.
Signature: Date: /—9-
Phone#:
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. Plumbinginspector
6. Other
Contact Person: Phone#:
TOWN OF YARMOUTH
BUILDING DEPARTMENT
t' MATTACnESFj_ as 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DATE:
JOB LOCATION: /1/'/�,1f--, .Si RIG/I "Yu-
NAME STREET ADDRESS SECTION OF TOWN
"HOMFOWNER" 371.6-7 ,/440-7 G/7-lea-a 4F
NAME HOME PHONE WORK PHONE
PRESENT MAILH TG ADDRESS S1►r-die. .A}S Aft
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 ��
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 yes, 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
I
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/demolition to be
conducted at ///4
Work Address
Is to be disposed of at the following location: �/ff
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111, Section 150A.
/— 9_c.?Y
Signature of Applicant Date
Permit No.
2/27/23, 1:30 PM Mail-Sears,Tim-Outlook
1014 Route 6a
Sears, Tim <tsears@yarmouth.ma.us>
Mon 2/27/2023 1:30 PM
To:johnc.mechanical@gmail.com <johnc.mechanical@gmail.com>
0 1 attachments(188 KB)
swimming pool checklist.PDF;
John,
I have reviewed your application for the pool, and you are going to need to submit a plot plan stamped
by a Land Surveyor showing the location of the proposed pool. I also have attached a pool checklist that
needs to be filled out.
Please submit 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 CB0
Deputy Building Commissioner
Town of Yarmouth
508-398-2231 Ext. 1259
mailto:tsearsfyarmouth.ma.us
https://outlook.office.com/mail/sentitems/id/AAQkADE3MDQ5NWZmLTkOYzItNDIwNi1 iMDQxLWNkMGQyNmE4NzE5NAAQAISbOkOGvVILIXHl4vVV... 1/1
o TOWN OF YARMOUTH
1 + - BUILDING DEPARTMENT
s 1146 Route 28, South Yarmouth, MA 02664
508-398-2231 ext. 1261 Fax 508-398-0836 1 R F C E ! V c p
Office of the Building Commissioner
I APR 07 2023
BUILDING DEPARTMENT
By
SWIMMING POOL & SPA PERMIT APPLICATION CHECK LIS
-Compete application
-Pool/Spa designation V Private, Semi'Public, Public
-Pool Type /In Ground Above Ground Inflatable- 24 inches & deeper
-Proposed Location ✓Outdoor Interior
-Barrier Description or Approved Cover Specifications—NOTE: Spas & Hot Tub Safety Covers
and Pool Powered Safety Covers shall comply with ASTM F 1346 Standards (American Society
for Testing &Materials—International Standards Worldwide).
If erecting a/fence, please describe and depict on Certified Site Plan with Pool Location:
AS aes--T P.`e C /? rr
Please note who will be responsible for fence installation. Pool Installer 14roperty Owner
-Above Grotthd Pool Ladder/Stairs Description (shall comply with International Swimming Pool
and Spa Code as amended, Section702)
Type A , Type B , Type C , Type D ✓, Type E , Type F
-Heater Yes /No If Yes, a Gas permit is required.
-All Pools and Spas require a Wiring Permit
-Exterior Door Alarm(s)please note location(s) gASer» I /j4.) -Zec.Kc S
All Pools and Spas shall comply with the applicable provisions of 780CMR, State Building
Code/International Swimming Pool and Spa Code, as amended. In addition, Outdoor Semi Public
and Public Swimming Pool Barriers shall comply with MGL Chapter 140, Section 206.
NOTE:
1. AS THE PERMIT HOLDER YOU ARE REQUIRED TO CALL FOR ALL REQUIRED
INSPECTIONS, INCLUDING THE FINAL INSPECTION.
2. Semi Public and Public Pools are subject to annual inspections.
Form June,2019,1SPSC 2015
f
°-Yifr TOWN OF YARMOUTH YARMOUTH TOWN CLERK
t.-, ° 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 '23FEB14Ar 9:33 REC
RECEIVE.ot -i Telephone(508)398-2231 Ext. 1292-Fax(508) 398-0836
l,< ; PP KI G'S HIGHWAY HISTORIC DISTRICT COMMITTEE
YARmUU i r APPLICATION FOR
OLD KING'S HIGHWAY CERTIFICATE OF APPROPRIATENESS
Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts of 1973 as
amended,for proposed work as described below&on plans,drawings, photographs, &other supplemental info accompanying this
application. PLEASE SUBMIT 4 copies OF SPEC SHEET(S), ELEVATIONS PHOTOS,&SUPPLEME AL INFORMATION.
Check All Categories That Appl : Indicate type of Building: Commercial Residential
1) Exterior Buildin Construction: New Building Addition Iterations Reroof ! Garage
Shed Solar Panels Other:
2) Exterior Painting: nSiding Shutters L Doors El-rim ,Other:
3) Signs/Billboards: I .New Sin Change to Exi ting Sign
4)Miscellaneous Structures: Fence 1 Wall _Flagpole 1 1 Pool UOther:
Please type or print legibly:Address of proposed work: /0/Y/'77,q 1,7 3"/ 1414 X:Ai r7 +f4 Map/Lot# 15i/ 7
Owner(s): ion ,ec-�lk r' Phone#: L'i 7- 784417'o/GF'
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: S4rvv Year(built:
Email: Ane. I7'7a./jan•/a0de47.s�..0./.�� Preferred notification method: L.�J Phone 21 Email
Agent/contractor: 54mro Phone#:
Mailing Address:
Email: Preferred notification method: CI Phone ❑ Email
Description of Proposed Work:
._..Tres /, ..•7 eeP//e441..y'/h Pr,,:1tie.-1 ,,"":arx.�,...z7;s-vCip44 d
o.-" S.30 043/4/6 -e c I t) -C, e00 I
Signed(Owner or agent): _, , -� Date: /_ / '.a7_3
1. Ownericontractor/agent is aware that a permit is required from the Building Department (Check other departments,also)
v If application is approved,approval is subject to a 10-day appeal period required by the Act.
r This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later
> All new construction will be subject to inspection by OKI-f OKH-approved plans MUST be available on-site for framing&final inspections.
For Committee
// use only: Approved t/" Approved with_L Modifications Denied
Rcvd Date: I(II j
t ? Reason for Denial:
Amount A3', Uv ,
Cash/CK#: 2,kiy
Signed: "'
Rcvd by: 15 t
FEB i 3 2.0?3
45 Days: ';u1" __ ---I
/ � YARtvIUUT:r
Date Signed: ) ,
Afr
1 -,00 APPLICATION#: S
TOWN OF YARMOUT
1146 1201:11, 28.sot ‘1•0101. Ill. NI stS ‘ciii sk. 02(1644 rie'rglk.4v viz
• - tit•lit :- tett:phone (508) 398-2211 I-xt. 1292 Fa%, (508)398.0836
FEB 1 3 2023
(i1.1) KING.slitc,im k litS I()RIC I RICI CON!VI I I 11
•
t
AMENDMENT FORM OLD KiNt'SHLHWAY
(-MINOR CHANGE REQUEST')
A ,n nor change request must be subm tted (• one year of the original aporova! oate or'.hi e the .vork is still in
progress. Only a minor change ma/ be appro.ed y tne Committee ,vithout the fling of a new apo 'caton
PLEASE TYPE OR PRINT LEGIBLY
Or d'ha A;)plication ApprovalDa .'
Address ..f proposed work / /./4
Owner(s); JC)t1-4P F Pflone &/-9-
address'
E C. ti-/ /4,44-12. roicon me;bod Pone _ Era.1 r '
Agent/Contractor: --56t-ta. Phone
Find Preferred Phone
ReasE.,des ribe proposed changefs)aid 2:tach p' ;'photo5 (a g?cc,ss ;
/1-Ys-r44.2_„.err-bc)ru ,41w/L-f/Nz1 1E. tt--1577
ft . tra i-lepPou
FLActrMr c=r. 770. AtoPucAt-trc; -4-tc-vszuf
Ne.v C A rq rf ti
Signed OKH Chairman \
t' I
)
AMENDMENT t' A-005
„ .
df.Y' TOWN OF YARMOUTH
°�,�, OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
4, a_ r
1 146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone(508)398-2231 Ext.1292 Fax(508)398-0836
STATEMENT OF UNDERSTANDING
CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLAN
As property owner/contractor/agent for construction at WY AkAt (oh ,
Map/Lot 15 1111 C/A# oz? -A t0> Approval Date: 2) 131 )3
I certify that I understand the following requirements regarding any changes that may
be required for this project:
In accordance with paragraph 2(a) of section 1.03(General Procedures) of the OKH 972
CMR Rules and Regulations: Only minor changes may be approved by the Committee
without the filing of a new application and a new hearing. Minor changes include
alterations that can be done without a detrimental impact on the overall appearance of
the project such as altering a single window or door change or a minor change of
colors. All minor changes by amendment will require the local Committee's or its
designee's approval.
All changes to previously OKH approved plans require notification to and approval
from the local OKH Committee. Change requests must be submitted to the Committee
in writing on the appropriate request form, which may be obtained from the OKH office.
All change approvals must be obtained before incorporating the change into the
project.
If the change has been implemented prior to receipt of OKH approval, a Minor Change
approval or Certificate of Appropriateness application for the revised plans is still
required and will result in a doubled filing fee for the appropriate category of work.
Failure to comply with the above statements will result in the Building Department
issuing a stop-work order or delaying issuance of an Occupancy Permit or final
inspection approval.
I have read and understand the above statements.
! -7 ,.--)--7
Date: (( ->�- 72' `) Signed: ���- -�
Winer/Contractor/Agent)
�
Si ned: 1 �..,1 -(Chairman; Old King's Highway \Ccnmittee)
rilME
B 1 3 2023
YApf.C'Ll k
H 1rK�... 0 ica,ion FormslStatement of Understanding 2u•.Oocx
Updated 12/2015
GENERAL SPECIFICATION SHEET
Project Address:
FOUNDATION: Material: Exposure(Not to exceed 18"):
CHIMNEY: Material/Color: GUTTERS: Material/Color:
ROOF: Material: Pitch (7/12 min) Height to Ridge: Color:
SIDING: Material/Style: Front: Sides/Rear: COLOR CHIPS
Color: Front: Sides/Rear.
TRIM: All windows & doors to be trimmed with 1x 4 1x5 (Circle one.)
Material: Color:
DOORS: Qty: Material: Color:
Style/Size (if not listed/shown on elevations): RECEIVED
STORM DOORS: Qty: Material: Color: J, N 2023
rHniwUu I
GARAGE DOORS: Qty: Mat'l: Style: Color: OLD KING'S HIGHWAY
WINDOWS: Qtylside:: Front: Left: Right: Rear: Color:
Manufacturer/Series: Material:
Grilles(Required : Pattern (6/6,2/1,etc.) Grille Type: True Divided Lite:
Snap-In: __ Between Glass: J] Permanently Applied: =Exterior f Anterior
STORM WINDOWS: Qty: Material: Color: APPROVED
SHUTTERS: Mat'l: Style: Paneled Louvered Color: FEB j 3 2023
SKYLIGHTS: Qty: Fixed Vented Size Color: YARMvu
OLD KING'S HIGG Y
DECK: Size: Decking Mat'l: Color:
Railing Mat'l: Style: Color:
WALLS/FENCES* (Max 6'height): Height: J7 Mat'l: J3) AJg... "o N^
Style: A114.0%4,.r4 3- Rip*/ / .c-61 Color: B).+ X
(Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area.
UTILITY METERS/HVAC UNITS: Location: Screening:
LIGHTS: Qty: Style: Color:
Location(s):
LIGHT POSTS: Qty: Material: Color:
Location(s):
Additional information:
2-General ram ,ter
APPLICATION#: Cl'J "J
151/ 77/ / / Please use this signature to certifythis list of properties
CALLAHAN JOHN F g p p
CALLAHAN TRACY A directly abutting and across the street from the parcel located at:
1014 ROUTE 6A,
YARMOUTH PORT,MA 02675 1014 Route 6A, Yarmouth Port, MA 02675
Assessors Map 151, Lot 77
151/ 76/ l I ,(7Pt4C1 -f
RIKER DEYSELUCIA M AndyM hado, Director of Assessing
HEDRICK JADE L AND JILL L
2 LONGFELLOW DR, January 26, 2023
WEST YARMOUTH , MA 02673
151/ 46/ / I
BLAKESLEY ELENA L
28 FENOR ST
WEST SPRINGFIELD,MA 01089-3033
RECEIVED
151/ 45/ / I I JAN 2 2023
CARR GARY L(LIFE EST)
PO BOX 924 YtiR4v1OU i r
SOUTH YARMOUTH ,MA 02664 I OLD KINGS HIGI-{Wqy
APPPOVEDI
FEB 1 3 2023 Q v1 ,2,1% 173
YAR Jcu r 1 / 141 2(
OLD KING'S HIGHWAY
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TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: J �lr1''1 CA f I a h,r1
Property Address/Location: j l?/y (oA
Hearing Date: 21 13 03
Notices must be sent to the Applicant and abutters (including owners of land on any
public or private street or way) who's property directly abuts or is across the street from
the Applicant. Please provide the Assessor's Tax Map and Lot numbers only. The
OKH Office will send out notices using the addresses as they appear on the most recent
applicable tax list.
Note: Instructions for obtaining the abutters Map and Lot numbers can be found on the Old King's
Highway Department page on the Town website: www.yarmouth.ma us
Map Number Lot Number
Applicant Information: 5 -7 .7
j 1,-31
Abutter Information: j 61 5- r 1 5y 0
RECEIVED 17531
JAN 1 0 2023
YAntviLJU I r,
OLD KING'S HIGHWAY
APPR°V \
FEB 1 3 2023
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REVISION HISTORY
REV. DESCRIPTION DATE ECO BY A RELEASED FOR PRODUCTION 1029/2013 NONE RCOLBOCH —
B LAUDED IN WALL LAUDER ANU CHANOEU SKIMMER ' 11/42013 NONE RCOLBOCH
PANEL
? �r j; I'j gm/,,..-- n Jr ' 'i C UPDATED BOM 11/42013 NONE RCOLBOCH
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4'7 8'-INLET7 '2'T 1 8'-1085-INLET ' / 2' \8'-INLET
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REVIEWED F . BUILD ND ZONING CODE OMPLI
AN�CE. ERRO S ORT OT, :IONS DO NOT RELIEVE THE -
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APPLICANT FROM THE .'ONSIBILITY OF"AS BUILT'
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COMPLIANCE.
a'-LIGHT o 301/4 N DATE: 4'1A,-13 .
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ITEM FILE NAME DESCRIPTION L'US IOMER VENDOR PART M QTY. VENDOR NAME MATERIAL
DRAWING#
1 PANEL,STRAIGHT PANEL,8'LONG HPSD108P 00000687 3 SAMSON STEEL G-235,14 GA,CS-B _
2 , PANEL,STRAIGHT PANEL,8'LONG INLET HPS1081 - 00000699 2 - SAMSON STEEL G-235,14 GA,CS-B
3 PANEL,STRAIGHT PANEL 4'LONG HPSD104P 00000274 3 SAMSON STEEL G-235,14 GA,CS-B
4 PANEL STRAIGHT PANEL,8'LONG LIGHT HPSD108L - 00000701 1 SAMSON STEEL G-235,14 GA,CS-B NOTES: 5 BRACE BRACE,FOLD OVER WITH TURNBUCKLE,STEEL,HPSFOB_ HPSFOB HPSFOB 14 SAMSON STEEL G-235,14 GA,CS-B _
I. THESE ARE FINISHED DIMENSIONS READY FOR THE LINER. 6 BOLT,PACK BOLT,FLANGE,3/8-16 X 1',PACK(50) HPS1916 HPS1916 6 AISI 1020
2. DIMENSIONS ARE FROM INSIDE POOL PANELS. 7 PANEL,WEDGE WEDGE,fi'RADIUS HPS6CA 00001403 2 SAMSON STEEL G-235,14 GA,CS-B
3 THE IDEAL WATER LEVER SHOULD BE TO THE MIDDLE OF THE SKIMMER OPENING(S). 8 00002439 STEP,16'X 4',3 TREAD,LINER TRACK,ACROSS END HSS164LT3 1 —
EXCAVATION NOTES: 9 PANEL,STRAIGHT PANEL,2'LONG HPSD102P 00000621 2 SAMSON STEEL G-235,14 GA,_CS-B
4. ROUGH EXCAVATION SHOULD BE 2'DEEPER IN EACH INSTANCE. 10 PANEL STRAIGHT PANEL,6'LONG HPSD106P 00000676 1 SAMSON STEEL G-235,14 GA,CS-B
5. SOIL TO HAVE MINIMUM BEARING CAPACITY OF 1500 PSF. 11 HS402N LADDER,IN-WALL,2'RECESSED,(42) HS402N HS402N 1 HYDRA POOLS ABS —
6. LOCATE TOP OF POOL AT LEAST 6'ABOVE THE SURROUNDING LAND ELEVATION. 12 PANEL,STRAIGHT PANEL,8'WITH 1085 AND INLET HPSD108851 00004429 1 SAMSON STEEL G-235,14 GA,CS-B
7. SEE'OVER DIG DETAIL'FOR EXCAVATION AROUND POOL WEIGHT. UNLESS OTHERWISE SPECIFIED DESIGNED BY: CREATIONDATE.
B. FILL VOIDS UNDER BASE OF PANELS AND TAMP WELL. 16331.41bs RCOLBOCH 7/31/2013
A
9. BACK FILL WITH NON-EXPANSIVE MATERIAL. VOLUME: DIMENSIONS ARE IN INCHESSAMSON STEEL
10. ANSI/APSPI ICC-5 FOR RESIDENTIAL POOLS.2003-2007 BOCA CODE SECTION 421. Inch' TOLERANCES DETAILED BY: DETAILED DATE.
IMPORTANT NOTES: DECIMALS: X t 0.1 RCOLBOCH 10/5/2012
COLOR: 1
11. THIS DOCUMENT IS FOR ILLUSTRATIVE PURPOSES ONLY.THE DEALER OR CONTRACTOR WHO SELLS •• XX t 0.01 LAASST V•h LAST EV ISED BY: 3 D DATE: TITLE: LAYOUT 16' X 36 6' RADIUS
OR INSTALLS YOUR POOL IS AN INDEPENDENT CONTRACTOR AND IS NOT AN AGENT OF THE HEAT TREAT: XXX t 0.005
MANUFACTURER.THE CONSTRUCTION METHODS ILLUSTRATED HERE ARE SUGGESTIONS AND APPLY XXXX±0.0005
ONLY TO NORMAL GROUND CONDITIONS.THERE MAY BE ADDITIONAL PRECAUTIONS AND/OR AETHODS - N FINISH:
RECTANGLE H' DEEP STEEL
OF CONSTRUCTION.PROPER INSTALLATION IS THE RESPONSIBILITY OF THE CO ANGULAR: X±0.5 STEP STEEL
DEALER/BUILDER/CONTRACTOR. -z TExruRE. THIRD ANGLE PROJECTION
00 O a PART NUA43ER: SCALE SIZE
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80 t }
4'8"
11
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NOTES: Area: 575.785tt"2
1. THESE ARE FINISHED DIMENSIONS READY FOR THE LINER.
2. DIMENSIONS ARE FROM INSIDE POOL PANELS. Perimeter: 103.142tt
3. THE IDEAL WATER LEVER SHOULD BE TO THE MIDDLE OF THE SKIMMER OPENING(S).
EXCAVATION NOTES:
4. ROUGH EXCAVATION SHOULD BE 2'DEEPER IN EACH INSTANCE.
5. SOIL TO HAVE MINIMUM BEARING CAPACITY OF 1500 PSF. WEIGHT. UNLESS OTHERWISE SPECIFIED DESIGNED BY. CREATION DATE.
8. LOCATE TOP OF POOL AT LEAST E ABOVE THE SURROUNDING LAND ELEVATION lbs RCOLBOCH 7/31/2013 SAMSON STEEL
7. SEE'OVER DIG DETAIL'FOR EXCAVATION AROUND POOL VOLUME: DIMENSIONS ARE IN INCHES
Inch'
8. FILL VOIDS UNDER BASE OF PANELS AND TAMP WELL. TOLERANCES DETAILED BY. DETAILED DATE.
9. BACK FILL WITH NON-EXPANSIVE MATERIAL d DECIMALS: X±0.1 RCOLBOCHLAST 10/5/2012
COLOR. XX 10. ANSI/APSP/ICC-5 FOR RESIDENTIAL POOLS,2003-2007 BOCA CODE SECTION 421. m N HEAT TREAT. ±0 O1 fCOIbOChED BY: 11�4REVISEDC DATE: TITLE: LAYOUT, 16' X 36' 6' RADIUS
IMPORTANT NOTES: XXX±0.005
11. THIS DOCUMENT IS FOR ILLUSTRATIVE PURPOSES ONLY.THE DEALER OR CONTRACTOR WHO SELLS z NA XXXX±0.0005 MATERIAL.
OR INSTALLS YOUR POOL IS AN INDEPENDENT CONTRACTOR AND IS NOT AN AGENT OF THE 3N FINISH. RECTANGLE,8I DEEP STEEL
0.5
MANUFACTURER.THE CONSTRUCTION METHODS ILLUSTRATED HERE ARE SUGGESTIONS AND APPLY o� NA ANGULAR: X±CO THIRD ANGLE PROJECTION STEP STEEL
ONLY TO NORMAL GROUND CONDITIONS.THERE MAY BE ADDITIONAL PRECAUTIONS AND/OR METHODS 0TEXTURE. O
OF CONSTRUCTION.PROPER INSTALLATION IS THE RESPONSIBILITY OF THE 0 NA O a PART NUMBER: SCALE SIZE
DEALER/BUILDER/CONTRACTOR. w0 1.96
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SHEET
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