Loading...
HomeMy WebLinkAboutBLD-23-004594 /if 1//7/z3 ' ONE & TWO FAMILY ONLY- BUILDING PERMIT i FEB 7 B 1 2023 Town of Yarmouth Building Department C=r) I 1146 Route 28,South Ya mouth,MA 02664-4492 r', 508-398-2231 ext. 1261 Fax 508-398-0836 «'`"'""` g . :_, sii=. i4wr— ;.--.— Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Sec ion For Official Use Only Building Permit Number: `11, r V. Date Applied: /11„` CZP,( 5 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 As a sors Map&Parcel Numbers /13 41, 1A�' QPo4 PD P i l 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: R-ifs Si - - - t iC,S-C,r. I 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,I54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outside Flood Zone? rd Public r Private 0 Check if yes" Municipal ID On site disposal system SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: 1),.}-) Yil ft-mr•e..-ti hp Name(Print) City,State,ZIP ,k,1‘ 11. 1,4JjV> in)C jR2O-oft Rn yu.308-hk7 j3 My e y lrlil7! /)1�cu, / No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building Cl Owner-Occupied ❑ I Repairs(s) El/ Alteration(s) ii1 Addition CV Demolition 0 Accessory Bldg. 0 Number of Units Other ❑ Specify: Brief Description of Proposed Work2:' ' 'l.y Ito AL ii op i j1�''/,1 i j r.r,L. A7N W L tt e✓ - t/r-r.,.3 ir' ,iJ 1 It 2 PKi AA 4 j ` 2S> -v tea - ' SECTION 4:ESTIMATED CONSTRUCTION COSTS. L___R %V E Estimated C ' Item Official Use Only Apg 0,,S 2023 t (Labor and Materials) 1.Building $ C0c, 1. Building Permit Fee:S C1C Indicate how fee 4 de me 1 S' ❑Standard City/Town Application Fee 1 t._ ' 2.Electrical $ ARTM[ NT I5 1 el° ❑Total Project Co I multiplier B U I t D I 3.Plumbing $ .) i0 0 0 2. Other Fees: S ,C) y;,gyp. 4.Mechanical (HVAC) $ �C,; rid � List: 1 J 5.Mechanical (Fire $ — J Suppression) Total All Fees:$ /,l q Check No. Check Amount: Cas o t: {i l� 6.Total Project Cost: $ )9:i ) ®C 0 Paid in Full Outstanding Balanc Due: '-( am/�1 �3 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 ivl 4/Wont), RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Rome Improvement Contractor(HIC) HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name No.and Street Email addrms City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AEU MAVIT(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 C 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 ray behalf,in all matters relative to work authorized by this building permit application. 1 r 9 tx� y it) P /3 A 1/C— Print Ownet'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. STEP HFn; 13tkt, Print Owners 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.gov/oca Information on the Construction Supervisor License can be found at www.mass.zov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) 3,t I•Z including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) l71 s Habitable room count 7 Number of fireplaces 0? Number of bedrooms L Number of bathrooms Number of half/baths Type of heating system pa AL S'y r4.en is tvi mi �7 fah Number of decks/porches 1 Type of cooling system �.t��°r ,.N,I, H 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 ;;err 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): s r Epf'f Ili' 1 p Al/ocX Address: j )3 i.) I lu tl (c r k R . City/State/Zipy,q,2 ,,,,TH HA d e64,j Phone#: 77 - 94 --_3 VT3 Are you an employer?Check the appropriate box: Type of project(required): I.❑lam a employer with employees(full and/or part-time)." 7. New construction 2-0 i am a sole proprietor or partnership and have no employees working for me in 8. 2/Remodeling any capacity.[No workers'comp.insurance required.] ,�-� 3. 1 am a homeowner doingall work myself 9. t\1 Demolition ❑ y [No workers'comp.insurance required.]t 4.[ I my property.am a homeowner and will be hiring contractors to conduct all work on I will 10 [ Building addition rty. ensure that all contractors either have workers'compensation insurance or are sole 11.❑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??1GL c. 14.❑Other 152,§I(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. 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#or Self-ins.Lic.#: 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,§2.5A 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 u der the pains and penalties of perjury that the information provided above is true and correct. Signature: ' pi2 a"�.�*-�L-f..-) Date: 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. Plumbing Inspector 6.Other 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 / 1,3 to L) av 6 00,00k • Work Address Is to be disposed of oat the following location: 1 o L, (-0"4-.:0- S yR<ruocr/f Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. g0/14-C-i4 I, to Signa e of Application Ia Permit No. .YRRt TOWN OF YARMOUTH 'rcABUILDING DEPARTMENT -xd 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: JOB LOCATION: fr. tO n Ito 1! Roo k j 13 S.' Y/v2u1,I) i f/ NAME STREET ADDRESS SECTION OF TOWN "HOMEOWNER" S rr /¢e!) j?�A Vc s` 7 7 y - 9 3 'to NAME WORK PHONE PRESENTMA1L1NG ADDRESS G jl) 12-44-f;; /Lin u 6.19 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 44II #ij) APPROVAL OF BUILDING OFFICIAL INSURANCE COVERAGE: I have a current liability' rance 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 Chap 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. p Check on ! Signature of Owner or Owner's Agent OwnerV Agent h:homeownriicexernp 3/1/23,8:36 AM Mail-Sears,Tim-Outlook Re: 113 Winding Brook Rd Kathryn Bavosi <myfletch40@yahoo.com> Wed 3/1/2023 7:47 AM To:Sears, Tim <tsears@yarmouth.ma.us> Attention!: This email originates outside of the organization. Do not open attachments or click links unless you are sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure. Otherwise delete this email. Good Morning Mr. Sears , Thank you for such a quick review of my application. My husband , Stephen , and I have been the homeowners for several years, as the property belonged to my parents since 1978 and was a Life Estate which automatically passed ownership to us at the time of their passing in 2020 . Our plan is to renovate 113 Winding Brook Road and reside there in 2023 , following the sale of our current residence in Grafton, MA. . The Yarmouth Water Department has already signed off and we are in communication with the Health department. We would like to further discuss our proposed renovation and answer any questions. We can be reached at 774-696- 3453 . Regards, Kathryn and Stephen Bavosi On Monday, February 27, 2023 at 02:25:42 PM EST, Sears,Tim <tsears@yarmouth.ma.us>wrote: Kathryn, I have reviewed your application and there are some items needed. 1. Your address is listed in Grafton. You do not qualify as a homeowner under the building code and will need a licensed contractor to apply for the permit. Section 110.R5 Definitions. Homeowner. Person(s) who owns a parcel of land on with he or she resides or intends to reside, on which there is, or is intended to be, a one-or-two family dwelling, attached or detached structures accessory 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. 2. Health Department sign off - . Water Department sign off Please update your application. 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 https://outlook.office.com/mail/inbox/id/AAQkADE3MDQ5NWZmLTkOYzItNDIwNi1 iMDQxLWNkMGQyNmE4NzE5NAAQAD%2FUUYnc1%2FtKigQRB... 1/2 3/1/23,8:36 AM Mail-Sears,Tim-Outlook 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 Deputy Building Commissioner Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsearsjyarmouth.ma.us https://outlook.office.com/mail/inbox/id/AAQkADE3MDQ5NWZmLTkOYzItNDIwNi1 iMDQxLWNkMGQyNmE4NzE5NAAQAD%2FUUYnc1%2FtKigQRB... 2/2 2/27/23,2:25 PM Mail-Sears,Tim-Outlook 113 Winding Brook Rd Sears, Tim <tsears@yarmouth.ma.us> Mon 2/27/2023 2:25 PM To: myfletch40@yahoo.com <myfletch40@yahoo.com> Kathryn, I have reviewed your application and there are some items needed. 1. Your address is listed in Grafton. You do not qualify as a homeowner under the building code and will need a licensed contractor to apply for the permit. Section 110.R5 Definitions. Homeowner. Person(s) who owns a parcel of land on with he or she resides or intends to reside, on which there is, or is intended to be, a one-or-two family dwelling, attached or detached structures accessory 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. 2. Health Department sign off 3. Water Department sign off Please update your application. 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 Deputy Building Commissioner Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsears(S yarmouth.ma.us https://outlook.office.com/mail/sentitems/id/AAQkADE3MDQ5NWZmLTkOYzItNDIwNi1 iMDQxLWNkMGQyNmE4NzE5NAAQAOcjZgVUFgJLsYdRD4P... 1/1 :t ; S • WATER DEPARTMENT o .`f t y 99 Rock Gland Road Y °r"[+ce tt:_.t Narrnouth, ,".1A 02(�'3 '.p'E,:irOrc, °oOM --1--921 • t'as: {'M: —1.-998 BUILDING PERMIT APPLICATION FOR WATER DEPARTMENT SIGN OFF TRANSMITTAL FORM IR ILDING SITE LOCATION: / /3_ Cs 6 00. 6 0 kG RD,_ PROPOSED WORK: / T f 8 A-pa/r 1cut- 4.owT ale—Pi APPLICANT: crr'icp lt�N A,4-L S ADDRESS:jf,2-0oftr-/t S% 6'M 1 ) N4. U(S_l. 'I UPIIONE: 7 7y`6_eily - 3 ems"_ -- bc,.-v0 t f GO i¢t-f.-Dv . Go pic. RESII)FNTI.AL AND OR CO\l\IFR("I.A(. BUILDING ' atcr Department: Determines Compliance of Rater \catlabilit\ and or existing location Engineering I)epanment: Determines Compliance for Parking and Drainage ('onser\aUon Commission: Determine.Compliance to Wetlands \ct. i e If lolls)border ant type of %%etlands, streams.ponds,rixers. ocean. hogs.huh,. marshland. ETC Ileaitlt Department. Determines Compliance to State and Ioan Regulations, i c. requirements !Or Septage Disposal and other Public I lealth Actin ices Fire I)epa to •nt• I)etcrnuries Compliance to State and limn Requirements for Personal Sala., Property Protections.i.e.Smoke Detectors.Sprinkler Systems,etc . ° aA 2- 17 Z.v 2,1 1 LIC A. SIGNATURE ATE OFEIC'E: USE:COMMENTS ON PI•:R\II'1 .‘PPROV,\I. OR 1)F:NI U. 0., 44--4( �/ij :zRFVtNER DIVISION o17Y`1k TOWN OF YARMOUTH • iele° S y HEALTH DEPARTMENT `=`' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: 1/3 G /h)D J afkook- ftD . r Proposed Improvement: ko w iP-÷ w 10 y/ L�.,tit a47Cli Fit i F GU e-gac>A 9;44,12-C l4r Applicant: p WPd•.i/CPT*'gyi0 124voSi Tel.No.: 27 q 674 Address: at, ivp RT// .CCIAArrow it 4.. of C--/y Date Filed: p 2© 23 **If you would like a-mail notification of sign off,please provide a-mail address: b 19 l/o.c j'S G�,i yieW/0C Mt Owner Name: S'17{-p /iF p2 ilo,C j Owner Address: g'6 f o 2T if ST `j Fre K) ii 4Q v/s"/9 Owner Tel.No.: 774 -e f6;3 Cc- 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: w`�"Eg`.lpWED (1.) Site Plan showing existing buildings, water line location, and septic system location; FEB 1 7 2023 (2.) Floor plan labeling ALL rooms within building HEALTH DEPT. (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: .,/C c� ( DATE: /4 -- ,2 7-.23 PLEASE NOTE COMMENTS/CONDITIONS: -z /�,1 a1, 3 Prz. I. iz-���r.� l L n, ,` ' . '11._ __. r _r =a_ 11.116.4441. VICKAikaka! ` i.dF,11...$'Lii :.—ItA."4 riliallia 's _ = z -Z< p Z0 w UZ x- Po! u . 01 z r N aI .'7' ; Q. T,: 111- Way / L.... QN — '- 0 - 11 II zoff[ 1---g i� 1'1— T-7:- z yQ- `. F - W T CZ 1 o n LU 9 1 zO Of Z I g i a w �� N in `� w �� N _ . r' z i- • r � s �_ j � � : __