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HomeMy WebLinkAboutBLD-23-002423 V 1 r p vi)nl ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department 1146 Route 28, South Yarmouth,MA 02664-4492 fit+ \\,: 508 398 2231 ext. 1261 Fax 508-398-0836 Massachusetts State Building Code, 780 CMR o.m a Building Permit Application To Construct, Repair, Renovate Or Demolish �;;: .i;: a One-or Two-Family Dwelling This Section For Official Use Only R E C E �, �� Building Permit Number: 8(,p.23-002�Z3 Date Applied. "• Sync — 3- NOV 012022 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION BUILDING DE`'ARTMENT 1.1 PF Adess:dr by - 'V 1 1° er ay l < ,�'i 1. Assessors Map&Parcel Numbers 1.1 a Is this a an accepted street?yes no Maa p 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 Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Publ Private 0 Zone: — Outside Flood Zone? Check if yes❑ Municipal 0 On site disposal system SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: /44irk 7-42-sc 01 \ tr4 AM-Name(Print) City tate,ZIP �' Gcter‘ S frt'd No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied Repairs(s) 0 Alteration(sik Additio4 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: gemijvc -- (A,444l i i F9 o m a jtd Gc4tfi(,--rAkvil l y givi €,ytifvt 4ftivti P '1 t --r6 ( k6-? A Sri < k17" 1734 mow SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 1. Building Permit Fee:$SOO Indicate how fee is determined: 2.Electrical $ Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier . x 3.Plumbing $ 2. Other Fees: $ 1J0•UO tibif Sq g 9 0 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ \� Suppression) Total All Fees:$ --.1 Check No. Check Amount: Cash , I.:Mt: / 6.Total Project Cost: $ h /II �L� jfl CI Paid in Full IIl Outstanding Balance Du:• 1+4 1!l 9-\231;‘`[ T 4. it SECTION g: CONSTRUCTION SERVICES 5.1 Construction Su ervisor License(CSL) b,t �� .Si m ��0 4 I!�/��Zz License Number Expiration Date Name of CSL Holder PT - List CSL Type(see below) No.and S eet Type Description W .\I 016411 eV 6 L h 73 U Unrestricted(Buildings up to 35,000 Cu.ft.) City/To n,State,ZIP R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding <, f/_ da f i ZZ 13 b7 � of 5 SL1_ &tJ ) k F . , SF Solid Fuel Burning Appliances Y" M 4 � coC6(4 I Insulation Telephone Email addre D Demolition 5.2pRegistered Home Improvement Contractor(HIC) HIC Co y Nam(or HIC Regis ant 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 0 No ---1:1- SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILD G PERMITI, as Owner of the subject property;herIauthorize ) -.5./44(0 r • eby to act on my behalf, in all s relative to work authorized by this building permit application.7Prin Owne70(4%/1-- 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 ap. ation is true and ate to the best of my knowledge and understanding. 1 l -Zo- ZZ Print Owner'. or A . . ized 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.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" • • The Commonwealth of Massachusetts ►.�r Department ofIi dustrialAccidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 =5v•�,� www.mass.go v/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): /pj,,//5 &,( Ot,h Address: h V 7i7: i? City/State/Zip: kJ l � � v A Phone #: Sb oij ql a z i 3 4 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with employees(full and/or part-time).* Cr2kam a sole proprietor or partnership and have no employees working for me in 8. Remw construction any capacity.[No workers'comp. insurance required.] • • �'� Remodeling 3.❑I am a homeowner doing all work myself. [No workers'comp. insurance required.]t 9. CV Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 1Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 5.0 I am a general contractor and I have hired the sub-contractors.listed on the attached sheet. 12.0 Plumbing repairs or additions These sub-contractors have employees and have workers'comp. insurance.: 1 •El Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MIGL 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. 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: 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, §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 p ' s and penalties o erjury that the information provided above is true and correct. Signature: Date: •-'Z. �7�� Phone#: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License AL- 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 #: o TOWN OF YARMOUTH Si -e,i BUILDING DEPARTMENT \Te(+ »^n rc_e ° 11_46 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 D y'arnc, 7 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: JOB LOCATION: NAME STREET ADDRESS SECTION OF TOWN "HOMEOWNER" NAME HOME PHONE WORK PHONE PRESENT MAILLN.G ADDRESS CITY OR TOWN STATE ZIP CODE The current exemption for `Homeowner' was extended to inc de owner—occupied dwellings of one or two units and to allow such homeowners to engage an individual for 're who does not possess a license,provided that such homeowner shall act as suserviso . tate Building Code section 110 R5.1.3.1) Definition of Homeowner: Person(s)who owns a parcel f land on wh ch he/she r:sides or intends to reside,on which there is or is intended to be, a one or two family attaied or detaches,structure ,ssesso such ry to use and/or farm structures. A person who constructs more than one h`me in a two-year seriod s A all not be considered a homeowner;such"homeowner"shall submit to the building offal, on a form accei table o the building official,that he/she shall be responsible for all such work performed under the buildinape . ( -ction 110 R5.1.3.1) The undersigned `homeowner' assumes respon 'sility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned 'homeowner' certifies that h- / she nderstands the Town of Yarmouth Building Department minimum inspection procedures and requirez ents an 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 i s 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 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 -A-j 11 t 27i $(VlciI1 Work Address Is to be disposed of at the following location: 1tLu jil 6 Y4/10‘14 ' Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Signature of Applicant Date Permit No. { r w,s be b d�`-s ' 44,,,,.( t WATER DEPARTMENT .e BUILDING PERMIT APPLICATION FOR tvA"IF:R DEPARTMENT SIGN OFF TRANSMITTAL FORM I3! ILDIL(: SITE LOCATION: OS 5 d u 31-4•.✓►• Si--- I r PROPOSE[)WORK: /kV D,.f r..c. / APPLICANT: _ e ' t �0'," ADDRESS: 64( /(...,-r icc f.. /9e-e _.. 1ELI9 )NE.: < clz2( 3cZ RESIDE V I-1AL AND OR(i)\IMERC'IAI. BUILDING Water I)cpattment: I)etcrtnincs compliance of Water:lcailahilit). and Or existing location Ft):inecring Dcpartmetn; Determines(.otnpltitncc liir Parking and Drainage C'onserration Commission: Determines('ontpltanec to Wetlands \ct: i c. If It4Us)border any type of „etlands, ,nYins,ponds.ri,er:,.ocean,bogs.ho).,marshland. FTC... I lealth Department: I)ctennines Compliance to State and I own Regulations, i_e requirements for Septage Disposal and other Public IIcalth Acti,lies Fire I)cpartment: Determines Compliance to State and I wn Requirements for Personal Safety,Property Protections.i.e.Smoke Detectors_Sprinkler Systems,eic APPLICANT SIGNATURE 1)1 I F: OFFICE: USE: IME, 7 S ON PF:R71111 APPROVAL OR DF\I 1I a A '7`"�,� Gam- // .. 26,..2 , RE VIEW! BY w TFR DIVISION (SIGNATURE) I)VLF TOWN OF YARMOUTH �. � HEALTH DEPARTMENT sAfk, PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: 01. S C 1- - SVtAck, ( Prgosed Improvement: Cc)tikv t.✓ i3�ek Tv Z;Vc- 1I IC-4' Applicant: a Tel. No.: S"V `t Z.L. (X, Address: " /t V( T�i,�, /�� ' Date Filed: /(')-24{—ZZ• **Ifyou would like e-mail notification of sign off please provide e-mail address: Owner Name: kig ✓1 L ' �1 , ,� /2 e e•- Owner Address: ;r._ << ,i / • 5- 04 ct// Owner Tel. No.: 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: /° V PLEASE NOTE COMMENTS/CONDITIONSf/'1Ldc- � � y � ✓►i Cc t " (46 4i .'e c,1 �� 1'ec ) 4' c r "�a ✓Gj- �` 'I oy:Y t,� TOWN OF YARMOUTH r4 ° HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant: Ne Building Site Location: p.2 c d Gc, �t y` Srtn i / Nov i c,/ Proposed Improvement: e i ci.ku4./ 1 4 YyY( C�4' , � D1) 11Z(n /7 c> -tb 1 42~ � ,L x)c=�`�e • Applicant: e wet G id Tel. No.: Address: 67 5 7) c , S �z..‘..„ /4—%./ Date Filed: ,/"' Z- 2 - z **/fyou would like e-mail notification of sign off please provide e-mail address: Owner Name: Gjri _iil e/�c (•� �,. Owner Address: (s,� �ZK, 4„ a // Owner Tel. No.: 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: ( —�� )--)` PLEASE NOTE COMMENTS/CONDITIONS: , ,-t- ��� � r� Es5 Ru(3.-t„ 14) C 5 • Sears, Tim From: Sears, Tim Sent: Thursday, November 17, 2022 10:08 AM To: 'Ed Stafford' Subject: 25 Capt Small Ed, I have reviewed your application and there are some items needed. .,Specs on all beams he proposed bulkhead encroaches into the required 20ft setback and will require relief from the Zoning Board of Appeals 0/11 GLl2gt°it- Jac ei-kor) j/f 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 CB° Deputy Building Commissioner Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsears@varmouth.ma.us 1 (3)1-3/4"x20" @ 21' LVL's w/staggered FL500 screws, see calc sheet for pattern. w/ 5-1/4"x5-1/4"versa-lam post each end w/ (1)KECCQ525-6 column cap each post w/MSH418 hangers use 16ga strapping from top of beam back into rafter 2B1 flush option #2 (3)1-3/4"x9-1/2" © 21' LVL's w/5-1/4"x5-1/4" versa-lam post DN center and 4x6DF post DN each end. 2B1 flush option # 3 (1)W14x34@20'7"w/SCH40 columns bolted or welded each end x. . 1b 40; Ins iew 14411,11111MW q3 wow 46,4 Q f - • ..._... .. i y ( Vt, I -I- 0 atial-OM MTarfirp ai ... 5-1/4"x5-1/4"versa-lem ' '" ' post DN using option 2 hi, ` 1 1 ,. . m c as R 7y . ; t # , y'y id b!.. a ',,1 -gym ? „+ # "+T;. , -' . - . [ a #` - - "� ��� �a-.� � a �! w.._... t. i r i s 0 NI ,,, I ii, )., ,...,_ Ne pull DN attic access ' strong back framing above ir per customer veri'ication —, ., \..................I.. 11., 40 p,--"g''..-71....:, ,;;;',...1.. i 4,' *,..---4:4 ------- ProeXe et NATIONAL LUMBER HAS SIZED ONLY THOSE FRAMING MEMBERS FOR L. . WHICH CALCULATIONS HAVE BEEN PROVIDED.ALL OTHER FRAMING SHOWN HAS BEEN SIZED BY OTHER PARTIES AND IS NOT THE RESPONSIBILITY OF NATIONAL LUMBER. '1"oT 14110 Xiii IT IS THE RESPONSIBILITY OF THE CONTRACTOR TO ENSURE THAT THE SUPPORT REACTIONS SHOWN ON THE FRAM NG CALCULATIONS CAN BE CARRIED BY SUPPORTING FRAMING AND/DR FOUNDATIONS. 4 sob 4- d� t THE ENGINEERED WOOD PRODUCTS FOR WHICH CALCULATIONS ARE PROVIDED HAVE BEEN DESIGNED FOR GRAVITY LOADS ONLY AND ARE USED AS COMPONENTS IN THE OVERALL BUILDING SYSTEM. 4 CUSTOMER IS CAUTIONED THAT DEFLECTIONS FOR THIS NEW BEAM WHICH REPLACES EXISTING BEARING WALL WILL EXCEED THOSE FOR ..- THE EXISTING SUPPORT SYSTEM AND THAT CRACKING OF FINISH (3)1-3/4"x20" @ 21' LVL's w/staggered FL500 screws, see calc sheet for pattern. w/ 5-1/4"x5-1/4" versa-lam post each end w/ (1)KECCQ525-6 column cap each post w/MSH418 hangers use 16ga strapping from top of beam back into rafter '4 note: hanger can not be substitute with smaller hanger hanger option 1 -'ice! h ,. , i •i 2B1 beam 5i. I Ply P .kit ,J 5 r.:-_ f Fs YEA. d r rfiet'r x .__ - ,,-'47- '- '3":: -'4'1''. ' ",. U. Y41.10i 'CV) KECCQ525-6