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HomeMy WebLinkAboutBLD-23-003221 t ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department of ,_- R EC—ETV E D- 1146 Route 28, South Yarmouth,MA 02664-4492 — 508-398-2231 ext. 1261 Fax 508-398-0836 ;L;,,,: �± Massachusetts State Building Code, 780 CMR dF1J Q 6 ?Midi g permit Application To Construct, Repair, Renovate Or Demolish _ a One-or Two-Family Dwelling BUIL)ING OEPARTMFNT By - This Section For Official Use Only Building Perm ti Number: ( Date Applied: Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 33A. V;ne. i0oisiNko- rc Hurt„ a(:)... r.o`L 1.1 a Is this an accepted street?yes v no Map Number Parcel Number 1.3 Zoning Information: 1.4 Properly 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 ?)0 3 a aD 33 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public RI Private El Zone: _ Outside Flodd Zone? Check if yeses Municipal 0 On site disposal system CI SECTION 2: PROPERTY OWNERSHIP' 2. Owner'of Record: hn c0 0,_C- . 031,6- SC , a' b\C1 0 lS Name(Print) City,State, No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 1 Existing Building 0 Owner-Occupied 0 l Repairs(s) 0 Alteration(s) 0 Addition ti(, Demolition 0 Accessory Bldg. 0 Number of Units Other ❑ Specify: Brief Description of Proposed Work2: � � �. .4Q�� ' RECEIVED SECTION 4:ESTIMATED CONSTRUCTION COSTS. T 202 Item 2 Estimated Costs: L 4 (Labor and Materials) Official Use Only BUILDING DEPARTnrt€NT 1.Building $ 1. Building Permit Fee:$35-a _Indicate how '-�eeZs>�cLCrmmed: 2.Electrical $ El Standard City/Town Application Fee 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $S1 4' y3 y Ci0•06 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire Suppression) $ Total All Fees:$ 6.Total Project Cost: $ c ✓ Check No. Check Amount: Cash ount: a 1,1--0 0. 0 Paid in Full I Outstanding Balance ue:�qO .; SECTIONS, : CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) r S-\ «o-asU is-a%- as K.M Po bU\.0 e" License Number Expiration Date Name of CSL Holden 3- C•\ou:AA S w __ 1 n r List CSL Type(see below) U. No.and Street U� Vll V Type Description W . � AJ (� t r�,f �0 U Unrestricted(Buildings up to 35,000 Cu. ft.) City/Town,State,ZIP l ) V V �o R Restricted 1,k2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding � \, SF Solid Fuel Buming Appliances �.1,J0- JU0'.) `1\ OL oV �V &Oo .t , I Insulation Telephone ��_ Email address D Demolition 5..21 nRegistered Home Improvement Contractor(HIC) a�51 O Jr IaS iZ-q -\"`130 I' . 7 CCAt C LC HIC Registration Number Expiration Date HIC Company\ame or HIC R istrant Name �a c-c\CL s: w xix A C sCt M-e No,and StreetEmail address - .O 1 PM 0 aca'io 5o k-3(Do-3t'- 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 ill No ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subjectproperty, authorize � M , (� J hereby1 ` l �d a U l ay) to act on my behalf,in all matters relative to work authorized by this build' g 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 plication is true and accurate to the best of my knowledge and understanding. Print Owner's or Authori (_� - a�Agent's ame(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" 1, -' _ \ The Commonwealth of Massachusetts A = 1 Department artment of Industrial Accidetzts r ;�=7,5� 1 Congress Street, Suite 100 c'1`_ Boston, MA 02114-2017 um sr•�,� 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): NuxiO p,p 12 Qc Address: 3 ')) aN '1(\c SA- , E t) City/State/Zip: W Q cQe c\k s V y� �2(oRhone #: s(� - 3(p(� [ I 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).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in ca aci 8. Remodeling an y p ty.(No workers'comp.insurance required.] 3.0 I am a homeowner doing all work myself. [No workers'comp. insurance required.]t 9. CI Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building 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 1 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. Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. 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. 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: i be-r t<,- 1 `_c � ta,_ t'� .ld/l f,p 1 ) Cl gtQ� V V Policy r or Self-ins.Lic. #: CI b P Q (71 ` Expiration Date: ' - a 0 -a j Job Site Address:3'3 St hp �,�, M� Attach a copy of the workers' compensation policydeclarationpageCity/State/Zip: w_�'1 Ca `n- t �l 0�(p3 (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$250.00 a day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certif underrthePo /L 'ns and penalties of perjuly that the information provided above is true and correct. Signature: Vv � Date: / 3 '� �- a - Phone#: -50 -_)-) G2 V r 30.-r( Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: 12/15/22,8:52 AM Mail-Sears,Tim-Outlook 332 Pine St Sears, Tim <tsears@yarmouth.ma.us> Thu 12/15/2022 8:49 AM To: popvichkim@yahoo.com <popvichkim@yahoo.com> Cc: Slack, Christine <CSlack@yarmouth.ma.us> Kim, I have reviewed your application and you are going to need Health Department sign off. Thank you Timothy Sears CBO Deputy Building Commissioner Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsears@yarmouth.ma.us https://outlook.office.com/mail/sentitems/id/AAQkADE3MDQ5NWZmLTkOYzItNDIwNi1 iMDQxLWNkMGQyNmE4NzE5NAAQAHvwVXYH8NZBk3xS90k... 1/1 AVN OF •$,Ft\1 fl113 tg7477.4kt,\ ikAt, , WATER DEPARTMENT BL,d, 1,1,nd Rt art+FEY, W:4 SfairnOU!il At 0267 • idv BUILDING PERMIT APPLICATION FOR NVATER DEPARTMENT SIGN OFF TRANSMITTAL FORM n Mil:DING SITE LOCATION: rmizt. PROPOSED WORK: APPI IC A NT: NVNI) kj CA/1 divvy\ c. A DDRIS s: 53a \(\i\oki) fth Wsp4 LNIULN,AC)' 61\A 0 lb 30 TEM iONE: .r3 07 1 k,o 1 TOVCAlk Or) i(....LAr;\ Ccfsev\ RESIDENTIAL AND OR COMMERCIAL BUILDING WaterI kpart 111C111: Determines Compliance of Water.\xailabilit and or existing location Engineering Department. !kmines(.1tmphance for Parking and Dramatic 'tncr ation Commission: Determines Compliance to Wetlands \et: i c If!oust border any type of ‘ketlands. streams,ponds,rivers,ocean. hogs, boys, marshland. ETC... I lea Ith I kpart went: Determines Compliance to State and"1-ox‘n Regulations, i C. requirements for Sewage Disposal and other Public I lealth Act it Fire Ikpart went: Determines Compliance to State and Tim n Requirements kir Personal Safety.Property Protections. i.e.Smoke Detectors.Sprinkler Systems,ete APPLICANT SIGN:13171a DA I L OFFICE USE: COMMENTS ON PERMIT APPROVAL OR DENIAI. eP.:51-1t7 .127";: 720-x2 REVIEWED BY WATER DIVISION(SIGNATURE) DATE tf, `9., 6 V-3 9t jam/,/ f 1 9204 NAME + Anthony Aggouras 8-21-96 ,•.-,-tee._ STREET 332 Pine St. Lot 2 West Y.P rrnollth VILLAGE SERVICE NO. 9 °1 5' Cr;:. {/5238714fi _17—`17 METER NO. a, 1ii,., r^# 57t , Pt c% AS I GARAGE I \--, € _a 1460 7II / . \ / °t f "--2 -----311 E'" l tie. .w o le 32 t 141 -"--•^11260/14 31`O" _ S.\\L— _ _..__. _ _ — — jack t,ao _ - - 1 OTC Locus ___,------- .o /.NZeof z o o o / \ ib i , ro lee Shed / 0 „ 4 4 o • "7 .' / (./) ire tit! / " ST \,/ _WEST YARMOUTH, MA emove . siTE LOCUS Patio r .--\ N...) NOT TO SCALE -N.___- 1 Zone R-25 — \-- '1 \ 0 I Proposed 0 .-:. Mop 22 25,000 Sq. Ft. L-0 i \ 1 1 Acdi -Lion cri Parcel 102 150' Frontage Setbacks ____, Front 30 — 3-7-20'—,---------- ' Side 15' Rear 20' p --- r_ Maximum Coverage 25°Z / ° \ 1 1 CO Cli Existing Coverage: 15.7± 0 */ Cb 1 (..) \ \ 0 Proposed Coverage: 19 5: 1 N-) 1 0 2/ 1/ I '0 \ \ \ \ Plot Plan ° i j \ For oposed Addition ,•., \ 's 12.6 -Lk-----4 Pr L-- - 332 Pine Street i # L ''-''''-- ,1111,..4 I.,—,....Aii "W '''' West Yarmouth, MA -•••,.., 1 \ S A S N.) D Prepared for: Kathleen Marie POrr0 0 roposec Prepared by: 0 Sono Tupes An Cape Septic and Survey 618 Route 28 ( T\Jnyp ic al ) West Yarmouth, MA 02673 (508) 771-4200 ollcopesepticOomoil.corn 17 Dote: 11/07/22 " .4 ..,2, GRAPHIC SCALE 42717 2° ' 20 0 10 20 Map 22 Wr1IIIIIIIII Parcel 98 ( IN FEET I inch ,-- 20 it Deg #53C ~ , . '- ` Mop 22 Parcel 95 FF House #332 -P. Lot 2 2 Bedroom 00 RE 4) This property is not in a Wellhead Protection District 107.0' 'i,) This property is in Flood Zone X Firm Mop 25001CO588J Doted 7/16/14 _ I HE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Aff r _ x . Business Regulation 1000 Washing j - - Suite 710 Bosto 118 Home Im }ro "a"- a i{stration Izi N I o t Type: Individual N KIM POPOVICH m , ' e ation: 205510 cw D/B/A NEW AGE REALTY AND CONSTRUCT! ' EpOation: 05/25/20211 332 MAIN STREET # i ;� UNITE f v WEST DENNIS, MA 02670 ;ii. ;?, ) +� Update Address ant y 5--C .. t - ? %,; a wl' V g ��h � THE COMMONWEALTH OF MASSACHUSETTS .5 o .lNa� ti. Office of ConsumerAffar „8 Business Regulation Registration valid for individual use only before tl n m o 2 gx C? HOME IMPROV ONTRACTOR expiration date. If found return to: ?o o 2 V 0 -W Office of Consumer Affairs and Business Regulat ? o a= y .... '•i 1000 Washington Street -Suite 710 A Q z A+ Boston,MA 02118 CO :� Y o)N E KIM POPOVICH _ ) ;p 0 D/B/A NEW AGE RE 7 E` ION 0 , , KIM A.POPOVICH ilr4f-M-----= # ,2I9 HIGHRIDGE LANE :...3-.._ i SANDWICH,MA 02536 „,, Lrs '� t - vv1 ‘✓\ vs'1..J __ Undersecretary Not valid without sigfyature Town of Dennis DBA CER't 685 Route 134 In conformity with the provision, ' South Dennis, MA 02660 Chapter 110,Section 5,as am' (508)760-6112 undersigned hereby declar business under Business Name: New Age Realty and Construction Location: 332 MAIN STREET Mailing Address: 9 Highridge Lane WD, Sandwich, MA 02563 Owner: Kim A Popovich License Number: DBA-012847-2022 License Type: Business Certificate Issued Date: 5/23/2022 Classification: Business Certificate Expiration Date: 5/22/2026 Fees Paid: $70.00 Name of Business: New Age Realty Type of Business: Real Estate and Construction4)14"144(+ Mailing Address: 332 Main Street, Unit E West Dennis, MA 02670 "' Type of Business Change: No Changes Town of Dennis A certificate issued in accordance with this section shall be in force and effect for four years from the date of issue and shall t renewed each four years thereafter so long as such business shall be conducted and shall lapse and be void unless so renewe TO BE POSTED IN A CONSPICUOUS PLACE '4C CORE, CERTIFICATE OF LIABILITY DATE(MM/D°r" �.� INSURANCE 12/06/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON.THE CERTIFICATE HOLDER. T CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POL!C BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORI,;:REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endor If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT BIBERK NAME: PHONE 844-472-0967 P.O. Box 113247 (Arc.No.Extt FAXC,No): 203 654 36; E-MAIL (A/ _-_ Stamford, CT 06911 Mass, customerservice@biBERK.com - INSURER(S)AFFORDING COVERAGE NA IC INSURER A:Berkshire Hathaway Direct Insurance Company • 1039: INSURED Cleantec Diversified Services Consultants LLC INSURER B: Augustine Home Improvement INSURERC: • 38 Crestview Dr INSURERD: East Sandwich, MA 02537 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: • THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PEP,r. INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH Ti- CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEi" EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INTR TYPE OFINSURANCE SR ADDIJSUBR ' POLICY EFF POLICY EXP INSD WVD POLICY NUMBER (MMIDDM'YY) (MMIDDIYYYY) LIMITS • X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ '1,000,2 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ 5U,t A N9BP584248 08/20/2022 An EXP 08/20 2023 MED/ (Any one Person) $ 5,0 PERSONAL&ADV INJURY $ Incluci GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PT LOC GENERAL AGGREGATE $ 2,000,'}. . PRODUCTS-COMP/OP AGG $ 2,000,0' X OTHER: $ AUTOMOBILE LIABILITY • COMBINED SINGLE LIMIT $ • '-' ANY AUTO (Ea accident)BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ '---- (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS -- WORKERS COMPENSATION - - $ AND EMPLOYERS'LIABILITY YIN PER ER TAATUTE "- --,_ ANYPROPRIETOR/PARTNER/EXECUTIVE ----- OFFICER/MEMBEREXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) - If yes,describe under E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below • E.L.DISEASE-POLICY LIMIT •$ - Professional Liability (Errors & Per Occurrence/ Omissions): Claims-Made Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORYi THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Ann McDonald ACCORDANCE WITH THE POLICY PROVISIONS. 332 Pine St West Yarmouth, MA 02673 AUTHORIZED REPRESENTATIVE ' I ©1988-2015 ACORD CORPORATION. All rights reservr. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Date: 10-25-2022 AUGUSTINE'S HOME IMPROVEMENT Contract for Home Repairs P.O. Box 1167 E. Sandwich, MA 02537 Office: (508)888-2150 Mobile: (774)722-0360 E-Mail:Augustine.Homelmprovement@yahoo.com Ann McDonald, Homeowner, desires to contract with Augustine's Home Improvement, Contractor, to perform certain work on property located at: 332 Pine St., W. Yarmouth 02673 781-771-1218 ammo5@live.com JOB DESCRIPTION The work to be performed under this agreement consists of the following: Addition to plans, strictly adhered to. A.The addition foundation is to be on 12" sonotubes. B. The framing shall be 2"x10", floor joists to be cleated with pressure treated 2"x4". The subfloor shall be closed celled foam insulation under Advantek sub-floor with vinyl flooring.. Insulate the ceilings and walls.P C. The walls shall be framed with 2"x6" lumber. D. The windows and doors shall be Andersen 400 Series. E. The skylights shall be Velux solar. F. The roofing shall match the existing shingles , P. -"" 6-) G. The lighting shall be LEDs needed and a ceiling fan. H. The bathroo ower hall be a tiled, 3"x5", with a rain hea• shower and a niche with a deco. band. The show I be 3/8" glass, barn style. et v ni hall a 48" i a to . '`' I. The vanity s b� ,�� � granitep J. The ventilation system shall include heat, light and a 100 CFM vent. K. Auxiliary heat shall be an electric baseboard. L. The LED mirror and lighting shall be of customer's choice. M.The cooling and heating shall be a split system. N. Add new pavers around the shower. (There shall be no space between the shower and the new addition). 0. Paint and finish with colors chosen by Homeowner. P. Add a door to the garage into the new addition. Q. Add a door to the rear entrance. • R. Add steps and a new ramp to the addition from the garage. S. Add a pocket door to the new bathroom. T. Add a new sliding door in the back of the proposed addition. PAYMENT TERMS In exchange for the specified work, Homeowner agrees to pay Contractor as follows: Total Due: $129,700.00 $ payable upon signing of contract. $80,700.00 Material and 1/3 Labor Ik7 (14/4.1/4rykA $ payable when job is half completed. $29,000.00 Labor and Additional Material. / $ payable upon completion. $13,000.00 Labor. $ payable upon final inspection. $ 7,000.00 Final Labor and Inspection. TIME OF PERFORMANCE The work specified in this contract shall be as follows: Beginning on: TBD Completed on: TBD *Any modifications, addendums, inclement weather and/or situations beyond human control may alter the timeframe of original work order. INDEPENDENT CONTRACT STATUS It is agreed that the Contractor shall perform the specified work as an independent contractor. Contractor shall maintain his own business. Contractor shall use his own tools and equipment to perform the work specified in this contract. Contractor is responsible for satisfactory completion of the work. LICENSE STATUS NUMBER Contractor shall comply with all state and local licensing and registration requirements for type of activity involved in the specified work. Contractor's Home Improvement state license number is as follows: 189221. LIABILITY WAIVER if Contractor is injured while performing specific work, Homeowner shall be exempt from liability for those injuries to the fullest extent allowed by law. • PERMITS AND APPROVALS Contractor will be responsible for determining and obtaining necessary permits. Homeowner shall pay for all necessary state and local permits. Homeowner shall be responsible for obtaining approval form the local homeowner's association if required. ADDITIONAL AGREEMENTS AND AMENDMENTS Homeowner and Contractor additionally agree that: Delivery delays are beyond our control. All agreements between Homeowner and Contractor related to the specified work are incorporated in this contract. Any modification to the contract shall be in writing. Print Name: 14r,ti (Homeowner) Sign Name: Date: I I 7 2Z (Homeowner) Print Name: Augustine R. Lett (Contractor) Sign Name: Date: 1i ( 29 ( LI, Contractor) *,,t.;Y% ,� TOWN OF YARMOUTH c HEALTH DEPARTMENT �•`' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant: cc l Building Site Location: 33(). P\A-kk S\ Vv -\ M1 1A Proposed Improvement: 3W ot`3'\N\ C),Aaa c) A^`^ 1 Applicant: \ U e\ ? rV\& Tel. No.: 50 -360,3 Address: 33L V(AW,Wf\ �T �a,xV. _ l� , t ,v\ Date Filed: ) a _k D1D C **If you would like e-mail notification of sign off,please provide e-mail address: i m p V yt 11\p o, L o M Owner Name: la j‘kN C Q Owner Address: T\ , U CJ 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. C REVIEWED BY: i DATE: / / 47\- PLEASE NOTE COMMENTS/CONDITIONS: friiitc SJIv s.3 YN 5 t)11 . / 1 ,A WC u aci=e to Wood construction hr -Iigh Wind Areas:410 mph W nr Zone OF Massachusetts Checklist forts Compliance(78C CMR 53ol.2.1.i)' • Q Check Compliance 1.1 SCOPE Wind Speed(3-sec. gust) 110 mph Wind Exposure Category B 1.2 APPLICABILITY Number of Stories (Fig 2) ,.. #�-stories <_2 stories Roof Pitch (Fig 2) b `IZ-5.. 12:12 Mean Roof Height (Fig 2) ft 33' Building Width,W (Fig 3) — ft <80' Building Length,L (Fig 3) ft S 80' Building Aspect Ratio(L/W) (Fig 4) 4+ `(<_5 3:1 Nominal Height of Tallest Opening2 •(Fig 4) b..fg <_6'8" • 1.3 FRAMING CONNECTIONS General compliance with framing connections (Table 2) 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete Concrete Masonry 2.2 ANCHORAGE TO FOUNDATION1'3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only • Bolt Spacing-general (Table 4). .... ... - in. Bolt Spacing from end/joint of plate (Fig 5) "12- in. <6"-12" Bolt Embedment-concrete (Fig 5) .j_in. >_7" Bolt Embedment-masonry (Fig 5) - in. ?. 15" Plate Washer (Fig 5) ' >3"x 3"x'/." 3.1 FLOORS Floor frah3ing member spans checked (per 780 CMR Chapter 55) Maximum Floor Opening Dimension (Fig 6) ..4fl ft s 12'or L/2 or W/2 Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6) Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall (Fig 7) ft s d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall (Fig 8) - ft <_d Floor Bracing at Endwalls (Fig 9) Floor Sheathing Type (per 780 CMR Chapter 55) / Floor Sheathing Thickness (per 780 CMR Chapter 55) 'f in. Floor Sheathing Fastening (Table 2).. d nails at_ 4 in edge/ /2. in field 4.1 WALLS Wall Height Loadbearing walls (Fig 10 and Table 5) L� 7 ft s 10' Non-Loadbearing walls (Fig 10 and Table 5) ft <20 Wall Stud Spacing (Fig 10 and Table 5) 4b in.S 24"o.c. Wall Story Offsets (Figs 7&8) - ft s d 4.2 EXTERIOR WALLS3 Wood Studs Loadbearing walls (Table 5) 2x4 4Q ft - in. Non-Loadbearing walls (Table 5) 2x 6.-,(4 ft in. Gable End Wall Bracing 1 • Full Height Endwall Studs (Fig 10)..W.01.0.Ee.F.n WSP Attic Floor Length (Fig 11).. 11.(,:lc- ft>_W/3 Gypsum Ceiling Length(if WSP not used) (Fig 11) -ft>_0.9W 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. .. (Fig 11)a:a - �z:s oeV_e- . Fc 13 ar.c-eb e e; . 1. ��iz l �`�HOF44� .re Cc.. ^.ems . ....C,omrr, rails; Thb F; �i.. �cl,' MICHELE t •7O Z Z ` 3 t CUDILO . `' �` o8 STRUCTURAL y /G /j1,4/, il.) • No 34774 `GAG IP 9FQIS7EAF'�`ri. r/ f SS/ONAL�G I(i� / L Z ivlAc DoN -I> .S. osoflM(4, 332.PiM� ST. 1N ` ? Mo AWL ;.;:fide e to Wood Construction inBF1g%? Wind reas: H S PF1d1? �'y!'n Zone Massachusetts Checklist for Compliance (,se c •�m 5� i.2. ._,= ' Z �� Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails) (Table 7) 2 Non-Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails) (Table 8) 7i Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans j (Table 9) _ft in. 5 11' Sill Plate Spans 1 (Table 9) rep- in. s 11'Full Height Studs (no.of studs) (Table 9) l �*il`' — — Non-Load Bearing Wall Openings(record largest opening but check all opening r co pliance to Table 9) Header Spans g g f(Table 9) 1.... ..... ... ft_in._5. 12' Sill Plate Spans.... l(Table 9) ft in.<_ 12"Full Height Studs(no. of studs) (Table 9) Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 a Minimum Building Dimension,W z, LLI Nominal Height of Tallest Opening2 tin. Sheathing Type (note 4)Edge Nail Spacing (Table 10 or note 4 if less) Field Nail Spacing ;(Table 10) • Shear Connection(no.of 16d common nails)(Table 10) Percent Full-Height Sheathing (Table 10) 1�� q% +, i! 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts) 'if l�' , • Maximum Building Dimension, L _• 2 ef t Nominal Height of Tallest Opening2 .62is 6'8" Sheathing Type (note 4) _____ Edge Nail Spacing (Table 11 or note 4 if less) - `-Lin`. Field Nail Spacing (Table 11) 2_- i Shear Connection(no.of 16d common nails)(Table 11) Gr . Percent Full-Height Sheathing (Table 11) o ` ' ,p,d ' 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts) '• ,``' Wall Cladding Rated for Wind Speed? 5.1 ROOFS Roof framing member spans checked? (For Rafters use AWC Span Tool, see BBRS Website) Roof Overhang (Figure 19) .4-2-ft<_smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Z,t i Proprietary Connectors It'� S�11T� s "r Si • /1&I Uplift (Table 12) U= ,at Lateral (Table 12) L= • Shear _ (Table 12) S= Z Ridge Strap Connections, if Ilar ties)iot ed„ r page 21..... (Table 13) T= "-- .G ST .i Gable Rake Outlooker.... (Figure 20) lia ft s smaller of 2'or Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors • Uplift (Table 14) U= ' lb. Lateral(no.of 16d common nails)...(Table 14) L= - lb. Roof Sheathing Type (per 780 CMR Chapters 58 and 59) Roof Sheathing Thickness `x in a 7/16"I"V,S�P Roof Sheathing Fastening (Table 2)..6. ..62....y. ,.... . . .. ., p Notes: 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: • a. Steel Straps per Figure 5 �1'k1- lam ,! .�j i ft L m 14 ,sj, .,L,5, b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a 2. Exception: Opening heights of up to 8 ft. shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness. pressure treated#2-grade. /7,-02z )taidc, /7 `(H OF Mgs moo`, MICHELE`s, / Z/rr-'�i2 . CUDILO m 8 STRUCTURAL y No 34774 43 9 9OA.`°Q/STE- y FSsoNAL ENG) . •-• N 33d, P uvvi, ,Sbruvit w /AA\tolAikAkoLaki, 1 1 . & ........_______----4, __ ____; _ _„_, th \ . af ' • 1 '. 9 \ • . 1( -- bil vriA e %1 0 (i. e wincikatttity \ \ III 1 viodteas . 1 • 11 \ i .,, rizsgation ate, , , i it-2.c400kise 1 • tkvrtlytt,Tir. 1 1 1 1 iits.Obt•C'TIP.--z_t I i I I ' t . . i 1 1 1 ., midi. vinutlEehi 1, , iii 54.° )/ K. i Ii le i I. ' ' ! O.' rt fig • . NS 14. i I 1 1 • 1 1 .„.-4 4...__t.:..=•__ .." . gne---- — .. —... —. . 1 6P4 et NW -/- t-- - PM*, V10/01E. , t 1(4141144111. 11. , 140, o i. 0 FOS '*&T. lab 40412.. iiirTACiiiMAT NOTES: • Wood Structural Polak AO be minimum thickness of 7/16"sod be hurdled as follows: i. Panels shell bac imaged with strength axis parallel to studs. , U. AD baissuod joisistudi mew ow and be nailed to framing in. On stogie story constructioss.panels shall be attached to beam plates and top theanberpf the double loP Plato. iv. On two um eamsovesios.%gaper pods shall be attsched to the toper of the upper double top *se and tobsid joist ol bosporst mei.Upper soactosent alarm ploadilmdi be made to bind joist and Iowa sosebotent made iisktiotst plater floor faxen& v. Horizontal nail spositag at doable plates,band joists,and girders idedi be a double row of 8d staggered at 3 indiesen center per rives below:Vesticd and Hcwizontal Nng for Panel Ainelunent Gote 17 . f)F i • .r, . 331 6Jthtie. �ti GUQ.0 (C r , ` vritSTS 1 0�k /i 17-, _.: . __ .___ .__ ___. ___. _L. ___. __. __.__t4 _.___ ►. id 1•I Il H . 11 1I 1 i �I , , t i 1. P ri'. r . - u, i I 1 ,It . ', I { LI ii3 * , . 1 '1, i 1 , i i I a- ri 4 1 1 I — 1 n.., i . 3 I i i 11. 11 1. 1-1 . '11:.: ' 1 1.1 1 1 . a � j � .i o V I 1 1� I I o iI a rl e II 1-i I i 1. 1 ( 1 1 -3 Li -if S 1,+1 .! r . _ I 1 i i` III I ri Noe I i ` I-- _� c i I 1 OD 1.UCTOLM. r .i. wlo( W6P) T4IP J WS P ATTAC H ENT0 . NcT To SGAt..t R. Vt TTIW L jft4D #40R IZoNTA►L rr#c44 MtNT 33aP Stud, W 5 GENERAL NOTES AND MATERIAL SPECIFICATIONS: FOUNDATIONS - 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. For site location and grading information,see Site Plan,by others. 3. Assumed net allowable soil bearing capacity,q=3000 psf,for a medium sand/gravel composition. Other soils encountered, contact the Engineer of Record. 4. Concrete: Minimum 28 day strength,fc=3000 psi,3/4"aggregate,designed per American Concrete Institute Code,latest issue,maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min.5/8"diameter,a2"long,w/2-1/2"hook spaced 4'o/c,pQr in concrete piers w/ Simpson ABU-series base;SPACED 2'o/c for slab-on-grade construction(i.e.Garage). FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2.Structural Design Loads: Dead Loads:Actual Weight of Building Components Live Loads:Snow Load =30 psf(plus drift)with applicable reduction ATTIC Storage=20 psf Living Floor=40 psf Sleeping Floor=30 psf Decks and Balconies=60 psf Wind Load: Criteria used for 110 MPH Exposure B 3. Structural Steel: (as required) a. ASTM A572 Grade 50;shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307, 1/2"diameter;punched holes: 9/16"diameter. b. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams;use E70xx electrodes. Alternatively,field weld by certified welders. c. Deflection Criteria: L/360 total load deflection. 4.Timber Framing; a.All new timber framing:Spruce-Pine-Fir No.2 with Fb=1000psi,E=1,300,000 psi,or better. b.Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. c.Laminated Veneer Lumber:All L.V.L.shall be 1.9E L.V.L.with Fb=2925 psi,E=1,900 ksi,Fv=285 psi,Fc_per=750 psi, Fc_par=3035 psi. Parallam(PSL):All PSL shall be min. 1.9E ES with Fb=2900 psi,E=1,900 ksi,Fv=285 psi,Fc_per=750 psi, Fc_par=2900 psi. Note that Microllam and Parallam may be used interchangeably. 1. Deflection Criteria: L/480 Live Load,L/360 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 5.Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified by mfg.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 48"o/c; Rafter to Ridge Plate: Collar ties min. 1x6@ 48"o/c at top or Simpson Straps over top of plywood spaced 48"o/c b. Rafter ends to top plate: Simpson H2.5A c. Band Joist: Simpson straps at 48"o/c 6.Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise.Bolt holes in wood shall be 1/32"larger than bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers.All nuts shall be retightened at completion of job. 7.Blocking: a.Blocking shall be solid blocking,2x minimum,and full depth of member. b.Stud Walls:provide blocking at 8'-0"o/c,maximum height. Corners to be blocked at 48"o/c with plywood edge nailing to this blocking for the first 48"of these building corners. c.Nailing Schedule: Solid Blocking to Bearing 2-8d toenails ea.side Blocking Between Studs 2-lOd toenails ea.end,or 2-16d end-nails ea.End d. New Framing:Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all edges;attach plywood edges to this blocking 8.Nailing Schedule: All nailing shall be in accordance with Appendix 120.Q,unless noted herein specifically. Multiple Studs 16d @ 12"staggered a.All nails shall be common wire nails. b.Sub-bore where;nails tend to split wood. 9. Headers less than 4'-0",use 2-2x6;all others per MA State Building Code Table 5502.5(1)and(2). 3 ;). l' -`_S t LO i2,1 (c;t.A_Alk.45-t,k ,.\: ❑PTI❑N #1 HEADER SIZE L=1'-0°TO 4'-0" (1)LSTA 9 (1)SSP (1)SP4 PERKING (1)A23 (I)A23 (I)H8 TOP/BOTTOM OF EACH CRIPPLE STUD C1-1t© L=4'-1"TO 6'-0" (2)LSTA9 (1)SSP NOTE:FOR HEADERS LOCATED 1-- / (2)SP4 PER KING (I)A23 (2)A23 iRECII,Y 9EIAy'DOUHJ,e TOP `■l (C4S� _ (1)CS 16-(6)8U NAILS PI ATPS. P HEADER T4 / L—6'-1"TO 8'-O" (2)LSTA 12 (1)SSP EACH END OF STRAP TOp 16 (4 NAS 14 ,,,,© (2)SP4 PER KING PER EACH KING STUD (I)A23 (2)A23 _Bd 16• (4 ARS L110., (SEE NOTE'4') L=8'-1"TO 1O'-O" (2)LSTA 15 (2)SPH6 (1)SSP I A23 2 A23 A �� PER KING - O () EA E TH F...16) READER(PER PLAN) (I)SSP L=I0'-1°TO 16'-0" (2)ST2122 (2)SPH6 PERKING (1)A23 (2)A23 LULL ❑PTI❑N #2 HEADER SIZE ® ® © © WINDOW/DCX)R OPENING , - -- -- - (1)-CS 16 (1)SSP L=1'-0"TO 4'-0" W/(5)80 PER KING (I)A23 (1)A23 (I)H8 TOP/BOTTOM EACH END OF EACH CRIPPLE STUD (2)-CS16 (I))SSP L=4'-1"TO 6'-0" w((s)eo E KING (I)A23 (2)A23 C T II5 RS I,O�ATEp EACH uvu ` (I)CS 16-(6)8D NAILS Y S BELOHEEARER TO1T)P 1 iI i (f) (2)-CS16 SEE NOTE 1' (1)SSP EACH END OF STRAP Ti'OPP[.�TES�Wm(IS Cc816 SIG/4 ��\]� L=6'-1" I O 8'-0" WJ(6)SD EACH END PER KING PER EACH KING STUD (I)A23 (2)A23 p (SEE NOTE'4') 4 (2)-CS 16 (1)SSP L=8'-1"TO IO'-O'r SD • EACH END PER KING (I)A23 (2)A23 EACH v .v L=10'-I"TO 16'-O" (2)ST2122 P PIERSKING (I)A23 (2)A23 • NOTES . /Vf I.HEADERS 4'-1"AND LARGER REQUIRE(2)JACK STUDS AT EACH END OF THE HEADER. ON) 2.CONNECTORS SPECIFIED ABOVE SHALL BE ATTACHED DIRECTLY TO 2X FRAMING MEMBERS. , 3.NAIL FULL HEIGHT JACK STUDS TO KING STUDS WITH(2)-I6D NAILS PER 6"O.C.(JACK STUD TO SOLE PLATE STRAP NOT REQUIRED) 4.STRAP NOT REQUIRED WHERE SHEARWALL HOLDDOWN IS ADJACENT TO OPENING. 5.DETAIL FOR WINDOW AND DOOR FRAMING ONLY.OTHER STRAPS AND TIES NOT SHOWN FOR CLARITY. II 6 • FRAMING @ WIND❑W AND DOOR ❑PENINGS /.4 /�I t/ ((,(':6r& . 4,„,OF MASsq� �1 /`" - o, ^I`V v L�N o Np �P4O�•Q , RFQI Z