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HomeMy WebLinkAboutBLD-23-006009 6-1a- lay C ONE & TWO FAMILY ONLY- BUILDING PERMIT ..�....-� Town of Yarmouth Building Department . "o "r RECEIVED 1146 Route 28,South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 ' �fr'i � Massachusetts State Building Code,780 CMR MAR 1 2�a'lild g ermitApplication To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling BUILDING DEPARTMENT El - This Section For Official Use Only Building Permit Number: 6 L I) --0.3 -O 01/0 Q ci Date Applied: � `/e � / ' Building Official(Print Nam ) Si re Date SECTION 1:SITE INFORMATION , 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 3 33 P�.JI Clam,- /a 1.1 a Is this an accepted street?yes k. no Map Number Parcel Number 1.3 Zoning Information: 1.4 Pro erty Dimensions: 0/.see 7d Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required I Provided Required Provided Required Provided 4)_ 4 S drf tr , 'Is 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: y Public Private❑ Zone: — Outside Flood Zone? Niunicipp al 0 On site disposal system CICheck if yeses SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record. W 0 34- 1 rv-t ov i l-/A d 026 73 Name(Print) City,State,ZIP . 3 a.u(c t,,,e_ So,S-34 -34a6 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK"(check all that apply) New Construction 0 I Existing Building 0 I Owner-Occupied 0 I Repairs(s) 0 Alteration(s) ❑ I Addition 0 Demolition ❑ I Accessory Bldg. 0 Number of Units Other Jid Specify: c5'016%/-- Brief Description of Proposed Work2: .$ku1 Pa. Soles Sir Vein ON- roof n I (35 SECTION 4:ESTIMATED CONSTRUCTION COSTS. 2 3,pod.CO Item Estimated Costs: Official Use Only (Labor and Materials) I.Building $ rir,000, G i 1. Building Permit Fee:$ /57) ,Indicate h w e •;, , 0 Standard City/Town Application Fee 2.Electrical $ f, r et•c0 ❑Total Project Cost3(Item 6)x multiplier . . x 3.Plumbing $ 2. Other Fees: $ �/ APR 2 7 2023 4.Mechanical (HVAC) $ List: Or l� 4. I O • BUILDING DFPARTMENT 5.Mechanical (Fire $ Total All Fees:$ By _______ Suppression) _ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ d''5r ie"le ❑Paid in Full 0 Outstanding Balance Due: mil 4. A4 fi Ca inku . cam SECTION 5: CONSTRUCTION SERVICES 55,1 Construction Supervisor License(CSL) n Ci -d 746.021 1' '`6z/ zs- J()� ►2/A �l t License Number rtExpiration Date Name of CSL Holder I r 'je > ,, List CSL Type(see below) No.and Street [�!I Type Description J e" f--pe 44i m4 ®-7D� -7 96 R U Unrestricted(Buildings up to 35,004 cu. 1 City/Town,State,ZIP Restricted lct2 Family Dwelling M 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) R aaClsro 515423 L1 S U(N'e0' HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name Sire- ba_co,pevvir y®y .o oePt No.and Street Email address to es✓- � .M4 0 7-vro, 774 -,t$g-483d City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes ❑ No SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize 13 Set.o rd C--c•-cl to act on my behalf,in all matters relative to work authorized by this building permit application. �e),n U(bO(O / 3 - 1 y - 023 Print Owner's Name(Electronic Signature) Date • SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. & A,,e(/".- '-/$_ 3 Print Owner's or Authorized Agen s N lectronic 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" t;),.. 0 /`y {. . ..„1I- rmc5,.t..,;..-h„ls ,,, ,i t„,,-,:((14)„. , aai7.c0.sr...e..oi34o)1...- .; .<0„,..0Z.*..,,0i.,,,i.,4,., %„- -t...,t.:0=:„F*.::.0,wi:t!:.-* 7 0 t !ii:it,..!„, (1 ,.,:'.. , 4e'4o*<'.il:.'0o.:„ws.'.I.:..o(0•,".w.,,„4i..„.,.t., ', b' -8..__,.',... .i-- ,i,,,::.„!'.',. * :.. c 1/4 ) V- 1 . * > 40 i. ' ,>. p„.ice _ a; (lc II* 04 Ai 0***I g ,C*** ,,,A„ „,,0,!'2.' ;;? ta*',,. ' 4*;17 ''' '11,;r,...ik.! t:21142 '410-*-40 ;,,,,.%V**.c4- ,„.,, , = SU %.. . ''" ' *k 44 21) row. ri ', �� a , b t fit. < ip m. ,_.am t; • ...,AS"';".`.<" ;, ,' 41:- - ,�•- : °,.�; . gi -. : ;i„ 'vss5 ,, .,F x: .• F fix' ® ov %4 , %41 /4.4 •A'`, 4 4 % A .rA ; /A/24 *;woi 0 4 s / 1 A--'7, k•• 4 'VI HIC Regis • tration Complaints Registration # 201880 Registrant B Squared Carpentry LLC Name Bryant Bernier Address 22 Thomas City, State Zip Westport, MA 02790 Expiration Date 05/03/2025 Complaints Details No complaints found for this registrant, You can also view arbitration and Guaranty Fund history. Back To Search ACCORD® CERTIFICATE OF LIABILITY INSURANCE DATE(MM(DD(YYYY) 11/10/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED 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 endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACTNAME: BIBERK (NC. PHONE g 844-472-0967 (A FAX No): 203 654 3613 P.O. Box 113247 E-MAIL customerservice@biBERK.com Stamford, CT 06911 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: National Liability&Fire Insurance Company 20052 INSURED INSURER B: B Squared Carpentry LLC INSURER C: 22 Thomas Street INSURER D: Westport, MA 02790 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 POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYY) (MM/DDIYYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 0 DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ 0 MED EXP(Any one person) $ 0 PERSONAL&ADV INJURY $ 0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 0 POLICY PRO-JECT LOC PRODUCTS-COMP/OP AGG $ 0 OTHER: COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE HIRED NON-OWNED (Per accident) $ AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ $ DED RETENTION$ PER OTH- WORKERSCOMPENSATION X STATUTE ER AND EMPLOYERS'LIABILITY YIN E.L.EACH ACCIDENT $100,000 AFFICERIM MBER EXCLUDED? /DCECUTIVE NIA N9WC880747 11/11/2022 11/11/2023 A (Mandatory in NH) E.L.Y E.L.DISEASE-EA EMPLOYEE $100,000 (Mandatory in If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $50U,000 Professional Liability (Errors& Per Occurrence/ Omissions): Claims-Made Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Exclusions: Bryant Bernier; CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN B Squared Carpentry LLC ACCORDANCE WITH THE POLICY PROVISIONS. 22 Thomas Street Westport, MA 02790 AUTHORIZED REPRESENTATIVE 7 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • The Commonwealth of Massachusetts h Department of Industrial Accidents siptiN 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dire Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): g Sq,.a. / Co-"Petlacy £_CC.. Address: ret.A.S 5''ce e1 City/State/Zip: W es-11Oor.L /VIA © 0 Phone#: 4'- Are you an employer?Check the appropriate box: Type of project(required): 1. a employer with_ employees(full and/or part-time).* 7. 0 New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling ' any capacity.[No workers'comp.insurance required.] 3.DI am a homeowner doing all work myself.[No workers'comp.insurance required.]: 9. ❑Demolition I0 0 Building addition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. I4.,[g]Other SQ/cv- 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: bit 06 50S I ne SS 1 wSvrc,-ice Policy r or Self-ins.Lic.#: N.7 (tic 88 07 47 Expiration Date: 0Z3 Job Site Address: o23 Pa.ul0. low- City/State/Zip: Y`"-1 `' ^' M`'E' 0 73 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. do hereby certif der the pains an s of perjury that the information provided above is true and correct Sionatur . Date: 3 --/S--,93 Phone#: �74(— 5'�8— 4L702-/ 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#: ® DATE(MWDD/YYYY) ACCORD CERTIFICATE OF LIABILITY INSURANCE 04/24/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED 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 endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME:CONTACT Donna Rodrigues,CIC,CRIS John Andrade Insurance Agency,Inc. PHONE H N o.E:t): (401)253-6542 (AC No): (401)253-5070 559 Hope Street Ai AIL ss: drodrigues@johnandradeinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# Bristol RI 02809 INSURER A: Selective of South Carolina 19259 INSURED INSURER B: Selective Ins Co of Southeast 39926 JOE ARRUDA CONSTRUCTION INC INSURER C: Associated Employers Insurance Company 6 MIRACLE LN INSURER D: INSURER E: WESTPORT MA 02790-1147 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2332430331 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I EFF POLICY EXP NSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MWDDPOLICY/YYYY) (MMIDD/YYYY) LIMITS LTR INSD WVD ( X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 500,000 CLAIMS-MADE n OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 15,000 A S 1984120 05/18/2023 05/18/2024 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 PRO- LOC PRODUCTS-COMP/OPAGG $ 3,000,000 POLICY JECT _ $ OTHER: AUTOMOBILE LIABILITY Ea MB aBINED)SINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B OWNED x SCHEDULED A 9094790 05/18/2022 05/18/2023 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY (Per accident) X AUTOS ONLY HPDMD $ UMBRELLA LIAB - OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X SPTA UTE ERH_ AND EMPLOYERS'LIABILITY Y/N SOO,000 ANY PROPRIETOR/PARTNER/EXECUTIVE N NIA WCC50050184952022A 03/21/2023 03/21/2024 E.L.EACH ACCIDENT $ C (Mandatory In NH) EXCLUDED? 500,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project:Barbato Residence 23 Paula Lane Yarmouth,MA 02673 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Yarmouth AUTHORIZED REPRESENTATIVE l ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD §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 Ale IDAVIT 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 X3 Pa.ifcu torte Work Address Is to be disposed of oat the following location: E` AlVeY uG* i444441644141L Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. 3 - s--0)-3 S. ture of Application Date Permit No. Richard B. Gordon, P.E. P.O. Box 264•Farmville•VA 23901 grichardpeCci).gmaihcom January 10,2023 Yarmouth Building Department Yarmouth,MA Re: Solar Panels Roof Structural Framing Support To Whom It May Concern: I hereby certify that I am a Licensed Professional Engineer in the State of Massachusetts. Please note the following conclusions regarding framing structure,roof loading,and proposed site location of installation: 1. Roof framing: Conventional wood framing 2x8 at 16"o.c.with 15'span(horizontal rafter projection). This type of framing structure is definitely capable to support all of the loads that are indicated below for this photovoltaic project. 2. Roof Loading • 2.81 psf dead load(modules plus all mounting hardware) • 18 psf(30 psf ground reference snow live load) • 6.7 psf dead load roof materials 1 (2.2 psf 2x8,1.5 psf wood sheathing,3 psf composite shingles-1 layer) • Exposure Category B, 141 mph wind uplift live load of 29.39 psf(wind resistance) 3. Address of proposed installation: Residence located at Barbato,23 Paula Lane,Yarmouth,MA 02673 This installation design will be in general conformance to the manufacturer's specifications,and is in compliance with all applicable laws,codes,and ordinances,and specifically,International Residential Code/IRC 2015. The spacing and fastening of the mounting brackets is to have a maximum of 48"o.c.between mounting brackets and secured using 5/16"diameter corrosive resistant steel lag bolts. In order to evenly distribute the load across the roof rafters,there shall be a minimum of 2 mounting brackets per rafter&min.2 Y2" penetration of lag bolt per bracket,which is adequate to resist all 141 mph wind live loads including wind shear. Modules installed within 18"of ridge and perimeter of roof is to have 3"anchor penetration. Very truly yours, • P CIVIL ; r ENONEERING Richard B.Gordon,P.E. MA.P.E. Lic.#49993 P.E. Lic.Exp.date: 06-30-2023 Civil,Mechanical,&Electrical Engineering