Loading...
HomeMy WebLinkAboutBLDR-23-9950 A ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department 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 __ a One-or Tti o-Family Dwelling "" BLiDP-7.3-4c This Section For Official Use Only RECEIVD Building Permit Number: i3LD--3-l)IJ57 I Date Applie : 'r V r, ceeqr-S / - ,�/h4),--,g, MAR 27 ?0, 3 Building Official(Print Name) ignature _.. Date SECTION 1:SITE INFORMATION SUILDtNG DEpvK MENT aY._ 1.1 Property Address: /0 BrZEEZy vPObJ 2,p I s."co, Q 4 1.2 Assessors Map&Parcel Numbers 1.1 a Is this an accepted street?yes no MapNumber Number p '� Parcel 1.3 Zoning Information: 1.4 Property Dimensions: 25 (Limicvrl4t. -7130 50 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 Z0 Ai0 15 a go 6© 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public! Private 0 Zone: Outside Flood Zone? Check if yes Municipal 0 On site disposal system NZ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: I G,DD PReZ,e So✓r- y 2 0ciri-e / 12v9, 026"73 Name(Print) City,State,ZIP 40 BaeeeZy PdolA-; go No. and Street Telephone P Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 11 Owner-Occupied 0 Repairs(s) 0 Alteration(s) Cie Addition 0 Demolition till Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work'-: At.m-g Ex t s r1 fG- H. S D I SECTION 4: ESTIMATED CONSTRUCTION COSTS 2 23 4 4 Estimated Costs: c —� •7 i Item Official Use On (Labor and Materials) NT�. ••• 1. Building $ 55 dCL. 1. Building Permit Fee:$1O(7 Indicate how fee is determ r-.. —_ 2.Electrical $ It Standard City/Town Application Fee 2, aco ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ 70,CVO 2. Other Fees: $ 4.Mechanical (}{VAC) $ 2 c List: .I 576© e ii1d/ 5.Mechanical (Fire Suppression) $ Total All Fees:$ - 6. Total Project Cost: $ Check No. Check Amount: Cash ount: 18 9� 6 9,coo 0 Paid in Full Ill Outstanding Balance D e: I 6l or SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) Name of CSL Holder Z-3 License Number Expiration Date `7 (�JSi �yyi� List CSL Type(see below) V No. and Street Type Description GO* yMein Ocr71 l /11R QZL 75 U Unrestricted(Buildings up to 35,000 cu. ft.) City/Town,State,ZIP Min Restricted 1&2 Family Dwelling M Masonry • RC Roofing Coverin• y�� Man Window and Sidin• S� -�o/4/76i� JY►io 79 77 NM Solid Fuel Burning Appliances Telephone 0�mR/L'�'? I Insulation Email address 5.2 Registered Home Improvement Contractor(HIC) D Demolition Jose mtg.x47vo Zo476(l e�3 2J Ly HIC Company.Name or HIC Registrant Name HIC Registration Number L S Expiration Date No and Street� �Z) g 7 7�J J/7'1 O/Y? ' GsY�H-1Z w.-�` ''°"TM ri o�7 z ( 8)364 4 76 pj Email address City Town, State,ZIP Telephone SECTION 6: WORKERS' COMPENSATION IIYS URANCE AFFIDAVIT(1YLG.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 ❑ 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 my behalf; in all matters relative to work au t d by this build/ e P rmit application. _3_/_Print Own r•s ame(Electronic Signature) Z a Date SECTION 7b: OWNER1 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. acne m1reArvDA Print Owner's or Authorized Agent's Name(Electronic Signature) d 3�ZS/�3 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 www.mass.gov/oca Information on the Construction Supervisor License can be found at mass.g at . 2. When substantial work is planned,provide the information below: www ov/dns Total floor area(sq. ft.) (including garage, finished basement/attics,decks or porch) Gross living area(sq.ft.) Number of fireplaces______------ Habitable room count Number of bathroomsNumber of bedrooms Type of heating system Number of half/baths Type of cooling system Number of decks/porches Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost' l ,►�� The Commonwealth of Massachusetts • i � Department of Industrial Accidents 1 Congress Street, Suite 100 ii ` Boston, MA 02114-2017 IIMI www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. A licant Information Name (Business/Organization/Individual): 42�!5 Please Print LeQibl CSC ems, /file Address: 77 wc5 7 A2✓rioter f .2.0 City/State/Zip: w, /1-athe"ni rril Ce2 73 Phone #: (50g) 36 4 74 Are you an employer?Check the appropriate box: 1 I am a employer with / employees(full and/or part-time).* Type of project(required): . 2.0 I am a sole proprietor or partnership and have no employees working for me in 7. New C 8. M Remod elin elfin uCtion any capacity.[No workers'comp. insurance required.] g 3.0 I am a homeowner doing all work myself [No workers'comp, insurance required.]t 9. ❑Demolition 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 10 0 Building addition 11.� Electrical repairs or additionsr'' e proprietors with no employees. 5.0 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.: 1 3.0 Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§I(4),and we have no employees. [No workers'comp. insurance required.] 14.❑Other *Any applicant that checks box:1 must also fill out the section below showing their workers'compensation policy information. r 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: 4---1;rd- Policy or Self-ins.Lic.#: 0& We-C I 613 Expiration Date: Job Site Address: ,/© e4C-15 Poiyvr at? S� t Attach a copy of the workers' compensation policy declaration p 0Z6 City/State/Zip: , f�' na®� AtR E�Z,ri64 De(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 upto$1 5 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of upto$250.00 day against the violator. A copy 00.00 of this statement may be forwarded to the Office of Investigations of the DIA for insurance a coverage verification. 1 do hereby certify render the pal s and penalties of perjury that the information provided above is true and S i en ature: correct. Phone#: S©$) :364 4 76 g Date: 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): I. Board of Health 2. Building Department 3. City/'Town Clerk 4. Electrical Inspector 5. PI 1. Plumbing Inspector 6Contact Person: Phone#: :o ; TOWN OF YARMOUTH o(. BUILDING DEPARTMENT , , TT;c c;se=��°� 1146 Route 28 , South Yarmouth, MA 02664 508-398-2231 ext. 1261 PLEASE PRINT: HOMEOWNER LICENSE EXEMPTION DA l'E: JOB LOCATION: NAME ��' "HOMFOWNER" STREET ADDRESS SEC ' ON OF TOWN NAME HOME PHONE ORK PHONE PRESENT MAILIITG ADDRESS CITY OR TOWN S'ATE, ZIP CODE The current exemption for 'Homeowner' wa, extended to include o 'ner—occupied dwellings of one or two units and to allow such homeowners to engage an i dividual for hire w ;• does not possess a license,provided that such homeowner shall act as su ervisor. (State Bui sing Code Secti. 110 R5.1.3.1) Definition of Homeowner: Person(s)who owns a parcel of land on which he/s` resi• s or intends to reside, on which there is or is intended to be, a one or two family attached or detached structure.ss'ssor_y to such use and/or farm structures. A person who constructs more than one home in a two-year period sh not be considered a homeowner; such"homeowner"shall submit to the building official, on a form acceptable t• th; building official, that he/she shall be responsible for all such work performed under the buildinapeinit. (S,ction 10 R5.1.3.1) The undersigned `homeowner' assumes respo ibility for empliance with the State Building Code and other applicable codes, by-laws, rules and regulatio r s. The undersigned 'homeowner' certifies t t he / she understan. the Town of Yarmouth Building Department minimum inspection procedures and r-•uirements and that he she will comply with said procedures requirements. and HOMEOWNER"S SIGNATURE APPROVAL OF BUILDING 0 CIAL NSURANCE COVERAGE: I have a current liability instifrance policy or its substantial equivalent, wh ch meets the requirements of MGL Yes No, If you have checked ves, p ease indicate the type coverage by checking the appropriate box. A liability insurance polio Other ty pe of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage requu'ed by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this r me equirement. Signature of Owner or Owner's Agent O one: Owner Agent h:homeownrlicexemp TOWN OF YARMO( `TB 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 I 13R-C-ezy Po/},.; RD, 500-14 /Aa[rn o 07}t 026� f Work Address Is to be disposed of at the following location: /A zn-c,U i f.s Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. E73 Lei 3 Signature of Applicant Date Permit No. AC Rr� CERTIFICATE OF LIABILITY INSURANCE °"'E(1r....� 03/2712023 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 endoreement(s). PRODUCER ItcT DAWN LANGLOIS Clippership Insurance Agency PHONE PO Box 112 (per gyp: (781)585-2522 I No: (781)585-9415 EAR: DLANGLOIS@CLIPPERINS.COM INSURER(S)AFFORDING COVERAGE NAIC0 Kingston MA 02364 INsuRER A: Main Street America Assurance 29939 INSURED INSURER B: Hartford Casualty Insurance Co 29424 R F S Carpentry Inc INSURER C: 277 W YARMOUTH RD INSURER D: INSURER E: W YARMOUTH MA 02673-2651 INSURER F COVERAGES CERTIFICATE NUMBER: CL2332754957 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. LTTRR TYPE OF INSURANCE INSD W VD POLICY NUMBER (MMJDQ/yyyy) ( yyyY) LIARS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 1,000,000 DAMAGE TO RENTED CLAIMS MADE OCCUR PREMISES(Ea occurrence) S 500,000 A MED EXP(Any one Person) $ 10,000 — MPP2901N 05/01/2022 05/01/2023 1,000,000 PERSONAL&ADV1wURY $ GEMLAGGREGJITE UNIT APPLIES PER: 2 000, ,000 XI POLICY n PRO- 1-7 LOC GENERAL AGGREGATE § PRODUCTS-COMP/OP AGG E 2.000,000 OTHER: FITRV $ 5,000 AUTOMOBILE LIABILITY COMBINED ANY AUTO (Ea accident) SINGLE LIMIT $ OWNED SCHEDULED BODILY INJURY(Per person) $ HIRED ONLY AUTOS BODILY INJURY(Per accident) $ AUTOSAUTOS ONLY AUTOSONLY SRO DAMAGENON-OWNED S UMBRELLA UAB $ _ OCCUR EXCESS LIAR EACH OCCURRENCE j CLAIMS MADE AGGREGATE DED I ,RETENTION$ $ WORKERS COMPENSATION S AND EMPLOYERS'LIABILITY Y/N I ATUTE I I EERTM B OFFICER/MEMBEER ANY PROPRIETOR/PARTNER/EXECUTIVE�ECUTNE NIA 08WECAP1EB1 E.L.EACH ACCIDENT 1 11/16/2022 11/16/2023 $ 100,E (Mandatory Yes'desCnbe t H) E.L DISEASE-EA EMPLOYEE $ 100.000 DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY UNIT $ 500,000 DESCRIPTION OF OPERATION/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOED PARE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WrEN THE POLICY PROVISIONS. 10 BREEZY POINT AUTHORIZED REPRESENTATIVE SOUTH YARMOUTH MA ACORD 25(2016/03) 61988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD TOWN OF YARMOUTII 414 c BUILDING DEPARTMENT 144"^• :,r 1146 Route 28, South Yarmouth, MA 02664 Telephone 508-398-2231 ext. 1261 Fax 508-398-0836 Owner's Affidavit: Substantial Improvement or Repair of Substantial Damage g Property Address: in P «-t'' 2 d Parcel ID Number: j f C7( 11is in 6'300 Owner's Name: / a i?re, Owner's Address/Phone: /0 ,14, / P61,4 /) 6eivuoirehetwif WV O/26 Z (6/7)9 j/- Contractor: ' S V V l )rYLv d Contractor's License Number: CS — 11t' 6,3D Date of contractor's Estimate: 3/2 t/20 2 I hereby attest that the description included in the permit application for work on the existing building all improvements, rehabilitation, remodeling, repairs, additions, and other forms of improvement. I further attest that I requested the above-identified contractor to prepare a cost estimate for all of the work, including the contractor's overhead and profit. I acknowledge that if, during the course of construction, I decided to add more work or to modify the work described, that the Town of Yarmouth will re-evaluate its comparison of the cost of work to the market value of the building to determine if the work is substantial improvement. Such re- evaluation may require revision of the permit and may subject the property to additional requirements. I also understand that I am subject to enforcement action and/or fines if inspection of the property reveals that I have or authorized repairs or improvements that were not included in the description of work, and the cost estimate for that work that were basi or issuance of a permit. Owner's Signature: .a, ,,,,,,,,,,,,, :rized 4//2 3 ;Z: I o . -.S*12>' : _ i AP v ,'H TOWs1I oy,yARmoUTH 1146 Route 28 MA 02664 508-398-2231 c -_ 2 at508-398-0836 Office of the Rhild n : o imissioner FINAL COST AFFIDVIT FOR WORK IN FEMA FLOOD ZONE To the Building Commissioner, In accordance with 780 CMR Section 109 of the Massachusetts State Building Code, the total estimated cost of construction, including all related costs* of the building at t 0 82e-c zy Pon✓" 2a, s=/s1 RmovrN, i 94 0266 and constructed,reconstructed, altered,repaired,or extended under building permit no. amounts to $ /1Z.40tivi,4 ,being referred to as the owner/agent identified below,do solemnly swear that the statements made herein are strictly true, correct and made in good faith *Related construction costs include all work done with or concurrently with the work contemplated by the building permit including construction, reconstruction, repairs, demolition, HVAC work, etc. Furnishings and portable equipment are not part of the total construction costs. r10,4, r rY=tur n ignae of owner/agent q/ 1 Notary Public Signature My Commission Expires' Notary Seal: XIAOBEI SULLIVAN t Notary Public Commonwealth of Massachusetts My Commission Expires September 28, 2029 6,„,:Y TOWN OF YARMOUTH rA BUILDING DEPARTMENT ! 1146 Route 28, South Yarmouth, MA 02664 r� �'nAT'fA n_LS[' Telephone 508-398-2231 ext. 1261 Fax 508-398-0836 Contractor's Affidavit: Substantial Improvement or Repair of Substantial Damage Property Address: /0 t32e&zy f'mi^T moo, 5,00-14 yon, v7)-r ` rat, 02GC4 Parcel ID Number: 474 Owner's Name: l OcD ?p,'ze Contractor: Jose pliremt.D Contractor's License Number: C'- ff 6 30 Date of Contractor's Estimate: 014/2 0/2 5 I hereby attest that I have personally inspected the building located at the above-referenced address by the nature and extent of the work requested by the owner, including all improvements, rehabilitation, remodeling, repairs, additions, and any other form of improvement. At the request of the owner, I have prepared a cost estimate for all of the improvement work requested by the owner and the cost estimate includes, at a minimum,the cost elements identified by the Town of Yarmouth that are appropriate for the nature of the work. If the work is repair of damage, I have prepared a cost estimate to repair the building to its pre-damage condition. I acknowledge that if, during the course of construction,the owner requests more work or modification of the work described in the application,that a revised cost estimate must be provided to the Town of Yarmouth,which will re-evaluate its comparison of the cost of work to the market value of the building to determine if the work is substantial improvement. Such re- evaluation may require revision of the permit and may require revision of the permit and may subject the property to additional requirements. I also understand that I am subject to enforcement action and/or fines if inspection of the property reveals that I have made or authorized repairs or improvements that if inspection of the property reveals that I have made or authorized repairs or improvements that were not included in the description of work and the cost estimate for that work that were basis for issuance of a permit. Contractor's Signature cl/o1Q fr-'4#14 Date: 01//2 We 3 .0 XIAOBEI SULLIVAN ` �-- Notary Public Notarized: Commonwealth of Massachusetts My Commission Expires September 28, 2029 • Substantial Improvement Worksheet for Floodplain Construction (for reconstruction,rehabilitation,addition,or other improvements,and repair of damage from any cause) Property Owner: j OOP D P Aa, Address: {2EZy PoaA.r RP, S, yiawerrot/r?4 rr»a o 2‘6 9 Permit No.: Location: l0 13i2ef parry 2t), S . �•�2ry vTN, 11-7A e)26a Description of improvements: g g exfsrr vG F-r,✓rs Sa sum&vT SitilestyithikOtetiitctiae.' } teii �, d $ 52o,o c as Achiat 0 _ io tncllc $xdud 1) r �3 ti If ratio is 50 percent or greater(Substantial Improvement),entire structure including the existing building must be elevated to the base flood elevation(BFE)and all other aspects brought into compliance. Important Notes: 1. Review cost estimates to ensure that all appropriate costs are included or excluded. 2. If a residential pre-FIRM building is determined to be substantially improved,it must be elevated to or above the BFE. If a non r x ldential pre-FIRM building is substantially improved,it must be elevated or dry floodprooied to the BFE. 3. Proposals to repair damage from any cause must be analyzed using the formula shown above. 4. Any proposed improvements or repairs to a post-FIRM building must be evaluated to ensure that the improvements or repairs comply with floodplain management regulations and to ensure that the improvements or repairs do not alter any aspect of the building that would make it non-compliant 5. Alterations to and repairs of designated historic structures may be granted a variance or be exempt under the substantial improvement definition)provided the work will not preclude continued designation as a'historic structure." 6. Any costs associated with directly correcting health,sanitary,and safety code violations may be excluded from the cost of improvement The violation must have been officially cited prior to submission of the permit application. Determination completed by: �1 Date: 4 U 1 0 ' 3 fl 2 /a THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer AffaQS lm1 Business Regulation 1000 Wasting w -Suite 710 Bostcu1I I t ttt 118 Home Imo''11.. ration " 'Type: Individual • 1t?SE M1RAtlDA f o n 204760 426 WEST YARMOUTH RCCa # E 0 1l2024 WEST YARMOUTH,MA 02673 a M Update Address and Return Card. THE COMMONWEALTH OF MASSAClnf111L1 TS Offlee of Soneumer AffrW&9uslnsss Regulation Reidelration vend tor lndfvldtrsl use only before d HOME 0APRMItuatOONTRACTOR An ad&M towed return tot Office ot Consumer Affire and fkniness Rsquladon Hf100 W Rom,MA Street-Guile TNk 02118 ,108E MIRANDA JOSSE 0 MIRANDA x` 426 WEST YARMOUTH# l _= €" WEST YARMOUTH.MA l� :_' Undersecretary Not valid without signature 4= - - - 4-"i.r:. ,,„, _„ . . . ,. ,;:,„„,,_-._„„,-,-.-.=,,--,-- .,,., ... ..,___:„.,, ,,,,,_,,,, .._ ,..„....:,;, _ „"...._,,,,,,,;.,„;...._„,,,,..„wf..4.„. .:,„,..,7_11.474.„,..,, ,__..„, , . . . , . . ,,,,,, .,..„_........,,,,...„..,..„„.:„.„4„...;,,,,,,v..zi5.t, ,,,z4,..,.._„_„„.„,..„ ._ :.,1,..2_,,.. ,..,,,,,,,,,,,, ;,,,,,,,.:_,,,c,„„:„..„,,; :„.1.;,._,:„.„.:„,,,„.„,,i,..„.„4, , „,,,K.,,,,...,,,..1.::_,,,,,,..;,...„,..,,,,,,,z...7„,,it,.. ..t.„.„.,,,,,ti.4_,..,1.t._,,i,„..„2,,7,,y.„.,_,__ _,......0._______,,,, „:„....J.;„,„, ,_„„:_.,„ii_g.,_,_,,, _„.:__.,... .„2...:.,;„ _,,_,,,,:1,...„3,„r,,_,.>„„.,„„:„_____,,,_=_„,,..,...,;_.:„.._,..:_„,„„i„,,,,r4.,i..„„ip,..„_____._ , _ -.;;,- ..,,, . , , . .,.„ ,,it„ ,....,:;,.,„..,....,,,,,...„.„.,_e,„:„. „,,;„„.„,„„__,,_„_._.414 ..,.„..„:„.,..„, ,,,,,,,,,,,_.,„..„_..,_"lz,„,..„,,,,,,i, 4,..,.. ..2,,_,_„..„..".=„--Tzt::- 4,,s.,...,:',*'; fiiii.r � : :1--.- - - -*,; ?, �-mac• � "�� '»„`_'��_`��: - - '- " ;gin "' "` e . == _- -: -_- *v l � e t.. sue,... as.,.-7 ----::::'*v,..=,..*-4f1:-'' •7-',-',A,.,?,,,-. :•-• -o,,..-4-t,:f';-1,7416-tfsidtiv. ,-,-.‘i-w-..--,..kly 5-",".0.:=.n„.---rit--%_*-4,,,,s1-----44‘,F*,1„-„,- rt < `� :;'ram; - - - � - - - " �_ +i'.`,tF ate.. , _ - __ "- - - " _ - -ii-,'„ ,,--...?-:.-*:.;;;-:"---,---,;-,-ff;':-.4-i,„:-;,..-;,.;:.-tr--,-,--iL,;-, - , "tea s^% ^`...-;.>ya _ _ _ _ _ E- r: ti'. _ _ _ - 'ill ' '_.."" x �1 3/31/23,9:44 AM Mail-Sears,Tim-Outlook 10 Breezy Point Rd Sears, Tim <tsears@yarmouth.ma.us> Fri 3/31/2023 9:44 AM To:jmom1977@gmail.com <jmom1977@gmail.com> l J 1 attachments(391 KB) work in flood zone packet.PDF; Jose, I have reviewed your application and there are some items needed. . Health Department sign off r4.oms labeled on basement plan his property is in a flood zone. Attached is a packet to review, we need the cost worksheet filled out along with the contractor and owners affidavits notarized and returned.The final affidavit will be required at the time of final inspection 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 fora 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:tsearsfyarmouth.ma.us https://outlook.office.com/mail/sentitems/id/AAQkADE3MDQ5NWZmLTkOYzItNDIwNi1 iMDQxLWNkMGQyNmE4NzE5NAAQAJkdYPpVuTNIgzIEe0hC... 1/1 af•YAR M TOWN OF YAROUTH A Y d HEALTH DEPARTMENT 4 r.4 04" PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: 40 BiZeeey POI A.T. RP s, 7i9.2rr,Dv / rno 626;65, Proposed Improvement: gX is re,✓c.. pr,stsho B eer . z,et. Applicant: 4056 /n'i 't'A Tel.No.: (508)3 , y 76 8 Address: 4 2.6 to 6sr )442/p)ouro I5 cQ' /we/vo/ HI 0,51- 026 73 Date Filed: O'///2/2 3 **If you would like e-mail notification of sign off,please provide e-mail address: Jmod/17197 7 0 Gr'»A/i. .c47,72 Owner Name: 77,P12 Pi9726 Owner Address: /0 c,4-s4cc. PArex .Mi.dG-i4srri,./7/ O97OZ Owner Tel. No.: (647) 991 69W/ 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: � � Site Plan showing existing buildings, water line location, b and septic system location; APR 13 2023 2.) Floor plan labeling ALL rooms within building (all existing and proposed) — HEALTH DEPT, Note:Floor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: ( -'� cC)--t.12------- DATE: `� r 3 PLEASE NOTE COMMENTS/C ITIONS: CJ ASSOCIATES, LLC CONSULTING ENGINEERS P.O Box 13,Westborough MA 01581 PROJECT 10 Breezy, Point TO ❑ CONSULTING ENGINEERS ❑ FIELD OBSERVATION CJANUMBER South Yarmouth. MA FIRM o TELEPHONE LOG BY DATE PHONE FAX ❑ MEMORANDUM ❑ DESIGN NOTES CHECKED BY DATE 0 2/14/2 0 2 3 PAGE OF SUBJECT' Design calculations in accordance with 9th edition 780 CMR-51.0 Massachusetts Residential code amendment to the 2015 International Residential Code (IRC). Structural Loading Information: Basic Wind Speed (3 second gust speed) 140MPH (Category II) Ground snow load- 30 psf Roof Dead Load- 15 psf Attic Load (unhabitated space - storage only) - 20 psf 1st floor(living area) - 40 psf 2nd floor(Bed rooms) - 30 psf Assumed floor Dead Load- 10 psf Calculations performed by Chris Jayavendra, P.E., S.E. OF 446,40 CHRIS R yG JAYAVENDRA C _ _ c=" � �. 8 STRUCTUR988AL �, } No.49 .9 p 90,c FOIST d,- r_ 1 Fsg Vri\:\ ACTION Digitally signed by Chris Jayavendra,S.E.,P.E. DN,C=US, E=cjassociatesma@gm ail.com, Chris Jayavendra,S.E.,P.E.O=CJ Associates ndr CN="Chris Jayavendra,S.E., Reason:I am approving this document Date:2023.02.14 19.42:24-05'00' DISTRIBUTION 4!" i I ‘, 1.:4. 1.ta-4114:4.t trti aam F r.,1,,i 3 0,- Lt „ -... -151: 1 c.• '7'..'• ;.,t l't - E ,...., T... 6., L., ,.,- . 1 ,•• cc - „...iiz E! 'EL LE, L'....t. .....a.< -,,.•. -.-`t ---F.1 .--Hri e'at'w• -,c-".- ; NI t ..i"' t -E•T ---'ai ,..t`e,'"- L2F. Ili .7. --.,'' .7".7.-:::a ,5-9-5,.. cttl '-,: "?.;-, ::_ ; rk •= ', .l.`-"--gr. ;''','...f. a7 ;I:, '"a.4!„1.2,._a ., 1.4.- E;E.al -,Ei:Vf%r=-5-1'.a.:E''-'.' =-"g - --;:.". .• ,3- -,.-- g ..= ,s'.!, '''l I... ,.'d- .-1 ; -,-, .E-e. '..-- 7 ;:tke ac.t: !t ,=;-,•,,„-',1 ,, ,,7, E6_-,- ......7. ..E.,_ .,....x. ' 4 -. -. o o o -a 7L1 4- .> a) as -a .1 a_ -a 4-, o m 0 a) (Ts a) ,.. ,. 4... 16 Ti* (1U 3 tti -0 0 0 -0 fti 0 — -0 — ...... 23 *0 ft W n3 a) n3 -a -a -a a) VI L... .1 -a 4-- .1 0 o • a a. >. o l ... e Ln C o `5.. o a • 0 0 c _ 0 7-3 z 1 cr U t.';-1rA . , 0 1 • rill I,I I I I 1 iiiipPP . 7 . • ' ' I II illi III; IIIIIIIII , ; ,- 111111;IFF 1 / [ ' 1 Ililir 11 '''.. I ) I IN. ' ...1,•••••••••....Min.lini...111071iiiiiiiiiiiiiiiiiiiiiiii.iiiniriiir A 1 III Il « , [....... ___All I* , i t . t. L I II cadmil ....T 11 Il 111 -4. -4, NW.. ii- ,0_10(13 :-1° --Dogill: 4-ico‘j'..".-"-= E co CV ..C2 C 4-1 0 g-0 (13 0 •— 1 0 -0 CI3 • C .- fa 0 0 O —) Q. -i -0 03.) CO .0 CD CO _C > CU ., ' C.) n.I c !..4-..... 4...z. 4- ki- ....• co ii c -.., ........ , rE W sa si t4 W si _a -CS • -'>. Ln Ln 0 r-I >. ul Ln ,•,,7 %-d 1.. Tr ,-1 — 1-1 i- Cr e-I L. C co re, %-I . X co m t-I co S... 4-2. II II 1-n co 4- II ii 0 c X , . 0 4- - 0 tn cr) 0 0 r.. co .47, tja Co CLI t.) = C Ca fla M' caw :—.1 0 0 0 -60 4a e-1 a) •.- _1 ce • .1_I. A c •_o .,., , .4_) ..... D - , , ,,,j r 4. 4.. - •— -C2 ni L.— E 11 , C 0 , -- - - U 7 C,, ,7 ! C ',•-, _ I1 ...til c9 ? -C3 -•- 1 , z . x FT, _ ._ z T, (0 - - „. il tii 147 - 0 t 13 s , -***- --- t '-' c ter 4,-4 r co L-- Cc II 0 O O - ,•1 c I 0 1 LI— 1 '' , ., O 4Lt _ — E fa,VP* 7:5 C CNJ 1 1 , 1 1 6 N E 1_ vl O rya o i a-�+ 00 0 -I3 0 -I0 r..� CU rC � -.d -p o J 0: -a _a _a , 0 J _o co O V1 1- 0 ' J J L r0 lD tf1 0 J CU r- 0 ' J 0 > N O II e^-14 = > C 0 4--4 •J 0 L.L c6 11 11 �-4 .J 0 >. 4J 15 n1 O .6 a1 - - w CO i lD rl N Lff 6!1 >- O 111 'v CU c0 � r-1 OL c CO r-1 co � � L }' 11 11 4- • X X 11 11 v in C. in D .o _i - a s O . co a a • C 'cf m o o o 0 o L o o all O d • hi) c ,,trr. 11 ' +- I " Oco • �, I fi k. f�. - ti 0 .-I D co- 0. Z/46Z Q 0 ;< O d tD -= � ct. .. , E L— , _ J O : m 1� i ELn r E I- _ i „, _I 4 L i ► � ' Q. Z Gl 1 j -,:E,b -1 -- = ,8 -.btC ��,�- .�9ll5 l 01..L - -,Z - < 1 9.!k r V) V) -0 LA O o 1 o m O N \ r-1 I I H II JO VI N M r-I 14 NI $ Lt - mCD r. -.1 �LO l� r-I II a Ln II + On .Q O To Ln 3 • + N— ri o `� -aN +r"I c I ri in N LA• �n O E + " Ln OkO O � O r-I O ^ r-I `�Cr ,, . O ��t3 � .. 'a co0 co Ln "O fa co fl:JE 0 0 O n ea O I m > 'p O O O .0 CO > +6 CD 120 $ J 0 F_ a J O F� • • • it • • • .,b/L 0-,ZZ 9L OL-ZL „L-• - „9 L/L 6-.5 K .,Z/L GC-Z r -L—, ■ a r. •, �. � ' A ,r I 11 I WH„9.5 v 'v 1 „9L/L0-.LL } 1 = I in I 11f \� s r 1 ` i - iz , I .-1- I A O ty _ A 0 m I i m J i 1 I Eu 1'Y n� I W m` o W 1 m i I 9LIL011 0 I 4 1 1 1 1 1 s i 13 -0 -0 ITS -0 MI (DO 1 (DO 0 -i 0 -I (1) (13 1 CU RS 4-, J (Z1 1 b.▪ 0 +-. +-. OD +-. 4-, — — >. 0 Lr) • LD -1 I LD c-I co Tr %-1 i fp TI• T-I - II II - 4- 4- . .. 4- 4- _0 U, ''' _0 U5 U, .r. E 0 0 RI cr v—i CO in co 0 0 r-i o o 4a r-I eLC r-I CU •— —.1 CC S-- us O 41 4-- - 5--- t-- I —C3 , =r C _ c 1 0 I e - U 1 -- 1 4 II .11 V) f— , ,--' 0 I ‘ \ * I ' ' C i e 1 '.\-• 1- ts, l' I - 1,-- C1 e 0 __- 1 e Pt ir I 0 I " I =•— .7r I co I I, . . nt . , , > i 1 . 1 1 cr) 0 ' I in C 1 e 1 I , 10_ CI.) 1 e I e el 11 I, 1 i I Le 1 . ' .. 1 ', r—I 1 - Fr, , . 'cr in - I (11.) 1 1 1 (.1) I * Iii 1 1 _. o 1 11 ` ----- \-e w ill I 1 co 1 i I I I ,., aPli I A 4-- A 1 . 1 —C 1 1 ' 147A140r )- ' , II CI— 1 1 •1 II II . .Illa .""". - -- N 1 4161-*SWIM$' .0104X2 r.:411 I 1 L— _ _ ._.1._ _________, —J 1 j • ,GIL e-.01. ..1 1—.6/L e-.0 L Project Title: CJ Associates LLC Engineer: PO sox 13 Project ID: Westborough,MA 01581 phone:617-869-2273 Project Descr: email:cjassociatesma@gmail.com I Beam _ , C#:KW-06011663,Build:20.22.12.28 ... (c)ENERCALC INC 1983-202 LI 2 DESCRIPTION: 10 Breezy Point, South Yarmouth (left Beam) CODE REFERENCES Calculations per AISC 360-10, IBC 2015, CBC 2016,ASCE 7-10 Load Combination Set:ASCE 7-05 Material Properties Analysis Method Allowable Strength Design Fy:Steel Yield: 50.0 ksi Beam Bracing: Completely Unbraced E:Modulus: 29,000.0 ksi Bending Axis: Major Axis Bending D(2 267)L(5.146) a a D(0.1150�L(0.460) x�3 d O W8x28 Span=15.0 ft �T� F Applied Loads Service loads entered. Load Factors will be applied for calculations. Beam self weight NOT internally calculated and added Uniform Load : D=0.1150, L= 0.460 k/ft, Tributary Width= 1.0 ft Point Load : D=2.267, L=5.146 k @ 11.670 ft DESIGN SUMMARY Desien OK Maximum Bending Stress Ratio = 0.516 1 Maximum Shear Stress Ratio= 0.219 :1 Section used for this span W8x28 Section used for this span W8x28 Ma:Applied 30.870 k-ft Va:Applied 10.080 k Mn/Omega:Allowable 59.877 k-ft Vn/Omega:Allowable 45.942 k Load Combination +D+L Load Combination +D+L Location of maximum on span 15.000 ft Span#where maximum occurs Span#1 Span#where maximum occurs Span#1 Maximum Deflection Max Downward Transient Deflection 0.323 in Ratio= 55 >=360 Max Upward Transient Deflection 0.000 in Ratio= <360 Span: 1 : L Only Max Downward Total Deflection 0.431 in Ratio= 418 >=240. Span: 1 :+D+L Max Upward Total Deflection 0.000 in Ratio= <240.0 Maximum Forces &Stresses for Load Combinations Load Combination Max Stress Ratios Summary of Moment Values Summary of Shear Values Segment Length Span# M V Mmax+ Mmax- Ma Max Mnx Mnx/Omega Cb Rm Va Max VnxVnx/Omega D Only Dsgn. L= 15.00 ft 1 0.130 0.057 8.11 8.11 103.85 62.18 1.19 1.00 2.63 68.91 45.94 +D+L Dsgn. L= 15.00 ft 1 0.516 0.219 30.87 30.87 100.00 59.88 1.14 1.00 10.08 68.91 45.94 +D+0.750L Dsgn. L= 15.00 ft 1 0.419 0.179 25.15 25.15 100.17 59.98 1.14 1.00 8.22 68.91 45.94 +0.60D Dsgn. L= 15.00 ft 1 0.078 0.034 4.86 4.86 103.85 62.18 1.19 1.00 1.58 68.91 45.94 Overall Maximum Deflections Load Combination Span Max. ""Defl Location in Span Load Combination Max. "+"Defl Location in Span +D+L 1 0.4311 7.971 0.0000 0.000 Vertical Reactions Support notation : Far left is#' Values in KIPS Load Combination Support 1 Support 2 Max Upward from all Load Conditions 5.958 10.080 Max Upward from Load Combinations 5.958 10.080 Max Upward from Load Cases 4.592 7.454 D Only 1.366 2.626 +D+L 5.958 10.080 Project Title: CJ Associates LLC Engineer: PO BOX 13 Pro t ID: Westborough,MA 01581 phone:617-869-2273 Project Descr: email:cjassociatesma@gmail.com Steeteeam LIC#:KW-06011663,Build:20.22.12.28 (c)ENERCALC INC 1983-2022 DESCRIPTION: 10 Breezy Point, South Yarmouth (left Beam) Vertical Reactions Support notation:Far left is#' Values in KIPS Load Combination Support 1 Support 2 +D+0.750L 4.810 8.216 +0.60D 0.819 1.576 L Only 4.592 7.454 31 24 16 0 8 -n� 1A6 2% 4A6 5% 1,46 8,% 10,4 11,% 134 14,% 6staxe(ft) D 0.111+D+11+D+D.1S611+0.60D Project Title: CJ Associates LLC Engineer: PO BOX 13 Project ID: Westborough,MA 01581 Project D@SCf: phone:617-869-2273 email:cjassociatesma@gmail.com Steel Beam LIC#:KW-06011663,Build:20.22.12.28 (c)ENERCALC INC 1983-2022 DESCRIPTION: 10 Breezy Point, South Yarmouth (left Beam) 6 r —nn 6 •2 „� N •6 •10 146 2% 4,46 5,% 746 8,96 10,46 11,96 13A6 14,96 Distance(R) D O.ly I+D+l 1+D+6.7S611+6.66D NEMER—n> • 4,11 .022 1LL is .033 .0.44 — 1,41 22] 433 6,19 124 8,10 1116 11.61 1327 1453 Ditance(ft) DV)I+D+11+D+6.ISOl1+6.66D.lC,ly Project Title: cJ Associates LLC Engineer: PO BOX 13 Project ID: Westborough,MA 01581 phone:617-869-2273 Project Descr: email:cjassociatesma@gmail.com Steel Bea LIC#:KW-06011663,Build:20.22.12.28 (c)ENERCALC INC 1983-2022 DESCRIPTION: 10 Breezy Point, South Yarmouth (Right Beam) CODE REFERENCES Calculations per AISC 360-10, IBC 2015, CBC 2016,ASCE 7-10 Load Combination Set:ASCE 7-05 Material Properties Analysis Method Allowable Strength Design Fy:Steel Yield: 50.0 ksi Beam Bracing: Completely Unbraced E:Modulus: 29,000.0 ksi Bending Axis: Major Axis Bending c D(0.230)L(1.005) V b o b �,C 'µ ix^ • 5 er4P1W 1' `-.$ -.•£.. YT ,,'_U..- „.. r i,, W8x24 (`l Span= 11.750 ft F F Applied Loads Service loads entered. Load Factors will be applied for calculations. Beam self weight NOT internally calculated and added Uniform Load : D=0.230, L= 1.005 k/ft, Tributary Width = 1.0 ft DESIGN SUMMARY Desi•n OK Maximum Bending Stress Ratio = 0.391 : 1 Maximum Shear Stress Ratio= 0.187 : 1 Section used for this span W8x24 Section used for this span W8x24 Ma:Applied 21.313 k-ft Va:Applied 7.256 k Mn/Omega:Allowable 54.520 k-ft Vn/Omega:Allowable 38.857 k Load Combination +D+L Load Combination +D+L Location of maximum on span 0.000 ft Span#where maximum occurs Span#1 Span#where maximum occurs Span#1 Maximum Deflection Max Downward Transient Deflection 0.181 in Ratio= 780 >=360 Max Upward Transient Deflection 0.000 in Ratio= <360 Span: 1 : L Only Max Downward Total Deflection 0.222 in Ratio= 636 >=240. Span: 1 :+D+L Max Upward Total Deflection 0.000 in Ratio= <240.0 Maximum Forces& Stresses for Load Combinations Load Combination Max Stress Ratios Summary of Moment Values Summary of Shear Values Segment Length Span# M V Mmax+ Mmax- Ma Max Mnx Mnx/Omega Cb Rm Va Max VnxVnx/Omega D Only Dsgn. L= 11.75 ft 1 0.073 0.035 3.97 3.97 91.05 54.52 1.14 1.00 1.35 58.29 38.86 +D+L Dsgn. L= 11.75 ft 1 0.391 0.187 21.31 21.31 91.05 54.52 1.14 1.00 7.26 58.29 38.86 +D+0.750L Dsgn. L= 11.75 ft 1 0.311 0.149 16.98 16.98 91.05 54.52 1.14 1.00 5.78 58.29 38.86 +0.60D Dsgn. L= 11.75 ft 1 0.044 0.021 2.38 2.38 91.05 54.52 1.14 1.00 0.81 58.29 38.86 Overall Maximum Deflections Load Combination Span Max. -"Defl Location in Span Load Combination Max. "+"Defl Location in Span +D+L 1 0.2219 5.909 0.0000 0.000 Vertical Reactions Support notation : Far left is#' Values in KIPS Load Combination Support 1 Support 2 Max Upward from all Load Conditions 7.256 7.256 Max Upward from Load Combinations 7.256 7.256 Max Upward from Load Cases 5.904 5.904 D Only 1.351 1.351 +D+L 7.256 7.256 +D+0.750L 5.780 5.780 +0.60D 0.811 0.811 Project Title: cJ Associates LLC Engineer: PO BOX 13 I g Westborough,MA 01581 Project ID: phone:617-869-2273 Project Descr: email:cjassociatesma@gmail.com Steel Beam LIC#:KW-0601'1663,Build:20.22.12.28 (c)ENERCALC INC 1983-2022 DESCRIPTION: 10 Breezy Point, South Yarmouth (Right Beam) Vertical Reactions Support notation: Far left is#' Values in KIPS Load Combination Support 1 Support 2 L Only 5.904 5.904 2 16 11 is I iF 5 DER-» 114 232 3A9 4.61 534 732 8,19 931 19,54 11,72 Dtace(ft) DOily I+6+16+6+6.1S61.I+DE6D 4 •4 7 114 232 3,49 4,67 5,84 7,82 8,19 9.37 1054 1112 Dztaoce(ft) D Oily I+6+16+D+6.7S61 I+6.66D Project Title: CJ Associates LLC Engineer: PO BOX 13 Project ID: Westborough,MA 01581 phone:617-869-2273 Project Descr: email:cjassociatesma@gmail.com Steel Beam LIC#:KW-06011663,Build:20.22.12.28 (c)ENERCALC INC 1983-2022 DESCRIPTION: 10 Breezy Point, South Yarmouth (Right Beam) *JEER-•» \\IIIIIIIS -036 c -0.11 r' v 0 N f -0,11 I -023 , ldl 23 335 4,53 5,67 6,82 196 9.10 1024 1139 D a1ce)R) 6 69,Iy I+0+6I+6+6.i66l I+6666,if t9fly