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HomeMy WebLinkAboutBLD-23-003221 , i ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department R ; C E ' V E D 1146 Route 28, South Yarmouth,MA 02664-4492 �— — 508-398-2231 ext. 1261 Fax 508-398-08361�, Massachusetts State Buildin Code ,h)g 780 CMR FP 0 ?f ldi g ''ernzitApplication To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling BUILrING D -PARTNIFNT By. _ — This Section For Official Use Only - Building Permit Number: 6114 1 — „, ( Date Applied: 1 )C^ c.QlN 4-nr cU, Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Pro er dd ty Aress: 1.2 Assessors Map&Parcel Numbers 33a Wl lit`�1-re kOo-+skVau trcov a� 1.la Is this an accepted street?yes I/ no Map Number Parcel Number 1.3 ZoningInformation: 1.4 Property Dimensions: Zoning District Proposed Use ) Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Required Provided Rear Yard Required Provided Required Provided 30 -3 a." 3 3 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 FifeZone? Check ifyeM Municipal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERS}1fl 2. Owneri P off�Record: Nam ( n \' 'cu-_ . N\��.. 50,), (�''�k C(O City,State, 1 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK=(check all that apply) New Construction 0 I Existing Building❑ Owner-Occupied 0 Repairs(s) 0 AIteration(s) 0 I Addition pt, Demolition ❑ Accessory Bldg. 0 Number of Units Other ❑ Specify: Brief Description of Proposed Work': RECEIVED SECTION 4: ESTIMATED CONSTRUCTION COSTS. 11C o 2022 Item Estimated Costs: � C f T 93 2. (Labor and Materials) Official Use Only 1. Building $ BUDDING DEPARTM' NT 1. Building Permit Fee:$35a Indicate how g.,,ib cteternitned: El Standard City/Town Application Fee 2.Electrical $ 3.Plumbing 0 Total Project Costa(Item 6)x multiplier x $ 2. Other Fees: $ f/ 4.Mechanical (HVAC) $ List: C 3 d &U`oto 5.Mechanical (Fire Suppression) $ Total All Fees:$ 6.Total Project Cost: $ Check No. Check Amount: Cash ..u.ount: a�, 0 U. 0 Paid in Full Outstanding Balance Jue: 6 SECTION : CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) r\k/ M PO j ui CS—1 k LO-- l_QZAI S Name of CSL Holde License Number Expiration Date 3� CCC ,J �J (� , (� List CSL Type(see below) (� No. \and ��Street W V Type Description W 1tQ� i � - U Unrestricted(Buildings up to 35,000 cu. ft.) City/Town,State,ZIP d� R Restricted 1&2 Family Dwelling M Masonry RC Roofing Coverin• WS Window and Sidin• _alau`\� SF Solid Fuel Burning Appliances Telephone -1\ y \0,, 1,,,,,,&V A00,t . I Insulation Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) UQ��I t� • C ,u a(Dss1 d 51Q,Jz HIC Company\ame or HIC R istrant Name HIC Registration Number Expirationa ee 927 a c C41-.ti\ 1� .A�� o.and Stre `JGt M-2 Wt. �� Yu-01 (7 10_5(' (� i r 11 - Email address City/Town, State,ZIP Telephone —1 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 APPLES FOR BUILDING PERMIT I, as Owner of the subject property,hereby authorize to act on my behalf, in all matters relative to work authorized by this bu aptALL �1 ilding permit application. Print Owner's Name(Electronic Signature) a" 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 Author' g .2 ' - ^� �A�ent's ame(Electronic Signa r o ture) 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.gov/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 livinc,area(sq.ft.)------ Number of fireplaces Habitable room count Number of bathrooms Number of bedrooms Type of heating system Number of half/baths Type of cooling system Number ofdecks/porches Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" C � The Commonwealth of Massachusetts • r De artment o P f Industrial Accidents "�,_ 1 Congress Street, Suite 100 .ram (' Boston, MA 02114-2017 IMP 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): ePlease Print Legibl 0 . Address: j`� 1� City/State/Zip: \Q.X QN 1f1 k S b 'hone #: 0 - 3 0 ` ( L Are you an employer?Check the appropriate box: I 1.Q I am a employer with Type of project(required): employees(full and/or part-time).' 2.❑I am a sole proprietor or partnership and have no employees working for me in 7. New delinrUCtlOn any capacity.[No workers'comp. insurance required.] 8. Ell Remodeling 3.0 I am a homeowner doing all work myself [No workers'comp. insurance required.]t 9. ❑ Demolition 4.❑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 El Building addition proprietors with no employees. 11.[] Electrical repairs or additions 5.0I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp. insurance.t 12.El Plumbing repairs or additions 46❑We are a corporation and its officers have exercised their right of exemption per MGL c. 1 4 ❑Roof repairs 152,§1(4),and we have no employees. [No workers'comp. insurance required.] l ❑Other *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'com 1 am an employer that is providing , P P�policy number. P workers compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: be_ K- Policy r or Self ins.Lic. o���n C ( t Expiration Dater3 Job Site Address: ' City/State/Zip:� ` ( � , Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration e). Failure to secure coverage as required under MGL c. 152, P n date). and/or one-year imprisonment, as well as civil penalties in the form of STOP WORE ORDER and a fine ofnal violation punishable by a fine p upo to 0.00 day against the violator. A copy $250.00 a of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certif underrthe 'ns and penalties of perjury that their formation provided above is true and corr Si mature: 0 ect. Phone#: _ Date: J -1 ' Official use only. Do not write in this area, to be completed by city or town official. City or Town: Issuing Authority(circle one): Permit/License r 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Ins ector 6. Other P 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.corn> 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/AAQkADE3MDQ5NWZmLTk0YzItNDIwNi 1 iMDQxLWNkMGQyNmE4NzE5NAAQAHvwVXYHBNZBk3xS90k... 1/1 -4. TOW\ OF 't AR\it ntitt 4F-Y'Z/,t_\ 4A ') WATER DEPARTMENT c ait ii,,ti,-- BUILDING PERMIT APPLICATION FOR WATER DEPARTMENT SIGN OFF TRANSMITTAL FORM H ILDING SITE LOCATION: l':. 3 0) r tiA,Q, -\\0,..AN.Auusim cKlik-Vi-A-0-3.1 PROPOSED WORK: CA)ijsitylk,:)0N\r/k la..(kCat.C.V) A DDRESS: 'Y,.)a \M.C\L ) . i-Cka-.- . . V.., \V‘(.,,a 1AA1-\\;' ) 'VA co % '. ' \ THIN IONE:: ' O'S1' - 3 k,,,a 0- laSI1)liV1.1/11.. ;\ND OR CONINIIiR( IAL B1111)1\Ci Wzlo-I)epar mem: I/eteriines('ompl)ance of Waiel \vat lability and or existing location 1-14.uneering Deptiruncra I/eterinines CA impihmee for Piirkint.i and I/nuniii_itii ("miser\di ion Commission: !Mem-lines('ornplionee to Wetlands ‘ei. i e. It huts,horder any t.pe of li el landS, streams ponds.ri\as.ocean, bov.--, i‘ot s, Inarsidand. ETC„. I kaki) I>epartinenr Docrmitics Compliance to Stale and To\\r Revulankins, c. requirements for Septage Disposal and other Publie I lealth Acti\ites Fire Deparnnent: Docrinines(`or)pliiinee to State and Ito‘n Requirements kir Personal Sa10., Property Protections, i.c Smoke Detectors.Sprinkler Systeins,ete APPLICANT SIGNAT la DATE OFFICiE USE: COMNIENTS ON PERNIIT APPROVAL OR DENIAL ------------------__—_--------------__________----- ------------------------------------------------------------------------------- REVIEWED BY WATER DIVISION(SIGNATURE) DATE tO dirlY f 9204 NAME Anthony Aggouras 8-21-96 . STREET . 332 Ping St. Lot 2 VILLAGE t?x o,:th SERVICE NO. t 2'. 3 ', -l.& 87r * ‘42-/7—?7 METER NO. . rls \\I ?t, d 142, ,, I f -------3 ;E le ole 12. 3?€ gF • ',-- Locus ke 4.4-Nd7e01 _____-----_ 4454, 1) 4 o o It) 4.° N.N Zti to CY- c* e, to r ft i -4 cc e • 4,. 0 , \ Shed > 0 4. 46 tr Gr? I / ST eei \,/ 4:=. YAR1vIOUTH, MA 'emove -; : SITE Locus Patio r---Thn N.) m i Proposed 0 Zone R-25 • Mop 22 25,000 Sq. Ft. Parcel 102 150" Frontage L01 Addi -Jon in Setbacks Front 30' Side 15' Rear 20' -.--- CO Maximum Coverage 25% 1 1 1 r C.J1 Existing Coverage: 15 7± / 0 0 \ \ 0 Proposed Coverage: 19 5: i i di mk 1 0 / 1 :'' ' i 0 \ \ 0 i Plot Plan o .. k( 1 For ti Proposed Addition ° i 12.0'--4.---1 L -i \ i i 332 Pine Street i t L — — _nr....,...A.0,01 . West Yarmouth, MA ........., , 14.0 SASPrepared for: Kathleen Marie Parro Proposed Prepared by AU Cope Septic and Survey Sono Tubes 618 Route 28 ( Typical) West Yarmouth, MA 02673 (508) 771-4200 oncapesepticOgrnoil.corn Date: 11/07/22 I GRAPHIC SCALE 42°17 20 Mop 22 — !!!seciii ° 1° 2° Parcel 98 ( IN FEET ) t inch .. 20 ft. Dwg #53c . . 4.-- , / Mop 22 Parcel 95 N 42.1 __7---0— o • o C9 CO 0) 0) \-\----- _, z __.,. i , \\ House #332 1 ,1 1 _0. Lot 2 2 Bedroom , N...) 4 1 s' 9 , 0 9 5 J. SFEl\ , a 0 % ::\ .,... . , __ ------\\ , _______ \\A ----- - Em....,_." ., . 7/ r---i— 1 —Th ' / t''''' lb —I _ ----____ , ---1 —___ I- — ,............/ CD _____ _ _ — i\ '1\ r...i- ...--. — V I , CO U-1 \ Slab .... , ______, _ OF 1 ‘,. ie $ STEPHEN to. 6,,e _.---------- . ..::X- tv1,00RE....., -34 ....-- 0) ------ cri ... -wvosucoe‘ — 1 0,c. I.) Asseisoes Map 22 Parcel 97 2.) Bk 29160 Pg 157 ....... 3.) PL BK 202 PG 73 Lot 2 4) This property is not in a Wellhead 1 Protection District I 07.0 3.) This property is in Flood Zone X Firrn Mop 25001C0588J Doted 7/16/14 ........, THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Aff. ' . Business Regulation 1000 Washing -Suite 710 ; - Bosto b -118 Home Im•ro -- X - -'' atlon ++�+++++++r+u'in p .d N Type: Individual ao KIM POPOVICH --- * .e• ation: 205510 n cm D/B/A NEW AGE REALTY AND CONSTRUCTI��� ,-t- ,� E =tion: 05/25/2Q2t 332 MAIN STREET if :9 UNITE • N L D WEST DENNIS, MA 02670 " la �a m $ n a,_ . i O �A'"',' Update Address anc W 0 N eV ��L v ��,�`�� ` � THE COMMONWEALTH OF _- "-' ... 'w' -. ., -.. —. .— _ _ _ MASSACHUSETTS 5 m o w Office of Consumer A 8 Business Regulation Registration valid for individual use only before tt c V V A HOME IMPROV.1,L ,, ONTRACTOR expiration date. If found return to: o = ,. Office of Consumer Affairs and Business Regulate. '0 an Q N �L [ 1000 Washington Street -Suite 710 m co 2 s�d �' Boston,MA 02118 •,- —w y KIM POPOVICH � f D/B/A NEW AGE RE ° r-h ION i KIM A.POPOVICH 41%i� kis 1 ! 9 HIGHRIDGE LANE " = 4, \‘.... SANDWICH,MA 02536 �41 1 -Awe Undersecretary i Not valid wit ut Slgryature Town of Dennis DBA CERT ; ' �� 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 Construction 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 feur 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 • • CPRD AC ® CERTIFICATE • DATE(MMIDD/YY �� OF LIABILITY INSURANCE I12/0I5/2Q22. 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 POLIO: BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN.THE ISSUING INSURER(S), AUTHORI2 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 endors 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 P.O. Box 113247 PHONE 844-472-0967 IF'ix IAIC.No.ail: (A/C,No203-654-363 Stamford,CT 06911 gtvaL : customerservice@biBERK.com . INSURER(S)AFFORDING COVERAGE NAIC INSURED INSURER A:Berkshire Hathaway Direct Insurance Company 1039: • Cleantec Diversified Services Consultants LLC . INSURERS: 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 POLICY PERI( 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 TERM EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDVSUBR • LTR TYPE OFiNSURANCE POLICY EFF POLICY EXP • INS) YWD POLICY NUMBER (MM/D)/YYYY) (MM/ODMYY) LIMITS X COMMERCIAL GENERAL LIABILITY • I'CLAIMS MADE X occurrence) OCCURRENCE $ 1 D5 OCCUR • DAMAGETO RENTED A PREMISES(Eaoccurrence) $ S0rt • . N9BP584248 08/20/2022 08/20/2023 MED EXP(Any one person) $ VI • PERSONAL&ADV INJURY $ . Induta GEN'L AGGREGATE LIMIT APPLIES PER: • • POLICY I I j LOC GENERAL AGGREGATE $ 2,000,0,: X .OTHER: • PRODUCTS-COMP/QP AGG $ 2,000,0, $ AUTOMOBILE LIABILITY • COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) BODILY INJURY(Per person) $ OWNED SCHEDULED HIRED ONLY NON-OVVNEDAUTOS BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS ONLYAUTOS PROPERTY DAMAGE. $ (Per accident) UMBRELLA LIAB OCCUR $ EXCESS ow EACH OCCURRENCE $ CLAIMS MADE AGGREGATE DED I J RETENTIONS $ A WORKERRS.COMPENSATION • $ AND EMPLOYERS'LIABILITY I STATUTE I I ERH ANYPROPRIETOR/PARTNER/EXECUTIVE Y!N OFFICER/MEMBEREXCLUDEDI NIA E:L.EACH ACCIDENT $ • (Mandatory in NH) If yes describe under E.L.DISEASE-EA EMPLOYEE$ DESCRIPTION OF OPERATIONS below r EL DISEASE-POLICY LIMIT .$ Professional Liability(Errors& • Omissions): Claims-Made • Per Occurrence/ .. Aggregate DESCRIPTION OF OPERATIONS/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 BEFORE Ann McDonald THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN .332 Pine St ACCORDANCE WITH THE POLICY PROVISIONS. West Yarmouth, MA 02673 AUTHORIZED REPRESENTATIVE . ©1988 2015 ACORD CORPORATION. All rights reserve 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. 00I F.The roofing shall match the existing shingles. G. The lighting shall be LEDs needed and a ceiling fan. H. The bathroo ower hall be a tiled, 3"x5", with a rain head shower and a niche with a deco. band. The show - I be 3/8" glass, barn style. .- • n i e top. '"^°, '.,°� I. The vanity shall a 48" � a granite p 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). O. 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 I k 7 6 $ 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. Contractors 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: 40,-vk (Homeowner) Sign Name: Date: I I a 2Z-- (Homeowner) Print Name: Augustine R. Lett (Contractor) Sign Name: Date: 1( ( ClZ ( Z-2— Contractor) • TOWN OF YARMOUTH HEALTH DEPARTMENT 5 c PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: 3` P\A-‘,Q_ Sr VV QS\CA,,\r a F , j Proposed Improvement: 3\L nn°\N\ Cc c>� c '`�. Sc'V\c.1 `� Applicant: �� VIA VN Tel. No.: 3t3'360-3 Address: '3OjL 'iVii_Xl t 30 i. £ \ , ' Date Filed: a **If you would like e-mail notification of sign off please provide e-mail address: y c Q V Gym it-%on,coM Owner Name: QN`N\ \G C Uv�&I A Owner Address: S I) Q}\')C,(0 cw-e_ Owner Tel. No.: G�. %Y i (NV\ CA 0(0 RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. Please submit three (3) copies of plans, to include: (1.) Site Plan showing existing buildings, water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building (all existing and proposed) — Note: Floor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: DATE: PLEASE NOTE COMMENTS/CONDITIONS: Ilitc pokbri-b S iU ic 3..3 2- Frn1 ST,. " 0), %moo 1 A WC Guide to Wood Construction in High pet,' Areas:410 mph W nd Zone f Massac usetts Checklist for Compliance(780 Civil 5301.2.I ' " of • `J :Check 1.1 SCOPE Compliance Wind Speed(3-sec.gust) 110 mph Wind Exposure Category B 1.2 APPLICABILITY Number of Stories (Fig 2) ...•_,-stories s 2 stories Roof Pitch (Fig 2) /i2.IZ 12:12 Mean Roof Height F' 2 ft s 33' Building Width,W Fig 3) / ft < Building Length,L (Fig 3) ft s 80' Building Aspect Ratio(L)w) F 4 a Nominal Height of Tallest Opening2 .(Fig 4) 4,.4q t<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 FOUNDATION'3 " 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general (Table 4). y, fa. r in. Bolt Spacing from end/joint of plate (Fig 5) F I�: $E -17— in.s 6"—12" Bolt Embedment—concrete (Fig 5) in.>7" Bolt Embedment—masonry (Fig 5) in.a 15" Plate Washer (Fig 5) >3"x 3"x%" 3.1 FLOORS Floor frahting member spans checked (per 780 CMR Chapter 55) Maximum Floor Opening Dimension (Fig 6) _4/2.ft s 12'or Lag or W/2 Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6) Maximum Floor Joist Setbacks Supporting Loadbearing Wails or Shearwall (Fig 7) — ft s d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall (Fig 8) — ft s d Floor Bracing at Endwalls (Fig 9) Floor Sheathing Type (per 780 CMR Chapter 55) Floor Sheathing Thickness (per 780 CI Chapter 55) '' k in. Floor Sheathing Fastening (Table 2).. d nails at 4 in edge/./_7 in field 4.1 WALLS Wall Height Loadbearing walls (Fig 10 and Table 5) L tt ft s 10' Non-Loadbearing walls (Fig 10 and Table 5) y ft s 20' Wall Stud Spacing (Fig 10 and Table 5) in.<_24"o.c. Wall Story Offsets (Figs 7&8) =ft s d 4.2 EXTERIOR WALLS3 Wood Studs Loadbearing walls (Table 5) 2x 4 ft " in. Non-Loadbearing walls (Table 5) 2x 4 ft in. Gable End Wall Bracing Full Height Endwall Studs (Fig 10)... (R.I..IV WSP Attic Floor Length (Fig 11). .1.,(1.2. — ft aW/3 Gypsum Ceiling Length(if WSP not used) (Fig 11) —ft a 0.9W 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. .. (Fig 11) .,.:a=-c� ?a. _ H�FM ce g 3 a •c ahie 6, `.4 C /3ti iZ 1 �`S As ne . e.:c ccr:. ...c ra;s` ae'e a; 7 ) i. o�' MICHELE yc /G�Z 2 - 3 CUDILO � l` STRUCTURAL ti � e f/ M • A�`-soNAL o��Q / t(..' L 7._ ' 1"l C-Do1 S I �M( 332.� S-r., W� �, ',, • 'ram . 6 _ c_ ✓ Wood Construction n a i k Wind rens: 116 l W ' ssac l set s Checklist �! . .Zo: Z e f Compliance ance (78c cviR 53 1.2.i. ` Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails) (Table 7) Non-Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails) (Table 8) 7i Load Bearing Wall Openings(record largest opening but eck all openings for compliance to Table 9) Header Spans (Table 9) Sill Plate.Spans ft _in.5 11' ' Full Height Studs (no.of studs) (Table 9) __--ft in.s 11' Non-Load Bearing Wall Openings(record largest (Table 9) ep Header Spans openingbut check all opernng �•r,�• pliance to Table 9) Sill Plate Spans (Table9) •• • ••i••• ft_in.5 12' , Full Height Studs(no.of studs) (Table 9) ft_in.S. 12" Exterior Wall Sheathing to Resist Uplift and Shear Simultapeou y(Table 9) Minimum Building Dimension,W = G I tic, Nominal Height of Tallest Opening2 Sheathing Type v6' "(note 4) Edge Nail Spacing Field Nail Spacing (Table 10 or note 4 if less) (Table 10) • Shear Connection(no.of 16d common nails)j(Table 10) Percent Full-Height Sheathing (Table 10) •G ,j f 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts) `%' /� ft Maximum Building Dimension, L i Nominal Height of Tallest Opening2 , 4 Z t Sheathing Type s 6'8" Ede Nail 4) 9 �"g (Table 11 or note 4 if less) in. Field Nail Spacing (Table 11) Shear Connection(no.of 16d common nails) Percent Full-Height Sheathing (T• able 11) 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts) 7, Wall Cladding Rated for Wind Speed? r 5.1 ROOFS Roof framing member spans checked? (For Rafters use AWC Span Tool,see.BBRS Website) Roof Overhang (Figure 19) .4-2—ft 5 smaller of 2'or L/3 Truss or Rafter Connections at Loadbearing Walls I Proprietary Connectors /L(/t"!C. S pj1 In( = Z Uplift (Table 12) w s gaa.1 • LateralU= s Shear (Table 12) L= (Table 12) S= Ridge Strap Connections, if Iar ties of ed r page 21..... (Table 13) T= r�i Gable Rake Outlooker.... .L TT (Figure 20) AIJA 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 Roof Sheathing Fasteningin. 7/16" P (Table 2)..�t�:l ..fQ.``D`�.... rr�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 s s • b. 20 Gage Straps per Figure 11 "� " �-° `�• y > 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 requirements shown in Tables 10 and 11. percent full-height sheathing 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness. pressure treated#2-grade. � A►CHELE �. lJ 4 ti m IfiCUDILO �ZZ2 0 SRUCTURAL a ,No 34774 A t 9`ca/STEP69 4Q SS'ONAL ek5v 33a, P t , w \taA u . r At * 6f 4' _, • I • ____________, --+-----L , bih \ �,- ��. i i . , . ' \ . • t . .. gdw4Wbr - L-t 1 i e t2 0 �. • I i k e vittmtivaint \ \ zi. =6, .1 1 i .1 't►, . I t t NAM*."rlP. 1 I tt .1, / I 1 , , ., dits , 1 .:„ 1 i. i • It P-fao. . .3_dill• 1 i _i_. __ _ _w_vigti_, . __•___ _ _ ' ...7"41"-. __,4 -1---,,N #4.,, , --.1-- ---t- f 6 Ktl. 0 ,, < „, VilioP r NOTES: _ ___ _ _ _ ____ _ _______ _ • Wood Strums Panels slog be minimum thickness of 7/16"and be installed as follows: i. Panels shell bisilrldled with sues.axis parallel to sack. ii- AU borialnpt jbi ts'sb&i occur owl and be tailed to fttitnmg iii. On sieeks$osy be attached to bottom plates and top me aberpf die double iv.tOP On two gory coessectiem.ewer pods shall be attaeited to the toprember of the upper double top plait and wbttnd joist st*ppm!prntsP Upper attechment rawer plodded be made to bind joist and lower stsehment made its floor fanning. v. Hos:aon<al nails at doable e.,band joists.and girders AM be a doable tow of$d staggered at 3 mcbesentcenter per rigors below:Vestietd and Ho ixontd Ailing for Panel Mario g a * - Ca c Cr r . 2 eF i 3301 6)mi 51JLfiti Guut;-( (0,,tinewiAictiA &, e•st ftrOV34:11 o.C. ow . i, r--,.._- _... _ _. ,__ _ ....1, _..., _,_ __. __•_*. .. _. 1 1 "i • ii H .• .. . 1.4 . ,4%,, H 1 1 i. - • • 0 H DO 1 I rii is I I.A ' 1, 1 ti r- ii 1 1 1 I v- I IL 1 1 1 •i 1 li 1 11 ip I ri 1.1 ii i 0 i 1 , -2 11 1 I . 0 • if I ill I ' 1 I I -cj 1 I 4 1 1-1 I 1 I e e . a 1, I 11 al` It I ti 1 1 I i II 11 4tZ• II 4 I. 1 1 li I I ' ri -Ye ,ft I ( . -ti 4 g i 7 , 1 ) I I I i I I , . . 1-71 :41.• .. 7-7 ------;-:7-477. =7 .---. i 1 . 1 kltio0DS1194G•TORAL PhI4E1 ) ( WS ) 6fitailItae , WSP ATTACHMENT 1111•111111111111111•1011.1011•111! , . 1401 'To Ni_titTic, ),.. 4D fieRIZoNITAL o•T TA c•p I M Ztiff 1 , - i , . . , 33a PkivuL- StAA.J., J � 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,far 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,lates issue,maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min.5/8"diameter, 12"long,w/2-1/2"hook spaced 4'o%,pr in concrete piers w/ Simpson ABU-series base;SPACED 2'o/c for slab-on-grade construction(i.e.Garage). U.O.t' FRAMING 1.All workmanship to conform to the requirements of the Mast'rhusetts 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 j a=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. lx6@ 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 2-1Od 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). 1' a .. ,I,L l -I ( . . AD <-+ ?kill; O < • es,_. D i I JC •. izi ro . ro a cl z � � o • tw.tZik3 V. ..),...., 0 ' AMR k ow, P a I 0 aD Iai r r r rai rrr r 0 - N'zai I . .-• .- •-• 6 ti 0 9 4. .L. 4. 6 1=1 . in o., i "'1H Hy m z :nFpp 80 0 OM p O 0O O ME 3m: a • zp9b c o o 0 ro g es b b HUgh c Fri • '' V ie a Eg g.8>E,. ti .z• ?Aliva T Q ®tiossoso r a a y y a� +�E u. N e • ON ON. m 0''I 97 N v {{ff�i �N �q Aim rro 09 E m— Y N N Pm: 'Am P- m: m`� >s 1 n o n n n nZei Apo IPZ% 1M ; O a m O p-, O moa 0igi - i 1 g IlE lf1 N N t�J tZ. ^. v y y y y y y v y� Al ii: lu V w ® w w W w w h HS � � 2� .; r�ir- 0• •0 MAN/ .. � .. ® «* w �. �o i' „, 213 2-; 9A ' ..'- :.-7 ,.,','•'' 4 Sv