HomeMy WebLinkAboutBLDR-23-11019 (2) w
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 Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: M(,t') -23-l0b/9 Date Applied:
%,-• (91\iS 6 /313
Building Official(Print Name) i ture Date
SECTION 1:SITE INFORMATION
J1.1 Property Address: 1.2 Assessors Map&Parcel Numbers R
Of aMkon yr CEIVFD
1.1 a Is this an accepted street?yes no Map Number Parcel Number I MAY Zoning Information: 1.4 Property Dimensions: MAY 1 2023
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) BUILDING DEPARTMENT
By
1.5 Building Setbacks(ft) —r—
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: ()\A'°
Public El Private 0 Zone: Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
✓d 0,4sue.. ye/H wev/1ij parT,/,,,,¢ 04. 7--.5-
Name(Print) ity,State,ZIP
/ 7 c/-1 r0 n &/) F/Z S9-77/ cd pcca i t 1-P�joi 0,. .- o
No.and Street Tdlephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction Cl Existing Building rq Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition ❑
Demolition 0 Accessory B16IA Npnber of Units Other 0 Specify:
iBrief Description of Proposed/ Work-:` / lip (-d njCr v•W.((cf•,y 7—.0/��' r1'
E,ppinLfu�t! TPL +! ya ,yfr // c4,Ih7 /ll%
��z4rr, 7ff,
islan4, �� , �'OKnip
lazArrSECTIOMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 1. Building Permit Fee:$ _Indicate how fee is determined: /
❑ Standard City/Town Application Fee I
2.Electrical $ 3
❑Total Project Cost (Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $ n
4.Mechanical (HVAC) $ List: 3 �Q.��L> t7 Al k- /0\I J
\25,'
5.Mechanical (Fire $
Suppression) Total All Fees:$
4Check No. Check Amount: Cash ' di ount:
6.Total Project Cost: S /,p�•D 0 Paid in Full 0 Outstanding Balance ►iue: ,r
1
5' t COQ
- SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted I&2 Family Dwelling
City/Town,State,ZIP M Masonry v
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)
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
No.and Street Email address
City/Town, State,ZIP Telephone
SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152.§ 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes ❑ No 0
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 authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
• SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of petjmy that all of the information
i
contained in this application is true and accurate to the best of my knowledge and understanding.
fic/
nt i/ 5/f _
O er's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program can be found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.aov/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 I
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
The Commonwealth of Massachusetts
Department of Industrial Accidetzts
1 Congress Street, Suite 100
Boston, MA 02114-2017
— 4•�'• www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): `��
Address: / 6' U4'/(,P /
t/14 (J ( fir_
City/State/Zip: dyr 470'1/ poi. Phone #: � /� J F/L-5 )- 3/
1
Are you an employer?Check the appropriate box:
Type of project(required):
l.❑I am a employer with employees(full and/or part-time).*
7. [New construction
2.[I am a sole proprietor or partnership and have no employees working for me in
ca aci S. [ Remodeling
an y p ty.[No workers'comp. insurance required.]
I am a homeowner doing all work myself. [No workers'comp. insurance required.]t 9. E. Demolition
4.[I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 [ Building addition
ensure that all contractors either have workers'compensation insurance or are sole 11. Electrical repairs or additions
proprietors with no employees. 12.[Plumbing repairs or additions
5.0 I 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 13•[Roof repairs
6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 1 4•[Other
152,§1(4),and we have no employees. [No workers'comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: /-- c (4/7o47 SST ,ylpv/h )2 ll City/State/Zip: h(/4- a
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.
1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
—�1
Signature: f __. Date: -- / Z— 2 co 2
Phone#: ( - / ) ( L 7/
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#:
Y It T -.0
. / . p TOWN OF YARMOUTH
A:,, J1 c BOARD OF APPEALS
o - `"/ .i DECISION
`\�'rACHE�y'f• �:Ee1-� % �'"8:L [--ST .�.46 "p 8 .� _
.�.. 05---i n'p--- ?:02 2 al n_ w F.5 8r3`
FILED WITH TOWN CLERK: April 20, 2023
PETITION NO: 5010
HEARING DATE: April 13, 2023
PETITIONER: Rudy Quispe
PROPERTY: 176 Union Street, Yarmouth Port, MA
Map 115, Parcel 86
Zoning District: R-40
Title: Book 34154, Page 52
MEMBERS PRESENT AND VOTING: Chairman Sean Igoe, Dick Martin, Jay Fraprie,
Doug Campbell
Notice of the hearing was given by sending notice thereof to the Petitioner and all those owners
of property as required by law, and to the public by posting notice of the hearing and publishing
in The Cape Cod Times. The hearing opened and was held on the date stated above.
The petitioner, Rudy Quispe, seeks relief in connection with property at 176 Union Street,
Yarmouth Port, MA, which is located in an R-40 zoning district. The property contains 24,829
square feet of area. The petitioner seeks a Special Permit for a family related accessory
apartment that is less than 800 square feet.
Mr. Quispe did a fine job of presenting the petition, saying that when he purchased the home two
years ago, the garage apartment was existing, but built illegally. Since that time, Mr. Ouispe has
applied for building permits to add a bathroom and a deck. If approved, Mr. Quispe will add a
stove to the apartment which will allow his mother some privacy in her own space. The
apartment has three means of egress. The home, including the apartment, will have four
bedrooms in total, and the septic system has capacity for four bedrooms.
One neighbor in the audience spoke in favor. No one spoke in opposition to the petition and no
new exhibits were received at the hearing.
Mr. Martin noted that the accessory apartment is small (-640 square feet) and the lot can
accommodate the size of the apartment.
A TRUE COPY ATTEST:
L;ivii;I i LVVN i::i..:F:X
MAY 1 1 2023
The Board agreed that the petition meets the requirements of§407 of the bylaw as it relates to
family related accessory apartments, including the accessory apartment is no larger than 800
square feet and the lot size is a minimum of 10,000 square feet.
Accordingly, a motion was made by Mr. Fraprie, seconded by Mr. Campbell, to grant the Special
Permit, as requested. A roll call vote was taken and the members voted unanimously in favor of
the motion as follows: Mr. Igoe-Aye; Mr. Martin-Aye; Mr. Fraprie-Aye; Mr. Campbell-Aye.
No permit shall issue until 20 days from the filing of this decision with the Town Clerk. Appeals
from this decision shall be made pursuant to MGL c40A section 17 and must be filed within 20
days after filing of this notice/decision with the Town Clerk. Unless otherwise provided herein,
the Special Permit shall lapse if a substantial use thereof has not begun within 24 months. (See
bylaw §103.2.5, MGL c40A §9)
Sean Igoe, Chairman
CERTIFICATION OF TOWN CLERK
I, Mary A. Maslowski, Town Clerk, Town of Yarmouth, do hereby certify that 20 days have
elapsed since the filing with me of the above Board of Appeals Decision #5010 that no notice of
appeal of said decision has been filed with me, or, if such appeal has been filed it has been
dismissed or denied. All appeals have been exhausted.
Tti1)4-a.Azdtx,446,
Mary A. Maslowski
MAY 1 1 2023
A TRUE COPY ATTEST:
TtA4,4_07ffudif)(44,
MAY 1 1 2023
TOWN OF YARMOUTH
(. -° BUILDING DEPARTMENT
TTHC�\CC3[ ti0
� �� 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
JOB LOCATION: /72- 1//o '7 5 / l Y'i/,94/ / Pr` /t/f
NAME S? E ADDRESS SECTION OF TOWN
:`HOMEOWNER" Yvc , 62vO1ts 77.2 c(/Z. — 5 X31
1E HOME PHONE ,WORK PHONE
PRESENT MAILING_ADDRESS C c)h-C COc/ �/� �- (t/ h di / d/ - C may/
id 11 ,,v ( b �Ivv►-7— /14- pZc 1S
CITY OR TOWN STA 1'>✓ ZIP CODE
The current exemption for `Homeowner' was extended to include owner-occupied dwellings of one or two units
and to allow such homeowners to engage an individual for hire who does not possess a license,provided that such
homeowner shall act as supervisor. (State Building Code Section 110 R5.1.3.1)
Definition of Homeowner:
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is or is intended to
be, a one or two family attached or detached structure assessory to such use and/or farm structures. A person who
constructs more than one home in a two-year period shall not be considered a homeowner;such"homeowner"shall
submit to the building official, on a form acceptable to the building official,that he/she shall be responsible for all
such work performed under the building permit. (Section 110 R5.1.3.1)
The undersigned `homeowner' assumes responsibility for compliance with the State Building Code and other
applicable codes, by-laws, rules and regulations.
The undersigned 'homeowner' certifies that he / she understands the Town of Yarmouth Building Department
minimum inspection procedures and requirements and that he / she will comply with said procedures and
requirements.
HOMEOWNER"S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL
Ch.142. Yes No
If you have checked ves, please indicate the type coverage by checking the appropriate box.
A liability insurance policy Other type of indemnity Bond
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement.
0 ne:
Signature of Owner or Owner's Agent caner Agent
h:homeownrlicexemp
TOWN OF YARMOUTH
1146 Route 28, South Yarmouth, MA 02664
508-398-2231 ext. 1261 Fax 508-398-0836
Office of the Building Commissioner
BUILDING DEPARTMENT
DEMOLITION DEBRIS DISPOSAL AFFIDAVIT
Pursuant to M.G. L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111/5
I hereby certify that the debris resulting from the proposed work/demolition to be
conducted atA v4nra / l
Work Address
Is to be disposed of at the following location:_7e)r 0, h f all. c1 1"---
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111, Section 150A.
Signature of Applicant Date
Permit No.
.. v•Ygk COMMONWEALTH OF MASSACHUSETTS
4 TOWN OF YARMOUTH
. A. t BOARD OF.p .,,. . A-1y, APPEALS
�.,CHEE'/
Petition #: 5010 Date: May 11, 2023
Certificate of Granting of a Special Permit
(General Laws Chapter 40A, Section 11)
The Board of Appeals of the Town of Yarmouth Massachusetts hereby certifies that a Special Permit has been
granted to:
Rudy Quispe
Affecting the rights of the owner with respect to land or buildings at: 176 Union Street,Yarmouth Port, MA;
Map 115, Parcel 86; Zoning District: R-40; Title: Book 34154, Page 52 and the said Board of Appeals further
certifies that the decision attached hereto is a true and correct copy of its decision granting said Special Permit,
and copies of said decision, and of all plans referred to in the decision, have been filed.
The Board of Appeals also calls to the attention of the owner or applicant that General Laws, Chapter 40A,
Section 11 (last paragraph) and Section 13, provides that no Special Permit, or any extension, modification or
renewal thereof, shall take effect until a copy of the decision bearing the certification of the Town Clerk that
twenty (20) days have elapsed after the decision has been filed in the office of the Town Clerk and no appeal
has been filed or that, if such appeal has been filed, that it has been dismissed or denied, is recorded in the
Registry of Deeds for the county and district in which the land is located and indexed in the grantor index under
the name of the owner of record or is recorded and noted on the owner's certificate of title. The fee for such
recording or registering shall be paid by the owner or applicant.
:5
Sean Igoe, Chairman
A TRUE COPY ATTEST:
BARNSTABLE REGISTRY OF DEEDS - ,, ;::v. ;i i LVVNi.Cr: r:K
John F. Meade, Register MAY 1 -.1-
Certified Plot Plan
Ryder >76 Union Street
Wulco
Yar��Louth, MA
OC prepared for
SURVEYING-ENGINEERING Rudy Ouispe
HOME PLANNING & DESIGN Scale.• 1- = 40'
Date: February 9, 2023
3 GIDDIAH HILL ROAD P.O.BOX 439
SO.ORLEANS,MASSACHUSEIIS 02662 Reference.-
TEL:508255.8312 FAX:508.2402306 Assr s Afap 115, .Al. 86
Pt. Bk. 126, Pg. 113
H. Bk. 136, Pg. 1
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I certify that the dwelling shown hereon is located Nor te DAVID 04_
as it exists on the ground and that as so located �,
it complies with the minimum property line o A' r
setback requirements of the Town of Yarmouth. U LYTTLE
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Professional and Surveyor Date.'
Job No. 13127
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