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HomeMy WebLinkAboutbldr-23-10013 (2) • . pbt uoll YE Lr. E —ONE & TWO FAMILY ONLY- BUILDING PERMIT '� Town of Yarmouth Building Department �� 1146 Route 28,South Yarmouth,MA 02664-4492 �,�� g �;`�;3 508-398-2231 ext. 1261 Fax 508-398-0836 ,*r!;' r Massachusetts State Building Code,780 CMR _ Building Fermi!Application To Construct, Repair, Renovate Or Demolish sr �1 `F - ---my"'d' a One- Two-Family Dwelling L--_ r lR U 2 3 DD l 3 This Section For Official Use Only Building Permit Number: R ,\ 13..44n1)02Date Applied: 1r^ ��` 5 — "i�' 6-i-.013 Building Official(Print Name) ignature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers q . i A Liarm Poi- i�I 6®. 3 1.1 a Is this an accepted street?yes )4 no Map Number Parcel Number 1.3 7�pnirtg0 s formatiortcl 1 it t 1.4(NI PC 17i ty Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Publi7 Private❑ Zone: Outside Flood Zone? Municipal❑ On site disposal system ieD Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2. 0 of Record: .^�„'.U«r ACcc,ro1 ICei_rep qUir1'toti.d-In PO4 IVl A-GZ �-/- -- Name(Print) City,State,ZIP C -o Ott: u a 77ti-Rqii-os29 PCis' -C-e-0-0- f.Cam No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK(check all that apply) New Construction 0 Existing Building❑ Owner-Occupied 0 I Repairs(s) 0 Alteration(s) l)I Addition Demolition 0 Accessory Bldg. 0 Number of Units Other ❑ Specify: Brief Description of Proposed Work2: qq'&r a, -Wet ns'th l/►1 u5-(-Cr.Sc.4 add/47'en, feeIG.a CI) buindoa,c,Si`�`n,, rPiimod-e.1 2 ba_4415,rairkLe bud kh,-c,,--fr lorl__In Sf c c.Q 9 ru t&-c SECTION 4: ESTIMATED CONSTRUCTION COSTS. • Item Estimated Costs: Official Use Only (Labor and Materials) . 1.Building $ 35016 1. Building Permit Fee:$ t Indicate how fee is determined: iti Standard City/Town Application Fee 2.Electrical $ . .O a El Total Project Cost (Its 6)x multiplier x 3.Plumbing $ (. _K- 2. Other Fees: $ 3 4.Mechanical (HVAC) $ a0 List: ( 5.Mechanical (Fire $ / Total All Fees:$ (-1\ Suppression) q� j � Check No. Check Amount: Cash • ii. _ . —. V 6.Total Project Cost: $ "l 0 S F^ 0 Paid in Full fil Outstanding Balance 11ue:5 14 5 TT • ONE or TWO FAMILY— BULDING PERMIT APPLICATION REGULATORY APPROVALS NOTICE Address of Proposed Work: Q D Q oi.A-e_A-Q- Lia,(010-,4, ?&r t Scope of Proposed Work: (�ax-9,c pa 5) v.7. /14a-r krSu,Le act 4`,11`oYl, re pI a ce owl ._, /dim o e// 2 ba Ls, C glciu but Ic-hta.Al ref G c ' roa-7e h vp a dL Date: Li—g.-Fol 3 Based on the scope of work described above, the applicant is required to obtain approval sign- offs from the following departments as checked-of below: Health Dept.—508-398-2231 ext. 1241 Lk(a.l(1 Conservation—508-398-2231 ext. 1288 Water Dept. —99 Buck Island Road, 508-771-7921 —5 j2"4-- L k all )0-3-Mcuiy 20 Old Kings HWY. Hist. Comm. —508-398-22631 ext. 1292 Mu Pi Engineering Dept. —508-398-2231 ext. 1250 Fire Dept.—Kevin Huck/Scott Smith, 96 Old Main Street, SY Note: Please call Fire Department for an appointment. 508-398-2212 Other Appropriate plans and/or application shall be provided to each departments checked-off above. Each of these regulatory authorities has their own requirements outside the jurisdiction of the Building Department. All applicable approvals shall be obtained prior to submitting a building permit application to the Building Dept. Thank you for your cooperation. Receipt Acknowledgement: 4j Applicant's Signature Date Rev. Jan. 2019 SECTION 5: CONSTRUCTION SERVICES 5.1�Co/nstruct�S Supervisor License(CSL) CS—6'11 Lf 553 qI3 Oj' (�/a/ j4 'yam i License Number Expirati Date Name of CSL Holder / List CSL Type(see below) '7t,) ( (J DI' No,and Street ) Description V arrn n4-h Pod- MA-- GI-}1- C U � Unrestricted(Buildings up to 35,000 cu.ft.) Restricted 1/%2 Family Dwelling City/Town,State,Zrp M Masonry RC Roofing Covering • WS Window and Siding p �J `���� l SF Solid Fuel Buming Appliances icW ?oI$ `(\on esaro_do 1I( CuSIi fps•02., I Insulation Telephone Email address D J Demolition 5.2 Registered Home Improvement C �njtractor(HIC) 1q 1 Tie`i. aq d W GIB Le r tu � `eto d 0611 UX HIC Registration Number E irati n Date HIC Company Name or HIC Registrant Name asq cifram - we.c krn G2,4. oft, t43 1 `6 cki/6-ce:ci-b`nlf,C No and Street Email address —,,'cAnls ►111 -6Z42(20 5-7)S3-(0911-51aIg 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 per jury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Set AH--,,,k .a Print Owner'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.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 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" The Commonwealth of Massachusetts Department oflndustrialAccidents !EMU= 1 Congress Street, Suite 100 ':1*= Boston,MA 02114-2017 ,Y,�, 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): S eit,n a Dot I-U-S'h V'Y Address: Ci re W S - n (1 . 0( _1+- Q City/State/Zip: 5 , ,pn(bS WINA— UZLeIDO Phone #: S-7)(1.—(994r51a I Are you an employer?Check the appropriate box: Type of project(required): Oh am a employer with Ci employees(full and/or part-time).* 7. ❑New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in c aci 8. Remodeling an • y ap ty.(No workers'comp,insurance required.] 3,Q I am a homeowner doing all work myself.(No workers'comp.insurance required.]t 9. Demolition 4.121 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 5.01 am a general contractor and I have hired the sub-contractors listed on the attached sheet, 12.EPlumbing repairs or additions 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. 14.Q Other 152,§1(4),and we have no employees.(No workers'comp,insurance required.] *Any applicant that checks box g1 must also till 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: u 5 d c Ca p l /asu—A.n Ct ( 49 .y Policy 4 or Self-ins.Lic./: (A)LZ_SDO SQ) i-72 17.0 Z2l }— Expiration Date; 1 2-4-2 3 Job Site Address: ak, to City/State/Zip: /Of(fl Poi Mil 67 n Attach a copy of the workers' compensation policy declaration page(showing the policy ndmber 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. Sitrnature: Date: `7—e Phone T: 'Co �{- Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License r Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town CIerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: §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. 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 c "` L f 111,() )-)1- Pd 4 (1 Work Address Is to be disposed of oat the following location: Twit)ch,a-k' d�lSei S Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. Signature f pplication Date Permit No. ox' TOWN OF 'YAROUTHIr. BUILDING DEPARTMENT �'p TT^x� s� <� 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: JOB LOCATION: NAME STREET ADDRESS SECTION OF TOWN "HOMEOWNER" AME HOME PHONE WORK PHONE PRESENT MAILING AD'RESS CITY OR TO ` STATE ZIP •DE The current exemption for 'Horn:•wner' was extended to include owner—occupied • - ellinas of one or two units and to allow such homeowners to e,gage an individual for hire who does not poss-: a license,provided that such homeowner shall act as supervisor. tate Building Code Section 110 R5.I.3.1 Definition of Homeowner: Person(s)who owns a parcel of land on whi. he/she resides or intends .reside,on which there is or is intended to be, a one or two family attached or detached . cture assessory to suc- use and/or farm structures. A person who constructs more than one home in a two-year pe 'od shall not be co • dered a homeowner;such"homeowner"shall submit to the building official, on a form acceptab - to the buildi b official,that he/she shall be responsible for all such work performed under the building permit. (S: tion 110 ''5.1.3.1) The undersigned `homeowner' assumes responsibility • compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned `homeowner' certifies that he / : e understa•ds the Town of Yarmouth Building Department minimum inspection procedures and require' nts and that h- / she will comply with said procedures and requirements. HOMEOWNER"S SIGNATURE APPROVAL OF BUILDING OI4HCIAL INSURANCE COVERAGE: I have a current liability insurande policy or its substantial equivalent, which m -ts the requirements of MGL Ch.142. Yes No If you have checked ves, please indicate the type coverage by checking the appropriate'pox. A liability insurance policy - Other type of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance .verage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives'this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent h:homeownriicexemp 7. Sand Dollar Customs LLC 259 Great Western Rd. Unit B South Dennis MA 02660 508-694-5618 C`&STO S Sanddollarcustoms.com General Contractor and Owner Agreement Authorization To Proceed I hereby authorize Sand Dollar Customs LLC to proceed with construction at �C O CPS yo rrNcui '1 Poo- hi fr in accordance with signed estimate # , dated id. / 9-7 / )-0: Homeowner agrees to make payments to Sand Dollar Customs LLC in accordance with the payment schedule listed on the signed and agreed upon estimate. p (kiley Homeowner Date Sand Dollar Customs Repr n tive Date THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Roston Massachusetts 0,2118 Home Improvement Contractor Registration •moroomerso r.. r Type: LLC 4' 'r`"�""' ""} Registration: 193567 SAND DOLLAR CUSTOMS LLC "° Expiration: 10/29/2024 1851 FALMOUTH RD. -- _ CENTERVILLE, MA 026323z IMP Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE: LLC Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 193567 10/29/2024 Boston,MA 02118 SAND DOLLAR CUSTOMS LLC WALTER R.WARREN JR 259 GREAT WESTERN RD.UNIT B SOUTH DENNIS, MA 02660 * Undersecretary Not valid without signature Commonwealth of Massachusetts Division of Occupational Licensure • • Board of Building Regulations and Standards Constr n tS 7ervisor CS-091653 I pires: 09/30/2024 WALTER R WARREN JR 259 GREAT WESTERN RD.,UNIT UNIT B SOUTH DENNI$.MA 02675 J Commissioner cYc v '1 A DATE(MM/DDIYYYY) (( (J �� CERTIFICATE OF LIABILITY INSURANCE 01/06/2023 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 CONTACT Tina Reeves NAME: The Hilb Group New England,LLC PHONE (800)640-1620 FAX (A/C,No.Ext): (A/C,No): dba Dowling&O'Neil ADDRIESS: treeves@hilbgroup.com 973 lyannough Road INSURER(S)AFFORDING COVERAGE NAIC# Hyannis MA 02601 INSURER A: Main Street America Assurance Co 29939 INSURED INSURER B: NGM Insurance Company 14788 Sand Dollar Customs,LLC INSURER C: Associated Employers Insurance Co 11104 259 Great Western Rd.Unit B INSURER D: INSURER E: South Dennis MA 02660 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 (MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE 10 RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence) $ 500,000 MED EXP(Any one person) $ 10,000 A MPP9284Q 12/15/2022 12/15/2023 PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PRO JECT XI LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED )/ SCHEDULED M1P93360 12/15/2022 12/15/2023 BODILY INJURY(Per accident) $ AUTOS ONLY /•• AUTOS XHIRED se NON-OWNED PROPERTY DAMAGE $ - AUTOS ONLY _ AUTOS ONLY (Per accident) UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN 500000 C ANY PROPRIETOR/PARTNER/EXECUTIVE Y N/A WCC50050197212022A 12/04/2022 12/04/2023 E.L.EACH ACCIDENT $ , OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 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) **Workers Comp Information** Proprietors/Partners/Executive Officers/Members Excluded: Rob Warren and Steve Bobola,Members Insurance coverage is limited to the terms,conditions,exclusions,other limitations,and endorsements.Nothing contained in the Certificate of Insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Sand Dollar Customs ACCORDANCE WITH THE POLICY PROVISIONS. 259 Great Western Road,Unit B AUTHORIZED REPRESENTATIVE South Dennis MA 02660 _ I � ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • YARMOUTH WATER DIVISION 99 BUCK ISLAND ROAD WEST YARMOUTH, MA 02673 PH.: 508.771.7921 FAX: 508-771-7998 BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET rd- Bldg. Site Location q 8 6( Yea'i li q P #: J 5 Lot#: 86, j (rarug,e 'aM3r©r,,nr�slcr-.s 4-eadc:1 b"i,r piaa Mrcuindot .c S+cti'nq Proposed Improvement: reTo v.lfi 9 Zbsi lacc byit_tki ri ` r �Inu + 1 f SeAx�c bra d(. Applicant: CL..n CLh �.L'5 I1yyt Address (tad S !r fC,ci Z _ Tel. #: 1) lag LI-Vpl g Date Filed: _`/-al-4 5.` .41r)‘s ta}t 02._tetoo RESIDENTIAL AND/OR COMMERCIAL BUILDING Water Department: Determines Compliance of Water Availability and or Existing Location Engineering Department: Determines Compliance for Parking and Drainage Conservation Commission: Determines Compliance to Wetlands Acts;i.e.If Lot(s)Border any Type of Wetlands,Streams,Ponds, Rivers Health Department: Determines Compliance to Sta a and Town Regulations,,Ocean, Bogs,Bays,Marshland,E i.e.,Requirements for Septage Disposal and other Public Health Activities Fire Department: Determines Compliance to State and Town Requirements for Personal, Safety, Property Protection„ i.e.Smoke Detectors,Sprinkler Systems,Etc.. /�,.. Signature of ap /atreant Date PLEASE NOTE: COMMENTS: ltltCt il'tic ..._,00 f •A?r t--eot-c ,9 t3 e !"= -4_ - _ , --� 2.023 Reviewed by:Water ivislon Date __ .....__. ok� TOWN OF YARMOUTH , til AQHEALTH DEPARTMENT 1� 'yAC�Hj' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: q 02- (e tken-R k>'j r(-- O2J 9---S-- Proposed Improvement: C;t a gt -expo ns tbil in iCS. , .r S U If' �d r(.i��ial-,,f�.�1(� C� all cud c�aruS 5\ +U ny ;r o 2 Iva 4 h c free b vl nn a., r-�-cela a rww 4, sep-h c c 9r-a de Applicant: S ail d VOJ(6.0 C f5-1-rY\-J Tel. No.: S d<e'6 9 Sta 1.9 Address: c25-9 44J /JJ i-€. 4 Q20% 0i1:+Q 5 /n,'S 1 6z Date Filed: 9"02/-02 3 **Ifyou would like e-mail notification of sign off please provide e-mail address: 117[4,406' d CIoll WSIDm S;(427) Owner Name: p& -±Ca.„-a► X-e_ Owner Address: per_ Owner Tel. No.: 77 Ljy 99C1--0, - `=/ RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements ...n4 For Septage Disposal and other Public Health Activities. APR 2 1 2023 Please submit three (3) copies of plans, to include: (1.) Site Plan showing existing buildings, water line location, HEALTH DEPT. 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: ...,,,,,,s0 C DATE: 5"/ ' , a 7s PLEASE NOTE COMMENTS/CONDITIONS: N. SOIL TEST PIT DATA u .0,ro,D. LEGEND GENERAL NOTES P 1EW w UST w .� ,N PLAN.ONLY ROOMED FP,.<P.N .A•WNSwKIPw r:SAME PALL PEEPS AND NEW .W. wE.FL .,.a w.FT 2 ALL__ N ate .ro .WWW ILWN•. W Ar /• LOT3 i„w:,. ,,, ro wDW.) N..W N . LOCATED.N. art.. N PROPOSED a..PQ gl,4ESF. • / j KI P P. PP S. i Se EL PA 5 4 r TEST R.A. . r w OK.IS SAPP .mAO.t ALL 1osm.SASOL AO 01.E..IITAWE WA100AS wow ' ""PAD ' . IMBED&MO°� LOCUS MAP AN< i I/�n, EL.eP, ,,,i4,.,,,� Zr PPE a.Y. ,,,,,,,,,,,,i,,. sMALL ew,BE POW 0)0 ON OF A REPRESENTATIVE T THE..,Ow SEE,.EA.TO a Of READ.�QE.,wer PALL NOT BE LDIED FIU.DiALL ICOT COPAN MN MAMMAL.DGER WM 2 TERM A DEVE TOOTS O."..20 4 Aru NON ItEP�TA1 sAaE ME M SE. (INSITE SOIL EVAt UATION NRATON MI.AM PROMO EW pp, \ 2 Q * /s/mO PPE N. r �29,NE a, E"`3Ye/3 W. MERE Wow w NE PP.ME.PPROMATE D<D.E.PPS NOT nw.N TM DM SZE '� J._ z'?\ El.0 ; ,« a... ; .. �T.. .,. P OF PIPES MOR .T."N o.ARE,N.T Of WWOar' `PRIOR TO MD'ST:RT OF CO SIDl..,'NON.": OauPP P ME '�?�+�+� N ... / ` ) /.., c. no...Wm WWwW...EW WaPAEG�..®RWWNW CONTRACTOR N NPr .W.W ..mP.PaDwK .».� IS aAA..a ASSESSOR 10P IT / 1 ? \ A•nr APnn.•c utem wrAEs no auAE mPaEre D<PNo..sED Wv«roan wY.mwrnPP.sEnWP. at l / T . a,MON IS RD..112 NOWT z rIPW¢P..W TO MA sTwr r NAM SWUM OUPIu R YEL'IY.b D-mss.rrzssl.WPM a/la/z3 i' ,. \� .' DESIGN CALCULATIONS SYSTEM . „wT,„W,„,,,„N„USE.PACAR..w,N,NAT,N. FOR `T°' 0 °"'E FAF2 4h, . \ • AS - �.ILQa 110 PO PROPERTY IS NOT ADORED PFR 310 O.R,MO.q.) BRAN BSC GROUP .uFOR ORM. TA .•e' •4,_ A,, i, cw/.mNnu-.a MATEM MP. , LOWERS TO BE 032292 lgigz *are ` RECTOR �N...N �,SEPTIC MP 9.7.2 ROOT AA '� PLAN OF LAND F.w.. ' ,or P r Y., CO.° a�Or LOCUS INFORMATION 1` R WDmWN&SR• RA F «u Pro..,.w�/ss-z3 SF .: 1 ". up.,,. DI FA 970 ROUTE 6A IA_ 14', ., USE IA SO/1 GALEN N- COWPER 1.40•1. CURRENT OWNER PETER D.E6E MINIMUM O SUE: A0.000 S.F. n9j P.WNn 1R�a10 / ! Z 'hW STOW w mreuRu..I .$tare w .' CAROL W/o iMEEP ER D.NFFi£20,,usr EXISTING LOT SBE: .8.7184 S.F. 4///ry�bNJ IN �4r N�?mE'1 ILLY.we SF. PRE REFERENCE DFID BOOK 34015 PAGE 229NITROGEN SENSITIVE / vARMOLJI'H / `` .=. 4.`cO.I.m'S'F.1'•n)- SE ZONE Rol w ZONE E MASSACHUSETFS 43. "S J t' REFERENCE PLAN BOOK SO.PILE N FLOOD • 4 a— SIS.ES WV>«W 012494LES WACKY) ,B, zaEc DISTRICT: x / '� f—�- ( \ a�W 4215 .2 PROMO, ' ` PANEL 023001E0SM (8AP.NSTAIRE COUNTY) PARCEL B03 IC I �� `"'r PWwe:. — a 7 oEarDrs wc: I«PD�7/wu ctx PP�Roac PROTECTION DISTRICT e! CONING ObTRKi: R-NO ORN-OLD KINGS HIGHWAY MStUq.DISTRICT N / ♦ " / A ? SETBACK. FRONT SCE 00 EXISTING BUILDING COVERAGE LBW.SE.(2AS) SITE PLAN .> P' //IMK g PRDP003E0 BUILDING CQ5AAOE 2AMf SF.(51%) fri O WILL \liN`/.�' J ��` // A/ �\ T / -' \ \�/ ` \\ / / Ilititimm AF7 APRIL 14,2023 b 1 PARCEL.1 ASSESSOR MAP IP / - - // 3 \ / /' -,Y NNW w 1 `\ ,. cmNS,,4.f/r ''''ir)-...... a PEP. 0 ' /T / J// P.RP n. \\ _ ``. 7' / \P / \ . s max, /�§ �I R &WPM.PPE. f ,"' SAND DOLLAR CUSTOMS LLC •«an LEGEND \ ��?' 259 GREAT WESTEc/o STEVE RN UNIT-8 SUBW B SPOT EBVATKITI ,' J SOUTH DENNIS.MA 02660 DOVER ROAD CATCH• �N \\w\' Q GUN(D TELEPHONE MNBKKE BSC GROUP SM 9 SEWER MANHOLE 3. TMNm TELEPHONE MANHOLE / P\ t Wx3OM2 V LIGHT POLE I l 349 Main Street-Route 28 UPL UT011Y FOIE/LIGHT 1 '� West Yarmouth,Maznathusetts PT. RA a. -ArAA 2 10 URIIY POLE/LIGHT:TRANSFORMER o/ / 0267] e� UPI U5WR0 POLE/1NMSFYMYER a/ASSESS.YAP 10 { \ 508 778 8919 L ,„,,KIP 0 04 Q43(M 1000 0 EFNE Y F'- ;. o MI ELECTRIC,WYMIOI£ \ \ m amT.sc.ma.n.. 9 •GEEF GAS METER _s, .D.\ SCALE 1..20' SEPTC M.L..IS BASED ON AN AS-BUILT DE PRO CM ALE MP TNE PPP. A GAS GATE DURO P REALM AU.LOUT.MP MEM PO WATER GATE X \ \\ \)'�+L" PILE:S0T2000\SUR\P uM\B07/00-BP.O.B —W® WATER.010 1 0O \ 0.0, SHEET I OF I CO BE COMM&P.m TO A1Y m.TRUCTO. \ .YOB.Na SonO.oD ,,,,,,:, ,,f.,:,. ...,,.. TOWN OF YARMOUTH -3:.i,!=v„::•=.=,_,...--;I'':,-`' :: ,..!--,'I -:'.L. !* 4-4;' ' 1 ', 0.-.,,,C s.,'-- ,' ' 1146 ROUTE 28,SOUTH YARMOUTH,MA 02664-4451 IS / Telephone(508)398-2231 Ext. 1292-Fax(508)398-0836 ,I Art) ' t'l LiL ING'S HIGHWAY HISTORIC DISTRICT COMMITTEE , ,Q1 KINP'S HIGH4AY APPLICATION FOR CERTIFICATE OF APPROPRIATENESS Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts of 1973 as amended,for proposed work as described below&on plans,drawings,photographs, &other supplemental info accompanying this application. PLEASE SUBMIT 4 copies OF SPEC SHEET(S),ELEVATIONS,PHOTOS,&SUPPLEMENTAL INFORMATION. Check All Categories That ApPe COCiagge type of Building: Commercial V Residential 1)Exterior Building Construction: New Building Addition VAlterations Reroof Garage Shed Solar Panels Other: 2) Exterior Painting: Siding Shutters V Doors VTrim Other: 3)Signs/Billboards: New Sign Change to Existing Sign 4)Miscellaneous Structures. Fence Wall Flagpole Pool Other. Please type or print legibly: Address of proposed work: 970 Route 6A Yarmouth Port MA 02675 Map/Lot# 151 I 80.3 owner(s): Peter& Carol Keefe Phone#:774-994-0529 All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: 970 Route 6A Yarmouth Port MA 02675 Year built. 1995 pokeefe1207©gmail.com Email: Preferred notification method: Phone V Email Agent/contractor: Sand Dollar Customs/Waiter R. Waren, Jr. Phone#: 508-694-5618 Mailing Address: 259 Great Western Rd Unit 8 South Dennis MA 02660 Email: office@sanddollarcustoms.com Preferred notification method: Phone V Email Description of Proposed Work: Master bedroom addition, and one garage bay addition. Re-roofing, re-siding, new windows and doors throughout. Signed(Owner or agent): alaibi.4- 4 0.444.4.4-, 9t. Date. 4/4/23 :i Owner/contractor/agent is aware that a permit is required from t Building Department.(Check other departments also.) 10 If application is approved,approval is subject to a 10-day appeal period required by the Act. '?.. This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later. '4- All new construction will be subject to i pection by OKH.OKH-approved plans MUST be available on-site for framing&final inspections. For Committee use only: Approved Approved with Modifications Denied Rcvd Date: td 4 Reason for Denial: ' 1 CashiCK#: 1614 ),_, ( / Signed. Rcvd by: 1,-A,51 t 4 - 1 -Date Signed Signed: 1 APPLICATION#: 970 Route 6a Sears, Tim <tsears@yarmouth.ma.us> Tue 5/16/2023 10:07 AM To:Sanddollar Customs <office@sanddollarcustoms.com> I have reviewed your application and 2 copies of the plans & need to be submitted in 1/4" scale size. We also need a larger site plan. Thank you 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 for a 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:tsears@yarmouth.ma.us 0-To 4. 6 A- 9,01 inoi4 C7,64--- AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)1 R Check Compliance 1.1 SCOPE Wind Speed(3-sec.gust) 110 mph ✓ Wind Exposure Category B 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories 52 stories -./ Roof Pitch (Fig 2) 7 5 12:12 Mean Roof Height (Fig 2) ,/' -(ft <_33' ✓// Building Width,W (Fig 3) 74 ft <-80' 1// Building Length, L (Fig 3) $0,_ft <_80' ✓ Building Aspect Ratio(L/W) (Fig 4) , ZS <_3:1 ✓j. Nominal Height of Tallest Opening2 (Fig 4) (777T5 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 FOUNDATION13 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only r Bolt Spacing-general (Table 4) 37 in. / Bolt Spacing from end/joint of plate (Fig 5) (, in.<_6"-12" ../d Bolt Embedment-concrete (Fig 5) 9 in.>_7" Bolt Embedment-masonry (Fig 5) in.>_ 15" , / Plate Washer (Fig 5) >_3"x 3"x 1/4" 1 3.1 FLOORS Floor framing member spans checked (per 780 CMR Chapter 55) Maximum Floor Opening Dimension (Fig 6) n ft<_ 12' �, Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6) Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall (Fig 7) Oft 5 d Maximum Cantilevered Floor Joists / Supporting Loadbearing Walls or Shearwall (Fig 8) O ft <d / Floor Bracing at Endwalls (Fig 9) Floor Sheathing Type (per 780 CMR Chapter 55) I Floor Sheathing Thickness (per 780 CMR Chapter 55) , 3 in. j. Floor Sheathing Fastening (Table 2)... 1 -Lin field f 4.1 WALLS Wall Height / Loadbearing walls (Fig 10 and Table 5) ?_t ft <_ 10' V/ Non-Loadbearing walls (Fig 10 and Table 5) -7-5 ft <_20' Wall Stud Spacing (Fig 10 and Table 5) /6 in.5 24"o.c. ,f Wall Story Offsets (Figs 7&8) ()ft <d 4.2 EXTERIOR WALLS3 Wood Studs -, J Loadbearing walls (Table 5) 2x t - I ft6 in. ./ Non-Loadbearing walls (Table 5) 2x 6 - _7 ft K in. Gable End Wall Bracing 1 Full Height Endwall Studs (Fig 10) WSP Attic Floor Length (Fig 11) Z 6 ft>_W/3 Gypsum Ceiling Length(if WSP not used) (Fig 11) ? (,ft>_0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. .. (Fig 11) or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays Double Top Plate / Splice Length (Fig 13 and Table 6) J ft ✓ Splice Connection(no.of 16d common nails) (Table 6) AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)1 Loadbearing Wall Connections / Lateral(no.of 16d common nails) (Tables 7) V Non-Loadbearing Wall Connections Lateral(no.of 16d common nails) (Table 8) Z V Load Bearing Wall Openings(record largest opening but check all openings for compliance tp Table 9) Header Spans (Table 9) 6 ft in.<_ 11' Sill Plate Spans (Table 9) _ft O in.5 11' ,// Full Height Studs (no.of studs) (Table 9) a_ J Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans (Table 9) ft 6 in.<_ 12' Sill Plate Spans (Table 9) 5 ft in.<_ 12" 4„. Full Height Studs(no.of studs) (Table 9) Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W / k_ Nominal Height of Tallest Opening2 6' -4<_6'8" ✓ Sheathing Type (note 4) .P Edge Nail Spacing (Table 10 or note 4 if less) (. in. / Field Nail Spacing (Table 10) / t- in. �✓ Shear Connection(no.of 16d common nails)(Table 10) 3 Percent Full-Height Sheathing (Table 10) 6/ 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts) Maximum Building Dimension, L / Nominal Height of Tallest Opening2s 6'8" ✓ Sheathing Type (note 4) /4 5' P Edge Nail Spacing (Table 11 or note 4 if less) E in. Field Nail Spacing (Table 11) Li_ in. Shear Connection(no.of 16d common nails)(Table 11) 3 Percent Full-Height Sheathing (Table 11) % 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts) Wall Cladding Rated for Wind Speed? 5.1 ROOFS Roof framing member spans checked? (For Rafters use AWC Span Tool, see BBRS Website) :// Roof Overhang (Figure 19) (, `'ft<_smaller of 2'or L/3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors n(j / Uplift (Table 12) U=S plf -/ Lateral (Table 12) L=t74 plf Shear (Table 12) S=U 7 plf Ridge Strap Connections, if collar ties not used per page 21... (Table 13) T= If Gable Rake Outlooker (Figure 20) () ft s smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Z Uplift (Table 14) U= I lb. Lateral(no.of 16d common nails)...(Table 14) L=zS3Ib. 17 Roof Sheathing Type (per 780 CMR Chapters 58 an 59) Roof Sheathing Thickness if/(,in.>_7/16"WSP ,/ o Roof Sheathing Fastening (Table 2) 1 Notes: 1. This checklist shall 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 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)1 a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction, panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment WHEN THIS EDGE RESTS ON FRAMING FJSE Sli NAILS ATSb.c. V 1 I 11 1 1 11 !1 I 1 1 11 1 1 U M I 1 y II 1 1 ! 11 1 1 li 1 11 11 1 1 11 .0 H Y 11 1 1 11 R O 1-1 - 'E` 11 1 Q jj ft ID 1 1 7 11 Q. �1 W 1 1. :1 Z s II II d 1 1 1 I ii , 11 II a. J cc II II Q 1 W II f l F• V i i i II a yr a I II 1 r it! ,F '» I a 1 61 4DU8J.EEDGE MAIL SPACING !i t" PANEt_ d L See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)1 1a bt�tuu N y24 • C,' •t f I U1.m II Z mf.. " a ET( III FRAMING MEMBERS EDGE INTERMEDIATE "'I i,{ Z $"MIN 1 1 STAGGERED t M T-IF NAIL PATTERN / .k PANEL PANEL EDGE DOUBLE NAIL EDGE SPACING DETAL Detail Vertical and Horizontal Nailing for Panel Attachment