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HomeMy WebLinkAboutBLD-23-003657 I ONE B&-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 / E 1 V E D a One-or Two-Family Dwelling ) —_�.. This Section For Official Use Only JAN GA 2023 Building Permit Number: _Date Applied: ^� BUILU►NC'UtPARTMENT 4)wo cQAcs 1 '���-d3 BY Building Official(Print Name) Signature , Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1. Assessors Map&Parcel Numbers ,v 36 g e(l-e ei e ICU es4- ►2d. 1 aruta tbi 1.1a Is this an accpted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property 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 Dispo;a - Zone: _ Outside Flood Zone? �u � E V E r, Public❑ Private 0 Check if yes❑ Municipal 0 On sib i ZgIf'n_. , { SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: JAN 13 2O 3 Tohn it Paferc-S Den Nell 'gar,iota; t Pori MA I4 t +A-6<bEPXc12,tiff•I"f7 Name(Print) City,State,ZIP ✓ 36 gel(e five GV€S� Oral 7g/-q/3!$ Tdenn f4;-/-X.. ..._— No.and Street Telephone Email Address Cc7' SECTION 3:DESCRIPTTION OF PROPOSED /WORK2(check trr all that apply) New Construction 0 Existing Building Q Owner-Occupied Repairs(s) 0 Alteration(s) Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other Cl Specify: Brief Description of Proposed Work2: Rig ate /Yl14C/es%a/ nt peryyv//Nrr' 4/OOr`/�!`ch/ of vq// /), f'/r61 eN ail/a47/ /115 A2'//'We-Loss-47 S'�,� S.4_eel. lll't Q/sa�l�¢n f fv ri1 r/7 Yii-co, 4fere.6 _ i,'r,y- w1/ /ter 1� �Aite, /CAi ,/�c.c� ✓' I //tio P Y/3-46 t u/,L14Jl ) (-5/‘ - ECTION 4: ESTIMATED CONSTRUCTION COSTS \ Item Estimated Costs: Official Use Only Ni(Labor and Materials)1.Building $ 1. Building Permit Fee:$I SO Indicate how fee is determined: ViWStandard City/Town Application Fee 2.Electrical $ 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 3 Si L 04,44 135 5.Mechanical (Fire $ • Suppression) Total All Fees:$ Check No. Check Amount: Cash t: 6.Total Project Cost: $/2Op h. OQ 0 Paid in Full Outstanding Balance D e: it_ii, \�'�3 l 1 v SECTION 5: CONSTRUCTION SERVICES 5.1' onstruction Supervisor License(CSL)` �S—0�3A e/ ,/////�O� Al L' /�c 7 (, G1E/ F `Di igeo fi License Number Expiration Date Name of CSL Holder 02- C! islop k Jr] p 11 1y 1a�I List CSL Type(see below) a No.and Street ' /'h Type Description Yfittmoulh Pod v � ©� .., U Unrestricted(Buildings up to 35,000 Cu.ft.) Restricted 1&2 Family Dwelling City/Town,State,ZIP 1 rb'I R �� �� M Masonry RC Roofing Covering WS Window and Siding y-�61'-00.�'0 uspeovREvor�lr�A/.s��17t.Q.IrL', Insulation SF Fuel Burning Appliances I Te 'hone Email address daft D Demolition OPegistered Home Improvement Contractor(HIC) f 7 n3�� L� J#dO0 t1S',q Qoy tome £ 'w. hoNs (,qe p HIC Registration Number Expiration Date HIC Compaj y N e or HI egistrant Name 1 No Street n/ / y Email address SS City/Town,anNers 1, �A dec�b a 771/o2S7-0010 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 1 this affidavit will result in the denial of the Iss_uaance of the building permit. Signed Affidavit Attached? Yes 4 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: 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. 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.eov/oca Information on the Construction Supervisor License can be found at www.mass.cov/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 oflblassac/zusetts Department of Industrial Accidents 'a= , 1 Congress Street, Suite 100 J. 6 Boston, MA 02114-2017 ;� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information PIease Print Legibly Name (Business/Organization/Individual): as/l,por eon £ONWhom' rap, Address: Wk Y. City/State/Zip: 37, "�4''4c1 `�km alio Phone #: 1/-0,W-0010 Are you an employer?Check the appropriate box: Type of project(required): I.❑I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.0 am a sole proprietor or partnership and have no employees working for me in ca aci 8. [t�Remodeling an y p ty.[No workers'comp. insurance required.] 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 cbntractors 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. 12.I:I Plumbing repairs or additions 5.❑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. 14.❑Other 152,§I(4),and we have no employees. [No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1Contractors 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: HAVE/ RS 1, Policy#or Self-ins.Lic.#: a - - 6 1/486Rog6.0#642 Expiration Date: g/23/a,0a3 Job Site Address: 3,4 &lle OF /h Pits!1& City/State/Zip: yA l4"l)t RA 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. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Sienature: Date: //V02002 3 Phone#: .7 'f- cf 0 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#: ok TOWN OF YARMOUTH BUILDING DEPARTMENT o . aT.� � 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: T DATE: /9y/a 2 ' BEMY JOB LOCATION: <36 BEGEE oz3t` y gle/Year4i Av/?J' NAME STREET ADDRESS / SECTION OF TOWN "HOMEOWNER" TC,/A/ 4 . d ,497 'c14 YEi r, '`1 T '/ 4'/3.-5ZT V NAME HOME PHONE WORK PHONE PRESENT MAILING ADDRESS �my C CITY OR TOWN STATE 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 e>2c.1-1-f-e- -e? APPROVAL OF BUILDING OI F1CIAL 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 yes, 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. Check one: Signature of Owner or Owner's Agent Owner Agent h:homeownrlicexemp / Y 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 at 3,4 /e /e Q/ Me viQ5,74- ,Za) Work Address Is to be disposed of at the following location: C. A. % A/ DJ Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. o 2-3 Sig re of Applicant Date Permit No. 1/9/23,9:49 AM Mail-Sears,Tim-Outlook 36 Belle of the West Rd Sears, Tim <tsears@yarmouth.ma.us> Mon 1/9/2023 9:48 AM To:usarovrenovations@gmail.com <usarovrenovations@gmail.com> Michael, I have reviewed your application for renovations, and we are going to needs specs for the beam submitted. Thank you Timothy Sears CBO Deputy Building Commissioner Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsearsyyarmouth.ma.us https://outlook.office.com/mail/sentitems/id/AAQkADE3MDQ5NWZmLTkOYzItNDIwNi1 iMDQxLWNkMGQyNmE4NzE5NAAQADkB6GHzcOpPgX6BN7... 1/1 / 7 ® - '`� D CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYIY) 12/05/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(Ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Sandy Marchant MORSE INSURANCE AGENCY INC taCNNo. ): (508)238-0056 FAX INC,No): E-MAIL ADDREss: sandymarchant(C7�morseins.com 285 WASH INGTON ST INSURER(S)AFFORDING COVERAGE NAIC# NORTH EASTON MA 02356 INSURER A: TRAVELERS INDEMNITY CO OF AMERICA 25666 INSURED INSURER B: USAROV HOME RENOVATIONS CORP INSURER C: INSURER D: 127 BAXTER ST INSURER E: S DENNIS MA 02660 INSURER F: COVERAGES CERTIFICATE NUMBER: 840690 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER (MMIDD/YYYY) (MMIDD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL Si ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ _ AUTOS ONLY _ AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N X STATUTEOTH- ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBEREXCLUDED? NIA NIA NIA 6HUB6R08627422 09/23/2022 09/23/2023 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 IES f es,describe under DCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/Iwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Yarmouthport ACCORDANCE WITH THE POLICY PROVISIONS. 1146 MA-28 AUTHORIZED REPRESENTATIVE South Yarmouth MA 02664 ""t ` 'P I Daniel M.CrowI y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD as .gAii` ` `I - 4_ • I F wC • IF ` � A • � T11t .- .. ; �' #4' let- ir+ • a • t IV °"4 I. • ..,, '1v.. ,:$I '1 a. t f t,' -1 •7,A1.. nc4, +4,. JO' i. .. 1,, - f ilk 4T , • r 1 .. n t • •1 .1. .- Y m 0 A I. f I 4 ,. ,. in. .. s..- I •id Q+.• f . )•. C. U:io , tO A ... .. 4MIp• . . , • i_ . V 1.. 'ilit ,4 E. 111} . lml " _ .. . . .. t . r _0 Y TOWN OF YARMOUTH ov - - '`i 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 Telephone(508)398-2231 Ext. 1292—Fax(508)398-0836 ''' OLD``KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE PE( Cal Li LKlNcs t , 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 Apply: indicate type of Building: Commercial v�' Residential 1) Exterior Building Construction: New Building Addition Alterations Reroof Garage Shed _Solar Panels Other: t(Ji yidOW re fa( (evy ,i 2) Exterior Painting: Siding Shutters Doors Trim 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: ..'' C, t3 c l t e ti, ±(i e e 51 12`'., 1 it Of(ri fit p Art- Map/Lot it 13 9. 6'7 Owners}: d ? 1 t. j't{fr t C 7 A. Y?► f 1 Phone#: 7 !-)`Li 1? -C• c tl L/ All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. n Mailing address: 2,C Pc1 e 4, it e t ie5t` /d) !Arty cit' i peve Year built: I q 76, Email: het't14-{2y (id c iY41I- CO( Preferred notification method Phone ✓ Email Agent/contractor: Phone#:. Mailing Address: Email: Preferred notification method: Phone Email Description of Proposed Work: — We t4)( v11 h, re,I r to a I( bu ilu1r v s av . 4-Accvccit. Yt', . c,-T {)- kfte ht-A% L..)/yid .w --- l�/e, tuitu d (MY1 s t.aI( 111rre cti;`I c 5., r).5lea (-67tvu, .�`)t li &;f-c1 {%nt C Cce a-11'46ed !distil-0 ) Signed(Owner or agent): 6` tc- Vie'(9 .-c Date: /7/2 A/ 2 > Owner/contractor/agent is aware that a permit is required from the Building epartment.(Check other departments,also.) • 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. > All new construction will be subject to inspection by OKH.OKH-approved plans MUST be available on-site for framing&final inspections. For Committee use only: t"`"Approved Approved with Modifications Denied Rcvd Date: I1/?:50. Reason for Denial: Amount Lit).(). / Cash/CK#: '?J 7"* y it ' f- ,` _�.,. .. t { Signed: .. — t- 45 Days: (g Z Z �Z c 27IAPIJhUr,��' Date Signed: �f APPLICATION#: Al i7 -fA I OU1 1 i Hi _. i x • lriff, f JI t„ ., 1 I , ..:, •i , ,,... . , ,.. . ..,:.,.,..„.. 1111— 4. :,, . .. . 3 i?.... .7„....„„ ..,i..;::,- .-r , ifii ".„,".... i„,, ,. ,, .:-,-.-"r'. i - ' ..4.1k.-44"6.),,146. .i!,-,..c7:..,„..,....:,:i;:.„:„.,,,"",-;;;;;.".",„,„,„.. ."..,;„,..,.„7,„.7,,,.„.. „..„,..„....„.„,„,1,,,:..,,: •r i4 k# j i. Aw , b . Y Clarke, Kristin From: John Dennehy <jdennehy8@gmail.com> Sent: Wednesday,January 4, 2023 10:50 AM To: Clarke, Kristin Subject: 36 Belle of the West Road, Yarmouth/ Dennehy Attention!:This email originates outside of the organization. Do not open attachments or click links unless you are sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure. Otherwise delete this email. Hello Kristin, Happy New Year. I hope you are well. I understand my building contractor stopped by the Building Dept to obtain a building permit for some work we'd like to do in our house. His name was Sanjar Usarov with Usarov Home Renovations. I apparently signed the wrong form, so I am sending this note to confirm that I am authorizing USarov Home Renovations to complete the renovations of my kitchen, including the partial removal of a wall and installation of a ten foot beam in accordance with building code, and to install three windows to the front of the house (recently approved by Old King's Highway). I understand the drawings and floor plan I provided are sufficient to explain the scope of the project. You may remember we spoke several weeks ago and you were kind enough to explain what I needed to do. If you require any further information in order to issue the building permit, I'll be happy to provide. Thank you very much for your time. Best, John Dennehy 1 ) ' " * *K• ..t`‘ , . t , ' „t§`,1/-4 t:41; roir, ' 1- ' ,: 1•2'•' '' 4,` -0,k 1 '' ' c,(Vt''4/tst 'Io to' t"I. At' ,V'',li '''''itIli ' , 't t k , " ,, Ai ;,...!•,,,.''.<;' Itirf,'‘" .41(4 ,t1, ,, ° ,- Vti it, t'r t.'14, ' r7",fh!,,',,,''i ,- ,i•,..,.; ',,e, It 01 qe* , ,...... -C, a, 4 III t„, 49 a)+4. ..° ti) ,- (-) '/ 1,' --- '' .0 'cr) 4.. rtV,,,..,. ma',' •"'.4 _A.,,,,,,,,,, ,,,, .1., ."."6 0.,...r* CL cyt-"*"' ,..,•'' 6.4 (1) '''.1 % .:4.4-.: ('‘. 400 LI , 11,11k (...51 •:t 2 .,,,,,;,,,,: N.4-41 )k,,) %. C (,) c: E 0 co (..) Ll• op-. ..,J 1— U.1 0 to u.. ro co 1 i c4 tri ( C) ) () (/) t* (+,./ 1 THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washingttreet - Suite 710 Boston, lasusetts-r02118 Home Impro`g e.. - v. . 'Wale(istration I Type: Corporation USAROV HOME RENOVATIONS CORP. �;"'" "egrstration: 4/13/2 , „""' Expiration: 04/13/2024 127 BAXTER ST. - 4..... s S DENNIS, MA 02660 " ..... M% ernr.s...as rp wsrien... 4 sr 4 + I .0•09.0.14010 .1;. ., Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs.&Business Regulation Registration valid for individual use only before the HOME IMPROVEMEN ,CONTRACTOR expiration date. if found return to: TYPE o7peration Office of Consumer Affairs and Business Regulation Re.ist.c.F Expiration 1000 Washington Street -Suite 710 19 -Z. 434/13/2024 Boston,MA 02118 USAROV HOME RENOVA :1 2 SANJARBEK USAROVswrio .. /7 127 BAXTER ST. :-\ '�' jQ(l0o4" S DENNIS,MA 02660 ; a :: - y; -- Undersecretary - Not valid without signature if ,\.. _ THREE SEASON ROOM . , 21'6" x5'10" ..... PRIMARY BEDROOM DINING ROOM 16'4" x 11'9" 10'3" x 12'7" I g / _j :. 4 +�. / LIVING ROOM 18'9" x 17'3" BATHROOM I ( ��/� FaYER Cr) n 21'=" x5'10" W 'FT a M-7) KITCHEN `TS} 14'9" x 9'8" DEN REVIEWED FOR Hi tDiNG AND ZONING CODE CO`ru- 1� I TY�C] s' - e lyQ V� ANCE. ERRORS OR OMMISSIONS DO NOT RELIEVE THE d�a waypo r�i Cr APPLICANT FROM THE RESPONSIBILITY OF'AS BUILT" \ i i COMPLIANCE.L, -:,,i toy l milims (N C�(( DATE: I-Ia-�3 �ylsl4/I B LD OFFICIAL t +1-i I01 e fN 1 ' '`mil) GROSS INTERNAL AREA FLOOR 1:1409 sq.ft,FLOOR 2.498 sR.R 1 V1 place d' TOTAL 19°�s, ft q Matterport - eyr51-ml MU tS ed;calcokt Triple 1-3/4" x 7-1/4" VERSA-LAM® LVL 2.1E 3100 SP f PASSED FB01 (Drop Beam) BC CALC®Member Report Dry 11 span I No cant. December 7, 2022 11:00:52 Build 8381 Job name: File name: M Driscoll_36 Belle of the West Address: #36 Belle of the West Description: City, State, Zip: Yarmouth port, MA Specifier: Customer: Mick Driscoll Designer: Joe Madera Code reports: ESR-1040 Company: Shepley Wood Products 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 111 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i o-oo-oo B1 B2 Total Horizontal Product Length=10-00-00 Reaction Summary (Down / Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live B1, 3-1/2" 2400/0 655/0 B2, 3-1/2" 2400/0 655/0 Load Summary Live Dead Snow Wind Roof Tributary Live Tag Description Load Type Ref. Start End Loc. 100% 90% 115% 160% 125% 0 Self-Weight Unf. Lin. (lb/ft) L 00-00-00 10-00-00 Top 11 00-00-00 1 Unf.Area (Ib/ft2) L 00-00-00 10-00-00 Top 40 10 12-00-00 Controls Summary Value °A Allowable Duration Case Location Pos. Moment 6954 ft-lbs 55.3% 100% 1 05-00-00 End Shear 2508 lbs 34.7% 100% 1 00-10-12 Total Load Deflection L/331 (0.346") 72.4% n1a 1 05-00-00 Live Load Deflection L/422 (0.271") 85.3% n\a 2 05-00-00 Max Defl. 0.346" 34.6% n\a 1 05-00-00 Span/ Depth 15.8 Allow %Allow Bearing Supports Dim.(LxW) Value Support Member Material B1 Wall/Plate 3-1/2"x 5-1/4" 3055 lbs n\a 22.2% Unspecified B2 Wall/Plate 3-1/2"x 5-1/4" 3055 lbs n\a 22.2% Unspecified Notes Design meets Code minimum (L/240)Total load deflection criteria. Design meets Code minimum (L/360) Live load deflection criteria. Design meets arbitrary(1") Maximum Total load deflection criteria. Design based on Dry Service Condition. BC CALC®analysis is based on IBC 2015. Calculations assume member is fully braced. Connection Diagram: Full Length of Member II At b ;i —i— A • • • t • • L Dos..n I of 0 s i w Boise- Cascade' Triple 1-3/4" x 7-1/4" VERSA-LAM® LVL 2.1E 3100 SP PASSED • FB01 (Drop Beam) BC CALC®Member Report • Dry 11 span I No cant. December 7, 2022 11:00:52 Build 8381 Job name: File name: M Driscoll_36 Belle of the West Address: #36 Belle of the West Description: City, State,Zip: Yarmouthport, MA Specifier: Customer: Mick Driscoll Designer: Joe Madera Code reports: ESR-1040 Company: Shepley Wood Products Connection Diagram: Full Length of Member a minimum = 1-3/4" c=3-3/4" b minimum =6" d =24" e minimum = 1" Calculated Side Load =0.0 lb/ft All FastenMaster screws may be installed from one side of multiply Versa-Lam beams. Connectors are: FMFLOO5 Disclosure Use of the Boise Cascade Software is subject to the terms of the End User License Agreement(EULA). Completeness and accuracy of input must be reviewed and verified by a qualified engineer or other appropriate expert to assure its adequacy,prior to anyone relying on such output as evidence of suitability for a particular application.The output here is based on building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions, please call(800)232-0788 before installation. BC CALC®,BC FRAMER®,AJSTM, ALLJOIST®,BC RIM BOARDTM, BCI®, BOISE GLULAMTM, BC FloorValue®, VERSA-LAM®,VERSA-RIM PLUS®, o.,,.s o..f o i r '•1 i .T J V r ♦ v r .i (Vow Caw-4w 1111= Double 1-3/4" x 9-1/2" VERSA-LAM® LVL 2.1E 3100 SP [PASSED FB02 (Drop Beam) BC CALL®Member Report Dry 11 span I No cant. January 11, 2023 13:50:03 Build 8381 Job name: File name: M Driscoll_36 Belle of the West Address: #36 Belle of the West Description: City, State, Zip: Yarmouthport, MA Specifier: Customer: Mick Driscoll Designer: Joe Madera Code reports: ESR-1040 Company: Shepley Wood Products 1 1 1 1 - 1 1 1 1 1 1 1 1 1 1 111 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 l 1 1 1 1___1 1 1 1 1 1 1 1 1 1 x — -- — 10-co-oa B1 B2 Total Horizontal Product Length=10-00-00 Reaction Summary (Down / Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live B1, 3-1/2" 2400/0 648/0 B2, 3-1/2" 2400/0 648/0 Load Summary Live Dead Snow Wind Roof Tributary Live Tag Description Load Type Ref. Start End Loc. 100% 90% 115% 160% 125% 0 Self-Weight Unf. Lin. (lb/ft) L 00-00-00 10-00-00 Top 10 00-00-00 1 Unf. Area(Ib/ft2) L 00-00-00 10-00-00 Back 40 10 12-00-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 6938 ft-lbs 49.7% 100% 1 05-00-00 End Shear 2388 lbs 37.8% 100% 1 01-01-00 Total Load Deflection L/478 (0.239") 50.2% n\a 1 05-00-00 Live Load Deflection L/607 (0.188") 59.3% n\a 2 05-00-00 Max Defl. 0.239" 23.9% n\a 1 05-00-00 Span/ Depth 12.1 %Allow %Allow Bearing Supports Dim.(LxW) Value Support Member Material B1 Wall/Plate 3-1/2"x 3-1/2" 3048 lbs n\a 33.2% Unspecified B2 Wall/Plate 3-1/2"x 3-1/2" 3048 lbs n\a 33.2% Unspecified Notes Design meets Code minimum (L/240)Total load deflection criteria. Design meets Code minimum (L/360) Live load deflection criteria. Design meets arbitrary(1") Maximum Total load deflection criteria. Design based on Dry Service Condition. BC CALC®analysis is based on IBC 2015. Calculations assume member is fully braced. Connection Diagram: Full Length of Member vrrl b - .. :i ti A • • • • 1 • 4 _rr H 1 173.4..e 1 ..f 7 Eloise ,. Double 1-3/4" x 9-1/2" VERSA-LAM® LVL 2.1E 3100 SP PASSED t FB02 (Drop Beam) BC CALL®Member Report Dry 11 span I No cant. January 11, 2023 13:50:03 Build 8381 Job name: File name: M Driscoll_36 Belle of the West Address: #36 Belle of the West Description: City, State, Zip: Yarmouthport, MA Specifier: Customer: Mick Driscoll Designer: Joe Madera Code reports: ESR-1040 Company: Shepley Wood Products Connection Diagram: Full Length of Member a minimum = 1-3/4" c=6" b minimum =6" d =24" e minimum = 1" Calculated Side Load =300.0 lb/ft All FastenMaster screws may be installed from one side of multiply Versa-Lam beams. Connectors are: FMFL312 Disclosure Use of the Boise Cascade Software is subject to the terms of the End User License Agreement(EULA). Completeness and accuracy of input must be reviewed and verified by a qualified engineer or other appropriate expert to assure its adequacy, prior to anyone relying on such output as evidence of suitability for a particular application.The output here is based on building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions, please call(800)232-0788 before installation. BC CALC®, BC FRAMER®,AJSTM ALLJOIST®, BC RIM BOARDTM, BCI®, BOISE GLULAMTM, BC FloorValue®, VERSA-LAM®,VERSA-RIM PLUS®, " f 7 of'I