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Home My WebLink AboutBLD-23-005716 • Po 4---/ q -z-3 RECEIVED l ( 'v A TWO FAMILY ONLY- BUILDING PERMIT !APR 1 0 -y�-J Town of Yarmouth Building Department ort r I 1146 Route 28, South Yarmouth, MA 02664-4492 QUIc DING DEPARTMENT 508-398-2231 ext. 1261 Fax 508-398-0836 4.1k By' - - - - Massachusetts State Building Code, 780 CMR e Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: ri,L 0-Z3-015-1 40 Date Applied: _ r.,, <g{\t;5 _. Li 4-4.3 Building Official(Print Name) afore Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 14 Trophy Ln,Yarmouth Port,MA 02675 LOT 13 143.152 16443 1.1 a Is this an accepted street?yes X no Map Number Parcel Number 1.3 Zonin Information: 1.4 Pro erty Dimensions: RS-40 'B1 SFM-01/GABLE END OF EXISTING .36 aacres/Block 22-E097 Zoning District Proposed Use SUNROOM WALL Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required T Provided 30 33.5 20'/20' 52.8/15.7 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information:NO 1.8 Sewage Disposal System: Zone: Outside Flood Zone? — Public IX Private 0C Check if yes❑ Municipal 0 Xn site disposal system CI SECTION 2: PROPERTY OWNERSHIP 2.1 Owner'of Record: Judith Hunter Name(Print) City,State,ZIP _____14_1ro.phy Ln Yarmouth Porta MA 02675 (508)364-4910 iudie352�a,aol.com_ No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing BuildingX Owner-Occupied, l 1 Repairs(s) l Alteration(s) 0 Addition 0 Demolition 0 I Accessory Bldg. 0 Number of Units j Other ❑ Specify: Like to Like Brief Description of Proposed Work': Finalize external and internal repair work, external white primed pine boards and trims; internal work incFudes sheetrock, casing,insulation,tape,mud,paint. Gutters will be repaired with the gutter helmet and coil inside. SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 4,050 1. Building Permit Fee:$,1 0 Indicate how fee is determined: 450 &Standard City/Town Application Fee 2. Electrical $ 0 Total Project Cost Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 'AO.0 4. Mechanical (HVAC) $ List: iS 1 0) 5.Mechanical (Fire -$ ��( Suppression) Total All Fees:S Check No. Check Amount: Cash unt: , \ 6.Total Project Cost: $ 4,500 last 3rd Cl Paid in Full Outstanding Balance ue: k\L Page 2 ,\\\�,`ti�i Judith Hunter, 14 Trophy Ln, YP 02675 The Commonwealth of Massachusetts G:4 . l=4;,/ Department of Industrial Accidents �•,-�_ " 1 Congress Street,Suite 100 '!1=1 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 Please Print Legibly Name(Business/Organization/Individual): Address: Judith Hunter' Yarmouth Port, MA 02675 (508) 364-4910 City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 01 am a employer with employees(full and/or part-time).• 7. ❑New construction 2.DI am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.;No workers'comp.insurance required.) 3. 1 am a homeowner doingall work ) 9. ❑Demolition ❑ myself.(No workers'comp-insurance required 4 O1 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.QElectrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.01 am a wail contractor and I have hired the sub-contractors listed on the attached sheet. 13.0 Roof repairs These sub-contractors five employees and have workers'comp.insurance,t 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.�✓ Other Repair 152,11(4),and we have no employees.[No workers'camp.insurance required.] *Any applicant that checks box MI 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 indicatmg 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-coniracan 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: 14 Trophy Lane City/State/Zip: Yarmouth Port MA 02675 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 S1,500.00 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. Signature: 91-1-414&1' ,A. y�ux Date: April 5, 2023 phone;#: (508) 364- Ojfcial use only. Do not write in this area,to be completed by city or town of iciaL 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#: A Page 10 Judith Hunter, 14 Trophy Ln, YP 02675 SECTION 5: CONSTRUCTION SERVICES 5.2 Construction Supervisor License(CSL) Keith Brewer eS-115175l/1 R2426 10/10/2024 1 License Number Expiration Date Name of CSL Holder , Keith Brewer List CSL Type(see below) U No.and Street Type Description 161 Copeland St. _ U Unrestricted(Buildings up to 35,000 cu. ft.) City/Town,State,ZIP R Restricted l&2 Family Dwelling M ' Masonry , Quincy,MA 02169 • RC Roofing Covering • WS Window and Siding SF Solid Fuel Burning Appliances (781)405-7102 kwbrewer123(a,vahoo.com 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) I 182426 10/10/2024 JMBp Construction,Keith W. Brewer i HCC Registration Number Expiration Date HIC Co161Copeland NIC Registrant Name �St kwbrewer123@yahoo.com No.and Street Email address CitylT own,umey,M 2169 (781)415-7102 Telephone I SECTION 6: WORKERS' COMPENSATION LNSURANCE 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 0 No X • 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 -I 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. Judith Hunter 944 4. QS/u>zt¢.�, Apri14, 2023 Print Owner's or Authorized Agent' une(Electronic Signature) Date NOTES: • t. 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.aov/ocai Information on the Construction Supervisor License can be found at www.mass.eov/dps 2. When substantial work is planned,provide the information belowThere will ne no change in sf or living space Total floor area(sq.ft.) (including garage, finished basement/attics, decks r 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/porc Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" J Page 3 ONE or TWO FAMILY— BULDING PERMIT APPLICATION REGULATORY APPROVALS NOTICE See original BP =BLD-21-06100 Address of Proposed Work: 14 Trophy Lane, Yarmouth Port, MA 02675 Finish repair work exterior gable wall: "Like to like" primed pine boards&trims. Scope of Proposed Work:Minimize water access, extend overhang, caulk, paint Benjamin Moore white primed flat as previous; black iron ADA hand-rail to left of steps;replace skunk plastic covering heavy wire mesh in the ground at the base of the exterior wall; replace white wood grain lattice into the ground at each side of sunroom; inspect/adjust if necessary.Finish repair work on inside: sheetrock,tape,mud hole in ceiling at gable wall, BM ceiling white; inside was s on a ma a replace existing with one or two steps down from threshold; retnstaiUinstal casing, Date: APRIL 3,2023 1 pc stained floor board at slider, secure locks and screens; inspect/adjust/remove all contractor's equipment and debris/clean customer site. 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 Conservation—508-398-2231 ext. 1288 X Water Dept. —99 Buck Island Road, 508-771-7921 (Approved Apr 26,2021,below) Old Kings HWY, Hist. Comm. —508-398-22631 ext. 1292 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: (HOMEOWNER) �/ � April 2023 Applicant's Signature Date Rev.Jan. 2019 Page 1 Judith Hunter, 14 Trophy Ln, YP 02675 Judie Hunter,14 Trophy Lane,Yarmouth Port,MA02675 EXTERIOR REAR ELAVATION 1 1 `-•-4- i~ IGym/Closet '••r _ -- Su oom w Garage ____ - - ii&e i RI' _ REAR ELEVATION - 3 SEASON SUNROOM (Cannot be seen from Setncket.Trophy Lane nor Rte 6 k Total SF of Gable: 14' x 12' x = 168 x .60= 100.8 SF Repair completed to date: 50°o complete 50.4 SF To be repair to be completed in this application: 50.4 SF Page 4 Judith Hunter, 14 Trophy Ln, YP 02675 Judie Hunter, 14 Trophy Lane,Yarmouth Port, MA 02675 Home Improvement, Construction and Electrical Supervision Documentation Keith Brewer,License #CS-051753/Registration #182426 Commonwealth of Massachusetts Onstructton Supervisor Division of Occupational lKensure Restricted to Board of Building Reulatrons and Standards Unrestricted-Buildings of any use group which contain Constott tSllpervlsor less than 35,000 cubic feet(991 cubic meters)of '► enclosed space CS-051753 F9ytres:1011012024 KEITM WIll1&M BREWER 101 COPEU4B0 STREET;. QUINCY MA.016 r:1.1 Failure to possess a current edition of the Massachusetts Commas:encr Lei f State Budding Code is cause for revocation of this license. DPS Licensing information visit: WWW.MASS.GOViDPS N PROF SS LICENSURE icPF(.TION$ fl rot iYk Office of Consumer Affairs and Business Regulation 1000 Washington Street•Suite 710 Boston,Massachusetts 02118 home Improvement Contractor Registration dividual Regislrauon: In182426 KEITH BREWER Ettpdation:Type: 06"62023 46 CENTURY LANE MILTON,MA 02186 Update Address and Return Card. SCA t 0 207d1Ld7 /7, 4aaimnuwi.4%nif r�,::nrhirbJ/' Office of ConsuROVEM NT CONTRACTess OR R Istretlon valet fonndivldual use only HOME IMPROVEMENT CONTRACTOR TYPE:Individual bet ore the expiration date.It found return to: 84901118M Exalration Office of Consumer Affairs and Business Regulation 182426 06/18/2023 1000 Washington Street-Suite 710 Boston,MA 02118 KEITH BREWER KEITH W.BREWER W /L/ 46 CENTURY LANE Not valid without signature AA"''"__ MILTON,MA 02186 Undersecretary Pw2e 7 Judith Hunter, 14 Trophy Ln, YP 02675 RECEIVEDLSC a n e' S/'g'/�' YARMOUTH TOWN CLER< • APR 2 6.2021 YARMOUTH '21F6PV18PMM1:16 REC • aLD KING'S HI H TOWN OF' YARMOUTH Us. 1148 ROUTE 28;SOUTH YARMOUTH,MA 02664-4451 • Telephone(508)398-2231 E L 1292-Fax(508)398-0836 • OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE • APPLICATION FOR • CERTIFICATE OF EXEMPTION Application is hereby made for the issuance of a Certificate of Exemption under Sections 8 and 7 of Chapter 470 of • Acts of 1973.as amended,for the proposed work as described below and on plans,drawings,or photographs accompanying this application. • Type orprint IagbM Address of proposed work: 14 Trophy Ln,Yarmouth Port, MA 02675 µaptiw g Judith Ann Hunter&Yolanda Hunter Trust phone 6,(508)364-4910 nyalecait All applications must be submitted by owner or accompar.d by fatter from owner approving submittal of application. , Lu 14 Trophy Ln Yarmouth Port: MA O2675 year b„t 1978/2008 E„1 a:judie352@aol.com Pr fenad notification method: Phone XX e temscatitar.Keith'W. Brewer • Pnaw w (781)405-7102 Add r,• 46 Century Ln Milton, MA 02186 Er kwbrewer123@yahoo.com Preferred notification method Q✓ Phone � Email peso/often of Prowled Work/Additional owes msv b.)ttaehad f[neestsarvi- Remove and replace 2 windows and 1 door due to wet rot from the rainy weather in the fall and winter of 2020 and into 2021.Existing are Andersen and replacement will be Andersen.See snatched. • . signed(owlet or age* CGG 4. }Wtaft4ii, Date:26Apr2021 Oanerkantractoeagent is taws that a gamut maybe req,ired from the Bulking Deportment(Check other departnww.Wen) The ceflflcate Is good ix one yew from approval Cade or upon date of expratom of Building Permit ehrhever dale shad be laser. For Committee use orttr. • o.oA. 26 o)1 V Approved Approved with changes • Denied Amount 0.0 0 Reason for denlat e s s e ED CJetut:lCS. 1a/ (Iiir (_ /1rber Via a+ -6(A1 d itne ,Go APR 2 6 2021 Revd btr� Y YARMOUTH NG'- G�WAY OLD IC} D :y14/2021 signed: 1-r�D 3�1 APPLICATION I: K2e,1 Page 8 Judie Hunter, 14 Trophy Lane, Yarmouth Port, MA 02675 INTERIOR Replace 1 Interior GFCI,2 Switches/Replace track lighting at interior door ceiling with 2 retrofit recessed lights at mid-room ceiling 04Apr2023 Recessed Recessed light light NI Z .11 I I I back wall switch -111 ! Wall switch Re[;ace 15Amp CGFI outlet EXTERIOR Remove and Replace GFCI on Lower Right,Carriage Lights on either side of door 04APR2023 i iph Replace 2 Carriage lights 1111 / f l /1 11 r f i _ I Replace covered 20Amp ki :Ai CGFI outkt(dedicated { tom#brayer) Page 5