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BLDR-23-9961
;,.�-.. G3o)q RECEIVE) & TWO FAMILY ONLY- BUILDING PERMIT -- Town of Yarmouth Building Department L P Q 2023 1146 Route 28, South Yarmouth,MA 02664-4492 ' ` . 508 398 223 1 ext. 1261 Fax 508-398-0836 t = a 1\_____ N Massachusetts State Building Code,780 CMR } BUILDING UEPARTIDuuai Permit Application To Construct, Repair, Renovate Or Demolish :;: , ::�f By' _ a One-or Two-Family Dwelling i. Li)(2. --Z.:3-LHA This Section For Official Use Only Building Permit Number: ►pu)-2 3_ )b 2_,3 Date Applied: Building Official(Print Name) Sign re Date SECTION 1:SITE INFORMATION 1.1 Property Address: y, 1.2 Assessors Map&Parcel Numbers 2—t o►d . atn�4. S �aVw�ui 1.1 a Is this an accepted street?yes 7C no Map Number Parcel Number 1.3 Zoning Information: 1.4Z �,,er'Dimensions: 2� 2 Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required I Provided Required Provided Required Provided )0t 33 , 1 t 2`0r^ 20' 1.6 Water Supply: (Ivi.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: / Zone: _ Outside Flood Z ne? Niunici al❑ On site disposal system 4Y Public fl Private❑ Check if yes p p Y SECTION 2: PROPERTY y�O OWNERSHIP' 2.3., Owner'o�,l�i d SUl vu.ad 2. t(VOA U0\A c `'voitot ` U t I�1 0 Z 61t 1 Name(Print) City,State,ZI 2 110 Old tA/AtA5+ '5Q -$Y-!IAul -esulk ?-eciee q v ak ) . cam , * No.and Street Telephone li,.nail Address SV ION 3:DESCRIPTION OF PROPOSEDWORK^(check all that apply) New Construction 'Ai Existing Building❑ Owner-Occupied £7/ Repairs(s) ❑ Alteration(s) f�Addition V Demolition © Accessory Bldg. ❑ Number of Units Other 0 Specify: Brief Description of Proposed Work2: AMNIA(1-1j 11t) 5 \8 t X-2,fi150 e5�Vre✓� &A-c- t_of\� V -€ " a tiara 10 3CEYc13e- vc,ote . 2 .,2,gty -ry 10wkliv _ �- 2.r F cUu� SECTION 4: ESTIMATED CONSTRUCTION COSTS, • Item Estimated Costs: Official Use Only (Labor and Materials) I.Building $ 1. Building Permit Fee:S 6- `k _Indicate how fee is determined: Nii Standard City/Town Application Fee 2.Electrical $ 0 Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ - Suppression) Total All Fees:$ Check No. Check Amount: Cash �� 6.Total Project Cost: $ t `(1 bu ❑Paid in Full '8 Outstanding Balance ue: (Ak.\\ 1 ) SECTION 5: CONSTRUCTION SERVICES 5.1 C kstruction Supervisor License(CSL) C 5-IN(pOt r,,A. 1 d �,(, License Number Expiration Date Name of CSL Holder P 0 6% ^ V List CSL Type(see below) No,and Street r. `� Type Description (o OtA 0(, ��i i�tU 1- ,,,,, P(r '�- 6 2_6 J U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP 1v1 Ivlasonry RC Roofing Covering WS Window and Siding ��-05�� Ad-StphS�YV C'rl OI1e9 r"lc(,< <.cum SF Solid Fuel Burning Appliances 134-1 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 ❑ 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 perjury that all of the information contained in this a plicati n is true and accurate to the best of my knowledge and understanding. 1 15�d to 1 � (Oat c � � Print Owner's or Authorized Agent's N e(Electronic Signature) Date NOTES: I. 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/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 . 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 �l, Department of I l.ndustriaAccidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 w S www.mass.gov/dia ris Workers' Compensation Insurance Affidavit: Builders!Contractors/ElectriciansfPlumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly .--- Name (BusinesslOrganiz2ation/Individual): J(J8IA f TIN adso `(van Address: 2 J (A Cl Aa,il • J� City/State/Zip: ,9A1Ii VVWl Wi101&rJl Phone #: 1.7 Are you an employer?Cheek the appropriate box: Type of project (required): LE i am a employer with employees(full and/or part-time).* 7. [1 New construction 2.D I am a sole proprietor or partnership and have no employees working for me in 8. E Remodeling • any capacity.[No workers'comp. insurance required.] 3. I am a homeowner doing all work myself (No workers'comp. insurance required.]t 9. ❑ Demolition 10 [ Building addition 4.g am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑ Electrical repairs or additions proprietors with no employees. 12.—1 Plumbing repairs or additions 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 1 3.^Roof repairs These sub-contractors have employees and have workers'comp. insurance.' — 6.17 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.E Other 152,§1(4),and we have no employees.[No workers'comp. insurance required.] "Any applicant that checks box 71 must also fill out the section below showing their workers'compensation policy information. 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: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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 gins and enalties of perjury that the information provided above is true and correct. Signature: `' ) �.- zZ�� Date: Phone#: 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 Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: TOWN OF YARMOUTH BUILDING DEPARTMENT �` M �,�, a� 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: ��, ,( Vftog &Atm+JOB LOCATION: dt i. �'/IJItalJ 4i 2 t3 6( J✓ NAME TADDRESS SE OF TOWN "HOMEOWNER" bC-4 `� I�� `,' NAME HOME PHONE WORK PHONE PRESENT MAILING ADDRESS2.1 6 Ld MUMS 5f ✓ Savik ,Cetilktdviiit WM62- CITY OR TOWN'' STA'1'E 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"shill 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. Check one: Signature of Owner or Owner's Agent Owner Agent h:homeownrlicexernp §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 1,17) Oa ta,i J\ . V 1 (LOM Work Address oat the followinglocation: G1, (1,i /kAr ,n�!�(N' K �V , ' i! S(74,1( Is to be disposed of Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. - 7 , jiAj24,71_,____ Signature of Appl ation Date , Permit No. 4/13/23, 12:51 PM Mail-Sears,Tim-Outlook 213 Old Main St Sears, Tim <tsears@yarmouth.ma.us> Thu 4/13/2023 12:51 PM To:esullypede@gmail.com <esullypede@gmail.com> Donald, I have reviewed your application and there are some items needed. alth Department sign off . Water Department sign off ,3. This address is listed in the South Yarmouth Historic District and this project will need to be reviewed by the Commission. Please contact Old King's Highway for guidance. tom. The site plan shows the addition encroaches into the required setbacks and will need relief from the Zoning Board of Appeals in the form of a special permit and/or variance ` 2 copies of existing and proposed floor plans with all rooms labeled and smoke/co/heat alarms marked as required by section R314 6. The new Stretch Energy Code went into effect on Jan 1st. Existing buildings are now a part of the new code. It appears that the sc pe ohworrkk falls under the new requirements. A HERS Certificate will be needed � 225 CMR 22: Massachusetts Residential Stretch Energy Code R503.1.5 Level 3 Alterations or Change of Use.Alterations that meet the IEBC definition for Level 3 Alteration or the IRC definition for Extensive Alteration, exceeding 1,000 sq ft or exceeding 100% of the existing conditioned floor area, shall require the dwelling unit to comply with the maximum HERS ratings for alterations, additions or change of use shown in Table R406.5 IRC 2015 Appendix J AJ501.3 Extensive alterations. Where the total area of all of the work areas included in the alteration exceeds 50 percent of the area of the dwelling unit, the work shall be considered to be a reconstruction and shall comply with the requirements of these provisions for reconstruction work Please submit these items for review 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 https://outlook.office.com/mail/sentitems/id/AAQkADE3MDQ5NWZmLTkOYzItNDIwNi1 iMDQxLWNkMGQyNmE4NzE5NAAQAAQKtfBY%2BgREIPKT%... 1/2 11,,1':\TER DEPART \AFNT • tit 11.1)1\(; I'I R1111 1PPF.I( 1I ION IOI 11 1 1 F: ( 1)I• I' 1R I \IF:\1 '1(;\ 01 1 I R \\ti\II I 1 XI. F( R\I tit II1)1\(iSI F1.()( \ II()\: 2.` OL RIK Solf-t .'1, etekt t'It )I'( ) 1 1) \\ORK: Ad ft o1 a 84+ -from yttios7✓ a -to otio \t'PI 1(' \\ l '90AcA16 Su\Nan AI)DRI SS. 213 ad lqtaitn St SWt't U VIVAh I I.I f'11()\1 y r3- l02'l2- es011 $-et:056Acti\, , coyy) IZ1 Si1)l \ 11 \I :\\I) OR ( O\1\lI R( I.\I. tit II_DINO \\allF I):I7 tl llh"i11 IL.ternune, A .tit"E 0'. :"4 :19111 oI ll`fit1!`_ itt�`�ItEtiil I)Cr.1 itn,:ni: I)Clcrita:le, for Pa:L4511:" .11ti I)!al#1:11.1 ( 0111,0 1...1Hn11 (_U1111111NNIttn: I)Ctt'rt11111C, ( tg111111la11tX t \\t'ia11111, \tii. 1 t' It 11111>) herder I'+C of Ut'tlailt h. strc l41'i�. 1wnd . oKt:119. 111.7 r‘111and. I I( IIc':11111 I)C11;1rtnit"n'. I)C!ll111111C, ( 01111.111..111,..1e 4 St;il:alltl Ittect' Rt"_!111Jtlitn . 1 C. !'Ct lltli't`I11C11t'+ lttr Sc111.1ge I)t.po..11 and odic! Public I Icalill :Aen1 nc, I nl' I)ci I tntcnt: I)etcrttunc,,('ttnlliancc to State and I tn\n ReciturcinetitN for PCrittnal ti:11C1\, I'rctllCrt\ Protections'. ! e iii .0 ..eleCh/trs. Sprinkler S..tents.etc 16_4rit ja,"5( Y/2 2? \ I l 1( ry t tii(�v �� Itt- I) ,�11 t ()Hu I 1, ( ()\t\1F\ I . O\ 1'1 R\II I \1'PRO\ U. OR 1)1- \i �1 O e S t i of p ► ►oti - `7 v P-1t 6k (Cc v' .1F k jfkvv 1 D 6 < 1ac.<t-E►) ALL, L 0 u.;i.,c�2S yrG r1i p 'rL,`ry- 77/1," 1114 (-'/"""'"'" (7?Li`.1 V%�1) k31 \k kit R UI\ MO\ t,.1(.A,11 t RI 1 I)1IF ov AR o TOWN OF YARMOUTH )--c HEALTH DEPARTMENT 'T.raClaai" PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: 01 3 Q U Atal n Si-• 6 o k 1(4 v Wl O(I Proposed Improvement: 1(1 eta t ii c; S +o r i `- �t 1 - u .R,7 U' )-F a_cr Li,,�e- � a'v-ow2-.c 6c- t ice, c.C� ry 1c_ c.,T R' V-p vY\ tr-Ne t 0 G ct c�'f0 h +U Q , 2 c)l5 l-Ga'! ') 00,0 i c i L5 ia_o_cl vli, -1v la4 -t v. 'hwt. ` 'a-, .4, �1 v�v) ' Applicant: uch.t i tq #-` T r O z u ',JGc Tel. No.:•�o g- - 3:) q ii .-i t / Address: c2 1 . . G( A A61,1-n 41- , Date Filed: **If you would like e-mail notification of sign off please provide e-mail address: Owner Name: '- L AL— or 1Da rn cJ e j VI Qt,t o•\ Owner Address: 2 l 3 0(A oM Owner Tel. No.: CO- 1-- f 4 -- RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. RECEIVED Please submit three (3) copies of plans, to include: (1.) Site Plan showing existing buildings, water line location, APR 05 2023 and septic system location; (2.) Floor plan labeling ALL rooms within building HEALTH DEPT. (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:.fre-s.. s*�...,i DATE: -" PLEASE NOTE COMMENTS/CONDITIONS: Bk 35894. Po1.45 *28351 07-18-2023 a 08233ex c Y4 TOWN OF YARMOUTH ' BOARD OF APPEALS RECEIVFD FILED WITH TOWN CLERK: June 26,2023 PETITION NO: 5027 r.TU-1. 1820231 HEARING DATE: June 8,2023 BUILDING DEPARTMENT By ----- PETITIONER: Donald and Judith Sullivan PROPERTY: 213 Old Main Street,South Yarmouth,MA Map 51,Parcel 37 Zoning District: RS-40 Title: Book 33383,Page 154 MEMBERS PRESENT AND VOTING: Chairman Steven DeYoung,Dick Martin,Jay Fraprie, John Mantord and Sean Igoe Notice of the hearing has been 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 held on the date stated above. Donald and Judith Sullivan seek relief by way of Variance for side setback relief in order to proceed with the building of an addition.The addition will be added to their existing home at 213 Old Main Street, South Yarmouth, Massachusetts which property is in a RS-40 zoning district. Both Erin Sullivan,daughter of Donald and Judith Sullivan,and her husband,Chris Pedersen, did a fine job of presenting the merits of the relief sought,on behalf of the petitioners who were also present. While the petitioners' property sits on a fairly large lot,it is angled in such a way that it would be difficult to build an addition along the easterly property line without needing some form of relief. The existing structure is 21.1 feet from the property side line to the cast In order to keep the addition in line with the existing structure,and because of the fact that the house is not square to the lot, the addition will reduce this distance at its closest point to 19.6 feet. The petitioners, Donald and Judith Sullivan,were eloquent in their explanation that they would occupy the addition,so that their daughter and son-in-law could live with them as their needs for assistance grew due to their age. The addition is modest,and does not substantially increase the sideline encroachment. A T TTEST: 202/ , t , J After Board discussion, it was generally found that the petitioners met the requirements of bylaw §102.2.2, and that literal enforcement of the bylaw would cause these petitioners hardship as they advance in age, the location of the house, at an angle is what requires relief,and such relief can be granted, without substantial detriment to the public good or nullification or derogation from the intent or purpose of the bylaw. So concluding, the matter was then placed for a vote on a motion made by Mr. Martin, and seconded by Mr. Fraprie, to grant the Variance as requested by the petitioner and without condition. The Board voted 5-0 in support of this motion and the Variance was therefore granted. 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, a Variance shall lapse if the rights authorized herein are not exercised within 12 months(See bylaw §103.2.5, MGL c40A §10) Steven DeYoung, 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#5027 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. W114(ta 01/4,1044 Mary A. Maslowski JUL 17 2023 A TRUE COPY ATTEST 4 • f (AC 1 b WAN CLERK L"1 ' 2023 * COMMONWEALTH OF MASSACHUSETIS tp - , TOWN OF YARMOUTH . r' ... -.., -- BOARD OF APPEALS ; Petition#: 5027 Date:July 17,2023 Certificate of Granting of a Variance (General Laws Chapter 40A, Section I I) The Board of Appeals of the Town of Yarmouth Massachusetts, hereby certifies that a Variance has been granted to: Donald and Judith Sullivan Affecting the rights of the owner with respect to land or buildings at: 213 Old Main Street,South Yarmouth, MA; Map 51,Parcel 37;Zoning District:RS-49;Title: Book 33383,Page 154 and the said Board of Appeals further certifies that the decision attached hereto is a true and correct copy of its decision granting said Variance, 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 H (last paragraph)and Section 13, provides that no Variance.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. itijrou„.4,t)11.47)0..... Steven DeYoung,Chairman A ,C091'N'ATTEST: BARNSTABLE REGISTRY OF DEEDS . John F. Mendel Reenter . /, , 1.44kit S tatx iiA5"It143tn, 1 t iltV) IVY' 44