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HomeMy WebLinkAboutBLD-22-002900 f C)( �'>2e. S .. 1 ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department '""'"y 1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 i ,,: ` Massachusetts State Building Code, 780 CMR _ 41 Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only RECEIVED Building Permit Numbe . BJ-Qa002 D0 Date Applie -- NOV 1 h 2021 Building cial(Print Name) ignature IL--_ at�, y ,Y i c� i��G Pr� . 1 SECTION 1:SITE INFORMATION By 1.1 Property Addrrs:Dpi.0 ci, ��r 1.2 Assessors �Map&Parcel Numbers("' b0,60 1.1 a Is this an accepted street?yes ✓ no Map Number` Parcel Number eat 1.3 Zonin In mation: i,, 1.4 Pro erty Dimensions: Zoning District rF oposed Use i, Lot Area(sq ftj Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided f) 30 r 5' I /7 to a 1.6 Wafer Supply: (M.G.L c.40,§54) 1.7 Floo Zone Information:• 1.8 Sewage Disposal System: Public 4Q Private 0 Zone: Outside Flood Zone? le Check if ye Municipal 0 On site disposal system SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: &' 1 t-t.it-c K o VAN►e.e 5 341 old + 'Se r24 Name(Print) City, State,ZIP1_4 '( � No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition Demolition 0 Accessory Bldg. 0 Number of Units Other ❑ Specify: Brief Desc iption of Proposed Work2: ,4 ,,,„ /fve_s ed SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 1. Building Permit Fee:$'S'VO Indicate how fee is determined: 2.Electrical $ 0 Standard City/Town Application Fee 'tlli Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $— (nQ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire Suppression) $ Total All Fees:$ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ ''f --� o sdi,6 A.I 0 Paid in Full B3 Outstanding Balance Due: tic10 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(C L) I)WI�i�D .4^jJ ► 2, Li Number �` Expir ti n Date Name of CSL Holder r ' List CSL Type(see below) V tL/ Hetrifaziz, iris. No.and Street t Type Description f. ar W(04J l b2,6z3 U Unrestricted(Buildings up to 35,000 cu. ft.) City/Town,State,ZIP / R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering �c WS Window and Siding Q y'A�' L �,��/b + `�, r SF Solid Fuel Burning Appliances U 6t e,,,Su`"'1 Ql1►�7`i1+ I Insulation Telephone Email address ( 17 D Demolition 5.2 Rpegistered Home Improvement Contractor(HIC) t$ �' �,(� e � �•-�, HI 'ation u fxri / n DateHIC Comp y Namme,�or rC Registrann ameg N moc� lation Daiz No.and reet Vole il I' / 4 rL/d.-3 Q fj V2. Email addrzs City/Town, State,Z 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 X 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 alf, in all matters relative to work authorized by this building permit application. MIA_Ve...— 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.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" a lb I ' I!).1The Commonwealth of Massachusetts „ill IIIMB•ii\ L Department of Industrial Accidents ��riji s 1 Congress Street, Suite 100 V:iBoston, MA 02114-2017 • WWw.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE PILED WITH THE PERMITTING AUTHORITY. A licant Information Name (Business/Organization/Individual): Please Print Legibl Address: City/State/Zip:14/ •, u AA ii ; Phone #: Are you an employer?Check the appropriate box: I �_ Type of project (required): I am a employer with employees(full and/or part-time).* 7. am a sole proprietor or partnership and have no employees working for me in ❑New construction any capacity.[No workers'comp. insurance required.] 8. Remodeling 3.E I am a homeowner doing all work myself. [No workers'comp. insurance required.]t 9. E Demolition 4_ or are sole I am a homeowner end will be hiring contractors to conduct all work on my property. 1 will ensure that all contractors either have workers'compensation insurance10 :wilding addi proprietors with no employees. 11. Electrical repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12. Plumbing repairs or additions These sub-contractors have employees and have workers'comp. insurance.: 13. Roof repairs 6. We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees. [No workers'comp. insurance required.] 14. Other *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. $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: S / / - Policy 4 or Self-ins.Lic.#: Li C --� 3 S r 0 5 5?— ��� xplration Date: /5--. 2,2. Job Site Address:_ ' Attach a copy of the workers' compensation policy declaration page(showing City/State/Zip: -� Failure to secure coverage as required under MGL c. 152, the policy number and expiration date). a criminal to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of STOP WORK ORDER n la d a fine of e by a fine 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 and ' s and penalties of perjury that the information provided above is true and correct. Sienature: Date: / �. ) Phone#; .^--" 0 2 b - 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): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. 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Gutters and downspouts connected to drywells Site Plan Title/Date: Proposed Site Plan for Proposed Addition 11/5/2021 TO BE FILLED OUT BY CONSERVATION ADMINISTRATOR: Does the proposed project require a permit? Refer to: SE83- 60A perr4 Comments from Conservation Commission: Approved ( Conditionally Approved Rejected ya Ct/' 7�✓ "re)( T f U i1 O/I Conservation Commission Sign-off Signature: :' —1\01& Date: /2/20/2r9% *TO APPLICANT: All work-related debris shall be taken offsite or disposed in a legal upland location. At the end of each day, the area shall be clean and no debris shall be in the Resource Area. If work is permitted under an Order of Conditions, please arrange a pre-construction site visit with the Conservation Administrator. At the time of site visit, the MassDEP File Number sign must be installed, along with the erosion control/work-limit line. A copy of the Order of Conditions must remain on-site during construction. Please refer to the Order of Conditions for further details. Sears, Tim From: Sears, Tim Sent: Wednesday, November 24, 2021 2:52 PM To: 'Ed Stafford' Cc: Grant, Kelly;Water Department Subject: 8 Deerfield Rd Attachments: 9th Edition flood FAQ.PDF;work in flood zone packet.PDF Ed, I have reviewed your application for the additions, and there are some items needed; ealth Department sign off(under review) 1! Conservation sign off �3. Water Department sign o - . Rescheck based on 2018 IECC c3kup,MI U iA�e,r�� Z1-\( 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.I. c. 143 §100,within 45 days of this notice. Timothy Sears CBG Deputy Building Commissioner Down of Yarmouth 508-398-2231 Ext. 1259 rmaiito:tsearsPyarmouth.ma.us 1 0 - . i 456 qi - 33 /-\ i i . i NAME ,,,,o.', STREET VILLAGE (-e." (/ SERVICE NO. t , ; ... 45/3z23 73. -5 v.2-4- A ,, ,- METER NO. / "7---'") ---.:t—--")119 I . ' -f- '.. i . . 41 0 • i -'' ! ... 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Carl Kovamees 30 Old Haswell Park Rd Middleton, MA 01949 617-466-9820 cad Okovamees.corn 2nd November 2021 Town of Yarmouth 1146 Route 28 South Yarmouth, MA 02664 To whom it may concern, I,the owner of 8 Deerfield Rd in West Yarmouth, hereby authorize Ed Stafford of Lewis Bay Management LLC to act as agent for the proposed project at our property. Sincerely, 9<ovc.t Carl Kovamees TOWN OF YARMOUTH HEALTH DEPARTMENT i ��•� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant: Building Site Location: 1)`e-erc L e--1 d • Proposed Improve ent: of ' cz. 4t/t/k. /�-� �' �C'_ j u[i7 c� C%r" �j / 1 v7 /sea Applicant: (a 3( Tel. No.: `c) Ec(zZ13bz b 1 7 /7J<. j. Date Filed: /- Address: -e-lV'i K ye I Y1��/c.l� f / - 1� **/f you would like e-mail notification of sign off,please provide e-mail address: Owner Name: u-v'( Owner Address: 3 `( aid 54• j/ ?ci.V/- /6, Owner Tel. No.: ///t JJ/� ail 4 t . 1 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. Please submit three (3) copies of plans, to include: (1.) Site Plan showing existing buildings, water line location, 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: s-- ---) DATE: rL `�/z"' PLEASE NOTE COMMENTS/CONDITIONS: . /577 A-)s 5 �n c s ,r1S-rz . r 5 r-=e-C -3 6<= a A� cV C r'!v' ✓14 -- -f/1'7 A-) /_) t N b Tc --IA 4E o,.yy� TOWN OF Y-vRMOUTH A- . ,. o WATER DEPARTMENT 0 1- -i '-3 99 Buck Island Road le pl :506 71 ?1 • Fax: (508: 1-7998 BUILDING PERMIT APPLICATION FOR WATER DEPARTMENT SIGN OFF TRANSMITTAL FORM BUILDING SITE LOCATION: g _D C o vice I A PROPOSED WORK: Sri 0\---/ ,-G y2 _ _ __________ APPLICANT: = ` +/" 4 1 Z)' = ADDRESS: CG /7.e✓"�' f _ ct v{, (<✓80-7a-r/040e-G TELPEIONE: � _ 0 •7/ I C 5 g ?T l3 . RESIDENTIA[. ANI) FOR COMMER('IA[. BUILDING Water Department: Determines Compliance ol Water Availability and or existing location Engineering Department: Determines Compliance for Parkin`. and Drainage Conservation Commission: Determines Compliance to Wetlands Act: i e. If Iot(s) border any type of wetlands, streams, ponds, rivers, ocean. hogs, boys. marshland, E IC... Health Department: Determines Compliance to State and -Town Regulations. i e. requirements limn Septage Disposal and other Public Health Activites Eire Departmet t: Determines Compliance to State and Town Requirements fin Personal Safety. Property Protections. i.e. Smoke Detectors. Sprinkler Systems.etc P1 X i v APPLICANT SIGNATURE DATE OFFICE USE: COMMENTS ON PERAIIT \PPRO\'Al, OR DENIAL 1411L"-- lit q l2-o 04 REVIEW D BY WATER DIVISION (SIGNATURE) DATE Maximum Feasible Compliance Map 23 Variances: 310 CMR 15.221 (7) General Construction Parcel 134.2 Requirements for An System Components: 1.) Variance to the 10' setback Between the edge of the Septic Tank and the Foundation, An 5.0' setback is provided. C 5 An 5.0' Variance is requested. 310 CMR 15.405(1)(a) 1.) Variance to the 20' setback between the edge of the SAS and the Foundation. An 15.5' setback is provided. A.\_, An 4,5' Variance is requested. 310 CMR 15.405(1)(a) \ N Map 23 Parcel 135 110.50 E,12N ��°3g'00 Existing Septic __ _ /, r, shown per As—Built \ r — ' Proposed �+ <,:. / _, Proposed 12 Addition N Z 5.0' /y/ ' "' Additiojv Existing Gos 'kb. "2`'''.<<60 U! --.A to be relocated ---�„�,r �I 1'',44v,,� t / 6,0' / `� Gaselli /�� \ i/DD, / I -'' % 1 1 0.( �i/ W4 2 O. ��AD S, >/ ,/ ` // Patio I o' ''" o u s e N so %Propc 0 s A- 8 N...,,_ -- % G a r a, 0 3 edroom O 5C�J \N TOF = 12.1± • i ////... Lot 23 & 8`1� I ,, ,.o_,- ' 2c � , � 16 5.5 _ 10 D 1 D 200-{- SF w/ / 1 1 �_ — — ` / N oe */ Co I D/W IL 00 ,, I /ohW • -�o / P I 1 tit q ab?i� �vK� 14 �3 / LIJ(NI NI \ood �,l o'`e +I 1 3630 W 1 ,11 S83e , I , , TE: d CATION OF UTILITIES IS APPROXIMATE AND ALL f\ D DERGROUND AND OVERHEAD UTILITIES MUST BE D �, e r TERMINED IN THE HELD PRIOR TO COMMENCEMENT P ubi\ C Wo \' I ANY WORK, THIS INCLUDES, BUT NOT LIMITED TO, C QUESTS TO DIGSAFE, ANY PRIVATE UTILITY COMPANIES D THE LOCAL WATER DEPARTMENT. Zone R- 25 S' ci (I) 25,000 Sq. Ft. J `Pto Q 150' Frontage Lone a c Eket °' Setbacks o C° 1... .00:r �' 11 Front 30' o, ���� Side 15' . a e� t,°° Q% Rear 20' c� Lo..., ,/ Silvertea, Co,�e . a Max. Coverage 25% I cry Existing Coverage 10.8% 11 O Proposed Coverage 16.8% WEST YARMOUTH, MA W SITE LOCUS I M a p 2 3 NOT TO SCALE U4o� Parcel 137. 1 1 .) Assessor's Map 23 Parcel 136 2.) D1135217 cli Existing Shed 3.) LC: Plan 17149H r- — -1 to be relocated 4.) This property is not is a Wellhead Shed i , '�'g �� Protection District e yOFfggS — .,,;� s,„ 5.) This property is in Flood Zone AE 1 7 0� -10 .<<� s;EPl�Era aN Firm Map 25001C0588J Dated 7/16/14 '' \ No.39398 Elev. - Jial � 11 .0 � A�' '�., o, 6.) Elevation Datum NAVD88 10 `"1, c 'pr000sed Site Plan I for Cateh Basin M. Droposed Addition \\ EL = 9.5 8 Deerfield load West Yarmouth , MA Prepared by: Prepared for: Lewis Bay Management LLC All Cope Septic and Survey 618 Route 28 64 Heritage Drive West Yarmouth, MA 02673 5.001 10 p West Yarmouth, MA (508) 771-4200 I ❑ ollcopeseptic©gmoil.com October 6, 2021 Sht 1 of 1 By: MA Check: SM AC-312.dwg 0 d Revised: November 5, 2021 GRAPHIC SCALE 20 0 10 20 40 80 ileiili-!6 ,6i ( IN FEET ) 1 inch = 20 ft. S691 - 33 A\ NAME STREET .(1"-:j- e--,..7:.---,-. 4.-f•-,..,--::: / -I -,:'1,,/ /'' ' _2_. --..-, VILLAGE (.-e.. y SERVICE NO. .-75 j:r.)-';';-:/ - ,3 3 ,...... METER NO. 17777C-7-7::“-----'i.t;"' ' ''''''' P4:-._, .-.-.._., 7 , !-- - - - -] 1 ! .• i .1.-1 1'0 , \ : ,.,..,, „ ANk *-- 1,. 0 • , 0 ,.., /:"--/