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HomeMy WebLinkAboutBLD-23-005225 1 Mpre )a.nN. i,U . ONE & 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 ,;,4 Massachusetts State Building Code,780 CMR .•-.,W Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling ((�� This Section For Official Use Only RECEIVE. U Building Permit Number: L1)-2 t�� 5 1 Date Applied: ' 4) MAR 2120)3 ] i in �ti��> � —r -�` ._ Date _ _ Building Official(Print Name) • ignature BUILDING DEPJ1&�MENT SECTION 1:SITE INFORMATION BY _. T- ---_ - . 1.1 p s� d�es I- 1.2 A�lssessors Map&Parcel Nz �r s r�r �, -1.1 a Is this an accepted street?yes no Map Parcel Number l.. onigg,,Information: ,� 1.4P�'i 1 .Dimensions: l • CCs rr�� Lot Area(sq ft) Frontage(ft) Zoning District Proposed Use 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided _ Required Provided q r 2 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: L8 Sewage Disposal System: Zone: i Outside Flood Zone? Municipal El On site disposal system jar- Publicj�7' Private El Zone: if yesO SECTION 2: PROPERTY OWNERSHIP' ) Z 1 Ltower`ofReKortl S'a;�l- /ar j�l.�lj,'d'Li 44 026 V � �`tO�u� ��;;UU `��`" City,State,ZIP Name(Print) 1 / 8- c .c:- 4 74c C7c1 ei - he _- No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 I Alteration(s) 0 I Addition ❑ Demolition 0 Accessory Blda Number of Units Other 0 Specify: �� Brief Description of P posed Work`• 5 Cf oui 7,-car- al "L SECTION 4:ESTIMATED CONSTRUCTION COSTS Estimated Costs: Official Use Only (Labor and Materials) ► Indicate how fee is determined: EIVORMA I. Building Permit Fee:$ 1.Building asStandard City/Town Application Fee 2.Electrical ❑Total Project Cost3(Item 6)x multiplier r--- x 3.Plumbing 101111111111111111111 2. Other Fees: $ ____ (?1/ l List: 4.Mechanical (HVAC) 5.Mechanical (Fire 'Total All Fees:$ Cash Amount: Sus•ression) eck No. _Check Amount:________ 6.Total Project Cost: 13 Paid in Full .� Outstanding Balance Due: 1 0 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) GC-llNCO iz Z0_,)oz' Fn trJnu �]y A lA License Number Expiration Date Name of CSL Holder Fe 00�cr�c l g List CSL Type(see below) tit No,andStreet Type Description A'' ��Q� A AC)76) /3UUnrestricted(Buildings up to 35,OOfl cu.ft.) f R Restricted 1&2 Family Dwelling City/Town,State,ZIP Nil Ivlasonry RC Roofing Covering • WS Window and Siding SF Solid Fuel Burning Appliances VuI of-io7Q NIA-avIcc a61►UcL.f. Co- I Insulation Telephone Email address D Demolition . 5.2 Registered Home Improvement Contractor actor(H.IC) 171/ ,��C 1.,_ _a gU ttl t (lei' �' raki L/' HIC'Registration Number /Expiration 10ate W ompan. Name or IBC Registrant Name �,J (62 No ci Go s-- f u 5 E mail address 4 -i co t'it Ci /Town,State,Zr? 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 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 erty,hereby authorize k 6 Cc A l t( to act n my behalf,in all matter relative to work authorized by this building permit application. . i Pr' wrier a ame(Electronic ignature) ate • 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 application is true and accurate to the best of my knowledge and understanding. lettdaA4 la Cvt- -4 ----7-0-1 7 Print 0 er`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.zov/dps 2. When substantial work is fanned,provide the information below: Total floor area(sq.ft.) f/2© (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" 1,, 6t,n ' c., t c; • c'' l 1 , wilik `ar'''"'` The Commonwealth of Massachusetts 1.`f 1. Department oflndustrialAccidents 1 Congress Street, Suite 100 ' Boston,MA 02114-2017 Au* . www.mass.gov/ilia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Jk( , 02/ Address: g / kik { , 1 G)C'!! j Phone#: //(1 -72[ _t �, City/State/Zip: Are you an employer?Cheek the appropriate box: Type of project (required): 14a-ram a employer with 5 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 8. ❑Remodeling any capacity.(No workers'comp.insurance required.] 3.E I am a homeowner doing all work myself (No workers'comp. insurance required.]t 9. ❑ Demolition l07uilding addition 4.E]I 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 l 1.❑Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.0[am a general contractor and I have hired the sub-contractors listed on the attached sheet, 1�.Q Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6.0 We are a corporation and its officers have exercised their right of exemption per NIGL c. 14.Q Other 152,§I(4),and we have no employees,(No workers'comp, insurance required.] *Any applicant that checks box UI 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. J am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. ,� } Insurance Company Name: !V�� � Policy#or Self-ins.Lie.#: LU( 32 S.II Expiration Date: Z /1—Z 5 Job Site Address: /6.yj Meru t• City/State/Zip: MtiatA, �1"`IOJ Attach a copyof the workers' compensation policydeclaration page(showing the policynumber and expiration date). P P ) 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 • r the pains a penalties of perjury that the information provided above``.�� is true and correct Siena Date: '7(17 Phone ii: //o/119- 7t2 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License 4 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 1146 Route 28, South Yarmouth, MA 02664 508-398-22311 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 /6,v 5 zU SI- ccui4 ol gt �'�` y Work Address of oat the followinglocation: / ci X* Is to be disposed fd Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. 2O 1 pplication Date Permit No. A,��® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)03/19/2023 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 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). CMTACT AP Intego Insurance Group,LLC PRODUCER NAME: AP INTEGO INSURANCE GROUP,LLC PHONE 888-289-2939 FAX(A/C.No.Ext): (AC,No): 375 Woodcliff Dr. ADDRESS: certs@apintego.com Suite 103 INSURER(S)AFFORDING COVERAGE NAIC# Fairport NY 14450 INSURER A: NorGUARD Insurance Company 31470 INSURED :.,.....,.r.a Ruhan General Contracting LLC INSURER C: 88 Branch Ave INSURER D: INSURER E: Attleboro MA 02703 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY POLICIES HAVE BEEN ISSUED TO THE INSURED NAMED PE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH ABOVE DR RE PECT TOLWHICH ICY TIHIIS 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. ADDL SUBR POLICY EFF POLICY P LTR RLIMITS I TYPE OF INSURANCEINSR WVD POLICY NUMBER (MMIDDIYYYYI. EX(MMtDDIYYYYI GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY 1- I PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ rEEMEElli$ PRODUCTS-COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- $ —I POLICY JECT LOC COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident) $ I BODILY INJURY(Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB OCCUR 1 r EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION S $ WORKERS COMPENSATION X i TORY LIMITS l I ER AND EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR PARTNER EXECUTIVE Y� N I A R(JWC328115 09/25/2022 09/25/2023 A OFFICE/MEMBER EXCLUDED? t (NH) EL.DISEASE-EA EMPLOYE= $ 1,000,000 (Mandatory inunder yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DFSCRIPTION OF(WFRAT1ON.S below Er DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) ICANCELLATION CERTIFICATE HOLDER Yarmouth Town Hall SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1146 Massachusetts 28 AUTHORIZED REPRESENTATIVE Yarmouth MA 02664 I ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD I Clear All I Commonweal of Massachusetts si+n of icensure -` f Bung R . eons and rds 'y# w Qk Et ice* 222 ' C S i S. mow iiii% w 134 �I Ave ,: REHOBOT OA 7 ' COMmissiorter A. la f c: , su rR airs &Business R eg HOME IMPROVEMENT CON i i ws, R LAJ v B .t RUNAWa NE r BB OTTAWA ST ATTLEBORO. MA 02703 Undersecretary /r•1 RUHAGEN-01 LENGELHOLMES AR Q�, DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 3/21/2023 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). CONTACT PRODUCER NAME: FBinsure,LLC PHONE (A/C,No,Ext):(508)824-866 FAX 6 (A/C,No):(508)880-0142 128 Dean Street E-MAIL info(cDfbinsure.com Taunton,MA 02780 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Ohio Casualty Ins Company 24074 INSURED INSURER B: Ruhan General Contracting,LLC INSURER C: 88 Ottawa St. INSURER D: Attleboro,MA 02703 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES THE INSURED NAMED ABOVE FOR THE P INDICATED. NOTWITHSTANDING ANY R QO REM ENT,F TERMNCE STED OR CONDBELO ONWAVE OF ANY CONTRACTBEEN ISSUED TO OR OTHER DOCUMENT WITH RESPECT TOLICY WHICHRIOD 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. INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS INSR TYPE OF INSD WVD POLICY NUMBER IMMIDDIYYYY) IMMIDDIYYYY) 1,000,000 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE X OCCUR BLS58755390 4/18/2022 4/18/2023 pREM SESO(Ea occu ence) $ 300,000 MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1'000'000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $ $ OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ — OWNED SCHEDULED BODILY INJURY(Per accident) $ — AUTOS ONLY _ AUTOS DAMAGE OPERTY HIRED NON-OWNED PR PR PERTYt) $ AUTOS ONLY _ AUTOS ONLY — UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ PER OTH- WORKERS COMPENSATION STATUTE ER AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Residential Contractor CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Yarmouth ACCORDANCE WITH THE POLICY PROVISIONS. 1146 MA-28 South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 3/27/23,8:32 AM Mail-Sears,Tim-Outlook 168 South St Sears, Tim <tsears@yarmouth.ma.us> Mon 3/27/2023 8:28 AM To: Bandon Ruhan <ruhangc@gmail.com> Brendon, I have r iewed your application for the new garage and there are some items needed. . Health Department sign off Water Department sign off W. Conservation sign off �� �4'- . FEMA Elevation Certificate \'� 5. Flood vents not shown on plans �i���� �'� � t6/2nd copy of plans yGarage storage of more than 3 cars requires a special permit from the Yarmouth Zoning Board of Appeals 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 508-398-2231 Ext. 1259 mailto:tsears(Wyarmouth.ma.us Timothy Sears CBO Deputy Building Commissioner Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsearsPyarmouth.ma.us https://outlook.office.com/mail/sentitems/id/AAQkADE3MDQ5NWZmLTkOYzItNDIwNi1 iMDQxLWNkMGQyNmE4NzE5NAAQAJHWbETHDnFMnOunJc... 1/1 tit EPA T ENT �.q ({ _. _- , . �c, -li,Jf�`� 1146 Route 28, South Yarmouth MA 02664 508-3 8-2 1 ext. 261 �`---- ' BUILDING DEPARTMENT TOTAL DEMOLITION SIGN-OFF FORM State Building Code (780 CMR) Chapter 33, Section 3303.6-Service Connections "Before a building or structure is demolished or removed, the owner or agent shall notify all utilities having service connections within the structure, such as water, electric, gas sewer and other connections. A permit to demolish or remove a building or structure shall not be issued until a release is obtained from the utilities, stating that their respective service connections and appurtenant equipment, such as meter and regulators, have been removed or sealed and plugged in a safe manner." "All debris shall be disposed of in accordance with 780CMR 111.5." Building or Structure Location:/Cc<S4U4. Sk Map: 3 I/ Lot:)-97 6 _J Owner's Name:T vt PAI - Address: loT 511,4 sl- Phone:(PP"" 7 Contractor's Name:f4jkcikt,6C Address:cc'GJ 5 Phone: 1ft11-7/'? D 70 Eversource: Date: ''`t ties By: Title: National Grid: Date: By: Title: Water Dept.: Date: , By: Title: Board of Health: Date: By: Title: Condition: Fire Dept.: Date: By: Title: Historic Commission: Date: By: Title: Conservation: Date: By: Comcast: Date: 3/15 Lt! t dr`Y-.4-1A ‘er VVATER DEPARTMENT 1)--p BUILDING PERMIT APPLICATION FOR NVATER DEPARTMENT SIGN OFF TRANSMITTAL FORM BUILDING SITE LOCATION: ( (— 4 PROPOSED WORK: c> APPLICANT: 1127"--1ct (AO_ ADDRESS: (,,,Q TEITHONE: ----- RESIDENTIAL AND OR COMMERCIAL BUILDING Water I hpanment: I)eternnnes Compliance of Water Availabilit): and or existing location I'..nginecring Department: r)etermincs Compliance for Parking and Drainage Conserxation Commission: Determines Compliance to Wetlands Act: ie. If lou(s)border any type of wetlands. streams, ponds. rivers, ocean, bogs, boys, marshland, ETC... I lealtli Department: Determines Compliance to State and lown Regulat ions, i.e. requirements for Septage Disposal and other Public I lealth Activites Eire 1)epartment: Determines k'ompliance to State and Town Requirements for Personal Safely. properly Protections, i.e. Smoke Detectors, Sprinkler Systclusxtc A-Y -20 NT SIGNATURE FE OFFICE USE: COMMENTS ON PERMIT APPROVAL OR DENI A/2M REA-IPA) BY WATER DIVISION(SIGNATURE) ATE rt7 fri - �' TOWN OF YARMOUTH Q� '"c HEALTH DEPARTMENT 4 '`404% PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: / s - -P e -( Proposed Improvement: /i e L„ ,,'C:Ld Applicant �1 U .-vim / ` ... c4_ 11 Tel. No.:L/0/ S Address: / (a r U t.1 /1 s Date Filed: 3 - **If you would like e-mail notification of sign off,please provide e-mail address: Owner Name T'i p - --t u _, - Z L CA. (---1 Owner Address: / ? CO Li " A. S Owner Tel. No.: 4 p 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, EL; ;E ,-J and septic system location; (2.) Floor plan labeling ALL rooms within building t1AR 2 7 2023 (all existing and proposed) — HEALTH DEPT, Note:Floor plans not required for decks, sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY• �,rn a--) C= -` ,�, _- DATE: 9-0/ a 3 PLEASE NOTE COMMENTS/CONDITIONS: Town of Yarmouth Conservation Office 0 - ✓. _*3 bdirienzocc yarmouth.ma.us ;" ,o ° $ Conservation Commission Building Permit Sign-off Application 9 TO BE FILLED OUT BY BUILDING PERMIT APPLICANN1': MAR 28 2023 Building Site Locati n: C� Y ��e% `'i` `T �� / - BUILDING DEPARTMENT eY --- Map # 3`f (7 Lot(s) # Property Owner: f ��.,�� S / ` --t 4_�� 4-7 Date filed: 3 -,2- 'T ,I 3 / *Applicant: 7 7,1_,,w,_ c-.J Z.,,L.- e L Applicant Address: / C, 7 c3 (- 4---ti (S IT Email: / i --c .v <,. (;. ,,. 7'6-.P C_,- .- c c '77 C--v e Telephone: VC/ _S I S Please note:by submitting this application,the applicant grants permission to the Conservation Office to enter the location to conduct a site visit(if needed). Proposed Project Description: l/ / Wit' --C !- ,' 9--CA ✓---C.7 ��_'' l `I 1-GP L--C 6,. / 1ij Site Plan Title/Date: Silt Plan oC l6g Sou Sih-(.0-, S u-11 ` ,trynou OZf i 1 /ZDZ3 TO BE FILLED OUT BY CONSERVATION ADMINISTRATOR: Does the proposed project require a permit? k 5 Refer to: SE83- oh.�OA permit Comments from Conservation Commissio CT, e• Conditionally Approved) Rejected Conservation Commission Sign-off Signature: Date: 1 l ZOZ3 *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. U.S. DEPARTMENT OF HOMELAND SECURITY O Federal Emergency Management Agency Ex,ir.'. A5 ate't v: . re, 1 National Flood Insurance Program it ELEVATION CERTIFICATE MAR 312023 Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for(1)community official, (2)insurance age t/gbr1pany;and(3)itaiiding owner. SECTION A—PROPERTY INFORMATION FOR IINSURANCE"COMPANY-WE Al. Building Owner's Name Policy Number; Thomas Ruhan A2. Box Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Company NAIC Number: 168 South Street City State ZIP Code South Yarmouth Massachusetts 02664 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Map 34 Parcel 297 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) Accessory to Residential use A5. Latitude/Longitude: Lat. 41°38'56.83" Long. 70°11'58.96" Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 1120.00 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 6 c) Total net area of flood openings in A8.b 1200.00 sq in d) Engineered flood openings? x❑Yes ❑ No A9. For a building with an attached garage: a) Square footage of attached garage sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑Yes ❑ No SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1, NFIP Community Name&Community Number B2.County Name B3. State Yarmouth 250015 Barnstable Massachusetts B4.Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 25001C0589J J 07-16-2014 07-16-2014 AE el 11 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 x❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑x No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 1 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30,2022 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number: 168 South Street City State ZIP Code Company NAIC Number South Yarmouth Massachusetts 02664 SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑x Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations—Zones Al A30,AE,AH,A(with BFE),VE,V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/A1—A30,AR/AH,AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters. Benchmark Utilized: RTK GPS PER MTS NETWORK Vertical Datum:NAVD 88 Indicate elevation datum used for the elevations in items a)through h) below. ❑ NGVD 1929 NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 7.5 J feet ❑ meters b) Top of the next higher floor 20.5 ❑x feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑x feet ❑meters d) Attached garage(top of slab) N/A ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building N/A 0 feet ❑ meters (Describe type of equipment and location in Comments) 0 Lowest adjacent(finished)grade next to building(LAG) 7.0 ❑X feet ❑ meters g) Highest adjacent(finished)grade next to building (HAG) 7.5 D feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 7.0 D feet ❑ meters SECTION D—SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available.I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? I Yes ❑No ❑Check here if attachments. Certifier's Name License Number Daniel A. Ojala 40980 Title ei4s ,4, Prof. Civil Engineer, Prof. Land Surveyor v,. Company Name =q • `"t Down Cape Engineering Inc. ahr {; Address , `� 1� 939 Main Street �c City State ZIP Code Yarmouthport Massachusetts 02675 Signature p Date Telephone Ext. L. f I 3 (508)362-4541 Copy all pages of this Elevation Certificate an all attachments for(1)community official,(2)insurance agent/company,and(3)building owner. Comments(including type of equipment and location, per C2(e),if applicable) Vertical datum is NAVD88 from MTS RTK GPS. 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Ruhan 2012 Irrevocable Trust PROPERTY: 168 South Street, South Yarmouth, MA Map 34, Parcel 297 Zoning District: RS-40 Title: Book 26927, Page 121 MEMBERS PRESENT AND VOTING: Chairman Steven DeYoung, Sean Igoe, Richard Martin, Jay Fraprie, and John Mantoni 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. The Petitioner is seeking a Special Permit pursuant to section 202.5, Footnote 5, of the Yarmouth Zoning Bylaw to remove the existing, detached one-car garage and construct a detached two-car garage, for a total of 6 garage bays on site. The Property is located in the RS-40 Zoning District and is improved with a I �V2 story, 5- bedroom home, with an attached 2-car garage, a detached accessory garage for 2 cars, and a detached accessory garage for one car. The home was built in approximately 1973, but it replaced another structure on the site. Zoning Decision 520, attached to the application, references the existence of a 2-story home on the lot in at least 1960. The 2-car garage was on the property prior to the house being built in 1973. It was moved from a property on River Street in the 1960s. The one-car garage dates back with the old house that was torn down. The property contains approximately 1.08 acres, with approximately 120 feet of frontage on South Street, 132 feet along the Bass River, and is approximately 375 feet deep. The existing home complies with the front and rear setback, as well as the right side setback. It encroaches into the left side setback by 1 foot. The two-car garage is only 4.8 feet from the left side setback, but has been there for approximately 60 years. The one-car garage meets all setbacks. Lot coverage is 9.6%. A TRUE COPY ATTEST: b140404-a TIA4ehlAa-r tiAllt/CMi;I TOWN C;LEF:K JUL 1 7 2023 Bk 35903 Pg138 #29201 The proposal is to raze the one car garage and replace it with a new garage measuring 40 feet by 28 feet, which will primarily house Mr. Ruhan's boat. The new garage will increase the number of garage bays from 5 to 6. The new addition will meet all the current setback requirements for the zoning district, and will provide additional storage. The lot coverage will be increased to 1 1.5%, well below the 25°%o maximum. No abutters appeared either in support or in opposition to the project. The Board was concerned about allowing a sixth garage bay to this property, and the precedent that it may create. However, Board Members voiced their cognizance of the fact that this was a large lot, with 5 pre-existing garage bays on the site, and the ample vegetative screening of the new structure from South Street. These unique factors are circumstances affecting only this lot, and that the driveway to enter the new garage will be pointed toward South Street, with any headlights shining into the garage and not toward anyone's home. As such, it was the opinion of the Board that, in this case, a Special Permit was warranted. The Board was in unanimous agreement that the use of the additional garage bays would not be substantially more detrimental to the neighborhood, zoning district, or Town, than the existing non-conforming structure, and that the applicant has demonstrated that no undue nuisance, hazard or congestion will be created and that there will be no substantial harm to the established or future character of the neighborhood or town. Accordingly, a motion was made by Mr. Igoe, seconded by Mr. Martin, to grant the Special Permit, as requested, with the following condition: The space above the new garage bays will be used for storage and not for living space. The members voted unanimously in favor of the motion as follows: Steven DeYoung: Aye; Sean Igoe: Aye; Dick Martin: Aye; Jay Fraprie: Aye; John Mantoni: Aye 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, the Special Permit shall lapse if a substantial use thereof has not begun within 24 months. (See bylaw §103.2.5, MGL c40A §9) 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 #5029 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. Niwitxtai • Mary A. aslowski ,� 7 202� JUL A TRUE COPY ATTEST: Bk 35903 Pg139 #29201 �;; .\ , �- COMMONWEALTH OF MASSACHUSETTS i:C TOWN OF YARMOUTH d',"r` J v C�d r BOARD OF APPEALS Petition #: 5029 Date! July 14, 2023 Certificate of Grantin og f pecial Permit (General Laws Chapter 40A, Section 11) The Board of Appeals of the Town of Yarmouth Massachusetts hereby certifies that a Special Permit has been granted to: Thomas J. Ruhan and Thomas A. Rockwell, Trustees of the James F. Ruhan 2012 Irrevocable Trust Affecting the rights of the owner with respect to land or buildings at: 168 South Street, South Yarmouth, MA; Map 34, Parcel 297; Zoning District: RS-40; Title: Book 26927, Page 121 and the said Board of Appeals further certifies that the decision attached hereto is a true and correct copy of its decision granting said Special Permit, 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 11 (last paragraph) and Section 13, provides that no Special Permit, 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. V Steven DeYoung, Chairman A TRUE COPY ATTEST: •Mitight'LliLf l.i`1��1 i 4UQity GL�F:X JO E 1nrGI T 1 2023 BARNSTABLE COWTT REGISTRY OE DEED_ 14F.rw..TVW11 L RF.rnpn,.fl FT.F!`TR(1NTf`LuT.V