Loading...
HomeMy WebLinkAboutBLDR-23-12765- ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department of 1146 Route 28, South Yarmouth,MA 02664-4492 1.1%,. ..... 508-398-2231 ext. 1261 Fax 508-398-0836 Massachusetts State-Building Code,780 CMR = e Building Permit Application To Construct, Repair, Renovate Or De wk. a One-or Two-Family Dwelling °` - This Section For Official Use Only I U N 20 3 Building Permit Number: 6(_,i,g t /t Date A d: BUILDING DEPARTMENT 1)r� SQ��3 ib/a,3 8Y - - Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 1.1 a Is this an accepted 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 YardPS Required Provided Required Provided Required Provided 1.6 Water Supply: (Iv1.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public Private 0 Zone: _ Outside Flood Zony? Municipal❑ On site disposal system PY Check if yes SECTION 2: PROPERTY OWNERSHIP' aj,_ Owner'of Record: --W1bt R "04JsepnhP F. filurray 1. 7 yrnnwlatcHi Mn . Name(Print) City, State,ZIP `43 w Al ta► f 5 RA 7J178F iv?MO JrINN uwrcy j'�YB6� G No.and Street Telephone En it Address, ,Con, SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction E Existing Building Owner-Occupied VRepairs(s) 0 Alteration(s) lief Addition ❑ Demolition 0 Accessory Bldg. ❑ Number of Units Other El Specify: Brief Description of Proposed Work2: Cbti e,ert Cd4/2.05P pi-.in. A 3r d Qr ieYDwt. Reiiit . 6) Dog t' - 2u i(a to I ae r 8", Lcur, L�2i tr the res r c �-{14 e ii O e ie( -G o`er p t b �, t d 41Pd"'� skid cell /�'�'1jl (,�s(tit ! f tl iS SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ t�I D co 1. Building Permit Fee:$t c 0 Indicate how fee is determined: Standard City/Town Application Fee 2.Electrical $ asOb•6v CI Total Total Project Cost (Item 6)x multiplier x 3.Plumbing $ O 2. Other Fees: $ A ���.�. 7 4.Mechanical (HVAC) $ a List: ,35 bI—00 ( 1 25 5.Mechanical (Fire Suppression) $ Total All Fees:$ Check No. Check Amount: Cas ount: 6.Total Project Cost: $ ? 60` co p Paid in Full Xli Outstanding Bal e Due: g o SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 0 w .er Cate/Writ License Number Expiration Date Name of CSL Holder List CSL Type(see below) No.and Street Type Description y MRS PCi • 1 U Unrestricted(Buildings up to 35,000 cu.ft.) Restricted l&2 Family Dwelling City/Town,State,ZIP Iv1 Masonry Yrrzi ou-f k 1 RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances '1$1 7r -, 'Seo y5C yb?)_Da }WO 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(11LG.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 , 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: 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. --1®`/ln ?. 1.1'�ray 6- /9 •A,2_3 Print Owner's or Authorized Agent's Mine(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.zov/oca Information on the Construction Supervisor License can be found at www.mass.eov/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 3-- Number of fireplaces I Number of bedrooms 91 Number of bathrooms a Number of half/baths Type of heating system het c'bW-er Number of decks/porches c( Type of cooling system eVA Enclosed Open p2 3. "Total Project Square Footage"may be substituted for"Total Project Cost" ' • ' ' .i The Commonwealth of Massachusetts ,, Department of Industrial Accidents ' 1 Congress Street, Suite 100 " 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): ,i Ev hVI j, Mu4-icky Address: ( (l `4 S Rd City/State/Zip: LtJ ,/fggnici AI 1+ Phone #: 75/ 7,5 9 6 y y'D Are you an employer?Check the appropriate box: Type of project(required): l.E I am a employer with ' employees(full and/or part-time).* 7. [ -.11'rew construction 2.0 I am a sole proprietor or partnership and have no employees working for me in an a aci 8. Dmodeling • p ty.[No workers'comp. insurance required.] 3. 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 contractors to conduct all work on my property. I will 10 ] Budding addition ensure that all contractors either have workers'compensation insurance or are sole 1 I.arrrectrical repairs or additions proprietors with no employees. 12.E 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.[ 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.H Other 152,§1(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. r 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: Y5 IA.9\titecwt5 / cA City/State/Zip: W Y/9/2ry1 D4(T11 PM 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 c: i y alder the pains and penalties of perjury that the information provided above is true and correct. Sianature: � Pc j2_ Date: 4 -i y Phone#: 77j/ 'In 4760 1 - c vZ3 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#: TOWN OF YARMOUTH - BUILDING DEPARTMENT ;CA WA =�= ° 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DALE: - -,zbx3 JOB LOCATION: 1745 LAM I l a iµ s (� _NAME STREET ADDRESS SECTION OF TOWN "HOMFOWNER" okv4 R .. Harm_,j 7bi - 7,S' ,gypyL> NAME >�OME PHONE"`"" WORK PHONE PRESENT MAILING ADDRESS o tA,© 1 Co-)-(- Rd (4,6 biAl P T / 6)0&I 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 perfoiwued under the building peiinit. (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 V, r APPROVAL OF BUILDING OFFIC hi 1SURANCE 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 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 95 l.C.%1 \\lavv(S Work Address Is to be disposed of at the following location: LC `/YiZ44C)iA+/'( IN)lS S i ) Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. ature of Applicant Date Permit No. Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall • enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s)name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be retuned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02 1 1 4-20 1 7 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 02-23-15 www.mass.gov/dia I ---- 0 0 cp ThbeRkoy (...-----. i a Vte VIC 2 '.7'-' 2*3 ---- I _ 1 ,...„ yn/ motii---i4 "iy, 1 0_24,c; , --- _ 1 ____ /9 d 015 ed --/-4.47' ligliii he C-1111- ( / hi-s2tlanNricuil— ! Xse37, 1"Ce 7A7/271 2°e/co/I Rd. oh wr P7 1-0 5/5 1- W///7 izi 5 ? / Lid 0w././?a e_tvb a4 1..-ti ---1 co yffp/e--66-- / di /4 is' 1-ecerraclicpwleil7L5 191c/ Cb 4 ii-bziclia 4n oti fI(III 1,0 eh,twicel-4 7-Zvi-,e c Ge' — — -- _ -4— RECEIVED _--- - - ------ - i JUN 2 1 20z3 - 1,BBUILDING DEPARTMENT --- --- ------- , . ---------- - ___ ........._ 5uwwe'r-.. l' c3),4' „---- - or _ t),Ix' 17_ ____ . __, ., ,..,,,,,-(0e., ! — . ._ 4 1 . r--- . L 1 , f I , , ! ED ..., I. `) r ..g I * 1 I v r f - P-1 I I I 7 ........- " ) //0)1/75 kC/ ,./c) e_(e c.-t"r-lc R ecr Is_ect LirhiC it:tcePhi..-g--/. 51.4,,.h.14 .,,j -EL.r 04c1-5-ije r 4 / -(1/P-4/4 ifh/- 1.4,111( 1..t.ii/cite? rh_ ,.... /kit) , 112"` r 1 I . -! '10 , % 1 c--6 0 • \it 1 1 1 1 8 . 0 -0- i -ti I.... -e • -• i i ftlitc-1,.. 1; rl ' ii ID „, - ) i -1)oubi t- kAP i illAtSvo €f � � | ! | | / . | / `�� | � ) ! � ` / ' i / / / '' / } | / i � �- i ' � \ . / / �\ Y �� | � � i | ! \`� � �` ' � | ' ' / / � / { ' / � '-_^�_. / i { ] � j | / | j __� ___ ' -� ---- | � / ` | / \/ L/ / / ' ` » ^ , � | / / ` | ' i ! � / '� / � / � ) / ' / ' � | | } ! ! | / ! | |~ ' i ! | | � � | � ' / � / � | / � | � { | / / / | | ! \ \/ ( ' ' � ! ' � � ` �� | / | � / | ' � � ! \ / � ! ! � \/ . � ! ! ( i ! ' i / | ' ! N������� ' � } | ` � | ( � � / > � � \ ` ' | i `� � ! / ` /\ | / \ ' ` / . ' ` / ^ � � ! ---------- c�z :��� `. f | ___� __ _ ________________ - ` ` | � � ' ` � � . -___�_ _ -__` ` ' ' � / ` ` | . | | . � ' � | / \ | / ` \ ' | ' { -' ` ( `� ! . � | | ' / ' | \ / / / ' ' / / ` \ -~-' \ ` -___-__- __''_-__�__-_ ___-_ - `�` / w~� `, ( �~ ^ ~~f� ' |� �^ �� �� D , i , , ..._.. , i , r ' : , I ' ' I I I i I ! 1 1 ; I , i 1 i ! . ' 1 i . i 1 , . I . . I , , .\ 1 . I , , . i 1, . , I : . , , I 1 j ,j, cs?..,./.._ fj1}: ,._......)/ , I I 1 j 1 . . , , . !j ,---------.1_,____„_____4 1 I , , ii1 1 . • - I 1 / I . 1 I . . i . . , . . 1 j , I I 6 ..,_„... c . . , . i , , • , •,., i, V / • , . . • • , , • , • • , , • „___________,___4__....... \ 1 . 1 : . , • ; • 1 , . . . .• . . , r I . \ , . i . i .,, i 1 .. . . NJ , \ i . , . \\ . , , , 1 . . . , , , . . ... . . : „ 1 , . , 1 ,,,, 1 i.' , ) . , . ,.. , . \ ‘ I I 1i \ , 1 ' \ j , 1\ . . . ; ,,,..........t \ ''''- \ 1 j I ; \ \. '---- ------1 - . . ! i .. , . . , L. . , 41 N\N •4 Z CC 0 14- I- w ..-.• CC 0 7 Uoco/ 12,• 0 V) Wuj 0 1J<• CC I co 0 Z a) M 1 0 .4 CI-10 ;"471 0-'t CO I 0_ ...-•••u..1 . o cri. ,i o_rt j 0 -, co •.. ,j ,,D u..i Fd'.- a — • N\N CI(•:ct 0 De >- )- ,.6 0 v) w =0 Z UJ 0 03 2 / ,/ w z < ce # . ••?, . z-i z 0 w 0 , , u ..-=- 0 -i 0' t,..J ...,-.., ,, ,„ • 0 I- D . 4' / i-i- / ' '4 !, <0 W 0 (0 M -I 0 Le C.) - . / •1- / ,-,,zi. Fvu_ .--:,..,A.< cn •:,. 0...6 AO ,s; //e(:i.:•i:li:.Ft, Arei,- '(-1Tik 1-1-• . '.- •-,.._..qa 1. '•::: ,-,.; / • -"/ i::5":.•:::: -416 c") ct5 C),/ Ow 7 /::.:;;:::: ••,....Alt.. ,0 • ..-.0„,,.... t.v• MO 0 0 0 v- XM L.17. ........... ti5 ••. • <V //:1:,Pij:71Z.4 ::•:::.. °b '... ZZZ (71 ,JR.1. •::• 0 i ui ;5.ui .• ,-• / „::•:•:•:::: / .„,.2 .1-6:,i - ---, -...1:iii::::•. -.... '- 0'-ia, k..., .••• • ..:•:•::•:•:•. :• -6 Oit-1 / 1:i:...:4 to 4C 4C 115 oc 1—oc m. m cn :. . / -, •....;• :::i, .. 4 ‹: ' !••,..- 0 co o W .i' ,„,14 i Z / ‘ ,,...40 . i..:.i:::‘). •• Ili :An cccectowloct :: ,.../ A ••• '' k,c) , - •,...-:• ::• ....,.. .:• p, 0 f ::'•::. '''' ' , Adak' ..kiltftp414,.. .--... • -_-, << -:c - (.,).._ w >> › Po m to .o ,,.,, i . ..... •;4:.:. ••:• rs 0 Aihi ....v •••:;.: ::::.; •:.' 4., •••i• •i. •.•:• •.:- / 11 ,s, ::,:.,:•:•:, -R4F44-es.s,/ .„ , 0 1 .i: •::. ,:•... . _ . .;:ilipr- •• : , •••••• _, c.i ri ••::: „ ,.. 7,1ip :•:: .• .• 0 -4.;: ••••. 4 h `<.. ,/ •il :.. 90 •il. ...::•:• ii • 1 • A. 0 .-. ,, :i' .. ., '•• • , .92s. . .::• •:: 4 ' / / C..) t,i / / •:.: . •:;:: •:::. 4/, • •::::.." I / ,. ., ,?‹, co e,., •::: / .i. •:::. ,y/-) -v., •ii• if co . i •i:. • 0 •ii . •:. •::.. ' 4, nSo :• in* 0 , • . •: . .--, 44....; /1.. = N.,..-f" .'.,- 0 •:::•. g:•i:'. . ' '.• 04/ 9 c.," •••. 'ID:: - •:::. ",., ..• 44 / •::, :. rit' --71-3, ,r/ .::::, '`/1/4S`.4.. .:' . ,..., . cr) og —6 .: ,7 ,i(: :::: z .• 0 ,i --? ':: • 0 .6•••, C), 0 <C....) '' 1. N P Or . 1 r0 ^ In r) .- •:,••.•:.•: ::• ••:'. ....(1 ..- / o / —I ' — +I + ...,..• T. qi --, , toTh 0 ..-, (AJ 11, Ln / M `...-.1 CD \ID -, P -I CD . / ,:• •••,,,SN <- °06, A / ,:i. (..0 040/ 4/ 1 40e I Oc...• in 1/4SN .•••• .4 q Z / ...• • 4.1.:2, •A i'' ,•D 0 0 .,,---'-'",----- 0 r•-) N "- . D OD .--• irlfi / . . .•. •:::. tn -4 ... •. .• .• In / >- W ••:; •:•:: . .• ln •--t ---' OJ . •- •:::: ,. ' Ln /Z Ce 0 "•::::: 0 ••:' / I-I-1 Z 0 . / M < 0 < CC 0 1.1. 0 LL. U) (1" CL JUL 2 8 2006 ..... ....i dr.. '.... w - i LA_ HEALTH LE PT. a . u) W0411( MUST CON R TO ALL TOWN 0 BYLAWS AND , U IONS / (r) >- / < MOUTH WATER DEPT DATE 3 / / -\ / --I < $ 4-- ga --s‘ —,.. T Y < X x ! 5.4 N ii N. i �~ t --i' Ar ... .".... __ __ , .,... , r) , , , 4 1_4 k y er, 0 — -i,411:0)0 01 4 +a Ei:gri W Q h 4 Chi od�� isli ti CA '6 0 ` ....., ... 4 z _ t„, �...... . . ~ ._ i 7j rl /v 4:;. V i o v, I 'Co b .. U W S \-1 s r- / r /w / 31V0 1d30 UMW H.I. W _ _ Edge Wetiond /7"------NM01 / L2Z o SNOT (1 owSMtfI,AS 11W Ol 0 NOO lSfiW to Ld l-�li �H D i �� 9oozs � �nr`d X/ H / �' O • / O m of • ' � ?0~+0� y / 7 �' w c4ou /SF O/ Cfl �7 r-, 0 ki) -- / ��� O / Z • fw i i.n %O A. y0 , , r /� i is her F N0 % co ry Z / / r//i •''�•'i•••• '••?, per' '.r 44 • Z W_i W < < I *;1111(41* ••:••:•,,,N. N. ik, .:::::Iii.illt tk zi*: ck , , • 73 ', .,. . .f;�•�••••./ , / Pi'HI! mr Cb 41 o c./ 0• r 0> t� % crl m 5 n c �u'. K:00 am m .,� iv I m D to 1: ��� Nr rn0 W mer,.., .13 • 23m li /9/�-< �Ow -... -, n fl-• r f • Substantial Improvement Worksheet for Floodplain Construction (for reconstruction, rehabilitation,addition, or other improvements, and repair of damage from any cause) Property Owner: I1 K 1t ay Address: / 5- LC7i/j/4,# S Rd Permit No.: QL.P/ --v13 //b V Location: ( v , }04 ryJtjtei Description of improvements: (-444 C,eY ( 1,,,, ,„Le gild gad n,ii N d 4 c in Present Market Value of structure ONLY(market appraisal-or adjusted •assessed value,BEFORE Improvement,or if damaged before the dams a occurred not.uacludm land value � 3 9 � }:1;:*..... .:.._':.....':4Ort...'.-''. � $ '��a.'1...." o v C.)c7 Cost cf Improvement ': :a Actual iciiel of the construction""(see items to inc1udelexclude) $ V 0 000 i. *incli:ide volunteer labor and donated supplies}* Ratio= Cost of Improveme rt(or Cost to Repair) x t 00 0 // q° hiet l]alue If ratio is 50 percent or greater(Substantial Improvement),entire structure including the existing building must be elevated to the base flood elevation (BFE)and all other aspects brought into compliance. Important Notes: 1. Review cost estimates to ensure that all appropriate costs are included or excluded. 2. If a residential pre-FIRM building is determined to be substantially improved, it must be elevated to or above the BFE. If a non-residential pre-FIRM building is substantially improved, it must be elevated or dry floodproofed to the BFE. 3. Proposals to repair damage from any cause must be analyzed using the formula shown above. 4. Any proposed improvements or repairs to a post-FIRM building must be evaluated to ensure that the improvements or repairs comply with floodplain management regulations and to ensure that the improvements or repairs do not alter any aspect of the building that would make it non-compliant. 5. Alterations to and repairs of designated historic structures may be granted a variance or be exempt under the substantial improvement definition)provided the work will not preclude continued designation as a"historic structure.`, 6. Any costs associated with directly correcting health, sanitary, and safety code violations may be excluded from the cost of improvement. The violation must have been officially cited prior to submission of the permit application. Determination completed by: `p 4 h . . ti LA.r r c, Date: P�41,S7� 3 anas • \ --'• *':°/ \'iL 0%1' ,;- 's o e. I 1 • • =, TOWN OF YARMOUTH o.tiTit BUILDING DEPARTMENT y/ T 3� MAT-::: 1 SE_40, 11 " \� :�� a 6 Route 28, South Yarmouth. 1 02664 Telephone 508-398-2231 ext. 1261 Fax 508-398-0836 Owner's Affidavit: Substantial Improvement or Repair of Substantia l Damage • Property Address: l i.5 I I 1 / Gl ryl 3 R . Parcel ID Number: A 6 a Owner's Name: - 11 11 '2 V' Ir i Owner's Address/Phone: / / / d 7f,/ 7s 9'y Contractor: 0 Lovl e y • Contractor's License Number: // Date of contractor's Estimate: I hereby attest that the description included in the permit application for work on the existing improvements, rehabilitation, remodeling, repairs, additions, and other forms of improvement.building all er attest that I requested the above-identified contractor to prepare a cost estimate for all of the work, it further the contractor's overhead and profit. I acknowledge that if, during the course of construction I decided including more work or to modify the work described, that the Town of Yarmouth will re-evaluate its comparison of tahe cost of work to the market value of the building to determine if the work is substantial improvement. the re- evaluation may require revision of the permit and may subject the property to additional requirements.nt. Such I also understand that I am subject to enforcement action and/or fines if inspection that I have or authorized repairs or improvements that were not included in the descriptione that reveals cost estimate for that work that were basis for issuance of a permit. � n the ar, UG 0 3 2023 Owner's Signature: I A t\rr N� l Date: _ III dZ B���o�N��� _ Notarized: •, J � � �` :co,c. LNotALYCE TERR!,�,.;�i rassachusblic01 Mrnmissi setts �u!4, 2025 Xp e$ Sample Notice for Property Owners, Contractors, and Design Professionals TO: Property Owners, Contractors, and Design Professionals FROM: Mark Grylls Town of Yarmouth, Building Commissioner SUBJECT: Notice for Work on Existing building in Special Flood Hazard Areas Substantial Improvement/substantial Damage Worksheets The community's floodplain management regulations and code specify that all new buildings to be constructed in Special Flood Hazzard (SFHAs) (regulated floodplains) are required to have their lowest floors elevated to or above the base flood elevation (BFT). The regulations also specify that substantial improvement of existing buildings (remodeling,rehabilitation, improvement, or addition) or building that have sustained substantial damage must be brought into compliance with the requirements for new construction. Please note that a building may be substantially damaged by any cause, including fire,flood,high wind,seismic activity,land movement, or neglect. It is important to note that all costs to repair a substantially damaged building to its pre-damage condition must be identified. There are several aspects that must be addressed to achieve compliance with the floodplain management requirements. The requirements depend on several factors,including the flood zone at your property. The most significant compliance requirement is that the lowest floor, as defined in the regulation/code, must be elevated to or above the BFE. Please plan to meet with this department to review your proposed project,to go over the requirements, and to discuss how to bring your building into compliance. Our regulations define these terms: Substantial Damage means damage of any origin sustained by a structure whereby cost of restoring the structure to it's before damaged condition would equal exceed 50 percent of the market value of the structure before damage occurred. Substantial Improvement means any reconstruction, rehabilitation, addition, or other improvement of a structure, the cost of which equals or exceeds 50 percent of the market value of the structure before the "start of construction" of the improvement This term includes structures that have incurred "substantial damage," regardless of the actual repair work performed. The term does not, however, include either: Requirement for application for Permits for Substantial Improvements and Repair of Substantial Damage Please contact the Town of Yarmouth, building Department (508-398-2231 Ext. 1261) if you have questions about the substantial improvement and substantial damage requirements. Your building may have to be brought into compliance with the floodplain management requirements for new construction. Application for permits to work on exiting building that are located in special Flood Hazzard Areas must include the following: • Current photographs of the exterior(front, rear, sided) • If your building has been damaged, include photographs of the interior and exterior; provide pre-damage photos of the exterior, if available • Detailed description of the proposed improvement (rehabilitation, remodeling, addition. etc.) or repairs • Cost estimate of the proposed improvement or the cost estimate to repair the damaged building to its before-damage condition • Elevation certificate or elevation survey • You may submit a market value appraisal prepared by a licensed professional appraiser or we will use the tax assessment value of the building • Owner's affidavit(sign and dated) • Contractor's affidavit (signed and dated) Costs for Substantial Improvements and Repair of Substantial Damage Included Costs Items that must be included in the costs of improvement or costs to repair are those that are directly associated with the building. The following list of costs that must he included is not in- tended to be exhaustive, but characterizes the types of costs that must be included: ■ Materials and labor, including the estimated ■ Structural elements and exterior finishes value of donated or discounted materials (cont.): and owner or volunteered labor Ni Windows and exterior doors I Site preparation related to the improvement El or repair (foundation excavation,filling in Roofing, gutters, and downspouts basements) E Hardware ! Demolition and construction debris disposal • Attached decks and porches ■ Labor and other costs associated with ■ Interior finish elements, including:demolishing, moving, or altering building components to accommodate El Floor finishes (e.g., hardwood, ce- improvements, additions, and making ramie,vinyl,linoleum,stone, and repairs wall-to-wall carpet over subflooring) ! Costs associated with complying with any El Bathroom tiling and fixtures other regulation or code requirement that is triggered by the work,including costs I. Wall finishes (e.g., drywall, paint, sntc- to comply with the requirements of the co, plaster, paneling, and marble) Americans with Disabilities Act (ADA) Built-in cabinets (e.g.,kitchen,utility, I Costs associated with elevating a structure to entertainment, storage, and bathroom) an elevation that is lower than the BFE • Interior doors I Construction management and supervision • II Contractor's overhead and profit Interior finish carpentry ! Sales taxes on materials • Built-in bookcases and furniture ! Structural elements and exterior finishes, is Hardware including: El Insulation Foundations (e.g., spread or continu- ous foundation footin erimeter walls; ! Lin'and service equipment,including: ' -P chainwalls, pilings, columns, posts, etc.) HVAC equipment Monolithic or other types of concrete al Plumbing fixtures and piping slabs El Electrical wiring, outlets, and switches E31 Bearing walls, tie beams, trusses El Light fixtures and ceiling fans Joists, beams, subflooring, framing, ceilings 5 Security systems Interior non-hearing walls • Built in appliances Exterior finishes (e.g.,brick, stucco, sid- ■ Central vacuum systemsing, painting, and trim) El Water filtration, conditioning, and re- circulation systems 4 of 7 SAMPLE NOTICE FOR PROPERTY OWNERS, CONTRACTORS, AND DESIGN PROFESSIONALS ti Excluded Costs Items that can be excluded are those that are not directly associated with the building. The fol- lowing list characterizes the types of costs that may be excluded: I Clean-up and trash removal ■ Outside improvements,including landscaping, irrigation, sidewalks, driveways. Costs to temporarily stabilize a building so that it is safe to enter to evaluate required fences, yard lights, swimming pools, repairs pool enclosures, and detached accessory structures (e.g., garages,sheds. and gazebos)■ Costs to obtain or prepare plans and specifications IICosts required for the minimum necessary II Land survey costs work to correct existing violations of health, safety, and sanitary codes II Permit fees and inspection fees ■ Plug-in appliances such as washing I Carpeting and recarpeting installed over machines. dryers, and stoves finished flooring such as wood or tiling SAMPLE NOTICE FOR PROPERTY OWNERS, CONTRACTORS, AND DESIGN PROFESSIONALS 5 of 7 From: Dan Murray murraydan.j@gmail.com Subject: Bathroom Plan Date: Jul 4, 2023 at 12:50:30 PM To: Jeanne Murray jeannem34@hotmail.com, John Murray murray480@aol.com 45 Williams Road Bathroom Renovation 4'-0" 0 co : cfl \ � a i � N ® I \ � i 4'_5' RECEIVED AUG 15 202-31 BUILDING DEPARTMENT By._._------ � � ' y _ � 00 - -_ - - - -_-__ - _ - R E C E UV E D ' _ AUG � � ���� � r�� ^� �mu� BUILDING DEPARTMENT %s/: f` . 1i -45 r®P, 6od- c3cf)o - 72/7/,5.r D(o y .ETA// N---445 _3 / /.. r /-- r/P/c �44A) X" _ oZ/f..s-ad Ah%�Dx1 fuit-* C er 11N 1140h//j /if/ / C4/ And 54/,,ke. 62)°" // roc%c/vc .S1re.e-Vr2ac, d l.,c�.��l y, c-s7L 41P1S-a ��/ /� 7X�" y E VEl)._ AUG 15 2023 BUILDING DEPAF2I MENT By: - . . j' RECEIVED i I AUG 15 2023 1 1 i BC;,:...DING DEPARTMENT Ljy. ! ........ ,c,•-• : ,--\ A- i 0 , 1* --4 ! \ ""c 1 , 1 i 0 • ‘' ' 0 • ` 1—,.... .. - \ - 1 .\•.„ . _ v) i --- l ..., , ....... .. ! I . ...Ks, c"- e•-•''...s. I C 11M,dir>.• i _ ../_ . ‘•""' 'i.,.. .ni . i • ..1 1 -.'...t M• (ale_ .. ' , <=r-•-- _ . tz, , L (1)Any project for improvement of a structure to correct exiting violations of State or local health, sanitary, or safety code specification that have been identified by the local code enforcement official and that are the minimum necessary to assure safe living conditions or (2)Any alteration of a "historic structure"provided that the alteration will not preclude the structure's continued designation as a"historic structure." To make the substantial improvement determination or the substantial damage determination we compare the cost of the proposed improvement or repairs to the market value of the building (excluding land, accessory structures, and landscaping). If the resulting ratio equals or exceeds 50 percent, the existing building must be brought into compliance with the floodplain management requirement for new buildings. Cost of improvement or Cost to Repair to Pre-Damage Condition _>50% Market Value of Building Please Note: • You must provide an estimate of the cost to perform the proposed improvements or repairs. If your building has been damaged, the cost estimate must include all work required to repair the building to its pre-damage condition. The cost estimate must include all labor and materials. If the work will be done by a contractor, the contractor's overhead and profit must be included. If the work will be done by the owner or volunteers, market rates must be used to estimate the cost of materials and the value of labor. Attached to this notice is a list of costs that must be included and costs that are excluded. After we review the cost estimate,we may require that it be broken down to show all materials and labor estimates. • You must provide a market value appraisal of the building that is prepared by a professional appraiser according to standard practices of a profession. We will review the appraisal to determine that it accurately describe your building and does not include the value of the land, accessory building, and landscaping. Alternatively, we will use the tax assessment value of your building as the estimate of the market value of the building before the work is performed. If you have any questions regarding this information, please contact the Town of Yarmouth, Building Department(508-398-2231 Ext1261).