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HomeMy WebLinkAboutBLD-23-000176 s. : 7 1 f-' ' 1 1z r&.z 1 I JUL 112022 1 OINE & TWO FAMILY ONLY- BUILDING PERMIT __! Town of Yarmouth Building Department By UILDINC DEPART MENT 1146 Route 28, South Yarmouth,MA 02664-4492 - 508-398-2231 ext. 1261 Fax 508-398-0836 (IS Massachusetts State Building Code,780 CMR .. .41'.... :} Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling 1 1 This Section For Official Use Only Building Permit Number: J Lb. 3' i 1 / Date Applies Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: Assessors Map&Parcel Numbers I.1 a Is this an accepted street?yes ✓ no Map Number Parcel Number 1.3 Zoning Information: l i 4 1.4 Property-Dimensions: u I4 Zoning District Proposed Use I Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) k) 1 A' - Front Yard Side Yards Rear Yard Required I Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: OutsPublic W Private 0 Zone: — Checkie fyeslYFloo e' Municipal❑ On site disposal system if yeslg SECTION 2: PROPERTY OWNERSHIP' 2. Owner'of R cord: j tse©f 1 v cl/r 0if G. �G �rnt e 1t 1 02664 Name(Pri J City,State,ZIP 26 ( i toC3 id t) l . re i6)s rIGi No.and Street Telephone Email Address SECTION 3:DESCRJ f ION OF PROPOSED WORK(check all that apply) J New Construction 0 Existing Building l! 1 Owner-Occupied 0 i Repairs(s) 0 1 Alteration(s) I I Addition 0 Demolition 0 Accessory Bldg. ❑ Number of Units Other U Specify: Brief Description of Proposed Work2: ..e move,JQ, p 1-i a(1- b.+10 e e.t Li .j- { ci,-- .- -L v i js v" -�- l i Asks (( -F't as�� ��► +c rr) SECTION 4:ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: Official Use Only (Labor and Materials) Building"'* 1. Permit Fee:$I.Building $ � .�� t co Indicate how fee is determined: 2.Electrical $ 13yStandard City/Town Application Fee a 0 Total Project Cost3(Item 6) multiplier x /�` 3.Plumbing $ 2. Other Fees: $ , _C IL I Gi"l Y' U1-1 4.Mechanical (HVAC) $ List: i 0 5.Mechanical (Fire Suppression) $ Total All Fees:$ • Check No. Check Amount: Cash aunt: 6.Total Project Cost: $ ❑Paid in Full Outstanding Balance Du : I l 17/6 Z� 1 > .I SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) ,Io6_208 t f/z /z Z &vett Lebedw LII icense Number Expiration Date Name of CSL Rolder '7. W t 11,C1 List CSL Type(see below) 14 No.and Street Type Description Sa-t-t.-d?A%I at- f')i)/4 oa,5-e3 U Unrestricted(Buildings up to 35,000 Cu.ft.) City/Town,State,ZIP ( t R , Restricted 18z2 Family Dwelling M Masonry RC I Roofing Covering WS Window and Siding r� �� SF Solid Fuel Bumin"Appliances 7VI-2o `�6"' t e &dream et' p—,vv I Insulation Telephone Email address /nay 1i1,,D Demolition 5.2 a istered Home jmproventent Contractor CHIC) 9/ l// 23 HIC om an N or HIC Regi t Name HIC Registration Number Expiration Date , /�.�W �i ate/ex C d, e, improve n N .-and Stree , 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 Issce 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 See c 4a1 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 peijury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. d& e21 /ev e✓ 9 z 2- Print Owner's otr Authorized Agent's Name(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 IIIC Program can be found at www.mass.Qov/oca Information on the Construction Supervisor License can be found at www.mass.cov/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 Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 4 www.mass'go v/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information �J Please Print Leib[y Name (Business/Organization/Individual): CC�J( c�j ,�e, ec 4 Address: Tr 4.Cg-U< R l City/State/Zip: i n24, PoE Phone ,4 20.g" - 3�69 Are yois an employer?Check the appropriate box: r�t/ Type of project(required): 1. I am a employer with ' employees(full and/or part-time).* 7. ❑New construction 2.❑1 am a sole proprietor or partnership and have no employees working for me in ca aci 8. Remodeling an • y p ty.[No workers'comp,insurance required.] 3.0 I am a homeowner doing all work myself[No workers'comp.insurance required.]t 9. Demolition 4.D I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 ❑ Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.[]Electrical repairs or additions proprietors with no employees. 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.t 13.0 Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. I4. Other 152,§I(4),and we have no employees.[No workers'comp,insurance required.] *Any applicant that checks box m I 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:_//, Policy#or Self-ins.Lic.k: /wee r5 rJ045-6 ?002 / Expiration Date: S/f/- Job Site Address: , 4(ilL LI,2IJ00 A2 City/State/Zip: , 'b C HarMaeil4--" 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 ui er the pains an nalties of perjury that the information provided above is true and correct. Signature: Date: Yale e Z Phone#: ' 7ry.-eOS— 5S Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/Licenser • Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector b.Other Contact Person: Phone : §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-223!1 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/demolitionJ to be conducted at 2 ,./c 44,0001 , S- Harrn c c."1-4 Work Address J� Is to be disposed of oat the following location: atimc ./i S/ Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. /%fZZ Signature of Application Date Permit No. ,,,,,amanwearD, Iklimaselluser% Protess.w.ii 13-:Nrcl co Bundling Requions one •-..truetnewogupar C 5 4$21:41 fj.pift I1GI.27, ALExEV LEBEofiv aiNOSOR aNdowiCH M 01113 C gm ntisatOrter (17- Yirodort. Office of Consumer Affairs and Business Regulatiori 1000 Washington Street- Suito 710 Boston, Massachusetts U2118 Hon-io I MDrovernent Contractor Registration Rogistrall6n 7(177% 112EAN1 HOME IS.AP;TY/Ffv11:14 Fruirntion WINDS-Oli RI) t.,14 Update Address and Raton Card. er.FA ' 74'R.16:01111,00.001101nailtt aiiimirolvemardel I tDME.,MPROVEm NT CONTRACTOR Rogisinitior•velie tor individual use only TYPE I t news the expiration dale. It found rattan to. RY414t1ICIDD iLIIP OifiCe.of Consumer Affairs and Business Regulation -76777 1000 Wastrington Street -Sults 71D I.71ME IMPROVEMEN7 Boston MA B211/11 Y I 17,-.1.ELEY 7 Yr i41.61)k °-.AND'A'N',=1 MA 02563 Ud Not valid without signature orsecretur. A!^�® DATE(MM/DD/YYYY) c� CERTIFICATE OF LIABILITY INSURANCE 3/11/2022 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). PRODUCER CONTACT Eastern Insurance Group LLC PHONE FAX 233 West Central St (A/C,No,Ext):800-333-7234 (A/C,No):781-586-8244 Natick MA 01760 ADDRESS: CSR24CL@easterninsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Arbella Protection Insurance Co ___I 41360 INSURED DREAHOM-01 INSURER B:Associated Employers Insurance Company 11104 Dream Home Improvements LLC 1- 7 Windsor Road INSURER C: Sandwich MA 02563 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1418929464 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 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. INLTR TYPE OF INSURANCE NSD,' ADDL SWVD I POLICY NUMBER POLICY EFF POLICY EXP LIMITS ' (MM/DD/YYYY),(M MIDD/YYYY) A I X COMMERCIAL GENERAL LIABILITY 19520053178 1 3/8/2022 3/8/2023 EACH OCCURRENCE $1,000,000 j 1 DAMAGE TO RENTED CLAIMS-MADE 11 X I OCCUR ' PREMISES(Ea occurrence) $100,000 ' I MED EXP(Any one person) $5,000 I 1 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $2,000,000 X POLICY I jECO-T I I LOC j PRODUCTS-COMP/OP AGG $2,000,000 OTHER: I 1 i $ AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident I $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE 1 AGGREGATE I$ DED I RETENTION$ 1 4 $ g WORKERS COMPENSATION WCC50050156792022A 3/8/2022 3/8/2023 X PER I IOTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT I$1,000,000 OFFICER/MEMBEREXCLUDED? N/A I (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 I ' 1 I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Display Purposes Only AUTHORIZED REPRESENTATIVE leitegline#0,1111Q ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Dream Home Improvement LLC. 7 Windsor Rd. Sandwich, MA, 02601 f .r` Home Email: alex@dreamhomeimprovement.com Improvement LLC. 774-208-3589 AlexeyLebedev OwnerContractor www.dreamhomeimprovement.com HIC#: 176777 CS#: CS-108208 Contract DATE: 6/20/2022 PHONE: 774-212-7267 NAME: Georgi Vargov EMAIL: vargov.mechanical@gmail.com MAIL ADDRESS: 28 witchwood rd, South Yarmouth, MA JOB ADDRESS: 28 witchwood rd, South Yarmouth, MA Dream Home Improvement hereby proposes to perform the following services in a neat, professional like manner in accordance with the manufacturer's specifications and local building code. Remove wall between kitchen and living room. - Print and fill out all required documents by town and apply for • permit. - Cut basement floor for new 24" x 24" x 16" deep footing. - Pour 5000 psi concrete. - Install 3 1/2" concrete filled steel lully column. - Support ceiling joist on each side with temporary walls. All labor,materials,disposal fees are included in a price.All additional extra work will be charged 70$/h plus materials - Remove wall and cut ceiling joist for (2) 2x14 LVL. - Install solid posts on each side of the beam with solid blocking in a floor. - Fasten LVL per specs by engineer. - Attach ceiling joist with joist hangers. - Remove the wall. - Ceiling patch and insulation by others. Total project: 2,000 Payments: Deposit — 1000. Final payment — 1000. Make check payable to "Dream Home Improvement LLC" Compliance with Laws: Contractor agrees that it is properly licensed and insured under Massachusetts General Laws Chapter 142A and that it will perform the services contracted for herein in compliance with applicable building codes, laws, statutes and ordinances. Parties' Understanding of This Agreement: by signing this agreement,the undersigned Parties acknowledge they have had the opportunity to ask any questions concerning its terms; have read, understand and agree that its terms are fair and reasonable; and agree to be bound by the terms in their entirety. This agreement is effective as of the date it is executed by all the undersigned. All labor,materials,disposal fees are included in a price.All additional extra work will be charged 70$/h plus materials fr Contractor ei Customer fl'ir Date signed 7/1/2022 All labor,materials,disposal fees are included in a price.All additional extra work will be charged 70$/h plus materials t '-• :::,..:j,7)1 :16.'„:„ee:l;l:"' ,rt4.--7- .,„—. e•- ,\)- ..„ .........., ...... ark I3 ' 1 !i ; ' 4 ...., i (l $6.4" ‘1. -.. - -----4.4 ,. .4 Z. • -., -k 4 6.**) 1 ; ; r I 33; , 4'7 r,-^m r.....„, ,4 c: 7- 1..9 1:71 I 1171 ' _, _ ----?_- --1 --.„' - fa i I LI. 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J1e !- I ,,.. e_ r -.. \ . , . _ I 551wS ,..- I ,- trl _- -I 4, tl "S. b ... . ,... I:13 +' E 4:4 ')14 IL r- .--- r- 0 1 I . i , 1 \ I 1 \ \ , ...... 4C5 S 1 1 , , \ , \ \ ! . , , \ \ rfr 1 ' I \ 8\ < et° 1 )/ :4:4) 1 c..... C.a. , r 4 ..144.4 ....ib. , • i 1'1 t., 1.....7.5 0,4n4 .....-4- . *44,...c ..h.. : I / , ; 1.1 I 1 - I i r r- 0 , ,...... • 4 44.1 I ..4. - N. .."1 -Tx n -% CN ...- • ..cA 4,- i Boise Cascade III Double 1-3/4" x'14" VERSA-LAM® LVL 2.1E 3100 SP PASSED ENGINEERED WOOS PRODUCTS FB01 (Flush Beam) BC CALC®Member Report Dry 11 span I No cant. July 8,2022 08:20:57 Build 8435 Job name: walk ins File name: 28 Witchwood Rd Address: 28 Witchwood Rd Description: City,State,Zip: S Yarmouth, MA Specifier: Boise Customer: Designer: Stefan Richman Code reports: ESR-1040 Company: Mid Cape Home Centers 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 11 , 1 1 1 V 1 1 i 1 1 1 1 1 1 1 1 1 : 1 1 1 1 1 1 i 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 � 1 16-00-00 B1 B2 Total Horizontal Product Length=16-00-00 Reaction Summary(Down/Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live B1,3-1/2" 2850/0 1062/0 B2,5-1/2" 2910/0 1085/0 Load Summary Live Dead Snow Wind Roof Tributary Live Tag Description Load Type Ref. Start End Loc. 100% 90% 115% 160% 125% 0 Self-Weight Unf. Lin.(lb/ft) L 00-00-00 16-00-00 Top 14 00-00-00 1 Ceiling Load Unf.Area(Ib/ft2) L 00-00-00 16-00-00 Top 30 10 12-00-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 14603 ft-lbs 50.3% 100% 1 07-11-00 End Shear 3192 lbs 34.3% 100% 1 01-05-08 Total Load Deflection L/459(0.402") 52.3% n\a 1 07-11-00 Live Load Deflection L/629(0.293") 57.2% n\a 2 07-11-00 Max Defl. 0.402" 40.2% n\a 1 07-11-00 Span/Depth 13.2 %Allow %Allow Bearing Supports Dim.(LxW) Value Support Member Material B1 Wall/Plate 3-1/2"x 3-1/2" 3912 lbs n\a 42.6% Unspecified B2 Wall/Plate 5-1/2"x 3-1/2" 3995 lbs n\a 27.7% Unspecified Notes Design meets Code minimum(L/240)Total load deflection criteria. Design meets Code minimum(L/360)Live load deflection criteria. Design meets arbitrary(1")Maximum Total load deflection criteria. Design based on Dry Service Condition. BC CALC®analysis is based on IBC 2009. Calculations assume member is fully braced. Connection Diagram: Full Length of Member b d- i- a 4 • • • 11VN. I• • Page 1 of 2 EA Boise CA.rade Double 1-3/4" x 14" VERSA-LAM® LVL 2.1E 3100 SP [PASSED] ENGINEERED WOOD PRODUCTS FB01 (Flush Beam) BC CALC®Member Report Dry 11 span I No cant. July 8,2022 08:20:57 Build 8435 Job name: walk ins File name: 28 Witchwood Rd Address: 28 Witchwood Rd Description: City,State,Zip: S Yarmouth, MA Specifier: Boise Customer: Designer: Stefan Richman Code reports: ESR-1040 Company: Mid Cape Home Centers Connection Diagram: Full Length of Member a minimum=2" c= 10" b minimum=2-1/2" d=24" Calculated Side Load=0.0 lb/ft Bolts are assumed to be Grade A307 or Grade 2 or higher. Connectors are: 1/2 in. Staggered Through Bolt Disclosure Use of the Boise Cascade Software is subject to the terms of the End User License Agreement(EULA). Completeness and accuracy of input must be reviewed and verified by a qualified engineer or other appropriate expert to assure its adequacy,prior to anyone relying on such output as evidence of suitability for a particular application.The output here is based on building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call(800)232-0788 before installation. BC CALC®,BC FRAMER®,AJSTN, ALLJOIST®,BC RIM BOARDT",BCI®, BOISE GLULAMT"',BC FloorValue®, VERSA-LAM®,VERSA-RIM PLUS®, Page 2 of 2