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HomeMy WebLinkAboutBLD-22-004344 Lou(1(__ bD w iThat, 'evl. i -5' ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department ,• "" r 1146 Route 28,South Yarmouth,MA 02664-4492 , 508-398-2231 ext. 1261 Fax 508-398-0836 ;", Massachusetts State Building Code,780 CMR . Building Permit Application To Construct, Repair, Renovate Or Demolishi : V E D a One-or Two-Family Dwelling This Sec 'on For Official Use Only LNOV �Q21 Building Permit Number: Date Applied: _. ----- -iNG DEPARTMENT Building Official(Print Name) S attire t E I V E SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers FEB 04 2022 15 5&54 %or't R 2C1 I2, 1.1a Is this an accepted street?yes aC no Map Number Parcel Number BUILDING DEPARTMENT 1.1 Zoning Information: 1.4 Property Dimensions: By 1 -ZS ' :14-i.. so.*-Cs Ay S,7-7-, Zoning District Proposed-I./se Lot Area(sq ft) Frontage(ft) (0 n O 6 1.5 Building Setbacks(ft) 0 Front Yard Side Yards Rear Yard lL" issie Required I Provided Required Provided Required Provided 50 i1/4.). C is No ct v..1 20 No c c 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Check if yes❑ Municipal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1)2. wner•' (Record: Wesk 'art,o Ore.... . ��^ 4L, NSA 07..673 Name(Print) City,State,ZIP No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ I Existing Building 0 I Owner-Occupied ❑ I Repairs(s) 0 Alteration(s) ❑ I Addition 0 Demolition 0 I Accessory Bldg. 0 I Number of Units 1 Other,151 Specify: ark. Brief De cript€ of Proposed Work2: s rr-�c 'x !'1 ' oc deck- . t1tlG� CvT G�C r5 r. ��,c�•.,� oGl' 2 r w�,, I t _ i)" S`)1,%6 C J SECTION 4:ESTIMATED CONSTRUCTION COSTS. , Item • RFC Estimated Costs: E E (Labor and Materials) Official Use Only 1.Building O , � 2 7 2022 $ 1. Building Permit Fee:$'�� Indicate how f e is det e 2.Electrical $ Standard City/Town Application Fee 0 Total Project Cost3(Item 6)x multiplier BUILD GNI DEPARTMENT 3.Plumbing $ 2. Other Fees: $ GO By 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire Suppression) $ Total All Fees:$ ' 6.Total Project Cost: $ / \(---, Check No. Check Amount: Cash ount: 0 Paid in Full gii Outstanding Balance ue: i y 0 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CrvteSt �c�>C-�—,mtr CS eY,3 51 yt`�l Z2 Name of CSL Holder License Number Expiration Date �✓J kelo.r f List CSL Type(see below) U No.and Street Type 1 Description n,s' MA O201 U ( Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP R I Restricted 1&2 Family Dwelling M Masonry • RC J Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances Telephone I Insulation Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Coni�Jpptany Name orr HIC Registrant Name HIC Registration Number Expiration Date No and Street -,,'}-, J `1 w.er cov►1 un✓‘NS, /&A 0Z60) �os `'7 j - 1-P-M✓ Email address City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes 151 No Cl 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 ¶ - Is e+' 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. E.S. J �;,N.� - - 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.Qov/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.) Number of fireplaces Habitable room count Number of bathrooms Number of bedrooms Type of heating system Number of half/baths Type of cooling system Number of decks/porches Enclosed Open VcS 3. "Total Project Square Footage"may be substituted for"Total Project Cost" L N .0E a) a co C 0 UNNN 2000 C1-d-(NI ONN-N U,ot Is- I Tu a) c .. a) a) C N CC-- .. o Qwa- .a c O w ~-J O O a 2 a)4-w, in I- COL-' C O X a)2'Q-ca a) 0 Q OC' XO •`- a) -) J ( owl— N 23 -a C C+3 LU I- a) F6 M wa) aa) c73 Q "cc, U w a) c Z Z O o co LnJO rY a M coo a) o • O.c(Ni a) c m 9 p > a) a CO'57U U o -< J co d) U 0® cn U . a) Q) iNI a) Ca IIco . p Z c- >+ O RS ��rr m F C:. c 41, - }QN C N N N a Q v cn in I 0D E N U N a 0 m a) N CV x E b w OC4] C (a '4'^ Oa CU a) (a .1I 0 ZO CJ) �' -C .� c (n a~ EZ y a) a) a)'cnp a)-mU P 0 42 ~. 6 "a. (n cn (n C v) co U- ZN A a) OC CG) a) CO CCI) A LL O ;.a O u)N O .a O N•U)❑( a E 0 U N C N U dT E. V Z. V (0 N "a fn N N. -C CONTAIN BKEAK,Oti I f Ei BER LESS THAN 50' FROM WETLAND 1001 FROM WETLAND i VI•te J. , _,„ 90.00' 1 _ _ i ,.f� !��% / • ] O82 GAL / / / T e ` SEPTIC TANK i! CHAMBER W ! -.' - ,..:rk. e' i OM 61.1,P 1 il , t., il; , I t,-_,,,ji.11/-: i. / t '-i6dx' . ' --%/14'°1!-4/ .� r / f ii i 1 /; / / ., .,/). Cilb ir PO .,.....S*(.....1 / -••** Jt ' r .. 'f i ys / I k / I / i 90.00' ^, ► 03 i il/11-1-t 1 h dd ck - '- ",..6 GU" c e, t,,/p per CONTAIN BREAKOUT EI BER LESS THAN 50' FROM WETLAND 100' FROM WETLAND 90.00' _. _._.._. .. _. /�r / / '1 1 _ ��� i 1082 GAL .�i/i f i� �' �... '` SEPTIC TANK r ,,�- A! .. — — Q & PUMP i ! *y ,, , a 4` 1 i , CHAMBER ?: : , • , K. , . . ,/c______ ,. ,________ , __ _ i _ , c , .,,„ J...; „. 4 v �_ \.,/ ,. / ,' / • -"rill' ',' / • -,,---"e`,,, ,'/ / eh ( 1„.%ftek //// / // • '......:',...,177.*-r- •' •'' C40. -, 0 --0* - Tom,/ ,� / 15.0' 010 _�_ _ _ - _ __-__ , in i —. R I r ,: ze'': _) '. S 1, i i i it i. 90.00' tv November 3, 2021 Town of Yarmouth Building Commissioner Yarmouth Town Hall 1146 Route 28 Yarmouth, MA 02664 To Whom it May Concern: 11 ```4 `'s.v1 , as Owner of the property at 15 Sagamore Road, West Yarmouth, hereby authorize E.J. Jaxtimer Builder, Inc, to act on my behalf in all matters relative to work authorized at the above-mentioned property. f „s} z (.)iv,,,/,: /(pf/z!c ietq- /l(y t: /7:(i'.)')e-i /((i-)7 1/3 Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation E J JAXTIMER,BUILDER, INC. Registration: 110609 48 ROSARY LN Expiration: 11/02/2022 HYANNIS,MA 02601 Update Address and Return Card. SCA 1 0 2051.05/17 ezyt ere//r f /jam eir/rr.// Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Corporation before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 110609 11/02/2022 1000 Washington Street -Suite 710 E J JAXTIMER,BUILDER,INC. Boston,MA 02118 ERNEST J.JAXTIMER *v.”' 48 ROSARY LN /a/4504' HYANNIS,MA 02601 Undersecretary Not valid without signature • commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constmttlibn Si`pervisor CS-003251 Expires:01/14/2022 ERNEST J JAXTIMER J 48 ROSARYL'ANE HYANNIS MA.A2601 i; t�t44'3:i11J. . Commissioner Q;a8Q . Ft� §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 Fax 508-398-0836 Office of the Building Commissioner BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Ch. 40, §54 and 780 CMR- Section 105.3.1. #4. I hereby certify that the debris resulting from the proposed work/demolition to be conducted at 5 ` R Work Address Is to be disposed of oat the following location: A 10 Jc +rounscr Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. 11/0-1 Signature df Application Date Permit No. The Commonwealth of Massachusetts Department of Industrial Accidents I .Office of Investigations eD600 Washington Street i Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): E.J. Jaxtimer, Builder, Inc. Address: 48 Rosary Lane City/State/Zip: Hyannis, MA 02601 Phone #: 508-778-4911 Are you an employer? Check the appropriate box: Type of project(required): 4. I am a general contractor and I 1. ✓ I am a employer with 40 employees(full and/or part-time).* have hired the sub-contractors 6. New construction listed on the attached sheet. 7. Remodeling 2. I am a sole proprietor or partner- These sub-contractors have 8. Demolition ship and have no employees working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp. insurance comp. insurance. required.] 5. We are a corporation and its 10. Electrical repairs or additions officers have exercised their 11. Plumbing repairs or additions 3. I am a homeowner doing all work myself. [No workers' comp. right of exemption per MGL 12. Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13. Other comp. insurance required.] *Any applicant that checks box ff1 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. tContractors 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: Norguard Insurance Co. EJWC139902 01/01/22#or Self-ins. Lic. #: Expiration Date: Job Site Address: 15 Sic,.nnor -- Qc City/State/Zip: LJ.s4 �a ✓ , IAA Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and enalties of perjury that the information provided above is true and correct. Signature: Date: t( fill-I l�3 Phone#: 508-778-4911 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#: A CORE) CERTIFICATE OF LIABILITY INSURANCE DATE �-- 01/14/14/ 2 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 Erica H.O'Connor HART INSURANCE AGENCY, INC. NAME: 243 MAIN STREET (NONE.Extt: FAX No): enc PO BOX 700 E-MAIL eoconnor hartinsurancea .com ADDRESS: @ g Y BUZZARDS BAY,MA 025320700 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: ARBELLA PROTECTION INS CO 41360 INSURED EJ Jaxtimer Builder, Inc INSURER B: NORGUARD INS CO 31470 48 Rosary Lane Hyannis, MA 02601 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INTRR TYPE OF INSURANCE �gp WVD POLICY NUMBER /YDL SUBR POLICY EFF POLICY EXP LIMITS (MM/DDIYYYY) (MM/DDYYY1 A V COMMERCIAL GENERAL LIABILITY 8500042039 01/01/2021 01/01/2022 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADEr-V OCCUR DAMAGE TO RENTED 300,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 J POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 1020011547 01/01/2021 01/01/2022 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY V AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY V AUTOS ONLY (Per accident) $ $ A V UMBRELLA LIAB V OCCUR 4620090022 01/01/2021 01/01/2022 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED VI RETENTION$ 10,000 $ B WORKERS COMPENSATION EJWC222534 01/01/2021 01/01/2022 V I PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (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 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 TOWN OF BARNSTABLE ACCORDANCE WITH THE POLICY PROVISIONS. 367 MAIN STREET HYANNIS, MA 02601 AUTHORIZED REPRESENTATIVE ey.t://...",,,,4... ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD A'' s 4° WATER DEPARTMENT o 1x `' jiff t BUILDING PERMIT APPLICATION FOR WATER DEPARTMENT SIGN OFF TRANSMITTAL FORM BUILDING SITE LOCATION: � r 'r►, ,e _____ PROPOSED WORK: ,...• Lk- APPLICANT: __ET,Ice ct it-4,-- ) 1 a ...etc. fjtff77 't"l) ADDRESS 2. ,^c., t tt 4yC4v\r S TELPIIONE.: .aej -�37 -950 5 t RESIDENTIAL AND 'OR C'OMMERC'IAE: BUILDING eater I)epartmcnt Determines Compliance of1V<tter Akailabiltt and orckist{ng location I ngm erir{g Department- Determines Compliance for Parkins;and Dram age C nu ii it to Commission: I)eR•nnines Compliance to Wetkntds Act: t c Ii lotus border any t}pe of wetlands. streams, ponds. {'(\Cry. otcatl, bogs, boys. marshland, Ell' .. IIcalth Department, Determines t'appliance to State and I ow n Regulations. i e requirements for Scptatige Disposal and other-Puhhc Bath \etic'ites Fire I)epanntcnt: Determines Compliance to State and'l ow n Requirements tin Personal Satetr•. I'ropert) Protections, i e, Smoke Detectors. Sprinkler S)stems.etc nill17-4 .1PPI.ICAN I-: 'NATURE: DATE OFFICE USE: C'OMINIENTS ON PEI2:NIIT APPROVAL. OR DENIAL REVIES 'ED BY WATER DIVISION(SIGNATURE 'rt( I)- OON A!N rSJ I LESS MAN ' FROM WETLANDEl 1 ® FROM N O bO • f 4 1,4.0 `,c +} , 1052GAL / 2 SEPTIC TANK ,,� 8.0, F CHAMBER .. Ks . -: 1 , . -,co - ..., „..,.)..?i, / ‘ .13,:, . - 6 01 ; BOX 4,' ii i �f r s i a 90.001 , , C C I `�� � ??, �15l- �,r-y is Vil. } / ' ` CONFORM�v ALL eL ' I ` rl/1z 2.02l P (:...) r Michael E.Keemerek • NAME 5261-40 s Feb. 23, 1978 STREET 4' . ,. iVILLAGE L c:, " i s ``ie. 4( ::i A/Nie 141fr SERVICE NO. A. METER NO. m,, -+, .,% `"` .A_"' K \ i i i i it'Pa I i \>4---,\ ii,,,,,.I rii i.\ I I I f 4 ig f } e i ,' '' C Town of Yarmouth Conservation Office p kgrant@ varmouth.ma.us Y- n . ; Conservation Commission �r.` Building Permit Sign-off Application TO BE FILLED OUT BY BUILDING PERMIT APPLICANT: Building Site Location: i} _20-icre,k ex Map # 251 Lot(s) # 177) Property Owner: R,c-vsr ? Ec3,,,,^ Date filed: 11/0. Z4 *Applicant: J. Jut 'c 13V. 1J r-' c . Applicant Address: L'Ig ko:,r"s7 1--L, � 14 ci.»r^.5 Email: Je a-r-r7 03,jc0+ivh.CT:a3vv` Telephoners -13? `5°5 Proposed Project Description: j� �'- [3�, ' {' \ l J Site Plan Title/Date: /5 S cR rpt�'VL-C f'Q k r( �'Aft. L^ P/c/t i TO BE FILLED OUT BY CONSERVATION ADMINISTRATOR: Does the proposed project require a permit? /'dirpri /2/20ew Refer to: SE83- or DOA permit Comments from Conservation Commission: Approved Conditionally Approved Rejected - z fa-� e G Gad 'R12-- n pieLevf-L,z4ei - Conservation Commission Sign-off Signature: f\Q Date: / *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. TOWN OF YARMOUTH NOV 12 2021 HEALTH DEPARTMENT HEALTH DEPT. PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant: Building Site Location: t 5 >_iy-n^ort RC Proposed Improvement: i+r-ck 5t.r. d tcc i5 A .c, a rids Applicant: rncs' �✓ �cc.- .c • Tel. No.:6b5)`17t Address: 110 ROc-•r77 j.�w�c, �l y,4V%' Date Filed: I j _ (•�� ( "If you would like e-mail notification of sign off,please provide e-mail address: )Arty e )c.) ' wl(c. Owner Name: ', - ds,n Owner Address: 0 56tir ,,iw;,-c 12 t1 , \.r -o.3-, Owner Tel. No.:(OS) i.)- -1100 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. ?C. REVIEWED BY: DATE: l l Ve'Z/ PLEASE NOTE COMMENTS/CONDITIONS: C-... c (t- /`t,sT l4 ti-e bE b LESS THAN N 5 £ ffiC=% n WIIIND I El PO.OW ; , -- ��' i /y W \t i _ ,o fig. 1082 GAL ''. ° SEPTIC TANK ;, z,; a ;E =_a-- -° -�i & PUMP __.: f - 1 /10 , . p . 4' ,,11-AS i ,^ C ,�� ��ik`� _ •� ' � Li 6 I 1 1 4 i 9Q 00 hia - I I4 C i �G �� rekvt5� �U„,-�,v �, NOV 12 2021 HEALTH DEPT. bER f, THAN5 # Ckf D iEl 10V° FROW WETLAND i p�yJ E- gao ° 1 s. / As-_ /4"� j' h. .\ Aur 1 O GAL / _ '' , . �- STPC TANK �y;',' , riii___. , - �t . / ri. ., .,,, ,cflci . a u d /1/1 Ei! ' off' ( `� L a ~•y' * i ',,� /'/� /„ter 15.0 • im ,---------...._;_.._-_-:-._z_-_, ,_-__11 .,..,_-___„- ..___,_,.. ,i._.,„,__ t..„.._,.___-:,r , , . .i,,,,: I / t Pa O i C I -- i NOV 7 2 2021 NEALrH Ospr 1 o't.'`'tk TOWN OF YARMOUTH -tA G HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant. Building Site Location: 4- /S ,5 -64 k4 .o Proposed Improvement: e Applicant: ('- 0-k0.-PC 2 uA Tel. No.:( S) Z_c60 J100 Address: o'er rev, -c�`� Lkqyata Date Filed: it 11 I z **Ifyou would like e-mail notification of sign off please provide e-mail address: yo,AL.Q.q� L-30 00,(4V_Q GO ` co Owner Name: ck. �ctCt�L Owner Address: (2-6, , v.)'eSr- L-(ccs- Lk--, Owner Tel. No.:0 ) av6 ' t aU 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 WI 0 'I 2021 (all existing and proposed) — Note: Floor plans not required for decks, sheds, windows, roofing; .Irg; HEALTH DEPT. (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: DATE: /'/ WA./ PLEASE NOTE COMMENTS/CONDITIONS: wirvoisx.r, L.r....z.zt tripkri um r mam Wt.ILANLY eff''V . . . ; THAN 100 FROM WETLAND 14 c2.*:ZikYiV4aT) Dsk1.1:1.8:itr:- - ,14,44......A.- 90.001 _ . _ .,,..._ , . ..e.,•7-.. ,''.e:,;"',/ P . --..".. . ./. ..', .....- ,..1 A, .fl, gar, el/0;..: 4 ',Z ,,.ti. ..' ' •I•iii,/-",„. 1% i • .,...:. . ,_,.. .., ,,...` °, ... ....„•11111,4111W41111111111;Olt e , ,.-* I, , 1. i - :. • 1082 GAL ... SEPTIC TANK • ;.. ,,,,f ,iile----'---8, ;.,-- . e- . ' ..'. ' . ".. & PUMP 40,1 41,...- ' „.. •""*. 4, .,..,......1,4--*". A ''''4,,C 'VI/•• ' . . 4.11C) I ' ..,,. ,,.- .• .. . '.. :..., „ ClIC;i.' ..... _ \ `'... • . .. / / t -P`- ' .., , dllll1I (:) .' f, • . . C:3 . C:) • '1 ' . ' • „......- _...... .... ...........__. g ) +/---> • Aii.H1111fr _4 __._...... . . ..,_... , .1 - . 1 . - „, • . :4 -----, , -- ' go.oe 1 , . , Oa ,,, • L'.... -,F- 1 u W t_g_ NOV U 1 2021 HEALTH DEPT I' I. O i ' e ,n § �* ii; ,Y' 'r-i ''4S - .i'+ :fry $ ,,e .,„ mb s 9.aa. ikl V G= =uViD r:DV 0 1 2021 HEALTH DEPT. TRANSITION ENIGINEERING INCORPORATED February 2, 2022 404 oF 444 et?. Mr. E.J. Jaxtimer • 4# z . E.J. Jaxtimer Builders o ERIC J. 853 Main St. it CEDERHOLM Osterville, MA 02655 io STRUCTURAL 0 No. 38962 1\ - • RE: 15 Sagamore Rd. Deck Repairs Dear Mr. Jaxtimer. Per your request, Transition Engineering, Inc. has evaluated the existing condition of the deck at 15 Sagamore Rd. in West Yarmouth, MA and recommends the following repairs: • Disconnect ledger and resecure to exterior wall sheathing (remove shingles behind ledger) • Install a double 2x6 PT girt beneath the outboard edge of the deck supported by 4x4 posts on new 10" diameter sonotube footings installed a minimum of 4 ft. below grade. Connect posts to footings and girt using Simpson post bases and caps. • Install Simpson H2.5 connectors to tie each floor joist to new girt. • Install (2)— Simpson DTT1Z Lateral Load Connectors • Install blocking at base of railing posts Should you have any questions regarding these recommendations, please do not hesitate to contact me. ris:k r ,•••% " ":'. 1.1 !1;11.1. Sincerely, A!' BUILT" Cederholm, PE Transition Engineering, Inc, ,1NG OFF1‘.;IAL • PO Box 576 Cotuit. MA (508) 404-0358 ejcpe@verizon.net COPY .L.....„L„ • Page 1 of 1 • , ' to* . _ t* . ''- . . -...41011111L.pr.,4 . , _ __ -4k• _,,.. 4611. ____ „ 40-4 i' Row,. 4 - : .-:,,,-r ,..----- - - - '''' .-.' 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