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HomeMy WebLinkAboutBLD-23-000433 E' _.E I. 51 TWO FAMILY ONLY- BUILDING PERMIT l Town of Yarmouth Building Department r ' ... J U L 26 2022 1146 Route 28,South Yarmouth,MA 02664-4492 iii* 508-398-2231 ext. 1261 Fax 508-398-0836 i B u i L i :3 y 7, ENT Massachusetts State Building Code,780 CMR '°, ,e ,_' Byt.ilslswg ernaitApplication To Constt•arct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: a 1:),?J 0v(J7. ' 3 Date Applie . Building Official(Print Name) ignature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 379 tAl2A`r a. 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 Yard Required I Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,154) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Outside Flood Zone? /�, PublicZone: _ �" Private 0 Check if yes❑ Municipal Cl On site disposal system c SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: ?few k s YkattokA()N-1-, lvtF- 0i 7r Name(Print) City,State,ZIP 71 508-39y-S063- S9dee ei0,1 , CJ coin cast.vue- No.and Street Telephone / ' Email*tress SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 I Existing Buildin Owner-Occupied Repairs(s) 0 Alteration( ) . Addition 0 Demolition 0 1 Accessory Bldg. 0 Number of Units Other DR SEC 5;7 Brief Description of Proposed Work2: Ik¢.mov2 Csarzegt dl.e ,.or Q ,o( ; t.s4&(l"-FiVi Mitt ts o -• 0 i AUG f)3 nri. SECTION 4:ESTIMATED CONSTRUCTION OS . c i 05 Item Estimated Costs: Official Use Only - 0-Official l� (Labor and Materials) V'" I.Building $ (KS-DO ' 1. Building Permit Fee:$ ISO Indicate how fee is determined: $1 Standard City/Town Application Fee 2.Electrical $ 0 Total Project Cost(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ .S- 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ . . ' Suppression) Total All Fees:$ , Check No. Check Amount: Cash Amo t: \ 6.Total Project Cost: $ L7/� 0 Paid in Full NI Outstanding Balance Due: I V\\ lJ c 1)\ SECTION 5: CONSTRUCTION SERVICES 55:l Construction Supervisor License(CSL) 8101 y y y r License Number Expi ati Date Name of CSL Holder � l List CSL Type(see below) V r). Bo)( 7tf i No.and Street Type Description `�o U ( Unrestricted(Buildings up to 35,000 Cu.ft.) Ye' GA t`� `�A O (,7S— R Restricted l&2 Family Dwelling City/Town,State,ZIP ivI Masonry RC I Roofing Covering WS Window and Sidine SF Solid Fuel Burning Appliances 77q- 353-la$5' ea: tvva.t.obS 76 to at.koo .cOwi I Insulation Telephone Email address D ! Demolition 5.2 Registered Home Improvement Contractor(HIC) l0 5-8�78 Pa'`t•Y4____:Ta'Cq(oS HIC Registration Number Exp' ation Date HIC Company Name or HIC Registrant Name p o. goy Die( 9 t14., 0(os ?$ &) aGtoo• cow, No.and St eet yarwto A rS4-? yvt c4 o- ( 7 f -77 Y-3 f 4,'S{� Email add ess 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 ❑ No...........❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERIVIIT I,as Owner of the subject property,hereby authorize Qo4,-z c,1' tOL S 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 acc ate to t est of ray knowledge and understanding. Pok G(GO6S 7/d �va Print Owner's or Authorized Agent's N e(Elec nic 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.aov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics, decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" The Commonwealth of Massachusetts t 1, Department of Industrial Accidents 1 Congress Street, Suite 100 " 1 Boston,MA 02114-2017 �,�•"'K 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): POt.-e 6 Z Cc_Sa c,oLs Address: ?,C. i i wc. 3`{c City/State/Zip: Vac-1 -t,p 044 a -s Phone#: 77c(— 3 7-67 SS Are you an employer?Check the appropriate box: Type of project(required): LE I am a employer with employees(full and/or part-time).* 7. ❑New construction ) I am a sole proprietor or partnership and have no employees working for me in Remodeling any capacity.[No workers'comp.insurance required.] 3.L_I am a homeowner doing all work myself.(No workers'comp.insurance required.]t 9. ❑Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 El Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.E 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. These sub-contractors have employees arid have workers'comp.insurance.t 13•❑Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.1]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. 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: Policy 4 or Self-ins.Lic.ii: Expiration Date: Job Site Address: City/State/Zip: 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 S1,500.00 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 certif der ie p • and penalties of perjury that the information provided above is true and correct. Signature: Date: 7/36 / - � Phorie#: 771(- 3.c.?- g 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 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 3 7 Work Address Is to be disposed of oat the following location: ,,, Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. fro?- Signature of pplication Date Permit No. Division of Occupational Licensure Board of Building Re ulations and Standards Const�nt tSvisor • _ f CS-081040 ' { spires 04/04/2024 PATRICK H*COBS e 28 WHITTIER/DRIVE � DENNIS MA (9638 Commissioner a�c A. tr � THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Individual Registration Expiration 165888 05/14/2024 PATRICK JACOBS D/B/A P.JACOBS CUSTOM ARPENTRY AND REMODELING PATRICK JACOBS 26 WHITTER DR. DENNIS,MA 02638 - r zus� Undersecretary From: Steve Karras steve@kaleidoscopeimprints.com Subject: Signed Permission Date: April 11,2022 at 10:08 AM To: Pat Jacobs patjacobs78@yahoo.com Hi Pat, Let me know if this is what you need. Happy to make any changes necessary. Looking forward to working with you. I'd like to meet up to discuss one small change to the plan. Thanks for all your help so far. Steve Steven and Cheryl Karras Trs.,Karras Realty Trust 379 Weir Road Yarmouth Port,MA 02675 April 8,2022 To Whom It May Concern: We,Steven and Cheryl Karras,give Pat Jacobs permission to act on Our behalf to build,contract, apply for permits and meet with any town officials necessary towards the construction and completion of our wit on our 379 Weir Road property_Please consider him a trusted representative of our affairs regarding this project. Sincerely, Stevan J.Karras Cheryl Karras 4 i m } } • 144 "g, 3 f 1 1 E •'s t• `s# 'T T� „,:. J w . • °S • ;' m $ > fr t _ t P £ 3y!• ktp s r • 1: i,T :? F' 'cgs 1r 9 s: ( \1\ �N. l .s w F . : .. - . 1. • - e opefl i . . , ,;.,..., \___ . , ,..„„ .. .. , ,,. • .., ,„.. ..,, .„... . „ .,. , .,._.. .. • , t . . .. 11 . , ............ .... ... . .. ....:, .•• .., ` , .4.... .. ,,. „ , .. , . ,. . .., ..... 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' ' 1, ...i F. -._ t-f : .,...- i .• .---________ C\NG.' _. c/cro-14 Cr)---21 ' V , .Y44. _._ ---TOWN OF YARMOUTH !r 4c HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant. / � Building Site Location: 37? InJ; 1' feaC.• Proposed Improve O a, c-ems cv & ��S- C( . - "� c/aii -, Ol d f-o r-er a �n QA k 4. C�a� Applicant: POCk C c ,C p.S Tel. No.: --77 y-35-3-c SS-a- Address: r(0, F.p yG ? 1 Valyvt,04 19 l wj 0- 0-bt -7 Date Filed: 7/Ds-&/a-OaGI- "If you would like e-mail notification of sign off,please provide e-mail address: .. V p ete IOS 78 6) �Gt.�1 co , C cell Owner Name: Ste t o :c --- f I Owner Address: 3 79 wee-M, Owner Tel. No.: SIM-3/11—S796,a_ RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e.; Requirements For Septage Disposal and other Public Health Activities. Please submit three (3) copies of plans, to include: (1.) Site Plan showing existing buildings, water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building (all existing and proposed) — Note: Floor plans not required for decks, sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY C�ii1�(.tf,.-� DATE: 7 'v2 C .._a PLEASE NOTE COMMENTS/CONDITIONS: 16" -4dd/D' • EC,E IV TOWN OF Y RMOUTH 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 (3 202? Telephone(608)398-2231 Ext. 1292—Fax(508)398-0836 OD C KING'S HIGHWAY HISTORIC DISTRICT COMMIIEEIVED OLD KINGS HIGHWAY APPLICATION FOR JUL 2 9 2022 CERTIFICATE OF EXEMPTION BUILDING DEPARTMENT Application is hereby made for the issuance of a Certificate of Exemption under Sections 6 ancrY7--t4--e-Kgpte:LAIELs . Acts of 1973, as amended, for the proposed work as described below and on plans, drawings, or photographs accompanying this application. Type or print legibly: Address of proposed work: 3 7 GI/P.4Y- a Map/Lot# 244 LI I. Owner(s) S &"je_. Phone#. A III applications must be submitted by owner or accompanied by letter from owner approving submittal of--p ication. 7 Mailing address' P.p. 6 074 ?,{4( Year built' -7C) Email cikse:c.6 Q5 I ) tj2.L cs,vin Preferred notification method. Phone X. Email Adent/Contractor: GC&$' Phone# 174i 3,r7-4,65d- Mailing Address Email ?AttCy2..(-0 S (e) y‘kk.00 C0411 Preferred notification method Phone k Email Description of Proposed Work(Additional pastes may be attached if necessary): E't oar7 attZnr ovid k•,,s461,(1 s;c04.., keog.e. Signed(Owner or agent) Date. Ownericontractortagent is aware that a permit may be required from the Building Department (Check other departments,also.) This certificate is good for one year from approval date or upon dale of expiration of Building Permit,whichever date shalt be later. For Committee use only: P p Date li)10 12. Approved Approved with chanigr, . Amount '20 Reason for denial .374" Cash/CK#. N1CS ------ Rcvd by: V.A92. Date Signed Signed -5.0212e I 27 -0a61 APPLICATION#. vs 2,01:, Sherman, Lisa From: RICHARD GEGENWARTH <rgegenwarth@comcastnet> Sent: Thursday,July 28, 2022 2:11 PM To: Sherman, Lisa Subject: Re: FW: 22-E099 379 Weir Road Attentiont This email originates outside of the organization. Do not open attachments or click links unless you are sure this email is from a known sender and you know the content is safe.Call the sender to verify if unsure. Otherwise delete this email, Yes Lisa, This is the house that goes with the new barn/garage I approve of this project. Richard On 07/28/2022 10:55 AM Sherman, Lisa<Isherman@yarmouth.rna.us>wrote: Hi Richard, Have you had a chance to review this one yet? Thanks Richard, Lisa From:Sherman, Lisa<LSherman@yarmouth.ma.us> Sent:Tuesday,July 26, 2022 10:37 AM To: Richard Gegenwarth<rgegenwarth@comcast.net> Cc:Sherman.Sherman, Lisa<LSherman@yarmouth.ma.us> I Subject:22-E099 379 Weir Road Hi Richard, Resident would like to replace a garage door with a French door on the side of 379 Weir Road. • TOWN OF YARMOUTH 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451 Telephone(508)398-2231 Ext.1292 Fax(508)398-0836 ° OLD RING'S HIGHWAY HISTORIC DISTRICT COMMITTEE WAIVER OF 45-DAY DETERMINATION The applicant/applicant's agent understands and agrees that due to the current declared National and State public health emergencies the determination of our Application for a Certificate of Appropriateness/Demolition/Exemption may not be made within 45 days of the filing of such application. The applicant agrees to extend the time frame within which a determination is to be made as required by the Old King's Highway Regional Historic District Act. SECTION 9-Meetings,Hearings, Time for Making Determinations "As soon as convenient after such public hearing: but in any event within forty-five (45) days after the filing of application, or within such fUrther time as the applicant shall allow in writing, the Committee shall make a determination on the application. Applicant understands that the review of this applic tion will be scheduled as soon as the situation allows, Applicant/Agent Name(please print): Applicant/Agent signature: Date. ;13L '2 6 ?ti!? FiOV OLD KINGS HIGHWAY I 1!IL 2 8 1)2? OLD KING'S FItGHAW 22,--t-C41 Application#: 3/2020 14` J, •3 }:. nt • j tiro; , . ' 4-,'„10$4,7,4**.,,,,...:,::.,,,.4::.-.....:.,-,N;, ,....,-,.......„..,,,:,.. t' ETI t ''''''''11:;:;1'tAt':,•''''ll.stt1.1"4:11:E'm-i•a,;:•;::::'::::1;'' I. S,. f. : 1 a, £. 86 day,.P .� - 1 - 4. "" tot/ �ot - .... 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