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HomeMy WebLinkAboutBLD-22-007474 ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth.Building Department ,• of v 1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 .. Massachusetts State Building Code, 780 CMR ...,_.„ 21 .) Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: g(b�22-ab7974 Date Applied: j_______ 1RECVED Building Official(PrinEName) i ature ; Date SECTION 1:S TE INFORMATION i JUN 48 2022 v 1.1 Property Addresf: ` ' 1.2 Assessors Map&Parcel Numbers BUILDING DEPARTMENT f 53 140.6 d By 1.1 a Is this an accepted street?yes / no Map Number Parcel Number 3'SdT7) 1.3 Zoning Information: 1.4 Property Dimensions: Oftt Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) a I n Front Yard Side Yards Rear Yard Required 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: Public El Private 0 —Zone: Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP1 2.1 Owners of Record: r/ /� r / ( J O41 K 4)�e&J S . l 'Cane d 1 AAA c z fhb Name(Print) City,State,ZIP /5-3 au i� ' ✓og.2Z156' $5-5`Y / K4 A 0,d'J ° iu 03 ,),(®4Ak No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner;Occupied 0 I Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition ❑ Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: RQ1MtJ6 Lme)e�S+'ZeJ 4-f0.1M 1.1� of %/Q e)(is hi C D c�rO1 w i IA a 6,0 . .14 c1-oJ I V x 3 Z" X 7 y " 4 VL >• eaod e r u-' r1,‘ 2.. Suip- 4Qr•Tiw� 2XV Joik4• R-P�p1o.0 ex;S-s'i n j p`c rort w tAdovd SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 1. Building Permit Fee:$ 'I cndicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ 3 0 Total Project Cost (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 5S6V,42,1 f 4.Mechanical (HVAC) . $ List: �A \D 5.Mechanical (Fire Suppression) $ Total All Fees:$ 4 Check No. Check Amount: Cash Amount: a,6.Total Project Cost: $ �I coo ❑Paid in Full CIOutstanding Balance Due: I'P VVi'W SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) , 5 ' ©/ ) / , /5 (1 Z7)z3 1 cI i,r'/�' 3 vc))e y License Number! `]� Expiry tion D to Name of CSL Holder 3 6 ic ,), 0; ,�Q n,• List CSL Type(see below) No.and Street Type Description ®ri e h C /, Af702453 2/ �� U Unrestricted(Buildings up to 35,000 cu.ft.) Restricted 1&2 Family Dwelling City/Town,State,/� P"\ZIP 10 N1 Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 501— C,`ljg' C$53 ccAterfickgyway ) I Insulation Telephone E ail address „40141 D Demolition 5.2 Registered Home Improvement Contractor(HIC) CttS uck)2 17717Y ill 2 HIC Registration Number xpi ation Date HIC Company Name or RIC Registrtmt Name No. d Street Email-address DrTe& c, N14 dzc s 3 So$— 6 S553 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 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 h' ap licatio is tru accurate to the best of my knowledge and understanding. /1/Z. Print Owner's or Aut orized Agent's Narn (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.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" "N The Commonwealth of Massachusetts Department oflndustrialAccidents �ir1 1 Congress Street, Suite 100 r 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): f,C',.•f� T:Se/C.k)-ey ✓' Address: 3 46:i 1T4l1 I . f.0> [30( 7-341 City/State/Zip:bil eAril ,av!A 02G Phone #: 6 O ' fo ei 6 5S-3 Are you an employer?Check the appropriate box: Type of project(required): I.-"r I am a employer with -2- employees(full and/or part-time).* 7. 7 New construction 2. I am a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling • any capacity. [No workers'comp. insurance required.] 3. lam a homeowner doing all work myself. [No workers'comp. insurance required.]t 9. [1] Demolition 4.❑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. 12.❑Plumbing repairs or additions 5.E1 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.t 13.❑Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[/]'Other _ STJ) p!CTU/e 152,§I(4),and we have no employees. [No workers'comp.insurance required.] V11 4 OW *Any applicant that checks box#1 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. A A Insurance Company Name: 0,42{''r ui'v o , Policy#or Self-ins.Lic.#: e 5 3/s 56 no 32_ Expiration Date: 0/23 p Job Site Address: /S3 `W®ac ' City/State/Zip: ,Sd, YokfViA007ini/1.44i L 4' 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$250.00 a day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 4nature: I do hereby certify to der thepains ndpe alties of perjury that the information provided above is true and correct. • �u�1 Date: It'ti/l JZ$/9 12- Phone#: SOg — �1i g'- 5c 3 // 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 ojaw ° BUILDING DEPARTMENT 4'1 1146 Route 28, Yarmouth,South MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DA 1'h: JOB LOCATION: NAME STREET ADDRESS SECTION OF TOWN "HOMF OWNER" NAME HOME PHONE WORK PHONE PRESENT MAIL tNG ADDRESS CITY OR TOWN STA'1'h 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 perfouued under the building penult. (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 APPROVAL OF BUILDING OH 1CIAL INSURANCE 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 /53 W c6() ((�. Work Address Is to be disposed of at the following location: TZ Mie)$ � �� "C)i y� 7 Dc)e&1 5, ,4 Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. /f6,4) � Signature of Applicant Date Permit No. Fallon, Rosa From: kinkead.j.m <kinkead j.m@gmaiLcom> Sent: Tuesday,June 28, 2022 4:02 PM To: Fallon, Rosa Subject: Permit for 153 Wood Rd repairs Attention!: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. Hello- I approve Rick's request for permit for my property. Thank you, Jean Kinkead ph 508-280-8554 1 f TOWN OF YARMOUTH REVIEWED FOR BUILDING AND ZONING CODE COMPLI- ANCE. ERRORS OR OMMISSIONS DO NOT RELIEVE THE APPLICANT FROM THE RESPONSIBILITY OF'AS BUILT' COMPLIANCE. � �� DATE: ,.,, _ i NG OFFICIAL i • c EIFILE COPY ill 9) s - x N 1 3 p `1 °' 0 3 -1z, v a N-i) v w of X, cy w w -J S t I 1 BoiseCascade � Double 1-3/4" x 7-1/4" VERSA-LAM® LVL 2.1E 3100 SP PASSED D.AEEREGWO0 PODUC S • FB01 (Drop Beam) BC'CALC®Member Report Dry I 1 span I No cant. June 15,2022 07:30:15 Build 8381 Job name: File name: R Buckley_153 Wood Address: 153 Wood Road Description: City, State,Zip: Yarmouth, MA Specifier: Customer: Rick Buckley Designer: Joe Madera Code reports: ESR-1040 Company: Shepley Wood Products 1 1 l 1_ l l i + i i 1 1 l 4 424 1 1 1 4 1 + 1 1 i 1 1 : # 1, 1 1 1 4 -I 1 4 ,4 1 + . 4 i 4 14 l 1 i 4 1 i i i 4, i 1 1 1 i L---- CZ.4 ;, B1 08-00-00 B2 Total Horizontal Product Length=08-00-00 Reaction Summary (Down / Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live B1, 1-1/2" 400/0 889/0 1320/0 B2, 1-1/2" 400/0 889/0 1320/0 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 08-00-00 Top 7 00-00-00 1 Unf.Area(Ib/ft2) L 00-00-00 08-00-00 Top 20 10 05-00-00 2 Unf.Area (Ib/ft2) L 00-00-00 08-00-00 Top 15 30 11-00-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 4282 ft-lbs 44.4% 115% 2 04-00-00 End Shear 1807 lbs 32.6% 115% 2 00-08-12 Total Load Deflection U423(0.223") 56.7% n\a 2 04-00-00 Live Load Deflection L/708 (0.133") 50.8% n\a 5 04-00-00 Max Defl. 0.223" 22.3% n\a 2 04-00-00 Span/Depth 13.0 %Allow %Allow Bearing Supports Dim.(LxW) Value Support Member Material B1 Wall/Plate 1-1/2"x 3-1/2" 2209 lbs 99.0% 56.1% Spruce-Pine-Fir B2 Wall/Plate 1-1/2"x 3-1/2" 2209 lbs 99.0% 56.1% Spruce-Pine-Fir Notes Design meets Code minimum(L/240)Total load deflection criteria. Design meets Code minimum(U360)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 2015. Calculations assume member is fully braced. Connection Diagram: Full Length of Member *-0.1 b im•- d —"m- a t • • • • I • • -•..i e -.•- Page 1 of 2 Bomar — Double 1-3/4" x 7-1/4" VERSA-LAM® LVL 2.1E 3100 SP PASSED ENGINEERED WOOD PRODUCTS FB01 (Drop Beam) BC'CALC®Member Report Dry 1 span No cant. June 15,2022 07:30:15 Build 8381 Job name: File name: R Buckley_153 Wood Address: 153 Wood Road Description: City, State,Zip: Yarmouth, MA Specifier: Customer: Rick Buckley Designer: Joe Madera Code reports: ESR-1040 Company: Shepley Wood Products Connection Diagram: Full Length of Member a minimum= 1-3/4" c=3-3/4" b minimum=6" d=24" e minimum=1" Calculated Side Load =0.0 lblft All FastenMaster screws may be installed from one side of multiply Versa-Lam beams. Connectors are: FMFL312 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 CALL®,BC FRAMER@,AJSTM, ALLJOIST®,BC RIM BOARD'*',BCI®, BOISE GLULAMTM,BC FloorValue®, VERSA-LAM®,VERSA-RIM PLUS@, Page 2 of 2