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Home My WebLink AboutBLD-22-000444 7 -.7., ,)ci, 9 , W \)11)(6-).).3 i. ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department 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 Demolish \--- :.......`. a One-or Two-Family Dwelling R E I V E D This � 1 lSeeccti n For Official Use Only JUL 2 2 2021 Building Permit Number: 6L,✓'•'3��" Date Applied: BUIL 1 M E NT By: Building Official(Print Name) Signature ----Date SECTION 1: SITE INFORMATION ✓ 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 22 old sAGtn biz s yo-nuitpi 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 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: Zone: Outside Flood Zone? Municipal 0 On site disposal system ElPublic❑ Private 0 Check ifyes❑ pp y SECTION 2: PROPERTY OWNERSHIP' 2.1 wner'of Record: 7 ....4g-A y7 .4... Ci-/r404 es Scurn '/4)2, 91-11 /7/e, (924,, Name(Print) City,State,ZIP / J Ga Ord S/g i 1'4- 5* 077-A 77� .dh''k/J,z, e laogo2 ) No.and Street Telephone Email Addl'ess r ` SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition ❑ Accessory Bldg. 0 Number of Units Other Cl Specify: Brief Description of Proposed Work2: fl 3CXi/2 -e3 L J elkt, � 0/ .ham t e y--b.PC/ kh li em Atr( ,f' vik� 7 � 7ahQ, 1 ada / ,t,h Xi(lire 2/J 6 Y ), / C1V1 Y1 Estimated Costs: SECTION 4: ESTIMATED CONSTRUCTION COSTS `� Wol1 Item (Labor and Materials) Official Use Only- �/��e� ;. 1.Building $ 1. Building Permit Fee:$ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ 0 Total Project Costa(Item 6)x mu�lttii lieer x C 3.Plumbing $ 2. Other Fees: $ LID -�r - h 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Total All Fees:$ Suppression) Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ 2.060 ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) License Number Expiration Date Name of CSL Holder List CSL Type(see below) No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted I&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 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(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: OWNER1 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. Jr), C/ �4� s �� z, 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.eov/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 Departmentle lava! of Industrial Accidents r 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. A licant Information Please Print Legit Name (Business/Organization/Individual): eel, CAV LC4— S Address: c 0 IC( 5 (- f. 12 City/State/Zip: • Phone #:O7 2 9; 19-- Are you an employer?Check the appropria e box: Type of project(required): l.❑I am a employer with employees(full and/or part-time).* 7. ]New construction 2. I am a sole proprietor or partnership and have no employees working for me in 8. El Remodeling any capacity.[No workers'comp.insurance required.] � 3. tdI 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 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11. Electrical repairs or additions proprietors with no employees. 12.0 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.t 13. Roof repairs 6. We are a corporation and its officers.have exercised their right of exemption per MGL c. 14•❑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. 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: Policy#or Self-ins.Lic.#: 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$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„.zettler the pains and penalties of perjury that the information provided above is true and correct. JSinature: J Q 01 '7 Date: Z- 3 Z/ Ph one 7.#: 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#: • .01 TOWN OF YA MOUTH � ( 4- 1 BUILDING DEPARTMENT t. `.E/x1 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DA 1'h: JOB LOCATION: JQa�'7 a th4 022 0/d 514614 /Jv �5"5.�1 7 it f'! --NAME TREET ADDRESS SECTION OF TOWN a?ec "HOMEOWNER"..Jkp. I S 6 4-62'Z.? 77- Pzi Y NAME HOME PHONE WORK PHONE PRESENT MAILING ADDRESS r2 a/Ca/ S /16 AL AY 1. j A,74:6- 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 fouii acceptable to the building official,that he/she shall be responsible for all such work pertained under the building permit. (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 �..) �� L/^ APPROVAL OF BUILDING OFFICIAL 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 ves, 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. 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 ✓ t" '�� /7/7 Work Address ' Is to be disposed of oat the following location: V iy fir r,t 1 (175 pO St/4 L Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. JC(..-.2i LA.),(0,4' VZ/ Signature of Application Date Permit No. cr-• oe (*. c Li CS çJ C9 t CS ".1 /6\\ ,1/4) 1/5/23,4:03 PM Mail-Sears,Tim-Outlook Re: Jean Charles �� d 1� &P‘ Aarron Wagstaff <aarron.wagstaff@sunrun.com> Wed 12/14/2022 3:15 PM To:Sears, Tim <tsears@yarmouth.ma.us> 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. Great, thanks for the update. On Wed, Dec 14, 2022 at 3:13 PM Sears, Tim <tsearsPyarmouth.ma.us> wrote: I approved it and gave it to the Admin i think they mail them out. Timothy Sears CBO Deputy Building Commissioner Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsearsPyarmouth.ma.us From: Aarron Wagstaff<aarron.wagstaff aPsunrun.com> Sent:Wednesday, December 14, 2022 3:09 PM To: Sears,Tim <tsearsPyarmouth.ma.us> Subject: Re:Jean Charles 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. Awesome thanks so much. I will get done and it will be great help to customer. I think the solar is issued we were just lacking the building permit to install solar? Or is that what is attached? On Wed, Dec 14, 2022 at 3:06 PM Sears, Tim <tsears@yarmouth.ma.us> wrote: Aarron, I will issue the solar permit with the understanding that you will be resolving the issue with the inspection for permit BLD-22-000444. I have attached a copy of the permit with the inspection note. Regards Timothy Sears CBO https://outlook.office.com/mail/id/AAQkADE3MDQ5NWZmLTkOYzItNDIwNi1iMDQxLWNkMGQyNmE4NzE5NAAQAPpIFz%2BgE0BCrV0iXJhWEI4%3D 1/2 1/5/23,4:03 PM Mail-Sears,Tim-Outlook Deputy Building Commissioner Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsears_Pyarmouth.ma.us From:Aarron Wagstaff<aarron.wagstaff(a sunrun.com> Sent: Wednesday, December 14, 2022 2:38 PM To:Sears,Tim <tsears@yarmouth.ma.us> Subject:Jean Charles 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. Hi Tim: In regards to 22 old saga drive. Hoping to get the solar in before year end. I will take of the cost to get his house up to code. We need the solar permit/building permit issued so we can move forward. Actually the solar issues just need the building permit to move forward. Thanks Aarron Wagstaff https://outlook.office.com/mail/id/AAQkADE3MDQ5NWZmLTkOYzItNDIwNi1iMDQxLWNkMGQyNmE4NzE5NAAQAPplFz%2BgE0BCrV0iXJhWEI4%3D 2/2 Sears, Tim From: Sears, Tim Sent: Tuesday, August 3, 2021 10:24 AM To: 'blackange120907@gmail.com' Subject: 22 Old Saga Rd Jean, I have reviewed your application to remove the wall, and we need to know if the wall is load bearing. If it is we would need specs on the beam that would need to be installed. Thank you, Timothy Sears C;BO Building Inspector (own of Yarmouth 508-393-2231 Ext. 1259 mailto:tsears@yarmouth.ma.us C 1