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HomeMy WebLinkAboutBLDR-23-13061 RECEIVED1 I-E- Piaf csL rDEC 1 O '2 2023 NE 4; TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department ' .1,.._1 1146 Route 28, South Yarmouth,MA 02664-4492 BUILD NG DEPARTMENT tg 508-398-2231 ext. 1261 Fax 508-398-0836 :i 4 411' 6y._ ! Massachusetts State BuildingCo 780 C Code, MR ' o.n.• Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: hi)/c):-2 -3__[-v / Date Applied: Buil9rei rint Name) Signatur Date SECTION 1:SITE INFORMATION 1.1 Property Adclfin, C ress: S � 1.2 Assessors Map&ParceI Numbers (Lit, C� 1.1 a Is this an accepted street?yes ✓ no Map Number Parcel Number 1.3 ni Information: , ! 1.4 Property Dimensions: (J -i7t6 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,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: c., Outside Flood Zone? t Public 0 Private Check if yesO Municipal 0 On site disposal system 11 SECTION 2: PROPERTY OWNERSRIP' ( ` ?..1, Owner'of Record: Namekk cei(Prim)�` 1 ,j,,.«s5� V � �`�,` City, 4�ZIP J� l No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK"-(check all that apply) New Construction 0 _Existing Building El Owner-Occupied ❑ I Repairs(s) 0 Alteration(s) ❑ Addition Demolition 0 Accessory Bldg.A Number of Units Other 0 Specify: Brief Description of Proposed Work': SECTION 4: ESTIMATED CONSTRUCTION COSTS. • Item Estimated Costs: Official Use Only (Labor and Materials) 1.BuiIding $ L O G o 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ 7 6, - , 0 Standard City/Town Application Fee 0 Total Project Cost//a__(Item 6)x multiplier x 3.Plumbing $ `�r b 03 2. Other Fees: $ (' C.`/ - 4_Mechanical (HVAC) $ C List: 5.Mechanical (Fire $ Suppression) Total All Fees:$ _ 6.Total Project Cost: $ oo� Check No. Check Amount: Cash Amount: t — 0 Paid in Full ❑Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Su ervisor Lic nse(CSL) SigGI .�r d d LiceLicense Number ratio Date Name of CSL Holder f List CSL Type(see below) ( J No.and Street Type Description C_C� �`� O A(0•2 U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State, R Restricted 1&2 Family Dwelling ]v1 Masonry RC Roofing Covering WS Window and Siding �? ` SF Solid Fuel Burning Appliances to1Z 7� -,J C Ik1 tr`..u l l fa P.fi``ht'(.p*S�tvClrv-v•.I Insulation Telephone Email address Sit5cte4LS .C -, Demolition 5.2 Registered Home mprove ent Contractor(HIC) HICRegistration HIC Company ame or HIC egistrant Name R $istration Number'1 Exp ratio Date "_ No.aannd treet t� S� 1Nit e.e� [d�inC �i�vA�augK3 , C vA d t\. I AA I c4(:s. b 1 "P.1 (n& 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 0 • 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 in thi true and accurate to the best of my knowledge and understanding. Print Owner' r zed 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.zov/dps 2. When substantial work is planned,provide...he information below: Total floor area(sq.ft.) * 119 ' (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 l Type of cooling system Enclosed Open tr 3. "Total Project Square Footage"may be substituted for"Total Project Cost" ---' . The Commonwealth of Massachusetts 1=� . / Department of Industrial Accidents q. =n� 1= 1 Congress Street, Suite 100 -.--11._...../ Boston,MA 02114-2017„E www.mass.gov/dia \Z orkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): PirkiA' (cy_ OL o, ' f‘')C4fIttAILSAddress: \<a>( 7 2,v City/State/Zip: t cA c 6-,`\C 1k\- Phone#: Are you an employer?Check the appropriate box: Type of project(required): t tam a employer with i employees(full and/or part-time).* 7. 41 New construction 2.0 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.] 3.0 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 m Y ProPertY• I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.0 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.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.0 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: S ar_I o. U....40S :IA �-� � — � Policy#or Self-ins.Lic.#: (1)Cf_ `-Od cp2 73 n n x3 A Expiration Date: G- 1, -a Li Job Site Address: (CO L3Ail ( 'L r R�� City/State/Zip: IA)1C(w►nt1 (a(ci 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. 1 do hereby certify niter the its and penalties of perjury that the b formation provided above is true and correct. Signature:• Date: / `p�—a� phone#: 4oc.-m —1 ce 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#: i §TOWN OF YAIdMOUTH 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 1 t)C �„ ..cAr iQ C Work Address Is to be disposed of oat the following location: f?7l.P r c S Q eC 4 Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. g-.2g Si a e of Application Date Permit No. Attn: TOWN OF YARMOUTH CONSERVATION DEPT. I, Timothy Bradley, as owner of the property at 100 White Cedar Rd. in West Yarmouth, hereby authorize the individual members of the conservation Commission and its agents to enter upon the property for the purpose of gathering information regarding this administrative review. Signed 12/10/23 � ti� . AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2aa)1 Q Check Compliance 1.1 SCOPE f Wind Speed(3-sec.gust) 110 mph Wind Exposure Category B ✓ 1.2 APPLICABIUTY Number of Stories (Fig 2) ( stories s 2 stories Roof Pitch (Fig 2) ( 1 l hs 12:12 t/- Mean Roof Height (Fig 2) ft s 33' ✓- Building Width,W (Fig 3) s 80' ✓ Building Length,L (Fig 3) LOTit s 80' 1.------- Building Aspect Ratio(LIW) (Fig 4) : - 3:1 t� Nominal Height of Tallest Opening2 (Fig 4) IQ; s 6'8" ✓ 1.3 FRAMING CONNECTIONS ✓ General compliance with framing connections (Table 2) 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 / Concrete �/ Concrete Masonry 2.2 ANCHORAGE TO FOUNDATION1'3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general (Table 4) in. Boit Spadng from endfjoint of plate (Fig 5) in.s 6"-12" Bolt Embedment-concrete (Fig 5) . 4S-in.a 7" _.,,G Bolt Embedment-masonry (Fig 5) in.a 15" Plate Washer (Fig 5) a 3"x 3"x'/." _l,.----- 3.1 FLOORS Floor framing member spans checked (per 780 CMR Chapter 55) ✓ Maximum Floor Opening Dimension (Fig 6) Q ft s 12'or L/2 or W/2 _j. - Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6) Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall (Fig 7) © ft s d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall (Fig 8) _ft <_d Floor Bracing at Endwalls (Fig 9) Floor Sheathing Type (per 780 CMR Chapter 55) l....nt. ✓` Floor Sheathing Thickness (per 780 CMR Chapter 55) in. 71„7 Floor Sheathing Fastening (Table 2).. d nails at V ` in edge/ in field 4.1 WALLS ' Wall Height Loadbearing walls (Fig 10 and Table 5) Q"5 ft s 10' —ram Non-Loadbearing walls (Fig 10 and Table 5) X ft s 20' Wall Stud Spacing (Fig 10 and Table 5) y4„in.s 24"o.c. i/ Wall Story Offsets (Figs 7&8) O ft s d C/ 4.2 EXTERIOR WALLS3 Wood Studs I Loadbearing walls (Table 5) 2x --5- ft in. — Non-Loadbearing walls (Table 5) 2x , ft_in. — Gable End Wall Bracing' Full Height Endwall Studs (Fig 10) WSP Attic Floor Length (Fig 11) [3 ft aW/3 Gypsum Ceiling Length(if WSP not used) (Fig 11) ,ft a 0.9W 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. ..(Fig 11) Double Top Plate Splice Length (Fig 13 and Table 27 6) ft (/ Splice Connection(no.of 16d common nails) (Table 6) �t.e" f A WC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)1 Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails) (Table 7) Non-Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails) (Table 8) ✓ Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans (Table 9) (t, ft U in.s 11' ✓ Sill Plate Spans (Table 9) Full Height Studs (no.of studs) (Table 9 `7, in.s 11' `/ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) _� Header Spans (Table 9) ft_+:,in < 12'Sill Plate Spans (Table 9) Full Height Studs(no.of studs) Table 9) ft�(,p in s 12" __se"} Exterior Wall Sheathing to Resist Uplift and Shear Simulta eously' �� Minimum Building Dimension,W Nominal Height of Tallest Opening2 - 6'8" ` --Sheathing Type (note 4) 0 Edge Nail Spacing (Table 10 or note 4 if less) i/ Field Nail Spacing (Table 10) r/ Shear Connection(no.of 16d common nails)(Table 10) in. Percent Full-Height Sheathing (Table 10) % 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts) C/ Maximum Building Dimension,L Nominal Height of Tallest Opening2 15)6'8" ✓ Sheathing Type (note 4) -�- Edge Nail Spacing (Table 11 or note 4 If less) -.1 in. 1.---7 Field Nail Spacing (Table 11) ✓� Shear Connection(no.of 16d common nails)(Table 11) in. Percent Full-Height Sheathing (Table 11) 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts) /� Wall Cladding _yC— Rated for Wind Speed? (/s 5.1 ROOFS Roof framing member spans checked? (For Rafters use AWC Span Tool,see BBRS Website) y/ Roof Overhang (Figure 19) / ft s smaller of 2'or L/3 1..------ - Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift Lateral (Table 12) U= pit �� Shear (Table 12) L= plf (Table 12) S= pit _Le' Ridge Strap Connections,if collar ties not used per page 21 (Table 13) T= —Le'Gable Rake Outlooker (Figureplf _< Truss or Rafter Connections at Non-Loadbearing Walls 20) ��,ft 5 smaller of 2'or L/2 _IL Proprietary Connectors Uplift (Table 14) Lateral(no.of 16d common nails)...(Table 14) L `lb• C� Roof Sheathing Type (per 780 CMR Chapters L�lb. Roof Sheathing Thickness p s 58 an�i 9) Roof Sheathing Fastening 7 in.z 7116/"�W P �- Notes: (Table 2) ....�At �.�T' __1.,-�� 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness.pressure treated#2-grade. e AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 531)1.2.1.1)1 • • -WHEN TH13 EDGE RIM ON FRAMING 415E&I AT Vac. II I t t 11 F /. II II t of 1J 4 II 11 1 1 /I II I r 14 F CI I I tI It 14 I-1 li II 11 II / 1.1 11 t rt O II I.r It = 11 it 4 tie i- I; 12 It < 11 t A ��yy f 1t!' h F Z It ap 1; i d It I" i O. Is g. ;i i : It J 11 - 13 Y��FI ii t g 1 It .G 41 I I t ��LL {1 41a rid I g • 11 II 1 YI Id t 1 11 i 14 j K W 1=1 I 1 1M II I I. H II T1 II 7I r* . DOUBLE EDGE.. I '+ NAIL SPACING It i I.,„ PANEL 11, v See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment A WC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5381.2.1.1)1 4. a. From Table 10 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of 8d staggered at 3 inches on center per the Figure, Vertical and Horizontal Nailing for Panel Attachment Proof of Coverage:Details 7/12/23, 5:07 PM Labor and Workforce Develop 4, � 0.47, • ass. ' Navigation Links Workers' Compensation Proof of Coverage - Employer Details POC Disclaimer Search Name: PRATT CONSTRUCTION ASSOCIATES New POC Search Employer: PRATT CONSTRUCTION ASSOCIATES CORPORATION Address: 153 LUVALLS LANE Report City/Town: MARSTONS MILLS, MA 02648 Workplace Fraud MAn Back To Results Page 1of 1 Qebarmnt,�` ASSOCIATED EMPLOYERS INS CO List WCC50050273022023A 54 THIRD AVENUE 06/16/2023 06/16/2024 IBURLINGTON, MA 01803 anus Q ASSOCIATED EMPLOYERS INS CO WCC50050273022022A 54 THIRD AVENUE 06/16/2022 06/16/2023 Education Links !BURLINGTON,MA 01803 Who Needs WC Insurance? Back To Results in I I Employer's Guide to WC Employer's FAQs About WC Injured Worker's Guide to WC This Proof of Coverage Application allows the public to search workers'compensation Injured Worker's FAQs About insurance coverage information for policies in the Voluntary Market and Assigned WC Risk Pool. Do not assume that an employer is operating without coverage if your search results do not return policy information.An employer may still have a valid workers'compensation policy under a different business name or may have an Related Links ;alternate method of coverage which includes licensing as as self insurer or membership in a self insurance group. Use the following links to view listings of Experience Rating History Insured EmpjQyers and Self-Insurance Groups(Excel) in Massachusetts. Connecticut POC Search With limited exceptions,every employer in the Commonwealth with one or more New Hampshire Workers Comp employee(s) is required by law to have a valid workers'compensation insurance policy at all times. If you are unable to find an employer or suspect an employer is wrongfully operating without workers'compensation insurance, please submit a New York POC Search Norkers'Compensation Investigation Referral Form or contact the Office of Investigations at 617-727-4900 x214 or toll free at 1-877-MASSAFE(627-7233). Classification Request Form https.//www.mapoc.org/Details.aspx Page 1 of 1 m9 « b? ? < 2¥m m � - & m; \ £\ § an3 y?\ ■ :77 \ > m m rri E m2> q % ! 2 <mp § § ]( {$ /\0 __22Q o azI0 > m - «_ �0 c \ § c2 0 \ «= § �• / C Z $ \ = cm = 0 m K (] 2 �94 / 3ood k oO 3 z CD £ 7R.2® 1 7 ƒ 3 D §-�_ f./k$ § 7 z k$2a2 = c * \ 0 m §\ -� CL q ®® ill :#: ` m ak 3IIL { ? Eij ���( {\) k C @ t 00. , a m / \/ ri) co 0, /©\ = 9 $ f m A a 7