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.ONE &TWO FAMILY ONLY-BUILDING PERMIT
' Town of Yarmouth Building Department ....
JAi 05 2024 1 1 1146 Route 28,South Yarmouth,MA 02664-4492 •
3 508 398 2231 ext. 1261 Fax 508-398-0836 cs,.....-.:: . ,....
Massachusetts State Building Code,780 CMR
— b'uzldmg Permit Application To Construct,Repair, Renovate Or Demolish
a One-or Two-Family Dwelling
S lion For Official Use Only
Building Permit'Number: k,,9\--Al- Date Applied:
--, G;"/ "--- /.--fg
Building7=cia',(P-r.t "�la )' Si azure Date
SECTINi'1:SITE INFORMATION
L1 Property Address: 1.2 Assessors Map&Parcel Numbers
6 Fairwind Circle 91 204
1.1 a Is this an accepted street?yes V no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
R-40 pool cabana 34,149 150'
Zoning District Proposed Use Lot Area(sq ft) Frontage(n)
1.5 Building Setbacks(ft) j
Front Yard Side Yards Rear Yard
Required I Provided Required Provided Required Provided
20'
20'
30' �
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: Outside Flood Zone?
{ Public M Private 0 — Municipal 0 On site disposal system Yf
Check if yesifi
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Jay!mad South Yarmouth, MA 02664
Name(Print) City,State,ZIP
6 Fairwind Circle (508)367-8808 savoncc@gmail.com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK-(check all that apply)
New Construction 0 4 Existing Building 0 I Owner-Occupied 0 1 Repairs(s) 0 1 Alteration(s) 0 1 Addition 0
Demolition 0 Accessory Bldg.isf Number of Units Other (if Specify: e.. V
Brief Description of Proposed Work`: Outdoor pool cabana addition _---~
MA 4
SECTION 4:ESTIMATED CONSTRUCTION COSTS z, '9-. _ EPARi nil
D
Estimated Costs:
Item {Labor and Materials) Official Use Only v -
1.Building $ 40,000 1. Building Permit Fee:S Indicate how fee is determined:
2.Electrical $5,000 0 Standard City/Town Application Fee
0 Total Project Cost'(Item 6)x multiplier x
3.Plumbing $ 5,000 2. Other Fees: $
4.Mechanical (HVAC) $ List
5.Mechanical (Fire
Suppression) $ Total All Fees:$
Check No. Check Amount: Cash Amount:
6_Total Project Cost: $ 50,000 0 Paid in Full CI Outstanding Balance Due: 1
SECTION 5: CONSTRUCTION SERVICES •
3.1 Construction Supervisor License(CSL)
License Number Expiration Date
Name of CSL Holder
t List CSL Type(see below)
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.t3.)
R 1 Restricted 1,4c2 Family Dwelling
City/Town,State,ZIP `- lvi Mammy
RC 1 Roofing Covering
• WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Registered Home I.mptement Contractor(HIC)
l
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 0 No 0
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERtMITT
I,as Owner of the subject property,hereby authorize
to act on my behalf,in ail 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 applicationWM-4d
is true and accurate to the best of my knowledge and understanding.
I 01/03/2024
Print 0`,lr's/Authorized Agent's Name(Electronic Signature) Date
NOTES: j
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.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
Department oflndustrialAccidents
- 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.
Applicant Information Please Print Legibly
Name(Business/OrganizationJIndividual): Jay[mad
Address:
6 Fairwind Gircle
•
City/State/Zip: South Yarmouth, MA 02664 Phone#: (508)367-8808
Are you an employer?Check the appropgiate box:
Type of project(required):
I.0 I am a employer with emyees(full and/or part-time).' 7. 0 New construction
2.0[am a sole proprietor or partnership argl,have no employees working forme in 8. (i Remodeling
any capacity.[No workers'comp.ins Rance required.]
3.ii 77tt[am a homeowner doingall work myself. 9. ❑Demolition
rl� y (No workers'comp.insurance requned.J
4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Q 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.❑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.' 13.• Roof repairs
6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other
152,§I(4),and we have no employees.(No workers'comp.insurance required.]
'Any applicant that checks box AI 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 ouide 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: 6 Fairwind Circle City/State/Zip: S.Yarmouth, MA 02664
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$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certif under the pains and penalties of perjury that the information provided above is true and correct.
Signature: / Y Date: 01/03/2024
Phone i/: (508)367-8808
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone/•
*YRR TOWN OF YARMOUTH
o� BUILDING DEPARTMENT
t4 wikre _•:-$• 1146 Route 28,South Yarmouth,MA 02664 508-398-2231 ext. 1261
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DATE:
JOB LOCATION: 6 Fairwind Circle South Yarmouth
NAME STREET ADDRESS SECTION OF TOWN
"HOMEOWNER" Jay!mad (508)367-8808 (508)499-1770
N• iv, HOME PHONE WORK PHONE
PRESENT MAILING ADD NI SS 6 Fairwind Circle
South Yarmouth.- MA 02664
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 form acceptable to the building official,that he/she shall be responsible for all
such work performed 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 �/ WM
APPROVAL OF BUILDING Orr1CTAL
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
508-398-223!1 ext.-1261 Fax 508-398-0836
Office of the Building Commissioner
7' 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 6 Fairwind Circle, South Yarmouth, MA 02664
Work Address
Is to be disposed of oat the following location: N/A
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Ch. 111, §150A.
C'fmW4d 01/03/2024
S't a/ e of Application Date
Permit No.
PHILBROOK ENGINEERING
107 BEACH STREET Project: IMAD Residential Alterations
DENNIS,MA 02638 Project No: P18-62
1-508-385-8682 Date: 11 June 2023
GENERAL DESCRIPTION Architect - Joe Dick 362-1309 9th ed.
bz6855
Narrative: 1 Story Pool Cabana Building w/ Kitchen & Bar on a
Concrete Foundation w/ Wood Column Supported Stick-built Roof
Location: JAY IMAD, 6 Fair Wind Circle, South Yarmouth, MA
Construction: 2"x 4"/6" @ 16" o.c. Post Frame w/ Concrete Foundations:
and Stick-built Wood Framing
SPECIAL CONSIDERATIONS
Use Group(s) : R-3 (1 Family Residence) - Accessory U (Utility Use)
Construction Type: V-8 (unprotected) see separation below
Misc or Comments: o Site Plan & Proposed Plan Layout Checks
o Design Review Roof, Header Beams & Supports
w/ Roof Frame & Connections
o Plan Notes & Design Submittals
DESIGN CONSIDERATIONS
Soil Data: - Site Plan or Boring Log available: YES
Preparer of plan or log: BSC, Job No. 5-0559.00
- Direct Observation: YES - Site from Previous Work
Bearing - Coarse-medium Sand w/ some Fines
USCS = SP(SC) SBC Class = 8_
Specifics: Br(allow) _ _2,400 lb/sq ft
plus 10% allowable width increase
Fire Data: 20 min. , Standard 1/2" GWB, Skim-Coat or 3/4" Solid Wood
Loads SBC Location #/sq ft Dur Note
1st Floor 40 1.0 Tbl. R301.5
Attic - non-Expansion 0 1.0 Tbl. R301.5
Partitions: 2x4/6 12 1.0 Bear/Non-Bear
WFCM 162 Family - Chp 3; Prescriptive Method for Snow & Wind UON
Snow - m = 7/12 (30.3°) 30 1.15 Tbl. R301.2(4) (MA)
Wind - Speed = 140(ult) MPH EXP = B Tbl, R301.2(4) (MA)
Height & Exposure Coef. = 1.00 1.33 Tbl. R301.2(3)
Ref Pres (Horiz) Zone 4 = MWFRS Tbl. R301.2(2)
Ref Pres (Horiz) Zone 5 = C&C Tbl. R301.2(2)
Roof Pitch > 27° to 45" HRH = 15 ft OPEN Structure
Ref Pres (Vert) Zone 1 = MWFRS Tbl. R301.2(2)
Ref Pres (Vert) Zone 3 = C&C Tbl. R301.2(2)
Loadings I 1st Floor Attic Roof
LIVE LOAD I 40 0 30
DEAD LOADS I 50 5 12
Misc I 2"x 12" Floor Joists & 2"x 8"/10" Ceiling/Rafters
DESIGN TOTAL I 95 5 45
w/ round i w/ 5% on DL
Tbl. 12
NET UPLIFT = (8/12) ( ) - .6(Rf+C1) = lb/sq ft --21-:3 per end
w/ C&C - Side ( ) - .6 x (10)= lb/sq ft -32- per tail
for MWFRS - Main l - .6 x (10) = lb/sq ft @ 16"o/c
PHILBROOK ENGINEERING
107 BEACH STREET Project: IMAD Residential Alterations
DENNIS,MA 02638 Project No: P18-62
1-508-385-8682 Date: 11 June 2023 _
GENERAL DESCRIPTION Architect - Joe Dick 362-1309 9th ed.
bz6855
Narrative: 1 Story Pool Cabana Building w/ Kitchen & Bar on a
Concrete Foundation w/ Wood Column Supported Stick-built Roof
Location: JAY IMAD, 7 Fair Wind Circle, South Yarmouth, MA
DESIGN ANALYSIS:
1. Ridge Beam; 2 ea 1.75"x 14" BCI Versa-Lam LVLs
Fasten plys w/ 3 rows of 3-1/2" Head-Lok Screws @ 16" o/c
Wul = (30+15)x 20'/2 + 20 = 470 lb/lf
1 Span; 15'0" o-o Mmax = 13,220 ft-lb
f'b(req) = 1,387 psi < F'b(allow) = 3,100 psi @ Cd = 1.0
DEFmax = .64" (w/ 85%) DEFact = .33" OK by Design
Pend = 3,525 lbs
2. Transfer Header; 3/2"x 8" 111/M2 KD SPF
Pt = 3,525 lb @ 1'9"
1 Span; 3'6" Mmax = 3,084 ft-lb
f'b(req) = 939 psi < F'b(allow) = 1,145 psi ) Cd = 1.0 OK by Design
DEFmax = .15" (w/ 85%) DEFact -_ .10" OK by Inspection
3. Perimeter Roof Support Beams; 2 ea 1.75"x 16" BCI Versa-Lam LVLs
Fasten plys w/ 3 rows of 3-1/2" Head-Lok Screws or Trus-Lok screws
Eavline Loads on 10'0" span = 290 lb/lf ( by Inspection
Gable Wall Load = 8 x 20x .67 = 100 lb/1f
Gable Point Load (from 41 above) = 3,525 lbs @ 7'3"
1 Span; 14'6" o-o Mmax = 20,400 ft-lb (combined)
f'b(req) = 2,186 psi < F'b(allow) = 3,100 psi @ Cd = 1.0
DEFmax = .62" (w/ 85%) DEFact = .16" OK by Design
Pinterior line = 2,620 lbs
4. Pinterior Posts; 3.5"x 3.5" 1.8E PSL Posts
Pmax @ Post -= 3,000 lbs Leff = 7'0" L/d = Y4
f'c(11) = 245 psi - Low OK by BC ESG Specifier
5. Elevation (Exposure Face) & Level (Location)
Structure is Open w/ Net Uplift & Lateral Wind
Specialized Method - Limited or No Shearwall available OK by Mfg. Table
Total Shear = Vroof x L/2 = 26 lb x 8 x 15'/2 = 1,560 lb
Top Connections; Simpson ECCL/RQ & CCQ Caps all exceed this load
Base Shear = 780 lbs on 2 Simpson CBSQ bases + Anchor Straps OK by Mfg. Table
Corner Uplift = Shears x Heights/Width + Wind Uplift
Uplift(roof deck) = 1,560 lb x 7'/14.5' = lb
Install Simpson STHDIOCBSQ Strap Ties = 4,000+ lbs OK by Mfg. Table
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