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Home My WebLink AboutBLDR-23-005242 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 "".1 Code, 780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish =� `,\ ' Ar C q Inc-or Two Family Dwelling This Section For Official Use Only Building Permit Number: i ' ` (�( ,r� •.to A.. ied:" ------�--•�..,—=ice pprAm 1I1," S c , Building Official(Print Name) A;! lingraga ignature 4 SECTION 1:SITE INFORMATION III 1.1 Property Address: L CAA t e ��_ f 1.2 Assessors Map&Parcel Num M/�R 32023 1.1a Is this an accepted street?yes no Map Number Parcel INNIEMmoimm 1.3 Zoning Information: DEPq NT 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Required Rear Yard q Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information:Public 0 Zone: 1.8 Sewage Disposal System: Private❑ _ Outside Flood Zone? Check if yes❑ Municipal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Name(Print) City,State,ZIP No.and Stree g_Z Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building❑ Owner-Occupied 0 Repairs(s) 0 Alteration(s) lg Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other El Specify: Brief Description of Proposed Work': 1. -h: A 1 i • • �A • i4 "� � t �� :r�# �4 , SECTION 4:ESTIMATED CONSTRUCTION COSTS. Estimated Costs: (Labor and Materials) Official Use Only 1.Building $ /4 ®001. Building Permit Fee:$ 0 Indicate how fee is determined: $ ❑Standard City/Town Application Fee 3.Plumbing 0 Total Project Costa(Item 6)x multiplier x 4.Mechanical (I-IVAC) $ ••IIIIIIIIIMN List:2. Other Fees: $___ 5.Mechanical (Fire 3 r" � t� Su..ression) Total All Fees:$ 6.Total Project Cost: $j(11.900 Check No. Check Amount: &❑Paid in Full Cash Amo,.t \ ❑Outstanding Balance Due: \ r SECTION 5: CONSTRUCTION SERVICES 5.1 Cons/t�rnuctione v,ut,i,S,upervisor License(CSL) Name of CSL Holder f L License Number Expir lion to _ I w Q List CSL Type(see below) V No and Street Type Description in i Mk (� U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP R Restricted 1&2 Family Dwellin• M Masonry RC Roofing Coverin WS Window and Sidin• � .-DZ�b {h OfA.(��o heft a Q SF Solid Fuel Burning Appliances Tele.hone �J �m��`G I Insulation Email address D Demolition 5.2 Registered Home Improvvement Contractor(HIC) HIC om 6I`Q,��e� 6rt '-3 eg1t�/ ---_— p y Name orb Registrant None HIC Registration Number Expiration Date No and Street cl �( ///9(0 '�j)4/1to @gm*G oiA- ., t'r M 7 d C� ,e Email addres n, State,ZIP 06 City/Tow �JJ 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 PERMIT I,as Owner of the subject property,hereby authorize L )f' ) io 6 Ailr-0 to act my behalf,in all matters relative to work authorized by this building permit application. CL...---...._ ` —it"- Prins Name(Electronic Signature) 23 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. 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.gov/oca Information on the Construction Supervisor License can be found at www.mass eov/dns 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) Gross living (including garage,finished basement/attics,decks or porch) area(sq.ft.) Habitable room count Number of fireplaces Number of bathrooms Number of bedrooms Type of heating system Number of half/baths Type of cooling system Number of decks/porches Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" • • I The Commonwealth of Massachusetts r Department of Industrial Accidents 1 Congress Street, Suite 100 It Ar mu 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 Name (Business/Organization/Individual); Please Print Le ibl Address: 3 a City/State/Zip: ' b -�t�1�\ M I � Phone #: 'i 14'- g •-0ZO Are you an employer?Check the appropriate box: 1.0 I am a employer with employees(full and/or part-time).* Type of project(required): 2114 I am a sole proprietor or partnership and have no employees working for me in 7' ❑New constdelinruCtlOn any capacity.[No workers'comp. insurance required.] 8. Remodeling 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 my property. I will ensure that all contractors either have workers'compensation insurance or are sole 10 E Building addition proprietors with no employees. no Electrical repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 17' Plumbing repairs or additions These sub-contractors have employees and have workers'comp. insurance.t 13.0 Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees. [No workers'comp. insurance required.] 14. Other *Any applicant that checks box#i 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 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'com such. p.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: Attach a copy of the workers' compensation policy declaration page(showing thetpolicy 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 insura coverage verification. nce 1 do hereby certify un er the pain and penalties of perjury that the information provided above is true and cor Stunature: rest. Phone#: 'I- Date: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Issuing Authority(circle one): Permit/License 1. Board of Health 2. Building Department 3. City/Town Clerk 1. Electrical Inspector 6. Other p or 5. Plumbing Inspector Contact Person: Phone#: TOWN OF YARMOUTH BUILDING DEPARTMENT MATTACMEC 1146 Route C'ti� /f Q • � � '' /8, South Yarmouth, MA 02664 508-398-2231 ext. 1261 PLEASE PRINT: HOMEOWNER LICENSE EXEMPTION DATE: JOB LOCATION: NAME STREET ADDRESS SECTION OF TOWN ::HOMEOWNER" NAME HOME PHONE WORK PHONE PRESENT MAILING ADDRESS CITY OR TOWN STA 11, 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 su ervisor. (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 perfotuied under the building permit. (Section 110 R5.1.3.1) The undersigned `homeowner' assumes responsibility for compliance with the State Building C applicable codes, by-laws, Rules and regulations. ode and other 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 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 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 the insurance coverage requtr Chapter 142 of the Mass. General Laws and that my signature on this pent application waives this requirement. by nn quirement. Signature of Owner or Owner's Agent Checkone: 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 2C `.4 6 , Al0044/.6 Work Address Is to be disposed of at the following location: YatfrlQ L 1/f, jg Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Signature of Applicant Date Permit No. 3/29/23,9:38 AM Maii-Sears,Tim-Outlook 26 Capt. Blount Sears, Tim <tsears@yarmouth.ma.us> ;\i 's^oi icl / ci 4413 Wed 3/29/2023 9:38 AM To: braulio brito <ingbrauliobrito@gmail.com> Braulio, I have reviewed your application and there are some items needed. 1. Health Department sign off> 2. Cei ing eight shown on plan R19 insulation required in walls Ventilation calculation per section R303 or specs on air exchanger 'KAll rooms need to be labeled on floor plan Please submit these items for review This email is considered a written denial of your permit application per Section 105.3.1 of the Massachusetts State Building Code. Section 105.3.2 states in part that "an application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing, unless such application has been pursued in good faith" You may appeal this denial to the Building Code Appeals Board in accordance with M.G.L. c. 143 §100, within 45 days of this notice. Timothy Sears CBO Deputy Building Commissioner Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsears@yarmouth.ma.us Timothy Sears CBO Deputy Building Commissioner Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsearsPyarmouth.ma.us https://outlook.office.com/mail/sentitems/id/AAQkADE3MDQ5N WZmLTkOYzItNDIwNi 1 iMDQxLWNkMGQyNmE4NzE5NAAQAHCaYBHK04RMIOKu Zul... 1/1 Commonwealth of Massachusetts Mir Division of Occupational Licensure 114E COMMONWEALTH OF Business USEiTS Board of Building R u�laQtio�ns and Standards Office of Consumer Affairs a Busine sCTeg ion CO n SZf iSQr HOME 19ApR®dENTCOf3TR 37cPe:tri dual CS-110548 z Ejcpires:05123/2024 gxesisHltioe Egthifign iaitzet 02/14/2025 BRAULIO B O 1 It t .- 19 SAGA ROAD .a DOA BSR O S fevn i fa SOUTH DENNIs MA` c. , v 1 , . a �� BRAULlO BRfTQ �7 25 UNCLE STANLEY WAY F,,,..0 -./(wif _ ?E• "' J SOUTH DENNIS,MA 02860 Undersecretary 4PC) L�'cLi��) Commissioner %. a K `Ys.-;u.:, Z (; �� . I 1 _ i s I f 1 11; FT i i i . .._ .._._ _ ...... _,.. ., .,. i s t CO E vY it"aJ GL _i .F .,. c Y E g g 1 1: 1,10 0 t't'f 1)9/i) 7 I Iti VA 1 I 9"9 v bt 0 9 c : i i I j L,,,,.......__ , . . ,„,...„„„.., 1 . , s 6.7 cx")Q c cr lai - . . - r - CERTIFIED MAIL° RECEIPT Domestic Mail Only r- For delivery information,visit our website at www.usps.com" IT F. 9 r r— Certified Mail Fee m $ 19 Extra Services&Fees(check box,add fee as appropriate) O ❑Return Receipt(hardcopy) $ ❑Return Receipt(electronic) $ Postmark CI ❑Certified Mall Restricted Delivery $ Here D ❑Adult Signature Required $ ❑Adult Signature Restricted Delivery$ 177 Postage r1 ru $ Anson Celin Iveline Marie Celin 3 26 Capt. Blount Rd _z South Yarmouth, MA 02664 ��1771iilGi:ir1�1•�.lrl�{.�Ml!-l��nFl.n.�.¢.iiai.ca��.�.-.-�..-..-,.-.--.-._...-... � r TOWN U 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 Fax 508-398-0836 >lce of eBuilding Commissioner VIOLATION NOTICE Anson Celin Iveline Marie Celin 26 Capt. Blount Rd South Yarmouth, MA 02664 January 18, 2024 RE: 26 Capt. Blount—work without permit—finished basement Dear Mr. Celin, The Building Department has been in contact with you in a letter dated March 6, 2023, about work done on this property without a required building permit. An application was submitted on March 23,2023,that was reviewed, and more information was requested. The requested information was never submitted, and no permit was issued. This is a violation of Section R105.1 of the Massachusetts State Building code. R105.1 Required. It shall be unlawful to construct, reconstruct, alter, repair, remove or demolish a building or structure; or to change the use or occupancy of a building or structure; or to install or alter any equipment for which provision is made or the installation of which is regulated by this code without first filing a written application with the building official and obtaining the required permit. Failure to comply with the MA State Building code 780CMR is subject to fines and penalties as prescribed in MGL CH 143 section 91. Each day constitutes a new violation. To remedy this violation make proper application for the required building permits, and receive a building permit for this violation. You are required to respond within 7 days of receipt of this notice.The 45-day appeal period allowed by M.G.L. C. 143 §100 has lapsed and your compliance is required. Questions regarding this matter may be directed to this department. Very Truly, Tim Sears CBO Deputy Building Commissioner Town of Yarmouth . m C) C) C) C) C) C) o 0 m a m m 0- s s . m ? O H A) O m [] CD f<D ❑ Z Cn N t7 n N D z n m D w C� CD pip N n - ❑C Z t 0 xi m fll Q G a O S C = a1 --I = S G r- Q CD Q Q CD - CD T 0 co O CO N $ 13 O CD O Q CD D m 7 C V F y Q 0 Q s ° Q —I In -o -' o . 0O m o p 0 ' Q. m o o -0 y ? z as ❑ C c �. c n y N o K N CD o N 7C 'O o 'o Oa S. - O tC rr -I a1 '< O� S O a `< .0 co -' CD .3•. TI = 3 . 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U-) a sLos ‘fi ,j Certified Mail Fee .D $ rR Extra Services&Fees(check box,add fee as appropriate) ['Return Receipt(hardcopy) $ _ D ❑Return Receipt(electronic) $ Postmark O ❑Certified Mail Restricted Delivery $ _. Here ❑Adult.Signature Required 0 Adult Signature Restricted Delivery'$, _ p Postage o- s Anson Celin Iveline Marie Celin 26 Capt Blount Rd South Yarmouth, MA 02664 TOWN YA * OUTH 1146 Route 28, SouthYarmouth MA 02664 508-398-2231_ext. 1261 Fax 508-398-0836 ffice of the 13uilding Commissioner VIOLATION NOTICE Anson Selin Iveline Marie Celin 26 Capt Blount Rd South Yarmouth, MA 02664 March 6, 2023 RE: 26 Capt Blount Rd—work without permit- finished basement Dear Mr. Celin, It has come to our attention that work has been done on your property without the benefit of a required building permit. This is a violation of Section R105.1 of the Massachusetts State Building code. R105.1 Required.It shall be unlawful to construct, reconstruct, alter, repair, remove or demolish a building or structure; or to change the use or occupancy of a building or structure; or to install or alter any equipment for which provision is made or the installation of which is regulated by this code without first filing a written application with the building official and obtaining the required permit. Failure to comply with the MA State Building code 780CMR is subject to fines and penalties as prescribed in MGL CH 143 section 91. Each day constitutes a new violation. To remedy this violation, make proper application for the required building permits and receive a building permit for this violation. You are required to respond within 7 days of receipt of this notice. You may appeal this letter to the Building Code Appeals Board in accordance with M.G.L. c. 143 §100, within 45 days of this notice. Questions regarding this matter may be directed to this department. 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