HomeMy WebLinkAboutBLDR-24-87 r .
ONE & TWO FAMILY ONLY- BUILDING PERMIT
Town of Yarmouth Building Department •
..........
1146 Route 28, South Yarmouth,MA 02664-4492 IN\
508-398-2231 ext. 1261 Fax 508-398-0836
Massachusetts State Building Code, 780 CMR e
Building Permit Application To Construct, Repair, Renovate Or Demolish ..- -. 1,. /
a One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: '13 W 12.--Z.-1 . -7 Date Applied: . Z*11 Zd 2;
Buildingfriief
Printe) iZ Date
SECTI 1: TE INFORMATION Ea
1.1 Property Address a �p 1.2 Assessors Map&Parcel Numbers
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1.1a Is this an accepted street?yes V. no Map Number Parcel Number FEB 16 2024
1.3 Zoning Information: 1.4 Property Dimensions: BUILDING C EPARTMENT
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:
Public 0 Private 0 Zone: — Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.l�jvn ' Re w�1��jr 1`1 4 o(4 AA- 3 `j--•
_, ,. via `('' City,State, IP
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No.and Street Telephone Email`14cdr . r .eiyirt
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building Owner-Occupied A Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work2: ikS 1 411-raL#t, ci IAA 0
SECTION 4: ESTIMATED CONSTRUCTION COSTS.
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ g-�p 1. Building Permit Fee:$ Indicate how fee is determined:
❑Standard City/Town Application Fee
2.Electrical $
2s a ❑Total Project Cos 3({tepi§)x multiplier x
$
3.Plumbing �' 2. Other Fees: $ , I (- 7
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees:$
Check No. Check Amount: Cash Amount:
6.Total Project Cost: SldZ' 0o 0 0 Paid in Full 0 Outstanding Balance Due:
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• SECTION 5: CONSTRUCTION SERVICES I
3.1 Construction Supervisor License (CSL) 06- 1 ( 5 8 40 'jam V
1'P'tL )ezi ' I /two l S License Number Expiration D to
Name of CSL Holder
/ Tote A M %.1°21;24 4 List CSL Type (see below)
No. and eel t Type Description
tk) A 4 e) 1 Gi 3 ( U Unrestricted (Buildings up to 35;000 Cu. ft.)
3 R Restricted I&2 Family Dwelling
City/Town, State, ZIP M Masonry
RC Roofing Covering
WS Window and Siding
7 / %(/-WI ( �D ;� iei cj_,,�I SF - Solid Fuel Burning Appliances
L l IJ I 1 ' �- �� 7 I Insulation
Telephone Email address CA yv1C( I 1 , D Demolition
5 Registered Home Improvement Contractor C) rin2 .()
VGCU I6 t la il r1 �� HIC Registration Number Expiration Date .
tmpar3 ,�e. oar �RNstraNar e
Q pp El-ec f-riL c ir/ci i /
No. and$� 1 -e i - 111 4- 1) 2-Y31 714(e -kfOO Email address c_.)City/Town, State, Telephone
SECTION 6: WORKERS' COMPENSATION LNSURANCE 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 subjectproperty, authorize ���' 1 �J - 1 t 1 �-✓-\(A i
hereby _)
to act on my behalf, in all matters relative to work authorized by this building permit application.
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Print Owner's Name (Electronic Signature) ate
• 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 infoiiiiation
contained in this application is true and accurate to the best of my knowledge and understanding.
112 2-° Y
Print Owner's or Authorized Agent's Name (Electronic Signature) to
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
vmw.mass.Qov/oca Information on the Construction Supervisor License can be found at www.mass.caov/dps
I.
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"
V•Al r .. • , .. •
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• , The Common wealth of Massachusetts
IMF All—. Department of Industrial.Accidents
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1 Congress Street, Suite 100
r Boston, MA 02114-2017
5v• www.mass* o•
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Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information PIease Print Legibly
Name (Business/Organization/Individual): ri4., L. 4e, Livia yt
Address: 1 %,,,e,A.. k E-V.4:e
City/State/Zip: 9 ( ,. �- —
'� Phone #: � 1 �"'� �
Are you an employer? Check the appropriate box:
Type of project (required):
l.2kam a employer with I employees (full and/or part-time),*
7. 7 New construction
2.0 I am a sole proprietor or partnership and have no employees working for me in
any capacity. [No workers' comp. insurance required.] 9 fI Remodeiin�
3.� I am a homeowner doing all work myself. [No workers' comp. insurance required.] t !_1 Demolition
4. I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 1-1 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. 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 1 • n Roof repairs
6.0 We are a corporation and its officers have exercised their right of exemption per NIGL c. 1 n 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.
$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.
Insurance Company Name: '/`4 C y ,S
Policy # or Self-ins. Lic. #: ..� U - a 0Stf rf tt'" z p- aiirton Date: 1 - 2 ' 1 `-z s--'~
Job Site Address: 9 10 tumid
City/State/Zip: �, ��Y ZA-t1/4
Attach a copy of the workers' compensation policy eclaration 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 cer ' under the pa' s and penalties of perjury that the information provided above is tr e and correct.
Signature: Date: /� t L 7.0.
Phone #: 1 r9 j `'' l ' ( 400
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
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YA TOWN OF YARMOUTH
=� BUILDING DEPARTMENT
C'Sf/ 4 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DAM,:
JOB LOCATION:
NAME STREET ADDRESS SECI`ION OF TOWN
"HOMEOWNER"
NAME HOME PHONE WORK PHONE
PRESENT MARLING ADDRESS
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
APPROVAL OF BUILDLNG OFFICIAL
I\i 1SURANCE 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 q I Jf a to 1 I2-D k/Jl y
Work Address
Is to be disposed of at the following location: T gANFF2 57-ATioN
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111,Section 150A.
2-
Signature of Applicant Date
Permit No.
RE: 98 Wendward Way, W. Yarmouth MA 02673
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Install half bath and vanity in Master Bedroom
Remove wall between Living Room and Kitchen and relocate
appliances (sink, dishwasher, stove, refrigerator, and cabinets as
proposed .
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Archie D. Typadis
98 Wendward Way
West Yarmouth, MA 02763
Email: atypaclis@g_mail.cQm
Cell: 617-817-4674
January 19, 2024 UPDATE:
First Floor Half Bath DESIGN CHANGE (Reduce size of 'h bath space and add closet
(SEE DIAGRAM) (1); 080a)
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Current Kitchen and Living Room Configuration
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Looking for a slice of Paradise?Well here it is. Colonial Acres Beach on Lewis Bay is right around the corner and it's a
short trip to Route 28 (mini golf, restaurants) or downtown Hyannis. You will feel like you are miles away as you relax in the
private,fenced in back yard. This home has been very well maintained and features 3 nice bedrooms, a comfy living room
and a bright kitchen with a dining area. The full, dry basement is great for storing all your summer gear or can be finished
for additional living space. Whether you are looking for your own private sanctuary or a fantastic income opportunity, this
home is a must see. The large, level corner lot gives you plenty of options for future expansion.Just bring your furniture.
This home is move-in ready. Many of the major systems have had recent upgrades.
1
98 Wendward Way, West Yarmouth, MA 02673
February 2024
Proposed Kitchen Renovation
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Note:This drawing is an artistic Designed: 1/17/2024
t'nterpretation of the general Printed: 1/17/2024
not meant t obe a design.It di 2020
i not meant to be an exact rendition. 1
c0c250c0-58d9-405d-aab1-22ba1a3b766f I All Drawing#: 1
98 Wendward Way, West Yarmouth, MA 02673
February 2024 122"
Proposed Kitchen Re &afion 36" 30" 30"
2"
60" 30" 32"
48" 74"
6 8., 29 8„ 24" 30" 30" 2„
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All dimensions_size designations This is an original design and must Designed: 1/17/2024
given are subject to verification on - not be released or copied unless Printed: 1/17/2024
job site and adjustment to fit job �OwO applicable fee has been paid or job
conditions. 1 order placed.
c0c250c0-58d9-405d-aabl-22ba1a3b766f i All 'Drawing#: I No Scale.
Commonwealth of Massachusetts
Division of Occupational Licensure
Board of Building Re ulatiS ons and Standards
Cons lon$ rrvisor
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CS-014860 .4; * spires:04/29/2024
PAUL DELIGONI p . ;
26 DUNEDIN' D
WELLESLEY` pA i
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Commissioner wow ( nd.r..�
TRAVELERS J� WORKERS COMPENSATION
AND
EMPLOYERS LIABILITY POLICY
TYPE AR INFORMATION PAGE WC 00 00 01( A)
POLICY NUMBER: (6HUB-0054N94-4-24)
RENEWAL OF (6HUB-0054N94-4-23)
INSURER: THE TRAVELERS INDEMNITY COMPANY OF AMERICA
A STOCK COMPANY
NCCI CO CODE:13439
1.
INSURED: PRODUCER:
DELIGIANIDIS, PAUL DBA PELLA INS AGCY INC
PD ELECTRIC 585 WASHINGTON ST
26 DUNEDIN ROAD BRIGHTON MA 02135
WELLESLEY MA 02481
Insured is AN INDIVIDUAL
Other work places and identification numbers are shown in the schedule(s)attached.
2. The policy period is from 01-24-24 to 01-24-25 12:01 A.M.at the insured's mailing address.
3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers
Compensation Law of the state(s)listed here:
MA
B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in
item 3.A. The limits of our liability under Part Two are:
Bodily Injury by Accident: $ 1000000 Each Accident
Bodily Injury by Disease: $ 1000000 Policy Limit
Bodily Injury by Disease: $ 1000000 Each Employee
C. OTHER STATES INSURANCE: Part Three of the policy applies to the states,if any,listed here:
COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06B
o�•
D. This policy includes these endorsements and schedules:
SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE
4. The premium for this policy will be determined by our Manuals of Rules,Classifications,Rates and Rating
Plans. All required information is subject to verification and change by audit to be made ANNUALLY.
DATE OF ISSUE: 01-12-24 WC ST ASSIGN: MA
OFFICE: RMD POOL 161
PRODUCER: PELLA INS AGCY INC 75NLH
314498