HomeMy WebLinkAboutBLDR-24-129- I
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ONE & TWO FAMILY ONLY- BUILDING PERMIT
• Town of Yarmouth Building Department of r'
1146 Route 28, South Yarmouth, MA 02664-4492 --
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 /
a One-or Two-Family Dwelling
RECEIVED
This Section For Official Use Only --- ---
Building Permit Number: 3Lb 2. —I Z-9 Date Applied: MAR
6 20
Building Official(Print Name) Signature BUILDII tpEPA9TMENT
By'
SECTION 1:SITE INFORMATION .
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
26 -palc1la' f brivG /07- 2-7 26
1.1 a Is this an accepted street?yes ✓ no Map Number Parcel Number
1.3 Zon. rmation: _ 1.4 Property Dimensions:
Zoning Distri Proposed Use ,.. . Frontage
i (ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
_31 ' I.wiz,' / B 'h-' /61/1-' 'If'
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Infor 1 . Son: 1.8 Sewage Disposal System:
Zone: _ :utside Flood Zo - •
Public Private❑ Check i yeses Municipal❑ On site disposal system ILK
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner't l!eccd: �/
g c,-s a rrrnoryi 11114
Name(Print) City,State,ZIP
2-b 7)'cilane/ b v't 5-08 480 O/b/ F9inor, @t y2I oclC 7n
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) /
New Construction 0 Existing Building lir Owner-Occupied 11 Repairs(s) 0 Alteration(s) X.ddition e'
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work2: 45 v i Id q /0 t g 1 Z' tht a>ifa td ,y e?/room on
—/i 4it$14 l0'//2' ,72zc�. TA . evil/ i t 3 4cr4!!5, 5— cvikdows
(6. over 67, 9h d Z ems, i-h*. 4 3 pdrj, she( real'.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ f Z pOo 1. Building Permit Fee:$ Indicate how fee is determined:
> 0 Standard City/Town Application Fee
2.Electrical $ 0
0 Total Project Cost3
(Item 66)x multiplier .� x
3.Plumbing $ 0 2. Other Fees: $__"'"„sr 1 0 .c7)
4.Mechanical (HVAC) $ 0 ' List:
5.Mechanical (Fire $ 0
Suppression) Total All Fees:$
Check No. Check Amount: Cash Amount:
6.Total Project Cost: $ /it 0 o 0 Paid in Full 0 Outstanding Balance Due:
r�U1 `' AA�t
i
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License (CSL)
Cs' lolS�� / --z5-- Za2. 6
1Piv /v elate Al License Number Expiration Date
Name of CSL Holder
List CSL Type (see below) C,
6 SOcre ) 2-
No. and Street Type Description
p/ �+ 076 U Unrestricted (Buildings up to 35,000 Cu. ft.)
1I l G R Restricted l&2 Family Dwelling
City/Town, State, ZIP NI Masonry L
RC Roofing Covering
WS Window and Siding
r��� �� ` � 3 SF Solid Fuel Burning Appliances
I Insulation
elephone Email address D Demolition
5.2 Registered Home Improvement Contractor (HIC)
/6 or if&Yu*
s 7Eptiellif /neR.14/
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
346 scd.rni sHsiL � S 'm K
tide awn
No. treet Email dress
VZ:LiciAerl NH 0307477y-,3yz -os-isrl
City/Town, State, ZIP Telephone S, L:� Q corrrin't �f� a C Q ` • 'i'�
SECTION 6: WORKERS' COMPENSATION I�i tSURANCE AFFIDAVIT (M.G.L. c. 152. § 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this a ligation. Failure to provide
this affidavit will result in the denial of the Issuance of the building permit. Vic‘
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 "5 Taft.( m evekgz7"/
to act on my behalf; in all matters relative to work authorized by this building permit application.
$IL'- Re cd4mie� S LA V zArby
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 application is true and accurate to the best of my knowledge and understanding.
8lLt- 440(�>��5 z- z0Zr
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.Qov/oca Information on the Construction Supervisor License can be found at www.mass.aov/dns
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
1: Department of Industrial Accidents
1'=
_E411—• 1 Congress Street, Suite 100
' hf- 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/Organization/Individual): J Vine rnP tZ I/
Address: 3 6 Soyrti sbdug
City/State/Zip: pa.ktprfii Ail/ 0 507 b Phone #: '77Y -3 yZ-d595
Are you an employer?Check the appropriate box:
Type of project(required):
i.0 I am a employer with employees(full and/or part-time).*
7. ❑New construction
2.im a sole proprietor or partnership and have no employees working for me in
•
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. ID Demolition
4.0 I am a homeowner and will be hiring contractors to conduct all work on m YProPrtY
e I will 10 uilding 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
6.0 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.
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:
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.
1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Signature: `---trAfAt Date: Z 2 7/414'F'
Phone#: 77 4'-3 e oj 63 147s- Sqq 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#:
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 2,6 1>trrc.efL4u "P2lve YAR/novTtlk6
Work Address
Is to be disposed of at the following location: Y n''ict/ff/ %!5pos.4L
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111,Section 150A.
414 C, 1/4 Z/7%o 54
Signature of Applicant Date
Permit No.
I'
' , AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone
• Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)'
0 Check
Compliance
1.1 SCOPE
Wind Speed (3-sec. gust) 110 mph
Wind Exposure Category B
1.2 APPLICABILITY
Number of Stories (a roof which exceeds 8 in 12 slope shall be considered a story) / stories 5 2 stories
Roof Pitch (Fig 2) 3/12.- < 12:12
Mean Roof Height (Fig 2) /0 ft 5 33'
Building Width,W (Fig 3) /0 ft <_80'
Building Length, L (Fig 3) L L ft <<80'
Building Aspect Ratio(L/W) (Fig 4) / ; i 5 3:1
Nominal Height of Tallest Opening2 (Fig 4) r. <6'8",
1.3 FRAMING CONNECTIONS � ) ,,f
General compliance with framing connections (Table 2) 01,r )I- u f
2.1 FOUNDATION
Foundation Walls meeting requirements of 780 CMR 5404,1
Concrete I2r 5VN..0...-t-V5 ...... . .'1)10
Concrete Masonry
2.2 ANCHORAGE TO FOUNDATION13 /
5/8"Anchor Bolts imbedded or 5/8" Proprietary Mechanical Anchors as an alternative in concrete only v
Bolt Spacing-general (Table 4) in.
Bolt Spacing from end/joint of plate (Fig 5) in. <<6"-12"
Bolt Embedment-concrete (Fig 5) �• in. >-7"
Bolt Embedment-masonry (Fig 5) /I.i t17 in. >_ 15"
Plate Washer (Fig 5) ctlb.>-3"x 3" x 1/4"
3'x3��a�
3.1 FLOORS
Floor framing member spans checked (per 780 CMR Chapter 55)
Maximum Floor Opening Dimension (Fig 6) 0 ft<- 12'
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) C) ft <d
Maximum Cantilevered Floor Joists
Supporting Loadbearing Walls or Shearwall (Fig 8) C+ ft 5 d
Floor Bracing at Endwalls (Fig 9)
Floor Sheathing Type (per 780 CMR Chapter 55)Floor Sheathing Thickness (per 780 CMR Chapter 55) 3)it" in.
Floor Sheathing Fastening (Table 2)...j p d nails at (, in edge/ i i, in field
4.1 WALLS
Wall Height !,
Loadbearing walls (Fig 10 and Table 5) . 5 ft 5. 10'
Non-Loadbearing walls (Fig 10 and Table 5)....�.�....�...... is g•. ft .5 20'
Wall Stud Spacing (Fig 10 and Table 5)....t.t.�..IRI� b in. 524"o.c.
Wall Story Offsets (Figs 7&8) �l ft 5 d
4.2 EXTERIOR WALLS3
Wood Studs
^
Loadbearing walls (Table 5) 2x b - 1 ft�r•h' in.
Non-Loadbearing walls (Table 5) 2x 6 - ''� ft 9 it`in.
Gable End Wall Bracing
Full Height Endwall Studs (Fig 10)WSP Attic Floor Length tlf.R (Fig 11) A.$o..A it., ft>_W/3
Gypsum Ceiling Length (if WSP not used) (Fig 11)....L .wct4iB ft>_0.9W
and 2 x 4 Continuous Lateral Brace @ 6 ft. o.c. .. (Fig 11) Z; ra.:.4..0.0
or 1 x 3 ceiling furring strips @ 16" spacing min. with 2 x 4 blocking @ 4 ft. spacing in end joist or truss bays
Double Top Plate
Splice Length (Fig 13 and Table 6)...14.0 19 L I C.C... 4.(,t- ft
Splice Connection (no. of 16d common nails) (Table 6)
AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone
' Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)'
Loadbearing Wall Connections
Lateral (no. of 16d common nails) (Tables 7)
Non-Loadbearing Wall Connections
Lateral (no. of 16d common nails) (Table 8) 3
Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9)
Header Spans (Table 9) 3 ft 'f' in. <_ 11'
Sill Plate Spans (Table 9) C ft ,i in. <_ 11'
Full Height Studs (no. of studs) (Table 9) 3
Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9)
Header Spans (Table 9) 3 ft . L in. <_ 12'
Sill Plate Spans.... (Table 9) (S ft a in. <_ 12"
Full Height Studs(no. of studs) (Table 9)
Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4
Minimum Building Dimension,W
Nominal Height of Tallest Opening2 ."8.<6'8"
Sheathing Type (note 4) 7lib /z
Edge Nail Spacing (Table 10 or note 4 if less) _j.in.
Field Nail Spacing (Table 10) ft in.
Shear Connection (no. of 16d common nails)(Table 10)
Percent Full-Height Sheathing (Table 10) if%
5%Additional Sheathing for Wall with Opening >6'8"(Design Concepts) "
Maximum Building Dimension, L
Nominal Height of Tallest Opening2 A'8 <_6'8"
Sheathing Type (note 4) -ipL"
Edge Nail Spacing (Table 11 or note 4 if less) 6 in.
Field Nail Spacing (Table 11) !Z in.
Shear Connection (no. of 16d common nails)(Table 11) 3(
Percent Full-Height Sheathing (Table 11) %
5% Additional Sheathing for Wall with Opening>6'8" (Design Concepts)
Wall Cladding A' / L
Rated for Wind Speed? v� ../ ... .[I.L Q1'
5.1 ROOFS
Roof framing member spans checked? (For Rafters use AWC Span Tool, see BBRS Website)
Roof Overhang (Figure 19) 1 ft<_smaller of 2'or L/3
Truss or Rafter Connections at Loadbearing Walls
Proprietary Connectors
Uplift (Table 12) U=i t 7 plf
Lateral (Table 12) L=1 3 L plf
Shear (Table 12) S= 11 plf
Ridge Strap Connections, if collar ties not used per page 21... (Table 13) T= 97 plf
Gable Rake Outlooker (Figure 20) / ft<_smaller of 2'or L/2
—
Truss or Rafter Connections at Non-Loadbearing Walls
Proprietary Connectors
Uplift (Table 14) U= lb.
0
Lateral (no. of 16d common nails)...(Table 14) L= lb.
Roof Sheathing Type (per 780 CMR Chapters 58 and 59)
Roof Sheathing Thickness 8'in. >7/16"WSP
Roof Sheathing Fastening (Table 2) 14-1
Notes:
1. This checklist shall 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 and Figure 18b
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.
•4
A WC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone
Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)'
4.
a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio, determine Percent Full-Height
Sheathing and Nail Spacing 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 figures below : Vertical and Horizontal Nailing for Panel Attachment
-WHEN THIS EDGE RESTS ON
FRAMING USE Sd NAiL$
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Vertical and Horizontal Nailing
for Panel Attachment
•
4.
AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone
• Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)'
•
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PANEL EDGE DOUBLE NAIL EDGE SPACY'IG DETAL
Detail
Vertical and Horizontal Nailing
for Panel Attachment
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' Aftirestricted - Buildings of any use group which contain
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Failure to possess a current edition of the Massachusetts
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