HomeMy WebLinkAboutBLDR-25-261- ONE & TWO FAMILY ONLY- BUILDING PERMIT
Town of Yarmouth Building Department Y`
p'g.. t4
1146 Route 28, South Yarmouth,MA 02664-4492 /*/
508-398-2231 ext. 1261 Fax 508-398-0836 •.
Massachusetts State Building Code, 780 CMR ,G y r
.
Building Permit Application To Construct, Repair, Renovate Or Demolish , .
a One-or Two-Family Dwelling avortntEo""
This Section For Official Use Only
Building Permit Number: e __1t2- 'S 2,(D' Date Applied:
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
7rCAerry Lane
1.1a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.47�P�/rop�erty Dimensions:
0
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 J31
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Records ,)
11
002673
Name(Print) City,State,ZIP
7S Aery-y 211 5 237 6/?? Green/and titreye, , ton,
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied Repairs(s) 0 Alteration(s)yt Addition 0
Demolition ' Accessory Bldg. 0 Number of Units /Other 0 Specify:
Brief Description of Propgsed Work': ,Ke/3iov /Ji P.X► u t b'yt4 f' /O
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ OQ5O0 0 1. Building Permit Fee: $ Indicate how fee is determined:
❑Standard City/Town Application Fee
2. Electrical $ ❑Total Project Costa(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire
Suppression) Total All Fees: $
Check No. Check Amount: Cash Amount:
6.Total Project Cost: $ 0?55- 000 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
CS �6 a9/202.1
•
/4i ago 0, so,vi'na. License Number Expiration Date
Name of CSL Holder , 7
/3 List CSL Type(see below) V
No.and Street Type Description
d�n�S � 0� �/O/ U Unrestricted(Buildings up to 35,000 cu.ft.)
-7/�f Q R Restricted 1&2 Family Dwelling
City/Town,state,ZIP M Masonry( • RC Roofing Covering
C WS Window and Siding
SF Solid Fuel Burning Appliances
S a2 96 ‘t<3O I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 02/17
0 y /02, Z
/1 % `/t L HIC Registratio Number E piration Date
HIC Cpany Nam 5r HIc gistrant Name
a7 ,-a, ,s . /,4,40rr.d"An>r 1.1‹�4 jner'/ J�''''
No.and Street Emai ddress v/
t 630
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: 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.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"
1Ile of .01U33UCIA843eit5
Department of Industrial Accidents
Office of Investigations
i . W Lafayette City Center
Sol
W ' 2 Avenue de Lafayette, Boston,MA 02111-1750
www mass gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): //o.—47v _(1 Ny1'I'l y
Address: L7 7 ,cirdrv/Jor,7 / 1✓lI / cI
City/State/Zip: dG,4 4^v✓le/Ag C '`3Phone#: 0294 l v
Are you an employer?Check the appropriate ox: Type of project (required):
1.❑ I am a employer with 4. I am a general contractor and I6. ['New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. El Remodeling
ship and have no employees These sub-contractors have g. ❑ Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.:
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.] t c. 152,§1(4),and we have no t
employees. [No workers' 13 t�1 Other , Ot/dj-�6 h
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
I.Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
1Contractors 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.
l 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the d penalties rjury a formation provided ab ye is true and correct.
Si nature: / Date: a/a
Phone#: L °R 3,( 237b
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(check one):
10Board of Health 20 Building Department 30City/Town Clerk 4.0 Electrical Inspector 5E1Plumbing
Inspector 6.DOther
Contact Person: Phone#:
____ .... _ _
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Replacement Cost Building Photo
Less Depreciation: $359,800
l Building Attributes ' f
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Field 1 Description n ti '; .�' , `�3j `
a
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i kYce • ,.v .t-.> A S*-0 ..' F AO
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{6 Style: Cape Cod �'.` is e ,, __;-, --•F, 4 ..
Model Residential 4
__ __........_m_........___ .....__.....__. _ ....__ ,°°
I Grade: Average
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IStories: 1 1/2 Stories
Occupancy 1
., ` �s �t£ 1. rn3 ,+6° �y�"". ,fir y�y"'_-°
Exterior Wall 1 Wood Shingle � z
�K�F a,
I Exterior Wall 2 Aluminum Sidng E Z.
,,,,,,,i,,,az.,_,.,-,... :,,,,„, - ..
Roof Structure: Gable/Hip
€ (https://images.vgsi.com/photos2/YarmouthMAPhotos/A00102112196.jpg)
Roof Cover Asph/F GIs/Cmp
�-- Building Layout
Interior Wall 1 Drywall/Sheet
Interior Wall 2 £ WOK FHS
aAs
UBM
io
Interior Fir 1 Hardwood
Interior Fir 2 Ceram Clay Til 8
Heat Fuel Gas 24
Heat Type: Forced Air-Duc
AC Type: None
Total Bedrooms: 4 Bedrooms ae
Total Bthrms: 2 (ParcelSketch.ashx?pid=105208,bid=10975)
Total Half Baths: 0 1 Building Sub-Areas (sq ft) Legend
Total Xtra Fixtrs: Gross Living
Code Description
Total Rooms: Area Area
f -
BAS First Floor 864 864
[Bath Style: --1
Average
Kitchen Style: Modern ,----
FHS Half Story, Finished 864 432
€
Num Kitchens 00 UBM
Basement, Unfinished 864 i 0
Cndtn _ ; WDK Deck, Wood 80 E 0
r---- r
Num Park
2,672 1,296
Fireplaces
Fndtn Cndtn
Basement
1 Usrfld 706
Extra Features
Extra Features Legend
Code DescriptionSize Value Bldg #
f--------11
1.00 UNITS • $2,200 1
1 FPL2 1.5 STORY CHIM
B
3......... _.._._
Land
•
75 CHERRY LN
Location 75 CHERRY LN Mblu 76/47///
Acct# 10520 Owner OEFFNER HEIDI E
Assessment $529,700 PID 10520
Building Count 1
Current Value
Assessment
Valuation Year Improvements Land Total
2025 $362,000 $167,700 $529,700
Owner of Record
Owner OEFFNER HEIDI E Sale Price $100
PARKOSEWICH PAUL M Certificate
Care Of Book&Page 35687/175
Address 75 CHERRY LN Sale Date 03/20/2023
Instrument 1A
WEST YARMOUTH,MA 02673
Qualified U
Ownership History
Ownership History
Owner Sale Price Certificate Book&Page Instrument Sale Date
OEFFNER HEIDI E $100 35687/175 1A 03/20/2023
OEFFNER FRANCIS T $307,000 32072/35 00 06/06/2019
HUGGINS PAUL E TRS $100 28444/0265 1F 10/15/2014
HUGGINS PAUL E $235,100 27473/0337 UNKQ 06/19/2013
GOLLIFF SHEILA M $112,000 12094/0235 00 03/01/1999
Building Information
Building 1 : Section 1
Year Built: 1975
Living Area: 1,296
Replacement Cost: $408,827
Building Percent Good: 88
12'-0"
2"X 10"
12"OC• TQ 4 >
DOUBLE CONCRETE PAD
2"X 10" •
0
1, ,1
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FLOOR JOIST
BRACKET
4,
HOUSE
12"SONO TUBE
4'GROUND • \ •FLASHING DETAIL
-GRACE ICE-AND-WATER
SHIELD
-COPPER
-LEDGER FLASHING
-ATTACHED 1/2" BOLTS
/
oR
Deck
k
HEIGHT OFF �X/S9i PC'
THE GROUND- 16" LQ _
STAIR•
Sr-
CONCRETE PAD • � �
Preserve Services 75 Cherry Lane,
22 Bates Rd., #301, Yarmouth, MA
Mashpee, MA 02649 DECK PLAN'