HomeMy WebLinkAboutBLDX-26-325 application RECEIVED
JUN292026
•
,CASH _
BUILDING DEPARTMENT
ONE & TWO FAMILY ON3;-Y--$UILDING PERMIT
Town of Yarmouth Building Department ( T0)
1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836
Massachusetts State Building Code, 780 CMR
Building Permit Application To Construct, Repair, Renovate Or Demolish a "'T"`""" ,4
.Ckpo RATED fib.
a One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number:13L;`,7 —a�(a-3a; Date Applied:
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Pro er Address: 1.2 Assessors Map& Parcel Numbers
1 � Whri`f Rock Rd
1.1 a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
l ?) /6o 3.2, 3 e1
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
'VS T yrcy / yo j.
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 la
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
21 Owner'of Reco :
/1
.4A fbo� 4 Ca/Sato Yor,,jy ♦ti P0rf ./1a. 0 A•07)
Name(Print) r City,State,ZIP
!9 `1 Ila€4 iV 50k770 5"'t70 dahlca/ A3A a Qal. cc :n
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition ❑
Demolition 0 Accessory Bldg. 0 Number of Units Other Specify: S hood
Brief Description of Proposed Work':
He%A/ S ht.d / y , 1� x / OP i
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs:
(Labor and Materials) Official Use Only
1.Building $ j s' 3 p 1. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $
❑Standard City/Town Application Fee
0 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: $ I 7 ,3 j 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
All M /1 License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu. ft.)
City/Town,State,ZIP R Restricted l&2 Family Dwelling
M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name p
ANo.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 ❑ 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
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: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.
Print Owner's or Autho ized Agent's Name(Electronic Signature) Date
NOTES:
I. 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.cov/oca Information on the Construction Supervisor License can be found at wwww.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" )'9-. 5 r=
•
The Commonwealth of Massachusetts
—= Department of Industrial Accidents
Office of Investigations
Lafayette City Center
—•.' /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): 4 AG Ay . Co -f w/U c
Address: 1 q 7 VV h f e f? cc / / c1
City/State/Zip:/G,'mti a rI Pori .Mrs o2 7y'Phone #: 7 7 4, '" 7 e.
Are you an employer? Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have 8. ❑ 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 10.0 Electrical repairs or additions
3.X I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance required.] t c. 152, §1(4),and we have no 13.❑ Other
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 arc doing all work and then hire outside 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: 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 pains and' penalties of perjury that the information provided above is true and correct.
Signature: %� .�- !i/ . l.� r�(� Date: , — 9 )"0�- 6
Phone#: 5 0 7 7 C, 5 4 76
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 3❑City/Town Clerk 4.0 Electrical Inspector 51=IPlumbing
Inspector 6.0Other
Contact Person: Phone#:
v
TOWN OF YARMOUTH
og, Office of the Building Commissioner
. o\ig•
1146 Route 28, South Yarmouth, MA 02664
to1,-F:;� `-�,T� r1 4,1 5 08 _ 98 2231 ext. 1260 Fax 508-398-0836
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HOMEOWNER LICENSE EXEMPTION
DATE:
JOB LOCATION: r q 1 vVh . i 4 RDc, Ycivrflo re di ear 1
NAME STREET ADDRESS SECTION OF TOWN
HOMEOWNER A , f�® Cd f0/ti cat 116 S`'t U AlA-
NAME HOME PHONEWORK
PHONE
/ q Wn1 l' I c/ P 41PRESENT MAILING ADDRESS '�
Yqrn'ocrth Poit A Cif . G 2. 61s—
CITY OR TOWN STATE ZIP CODE
Definition of Homeowl'ner:
Person(s) who owns aparcel of land on which he or she resides or intends to reside, on which there is or is intended
to be, a one or two family attached or detached structure accessory to such use and/orfarm structures. A person
who constructs more than one home in a two-year period shall not be considered a homeowner.
Any homeowner performing work for which a building permit is required shall be exempt from the licensing
provisions of780 CMR 110.R5, provided that if a homeowner engages a person(s)for hire to do such work, then
such homeowner shall act as supervisor. This exception shall not apply to the field erection of manufactured
buildings constructed pursuant to 780 CMR 110.R3
The undersigned 'homeowner' assumes responsibility for compliance with the State Building Code and other
applicable codes, by-laws, rules and regulations, and certifies that he or she understands the Town of Yarmouth
Building Department minimum inspection procedures and requirements and that he or she will comply with said
procedures and requirements.
HOMEOWNER"S SIGNATURE ___ay,....4 c:/. "�-
•
og Y4-4�, TOWN OF YARMOUTH
Igoe, Office of the Building Commissioner
'F ,..��.,.,, 4' 1146 Route 28, South Yarmouth, MA 02664
"`" °'-'l 508-398-2231 ext. 1260 Fax 508-398-0836
DEMOLITION DEBRIS DISPOSAL APPLICATION
Pursuant to M.G.L.c.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. /el w11,7.P RodAlR
Work Address
Is to bedisposed of at the following location: De/»1,
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter I11,§150A.
Signature of Applicant Date
Permit No.
I'`J �� NOTE: PRE—EXISTING NONCONFORMING.
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RE'S: ZONE "R40 " This MORTGAGE INSPECTION" Plan is For T
__ Barak Use Only FLOOD ZO1�I1_. C
TOWN: r_YA._.6: �f-ITHPO T . — REGISTRY OWNER: WILLIAM C. PAULA F. MALLOZ
DEED REF: _4537 , 42 ___ _ BUYER: RU7H L. HAY
DATE: • 149/93 _____ ._ PLAN REF: -209/135 SCALE: 1"= 40._-_-FI'.-
I HEREBY CERTIFY TO RIICIHARD P. Af R3 _ JI-R q ,,":9,`
- ---------_—._-- THAT THE BUILDING . Ak{ OF'
A° �� ,�, YANKEE SURVEY
SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS 0'. . PAUL y". " CONSUL'I'ANTs
SHOWN AND THAT ITS POSITION DOES _ __ CONFORM A. ` ,i
TO VIE ZONING LAW SETBACK REQUIREMENTS OF THE 8 ttliEw H . '143 ROUTE 14-9
TOWN OF _ 1: RM.OUTH --------- _.-_AND THAT "° N°- 32098 �,
� i' c MARS TONS ONS MILLS, MA. 02�;A 0
IT DOES_._ ATYP __ LIE WITHIN THE SPECIAL FLOOD • HAZARD � <<'`q)Js i,;�s� ��4-',i. . . TEL: 428- 0055
AREA AS SHOWN ON THE H. U. D. MAP DATED_2�i/ �c _-- -?��r�e t0o ,. FAX: 420-5553
Co 4.nlanit -Panel ,2500.15 ��001 D .. -'
r ,-z.v. ��___ J_= THIS PLAN NOT MADE FROM AN INSTRUMENT
I . PAUL A. MEHITH . Y, PLS , SURVEY, NOT' TO BE USED FOR FENCES, ETC. I D��,�'ti�,
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Prepared by: Titis5:B 1
Matthew D.Vinson Reeds Ferry Sheds®
Civic Enginecer Fob: 0Reeds 1042eny
Multi-State Registered Engineered Roof Truss Dale: 1.0424 132?5:45
MA Registration No.47195 L)esign Specs& LoadsPage: I aft
NH Registration No. 12226 Notes: ADconne+con plates bbeFagk
20 gatgee:A ss othensisenoted
SPAN PfTCI1 (),II' OHL C*IR CANFL CANCR PLIS SPACING RGT/PLY
3-3-0 912 1 4-4-8 4-4-3 0-0-0 0-0-0 1 16 in 321.,s
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4-4-8 1-7-8 1-7-8 4-4-8 I 7` /?Q?_�
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All pluesshottutobeEgle20tmk%o>t�nz,enon& 3-3.0 t 1 Nu.47195
Loading(psi) General CSI Deflection LI (toe) Mowed pFRtS1R--'•o'
TOLL: 110 EtdgCbde: IBC2021! It: 0.63(4-1) VertTL: 0.1 in L1999 (3-3) L;180 is t-EKG
TCDL: 10 TPf 1-2014 BC: 0.23(3-1) 5kitLL: 0.1 in L/999 (3-3) L;240
DIlI_: 0 Rep Mbr: Yes \Lib: 0.00(1) HazTL- Diu
BCDL: 10 Lumber D.O.L.:125%
Reaction 91/944,?, 24
JT Bre combo awitth Rgdac1",idth Max Fart MaxCnavtip1 Max MATRSti MsxC&CUp58 Nla'rIke Max Bat t i.
4 1 3.t it 1.65 in bs BS bs 265 bs 265 bs 900 :„ ¢,t 0 E 4,
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defined input 110pv3•Roof(CiS1.=143 psi).Tema C.E-xpyarre(Ce=1.0),Rik Categaytt(I=1.00).Ihem OL
al(Ct=1.10),D =1,15. I
2)The less has been designed forte effects of sund bark in ac cordacme with AKE7-16 with thefollouioguser defined input 125 mph(Factored).Epos
C.Encbsed,Crabk,Risk CwtegorylLh 1.=15 ftNotEnd Zone Tnrs.Both aid webs considered DOL=1.60
3)This truss has been Oman:led fair effects of li'LL=20 psf
1
4)Unba1noedrvof e bads have not been consideed. „,Qllt'i 2Q24
5)Mivauun stooge attic L•adiug has pot been applied an accordance wit IBC 1607.1 OF NEW t� �'',;
6)In accordance wit IBC 1607.1,minimum BMA do not apply
'rR t,MATTHEW
Member Fomes Ttli ivaexe.Matbe-Ir.tine CS pm mill iroe•(am maxi ficeifelifitat 1ocum:aca m)Gtlybeetr•. than 30011r ae hmn in di.tk1. : rn F n.
It 41 0.631 -1,463Dis 13-5 0.631 -1.4631b I ( VINSeON -'
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Notes , .,-CEN*—i- •
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anyuntss member or platettitnrnrt Barr approval fiotn a Rofes,xspal Fatearter / if tint .
?)The filzicahxi tolerance for this roofouss is 10°o(Cq=090).
3)Brace bottom drrnd 1611 approved sheaflning orpttdins pet Boeing Stanunuy
4)Acreep 8ecta of 150 has been applied ter this suss sands
5)Unique beating condition;rerpm tpenalattention;helot&bngdesiguermustaccowtrforwitonlythebeatitgreactionbutforthe
titanium-al davit&the uplift.Rnrick mechanical coiatection(bs•oilier x)to resin forces shown.
6)AftlMpIs panted beatings exist
7)Lsted'mod uplift reactions based on M\II•RS&C&C loading
AI.LPERSONNFABRICAITh r,HAM Mi EREC'IDIGCRpb7ALIDEANY RUSS BASEDLPONTHISTRESS1 IGNERARINCiAREMIRIiY'I1DIOREFER
TneStuld t5.64?v.?TOALLCF1HEMIRLUIO S.LIMITA ICSArDQCAIIFICAEON5S€rT{RIHLNIFEFYEMEPLPROCLC SIESCIvrusISSL DtTHTEIIS Eagle 11kWBoduutDESICLRDAVAILABEFRLME1GLELP NRBQLESCT T NIVAIIDCi4D1IINEAGIEMETALC ICRSARELISED.
•
Reeds Ferry Small Buildings, Inc.
Reeds Ferry Sheds 3 Tracy Lane
Hudson, NH 03051
Phone: 603-883-1362
Page 1 of 3
Quote: CPQ-33481
Quote
Quote To: Customer Number:8868 Ship To:
Anthony Cataldo Anthony Cataldo
197 White Rock Road 197 White Rock Road
Yarmouth Port, MA 02675 Yarmouth Port, MA 02675
Quote Date: June 25, 2026
Expiration Date: July 9, 2026
Phone: (508) 237-2360 Sales Person: EXT-Chapin Sheds
Front Left Shed View Rear Right Shed View
Product Information
Style: Historic Colonial Size: 14'x 18'
Siding: Vinyl Clapboard Siding Color: Grey
Shingle Type: Architectural Shingle Color: Black
14' x 18' Vinyl Clapboard Historic Colonial Shed $15,319.00
Extras & Options:
Door Options:
Door Wall Side Description Hinge Swing Total Price
Door 1 Front 3'Single Door 6 Panel Right Out $ 0.00
Door 2 Right 6' Double Door 6 Panel Right Out $ 810.00
4' Long Pressure Treated Ramp for 6' Door $ 210.00
Door Credits:
Description Total Price
5' Double Door 6 Panel $ -710.00
Reeds Ferry Small Buildings,Inc.
Reeds Ferry Sheds 3 Tracy Lane
Hudson, NH 03051
Phone:603-883-1362
Page 2 of 3
Quote:CPQ-33481
Window Options:
Window Wall Side Description Total Price
Window 1 Front 18x27 Window $ 0.00
Small White Shutters $ 0.00
Window 2 Front 18x27 Window $ 0.00
Small White Shutters $ 0.00
Extra Options:
Description Quantity UOM Price Total Price
Standard Exterior-Grade Floor Plywood(No Upgrade) 252 SQFT $ 0.00 $ 0.00
16"On-Center Floor Joists 252 SOFT $ 0.00 $ 0.00
PVC Building Trim with Vinyl Corner Boards 252 SQFT $ 0.00 $ 0.00
Standard Louver Vent 1 PAIR $ 0.00 $ 0.00
Reeds Ferry Small Buildings, Inc.
Reeds Ferry Sheds 3 Tracy Lane
Hudson, NH 03051
Phone: 603-883-1362
Page 3 of 3
Quote: CPQ-33481
$ 15,629.00 Total
$ 15,629.00 Subtotal
$ 976.81 Sales Tax 6.25%
$ 16,605.81 Grand Total
$ 2,344.35 Deposit (6/25/26)
$ 14,261.46 Balance Due (Grand Total less Deposits)
Deposit of 25% required upon order placement, balance due upon install. If the customer requests a change to the
installation date, prices are subject to change based upon pricing at the time the request is made. If Reeds Ferry is not
able to build the shed on the day of installation, or has to stop building,tear down, or move a shed because: the site is
not prepared properly,there are overhead electrical wires within 16 feet that have not been sleeved or power turned
off, or a permit is required and either the customer has not obtained one or has not adhered to town setback rules with
respect to shed placement, then a restocking fee of at least$500 will be added to the order. See additional sales order
information for additional details.
Buyer Name:
Buyer Signature:
Date: