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Home My WebLink AboutB-09-818 #90 Building PermitsTOWN OF YARMOUTH Building Department BUILDING . _ _ _ _ _ (508) 398-2231 ext.261 PERMIT NO � _-B-09-818 PERMIT ,* ISSUE DATE 2/23/2009 _ ; PROPOSED USE APPLICANT rHorizon Parners, LLC JOB WEATHER CARD ------------------------- ------------ PERMIT TO Misc./permit tranfer' AT (LOCATION) 0121CAMP ST Unit 90 ZONING DISTRICT R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C90 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 LOT SIZE [� CONTRACT permit transfer - new construction: 2 baths, 3 bedrooms, 1 dining room, 1 living room as per plans dated REMARKS 05/16/08. Refer to permit # B-06-1406. AREA (SO FT) EST COST ($) $0.00 j PERMIT FEE ($) $35.00 OWNER JMHFA BUILDING DEPT BY ADDRESS 11 Beacon Street (Boston MA 102108 INSPECTION RECORD OR LICENSE L64982 Dunhill, Matthew 549 South Street Quincy MA 02169 6173760100 PHONE 16178541000 FIELD COPY Date Note Progress - Corrections and Remark Inspector TOWN OF YARMOUTH Building Department BUILDING - - - - - - - - - - , (508) 398-2231 ext.26 +� PERMIT NO �- 6-06-1 406 _, PERMIT ISSUE DATE ; _ 5/26/2006 _ ; PROPOSED USE 'Frank -- OB WEATHER CARD APPLICANT Capra ------------------------------ PERMIT TO New Construction ' AT (LOCATION) 100121CAMP ST Unit 90 ZONING DISTRICT R Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C90 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 LOT SIZE CONTRACTOR new construction: 2 baths, 3 bedrooms, 1 diningroom, 1 kitchen, 1 livingroom as per plans dated 05/16/06. REMARKS AREA (SQ FT) EST COST ($ $148,896.00 PERMIT FEE ($) $543.00 OWNER IVillages @ Camp Street, LLC BUILDING DEPT BY ADDRESS 11600 Falmouth Road # 25 Centerville MA 02632 INSPECTION RECORD LICENSE 1 012430 (Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 PHONE 15087789669 FIELD COPY Date Note Progress - Corrections and Remark Inspector GC3 7 � e , 0? A C �l Horizon Partners, LLC 549 south StreetF I L E C O P Quincy, MA 02169 Phone (617) 376-0100 � _Fax (617) 376-0101 09 To: Town of Yarmouth Building Department Subject: Completion of Units 82 & 90 Mill Pond Village Date: February 10, 2009 From: Alan Perrault, Owner's Representative Horizon Partners, LLC was hired as Owner's Representative/Manager in February of 2008 by the Massachusetts Housing Finance Agency (WWA) who became the Owner of the remaining real estate/assets at 121 Camp Street in Yarmouth when they foreclosed on samvlast Spring. Since that time, we've been helping MHFA stabilize the condo association by collecting delinquent association dues and getting miscellaneous, site related matters addressed. In this regard, MHFA wants to cap the 3 exposed foundations (we had. . obtained engineer's letter stating same could be done safely) and has hired a licensed contractor to complete the remaining items needed to obtain occupancy permits for Units 82 & 90. The licensed contractor who will be overseeing the remaining work on these two units is Matthew Dunhill of Swain Circle, Mashpee, MA. As Owner's Representative for this property, we authorize the Town of Yarmouth to issue the -requisite permits necessary to Mr. Dunhill and his licensed plumbing, gas aid. electric sub -contractors to perform the remaining work needed on these properties to meet occupancy permit status. Sincerely Alan D. Perrault of Y�R ONE & TWO FAMILY ONLY - BUILDING PERMIT o APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING s y To�%n of Yarmouth Building Department �'.MATTAC"«=E, Z' 1146 Route 28 • Yarmouth, MA 02664-4.392 Trl: (508) 398-2231 x261 • Fax: (508) 398-0836 Office Use Onl#ording Planning Board Information Assessors Department Information: Permit No. "Datn Type Map Lot Permit Fee $ orsement Date / Date New Deposit Rec'd. $ Daten No. 1.4 Property Dimensions: Net Due $ /er Lot Area (sf) Frontage (ft) Lot Coverage This Section for Office Use Only Building Permit Number: Date Issued: Signature: BuKA Ckiciai /DateZ I Certificate cupancy is is trot required 1 - Site Information Use Group: R-4 Type: 5-B rSe—ction perty Address: cep s v/VW-4 90 1.2 Zoning Information: --2 2-4 Zoning District Proposed Use 1.3 Building Setbacks (/t) Front Yardq541 Side Yards Rear Yard Required Proequired Provided Required Provided 1.4 Water Supply (M.O.L. cod Public Privatene: Zone Information: Comments: BFE: Section 2 - Property Ownership/Authorized Agent 2.1 Owner of Record: M•14'F.A Name t) 1 'o"Coli S-T 'aOS-M-AI 04A - Mailing Address tizt o g Signature Tele hone Ali 1000) Fax E ma' E/7 QSZf / , M �sHous��.��. c 2.2 Authorized Agent: (, A-TuE'LS &&c:_ Name_(print) S� S ov 5T Gt ✓rN� Mailin A dre s K} JD i Signature Tele one (01-7 -'T7 b/DD Fax J'7'iA-7 ten/ 11n 14 Section 3- Construction Services u u t t� 1 q U 3.1 Licensed Construction Supervisor: C Add j Fi ,6 C- , IJ BUILDING DEP U 7AdcressH5-ki& Mq0�j1 7010 9 ' Telephone Fax E-mail f� S3� 7S9 3)AI HL 4 AaL . C,0yy 3.2 - Registered Home Improvement Contractor Registration Number Address' % �"/A /„ I �� Expi at' to Telephone Fax E-mail g 9g� /ttl�u�r ,�oL, cv 1 of 2 OVER M Section 4 - Workers' Compensation Insurance Affidavit (M.G.t-. C. 152 5 z5u (01 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 5 - Description of Proposed Work (check all applicable)) New Construction ❑ No. of Bedrooms No. of Bathrooms Existing Bldg. ❑ Repair(s) ❑ Alterations ❑ Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify: Brief Description of Proposed Work:Z3 - a - Nit) Costs Section 6 - Estimated Construction Item Estimated Cost (Dollars) to be completed by permit applicant Check Below ❑ Conservation -Commission Filing (if applicable) ❑ Old Kings Highway &Historical Commission approval (if applicable) 1. Building 2. Electrical 3. Plumbing / Gas 4. Mechanical (HVAC) 5. Fire Protection 6.Total=(1 +2+3+4+5) 7. Total Square Ft. (new houses & additions) Section 7a - Owner Authorization - Owner's Agent or Contractor Applies To be Completed When for Building Permit I , as owner of the subject property to act on hereby authorize my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date Section 7b - Owner/Authorized Agent Declaration , as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print name Signature of Owner/Agent Date 9-15-99 2 of 2 \�Q i V ♦• L 14 V 1 1 1 1 1% lrl V V 1 11 O Iy r� Sys BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEAM PRINT: Job Location: J2 C" A-�I Q .�' 6)A)I :r I/W KID611 Number Street --T Village Owner of Property: 'A4. fit• Construction Supervisor. -1- ��%�I �'�' ��y �2 5-3 9cS'r/ Name License No. Phone No. Address: �[� J�G�/1.1 11�LLE AOP /4;)-,7&0 Licensed Designee: (If other than Supervisor) Name 2.15 Responsibility of each license holder: License No. 2.15.1 The license holder shall be fully and completely responsible for all work for which he is supervising. He shall be responsible for seeing that all work is done pursuant to the state building code and the drawings as approved by the building official. 2.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration, repair, removal or demolition involving the structural elements of building and structures only pursuant to the state building code and all other applicable laws of the commonwealth, even though he, the license holder, is not the permit holder but only a subcontractor or contractor to the permit holder. 2.15.3 The license holder shall immediately notify the building official in writing of the discovery of any violations which are covered by the building permit. 2.15.4 Any licensee who shall willfully violate subsections 2.15.1, 2.15.2 or 2.15.3 or any other section of these rules and regulations and any procedures, as amended, shall be subject to revocation or suspension of license by the board. 2.16 All building permit applications shall contain the name, signature and license number of the construction supervisor who is to supervise those persons engaged in construction, reconstruction, alteration, repair, removal of demolition as regulated by section 109.1.1 of the code and these rules and regulations. In the event that such licensee is no longer supervising said persons, the work shall immediately cease until a successor license holder is substituted on the records of the building department. 2.17 The license holder shall be responsible for requesting all required inspections. Failure to do so may be deemed a violation of the permit conditions. I have read and understand my responsibilities under the rules and regulations for licensing construction supervisors in accordance with section 109.1.1 of the state building code. I understand the construction inspection procedures and the specific inspection as called for by the building official. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.152 Yes -�j No If you have checked y_0, please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity Bond FJ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 152 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 Cwner (J Agent FJ Signanire: Building Official Approval: _ 0h�LA The Commonwealth of Massachusetts Department of Industrial Accidents Office of Invesdgations 'kvi 600 Washington Street Boston, MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Orgattization/Individual): _M4fj"/-6CW `L VA) Kt 4-L Address: % & 5441AII 61C19- City/State/Zip: 4(9 Phone #: 3z)i" S�3 I e1 e 1/ you an employer? Check the appropriat box a employer with 4. I am a general contractor and I loyees (full and/or part-time).* have hired the subcontractors I a sole proprietor or partner- listed on the attached sheet. shi and have no employees These subcontractors have king for me in any capacity. employees and have workers' o workers' comp. insurance comp. insurance.= required.] 5.0 We are a corporation and its 3. ❑ I am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MGL insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' comp. insurance reauired.l Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. Demolition 9. Building addition 10.❑ Electrical repairs or additions 1 l.❑ Plumbing repairs or additions 12.0 Roof repairs 13.❑ Other 'Any applicant that checks box #1 must also till out the section below showing their workers' competwtion policy information. iHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidsvit indicating such. Contractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the subcontractors have employees, they must provide their workers' comp. policy number. I arse an employer that Is providing workers' compensation ieesuranee 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 Invesditations of the DIA for insurance coverage verification. I do hereby certify under the pa/ins�aand penalties of perjury that the information provided above is true and correeL Date: Z 1 %al e Phone 4:cl use only. uo not write In this area, to be comp ted y city or town off CiaL 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 1146ROUTE28 SOUTHYARMOUTH MASSACHUSETTS026644451 Telephone (508) 398-2231, Ext. 261 — Fax (508) 398-2365 BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT BUILDING ELECTRICAL GAS PLUMBING SIGNS 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 121. C p St U/tIll 4 10 Work Address is to be disposed of at the following location: Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. It -61 Ma Signature of Applicant Permit No. Date __._. I on�uealdi �/ aaaaleuae!!d ! � '.,a.aa�uu,ciaa - .vcl,u� uurul U� ruUuc J:lll'l� Board of Buildin-, Reg ulations and Standards Board of Building Regulations and Standards Construction Supervisor License ' HOME IMPROVEMENT CONTRACTOR License: CS 64982 RegistrU006-1 125982 Restricted to: 00 4i'6/2010 Tr# 264908 TYi e; 100kidual MATTHEW M DUNHILL 16 SWAIN CIR i MATTHEW M. DUjVitLL MASHPEE, MA 02643 MATTHEW DUNHILL 16 SWAIN CIR` MASHPEE, MA 02649 ' I Administrator c"�' �!'- Expiration: 7/3/2010 Tr#: 28444 Temp Permit No.: Applicant Name: Applicant Phone: Building Location: TOWN OF YARMOUTH Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BUILDING PERMIT TRANSMITTAL T-09-205 Horizon Parners, LLC 6173760100 0121 CAMP ST Unit 90 Owner's Name: MHFA Owner's Addres 1 Beacon Street Boston MA 02108 Owner's Telephone: (617) 854-1000 REVIEWED BY: (OFFICE USE ONLY Recorded By: IC Permit Fee: $35.00 Deposit Rec: $35.00 Payment Type: Cash ChkNo.: 0 Net Owed: $0.00 Application Date: 2/19/2009 Issue Date: Expiration Date Comments: Map/Lot: 044.21.1.0 permit transfer - new construction: 2 baths, 3 bedrooms, 1 dinigromm, 1 livingroom as per plans dated 05/16/08. Refer to permit # B-06- 1406 1. WATER DEPARTMENT: DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT: DATE: N/A: 5. BUILDING DEPARTMENT: DATE: N/A: 6. FIRE DEPARTMENT: DATE: N/A: COMMENTS: RECEIPT OF COPY: PLEASE NOTE SIGNATURE OF APPLICANT: DATE: Date Printed: 2/19/2009 TOWN OF YARMOUTH Building Department BUILDING (508) 398-2231 ext261 PERMIT NO 13-09-818 ISSUE DATE ; _ 2/23/2009 _ PROPOSED USE -------- -- APPLICANT Horizon Pamers, LLC ----------------------------- PERMIT JOB WEATHER CARD PERMIT TO Misc./permit tranfer' AT (LOCATION) 10121CAMP ST Unit 90 ZONING DISTRICT R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 044.21.1.C90 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 LOT SIZE Lj permit transfer - new construction: 2 baths, 3 bedrooms, 1 dining room, 1 living room as per plans dated REMARKS 05/16/08. Refer to permit # B-06-1406. (P) AREA (SQ FT) EST COST ($) $0.00 PERMIT FEE ()5.00 OWNER jMHFA BUILDING DEPT BY ADDRESS 1 Beacon Street Boston MA 102108 Certificate Issue Datp dq .. c� CONTRACTOR LICENSE 1 64982 Dunhill, Matthew 549 South Street Quincy MA 02169 6173760100 PHONE 16178541000 - ("1z CERTIFICATE of OCCUPANCY Approval for Certificate of Occupancy and Compliance Inspector Date Permit Number Approved By Remarks BUILDING PLUMBING/GAS 'I 111111111111 Will 70M 11011111 ELECTRICAL ENGINEERING HEALTH FIRE WATER OLD KINGS HWYM To be filled in by each division indicated hereon upon completion of its final inspection.