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Home My WebLink AboutBuilding Permits BackfileMASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING fPrnttType /_ ON Mass. Date 6� 20,07 Permit# —07 %Z Bui Inn I %� "�iL ye ��'� �� Owner s Name 2 V fin/ r M o 0 Type of Occupancy e S Ne ° Page enovation ❑ Replacement G� Plans Submitted: Yes ❑ No 8— FIXTURES I �a a I I I I "My -ITS MINE ENNEENUMENNEENRE Mrs =04" no mmnmmmmmmmmmmm Emmmil loll mommmmummosom CnecK one: Installing Company Name Ruggry l S Tom_ g corporation Address 222 Mid —Tech Drive ❑ Partnership West Yarmn„th _ ❑ Firm/Co. Business Telephone 50e-775-1?03 Name of Licensed Plumber Frank W. Roderick 1762 C INSURANCE COVERAGE: I have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YesX No ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy K Other type of Indemnity ❑ Bond 0 OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have'the Insurance covers required by Chapter 142 of the Mass. General Laws, and that my signature on this permit applicat waives this requirement. Signature of Owner or Owner's Agent Check one: Owner ❑ Agent ❑ I hereby certify that all of the details and Information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under the permit Issued for this application will be in compliance wit h all per' tinent provisions of the Massachusetts State Plumbing od%) a. Chapter 142 of the General Laws. Title Signat re of Licensed Plumber City/Town Type of License: Master ❑ Journeyman ❑ APPROVED (OFFICE USE ONLY) License Number 7794 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING /((PP.rint or Type).,_,) ��7 `'UG y/ t jL%✓i 0 ✓' k 1 ,p ,Mass. Date '6 JY. 20 07 Permit # � / d ! O Building Location 7. (O L ✓e Al 49 Owner's Name Z ✓�'�C Owner Tel# ' Type of Occupancy New B" Renovation ❑ Replacement ❑ Plan Submitted: Yes ❑ No O/ FIXTURES Installing Company Name P—HST-/ Is Tn1G Check one: Certificate Address AA2 M(d—Tech do✓c Corporation 176,2C War yak-m MA 07b73 ❑ Partnership Business Telephone # 5-09-775-- /303 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter F1C NK W' godev/dC INSURANCE 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 dnecked yLs, 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: Owner ❑ Agent ❑ Signature of Owner or Owners Agent hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my lowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all erhnent provisions of the Massachusetts State Gas Code and Chapter 142 of the-GeneraI Laws By Type of License: �V • -Plumber Signature of Licensed Plumber or Gas Fitter Title • Gas fitter 779� Master License Number City/Town rneyman APPROVED (OFFICE USE ONLY) 410 c- 4.c5 CZJ n, P. P�t� V),M. -oft&W ��y FORM 1243 Mom" 0 O9 a s a a a a E D [ JU6 NLDING Rr: RANGES HEATER RANGES OVENS GRILLES HEATING BOILERS FURNACES .UNIT HEATERS WATER HEATERS DRYERS GAS GENERATORS LABORATORY COCKS CONVERSION SURNERS ROOF TOP UNITS VENTED ROOM HTRS. DIRECT VENT HTRS. POOL HEATERS — TESTS OTHER a^C, �MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING �1 (Y (Prl t or Type) /�,r� �y/ / w Mass. Date 20 Permit #1 v — /tom � Bull ing Loc?:0n / A 1" 2"i' aj Owner's Name Z up ri 9VL)T1 A-aVl^tvrtF TypeofOccupancy___ esrclenaAa�k Ne v agelRenovaton ❑ Replacement l— Plans Submitted: Yes ❑ No 0-- FIXTURES IP Installing Company Name R , G y - s Tnr _ Address 222 Mid —Tech Drive We.at Yarmouth Business Telephone 509=775-1303 Name or Llcensea murnDer uneok one: - L erimca?e }'kr; Corporation 1762 C ❑ Partnership ❑ Firm/Co. I have a current liability policy or its substanfial 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 K Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have'the insurance coven required by Chapter 142 of the Mass. General Laws, and that my signature on this permit applicat waives this requirement. Signature of Owner or Owner's Agent Check one: Owner Cl Agent ❑ I hereby certify that all of the details and Information 1 have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this epplication will be In compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. E ,/Signs?ure of L censer d Plumber Frown Type of License: Master e� Journeyman ❑ PROVED(OFFICEUSEONLY) License Number 77 d June 7, 2007 To whom it may concern: Dula P-�' 2007 EWLD,l,GL-- T This letter releases Oslen Plumbing and Heating from any work or permitting required for 172 Blue Rock Road, S. Yarmouth, MA. I hereby authorize Rusty's Plumbing to file for any and all permits needed for the completion of this job in order to obtain the necessary occupancy permits. If you have any questions, please contact me at the numbers provided below Sincerely, Martha H. Zurn Cell 508-326-4224 Home508-694-6060 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) 2 UU n 4 ,Mass.. Date /� Z mcj Permit # —d7— Building Location ,,,, ICPJCIL ?,L Owner's Name Z—ttt r� Owner Tel# �ILLC'N 4 aLULLCLTL Type of Occupancy New ❑ Renovation ❑ Replacement ❑ Plan Submitted: Yes ❑ No ❑ FIXTURES Installing Company Name P—HST-Y IS TNG Check one: Certificate Address 1Qa2 Mld -Tech alle- Corporation 171,Z C WE]r arm MA 02L7-3 ❑Partnership Business Telephone # SOk-77S— 1303 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter FgANK W. /COd&7K INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YesX No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy r 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 peril application waives this requirement. Check one: Owner ❑ Agent ❑ Signature of Owner or Owners Anent that all plumbing work and Installations performed under the Ions of the Massachusetts State Gas Code and Chapter 142 By Type of License: -Plumber Title • •G fitter Cityrrown 9FM aster rneyman APPROVED (OFFICE USE ONLY) ation are true and accurate to the best of my application will be in compliance with all Laws. License Number 779`f TOWN OF YARMOUTH �A mov-0 APPLICATION FOR PERMIT TO DO PLUMBING (OFFICE USE ONLY) By Fee: $ / c7 PERMIT NO. P— CV —1p 7 n.+o a L on ., G Building �j Owner's AT. Location l! Z Z✓e—�o.� �/ Name New❑ Renovation Plans Submitted Yes ❑ No ❑ Type of Occupancy Replacement ❑ Z p Y F > N N Y 2 Q O F 2 7 f7 N y gICU Q N= ~ LL 3 J Vl W N Q Q W N Y ¢ 1 Q a Q jc in W O M W O F Q >+ N O Q 3 J y Q ¢ J? Y p It G W 2 Q = 3 O 2= Y d O t- Q Q W LL Y W b/O 4,,f[ a F> H O y y 7¢~ Z O O U1 2 2 W f O U S >: Y J m 0 0 J 3 f LL O 7 0 Q 3 2 Colo rf m S M �AgBSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR -auv/H Zd iltcy( r!o,NJz9ezWL( (PRINT OR TYPE) Che One: Installing Company Name /+e�l� �/ rp. Address 3S"/ U\a ❑ Partnership— �'��'"�`�'7 ❑ Firm/Company Business Telephone 50 'C-'3 gS�SZ-4d Name of Licensed INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yes ❑ No ❑ If you have checked YES, please indicate the type of 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 �� 11 the Mass. General Laws, and that my signature on this permit application waives this requirement. Check on Owner ❑ Age ❑ �� Yt S_ ignafu{e ol_Oyvneror Owner'sent )Ny-;�(/I�'_L f('R'M_'n /J�✓L� l.J bt'�. �' I hereby certify that all of the details and information I have submitte Signature of Licensed (or entered) in above application are true and accurate to the best of Plumber my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all 3 3 S pertinent provisions of the Massachusetts State Plumbing Code and License Nu ber Chapter 142 of the General Laws. Ty%: Maste Journeyman C ��TS,�S II �W-r jf*A R1jau65T OF . yq TOWN x m P 0/i 0 ►g APPLICATION FOR PERMIT TO DO PLUMBING (OFFICE USE ONLY) Fee: $ /l�S• �� 1 2006 PERMIT NO. —O7 — a Building (%2 Q/ I r--�t Name Jr� AT. Location Je- ciL �j,� Name a-s Type of Occupancy New❑ Renovation Replacement El Plans Submitted Yes No a rr N l /! N U W= 3 Y Z N Z Y y W R O J 07 m¢ 2 m Q r N 3 N R W 2 W 9 O W 0 O 2= r ¢ Z= a J Z Q a 3= N a W r �+ o¢° N 0 Y r N x 2 O. N 2 2 0 O 0 LL C Q r a¢¢ (7 U) Q 7 Q =O LL Z= Y 0 Z Q Q w x Q r:1 Z d Q.= W r Q 3 N 2 Q O o o aC y �+ � Y O a m cc X U. W = r 0 SUB-BSMT. BASEMENT 1ST FLOOR 1 3 l l 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Installing Company Name n Address r Business Telephone / %} rh' e f /Lbi+e 0 g-l. I-ob Check One: Ai�hprp. ❑ Firm/Company Name of Licensed Plumber INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yes ❑ No ❑ If you have checked YES, please indicate the type of 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. Signature ofOwneror Owner's Agent I hereby certify that all of the details and Information I have submitted (or entered) In above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Check on Owner ❑ Agent Signature of Licensed Plumber License Num,bar Type: Master Journeyman 0 4 ONE & TWO FAMILY ONLY - BUILDING PERMIT �Z 0 APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH AONE 0 WELLING O — y Town of Yarmouth Building Department H S 1146 Route 28 • Yarmouth, MA 02664-4492 Tel: (508) 398-2231 x261 • Fax: (508) 398-0836 Office Use OnlyPlanningPlanning Board Information Assessors Department Information: Permit N�I-13 iD1 n pe Mao Lot Endo ement Date Permit Fee $ 7`J, ding Date New Deposit Rec'd. $ j Dates 1.4 Property Dimensions: PI n No. Net Due $ - or Lot Area(sf) Frontage(h) Lot Coverage This Section for Office Use Only Buildin Per t umber Date Issued: Certificate of Occupancy Signature: Building Official Date' is is not required Section 1 - Site Information I Use Group: R-4 Type: 5-B 1.1 Property Address: 1.2 Zoning Information: — �oJn.. yav vr.c�+ Zoning District Proposed Use 1.3 Building Setbacks Ift) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provli 1.4 Water Supply (M.G.L c. 40. S 54) 1.5 Flood Zone Information: Comment ^� It !; IJ Public Private Zone: BFE. C LL C' 2N7 Continn 9 - Prnnerty Ournerchin/Ai Rhnriveri Anent ' rry _ ,,,q D_PT Name (print) Mailing Address \, mA(LTHA t-i ZJRr11 t-1z &oe Signatur z�� 1 Telephone Fa X!) E-mail .,a—Y4A L . �„�_ (SOR) 49`1- (O&C, (print) Ser:tion 3 - Construction Services Mailing Address E-mail 3.1 Licensed Construction Supervisor: Number ev - Address Expiration Date Signature Telephone Fax E-mail 1 of 2 OVER Section 4 - Workers' Compensation Insurance Affidavit (M.G.L c. 152 S 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 5 - Description of Proposed Work (check all applicable) New Construction ❑ No. of Bedrooms No. of Bathrooms Existing Bldg. ❑ Repair(s) ❑ IAlterations ❑ I Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify Brief Description of Proposed Work: K,'FC 11 Cr .— th ,Q W �t ari vv�rr�i Section 6 - Estimated Construction Costs 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 ri(o00 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 hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date Section 7b - Owner/Authorized Agent Declaration I, , 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 cc//,, " r /I Z— 5�31(0-1 Signature f r/Agent Date 9-15-99 2 of 2 For Office Use Only Permit No. Date TOWN OF YARMOUTH AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142A requires that the 'reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition or construction of an addition to any pre-existing owner -occupied building containing at least one but not more than four dwelling units or structures which are adjacent to such residence or building' be done by registered contractors, with certain exceptions, along with other requirements. Type of Work: Est. Cost 7ddress of Work 1-1Z INoe Occv 20, 8 Owner Name: Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): _ Work excluded by law _ Job under $1,000 Building not owner occupied Owner pulling own permit Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. 1W Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: P 5131101 /`^a`i x Date [/Owner Name nN The Commonwealth ofMassaehusetts Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 UIV www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organintion/Individual): M Z (Joe (< gcO cl S_ lgrmo City/State/Zip: 5 la rvv oot n t M t4 Phone # Are you an employer? Check the appropriate boa: 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 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. These sub -contractors have ship and have no employees working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance? 5. ❑ We are a corporation and its } equired.] 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 required.] Type of project (required): 6. New construction 7. Remodeling emolition 9. ❑ Bu lding addition 10.❑ Electrical repairs or additions 11.0 Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other •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. tContractors that check this box most 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 insurancefor my employees. Below is the policy andlob 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 Oaiice of Investigations of the DIA for insurance coverage verification Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as " .every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self -insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that most submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)" A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 11-22-06 www.mass.gov/dia of VA4`N PLEASE PRINT DATE: JOB LOCATION: TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, NIA 02664 508-398-2231 ext. 260 NAME VNER" ZOP,`J NAME MAILING ADDRESS HOMEOWNER LICENSE EXEMPTION 1-1Z &,re(zoc�< (Load 'S ywvv uU_tl+ STREET ADDRESS SECTION OF TOWN Sob 694-C1000 508 ZcYi-Soyo HOME PHONE WORK PHONE 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 108.3.5.1) 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 108.3.5.1) 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 minimum inspection procedures and requirements and that he / A requirements. ,�QMEOWNER"S SIGNATURE APPROVAL OF BUILDING OFFICIAL Town of Yarmouth Building Department will comply with said procedures and INSURANCE 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 }_es, 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 ❑ hUme "rlimxemp TOWN OF YARMOUTH 1146ROUTE28 SOUTHYARMOUTH MASSACHUSETTS 026644451 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 l�Z (31�< (v'-`k 2."L S. V"V"604-L, 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. sw��SI3110-I Siiggnatu+reeoofApplicant Date Permit No. O,Z Of�`iC TOWN OF YARMOUTH HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: 1 "12- 95\ve R2 cic 2bgd S IQTw 0Z1rLMap No.. I O LLot No.. 9 7— Proposed Improvement: In 6to a' w eve Applicant: �Ia2 curl ° z�- zzy vnvv�y rt 1''�RJ-�'t.�.� �r.1 Tel.No:: SM Address: 1-1 z P4,je. lock 0-cd S '{avvh00`ti-t 'MA Date Filed: •'Ifyou would like e-mail notification of sign off, please provide e-mail address: 'M 2u RrJ C q re e v Co 5 Gov" Owner Name:'Tovnvvmu T Zuvv% r� 411 -uOY 3z4-tiz"zy Owner Address: V"?- &ive_ P�c� (mad. OwnerTel.No.. Sog Coy�1-(aOcoa RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. Please submit four (4) copies of plans, to include: (L) Site Plan showing existing buildings, water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building (all existing and proposed) — Note: Floor plans not required for decks, sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY (,CG{ I DATE. 'F —D PLEASE NOTE b, V a Do.c:1s065s344 05-31-2007 10207 BARNSTABLE LAND COURT REGISTRY TOWN OF YARMOUTH _ BOARD OF APPEALS YY ^ AJI H ZONING ADMINISTRATOR DECISION 1i< FILED WITH TOWN CLERK: PETITION NO: HEARING DATE: PETITIONER: PROPERTY: April 30, 2007 3 P 1 2 27 #4109 L. D April 26, 2007 Tommy R. and Martha H. Zorn 172 Blue Rock Road, South Yarmouth Map & Parcel: 101.159 Zoning District: R40 ZONING ADNUMSTRATOR: Joseph Sarnosky Notice of the hearing has been given by sending notice thereof to the Petitioner and all those owners of property as required by law, and to the public by posting notice of the hearing and publishing in The Register, the hearing opened and held on the date stated above. The applicant seeks a Special Permit from bylaw §407, in order to be allowed a family related accessory apartment addition to the side and rear of their single family home. The property is located in the R40 zone and contains 29,062.5 square feet of area. The addition will meet the bylaw requirements as to setbacks and lot coverage. The apartment will contain one bedroom, bathroom, kitchen, and living room, in approximately 576 square feet of area. There is adequate parking on site to accommodate the extra vehicle. The owners have filed Iq a with the Board an affidavit certifying that they are the owners in residence and that the apartment will be occupied by Mrs. Zum's father. No one spoke or wrote in opposition to the request. The Zoning Administrator found that the request for the family related accessory apartment meets all of the bylaw requirements, and that the owners are aware that the Special Permit lapses upon sale of the property or if the family member no longer occupies the apartment. The Special Permit is therefore granted. No permit shall issue until 30 days from the filing of this decision with the Town Clerk. Appeals from this decision shall be made pursuant to M.G.L. c. 40A §13 and must be filed within 30 days after the filing of this noticeldecision with the Town Clerk. David S. Reid, Clerk AFFIDAVIT OP --Fo+h m (Name of Petitioner) it File 14 d� 17 K 70V,n iA . Zuv hereby certify that Uwe are the owners in residence, and will occupy the main portion of the residence, at 1-17- Ilvc Rc>cK (ZOc,C A 5. UWE fwTber certify that the FAMILY RELATED APARTMENT at said address will be W,Wav� who is -"Z e r i r, law / (Relationship to petitions) COMMONWEALTH OF MASSACHUSETTS On this ss. Ia � \ `a. L � , j� On this me day of 7i 0 rzoo befnm me hvti n Month Year ` Name of Notary Pnblu The>mdasigoed NotM Public, Mma�y aDPeared . / —W ,,, 201-A) Name of Signer(s) Proved tQ me through satisfxtory evidence of identity. which was/wae ,es w , to be the person(s) whose name(s) was/wae signed on the preceding or attached doamient m my who swore or affirmed to me that the contents of this document is truMW and accurate to the best of their oa bcH . RHONDA LLAFRANCE "„r pups: _ �S' of Notary Public cwmwnwow of ws,.asrem �J�Name tary of No Place Nolmy, Seal and/or Any Stamp Above My Commission Expires i / 3120/1 H:1MyFiles\DoamentalAppllcationlAffidavitFamdyRelateddoc Appeal #4109 COMMONWEALTH OF MASSACHUSETTS TOWN OF YARMOUTH BOARD OF APPEALS Date: May 31, 2007 Certificate of Granting of a Special Permit (General laws Chapter 40A, section 11) The Board of Appeals Zoning Administrator of the Town of Yarmouth Massachusetts hereby certifies that a Special Permit has been granted to: Tommy R. & Martha H. Zorn 172 Blue Rock Road South Yarmouth, MA 02664 Affecting the rights of the owner with respect to land or buildings at: 172 Blue Rock Road, South Yarmouth. Map and Parcel: 101.159, Zoning District: R40, and the said Board of Appeals further certifies that the decision attached hereto is a true and correct copy of its decision granting said Special Permit, and that copies of said decision, and of all plans referred to in the decision, have been filed. The Board of Appeals also calls to the attention of the owner or applicant that General Laws, Chapter 40A, Section 11 (last paragraph) and Section 13, provides that no Special Permit, or any extension, modification or renewal thereof, shall take effect until a copy of the decision bearing the certification of the Town Clerk that twenty (20) days have elapsed after the decision has been filed in the office of the Town Clerk and no appeal has been filed or that, if such appeal has been filed, that it has been dismissed or denied, is recorded in the registry of deeds for the county and district in which the land is located and indexed in the grantor index under the name of the owner of record or is recorded and noted on the owner's certificate of title. The fee for such recording or registering shall be paid by the owner or applicant. David S. Reid, Chairman TOWN OF YARMOUTH TOWN CLERK CERTIFICATION OF TOWN CLERK I, Jane E. Ilibbert, Town Clerk, Town of Yarmouth, do hereby certify that 30 days have elapsed since the filing with me of the above Board of Appeals Zoning Administrator's decision #4109 and that no notice of appeal of said decision has been filed with me, or, if such appeal has been filed it has been dismissed or denied. g nNSTABLE REGISTRY OF DEEDS 0 BENCH MARK --TOP & CENTER OF WD. STAKE— 36.32 ASSIGNED (26' OFF HOUSE CORNER) I'll N /F MACNIECE BENCH MARK --MAC. NAIL SET IN PAVEMENT.- 43.61 ASSIGNED (21'-6' OFF HOUSE CORNER) Cysp i-�r ��L einf e' r;Y_ PA CEO ' �c:illJ�Si� 1 ,p- icp air 42,9 � all il.b N /F DOUGLASS DESIGN & CONS 1. DOWNSTAIRS BATH AND BAR PLUMBING WITH AN EJECTOR 2. UPSTAIRS PLUMBING TO BE F n� 3. REDUCE GRADES OVER LEACF EXTRA PEASTONE TO MAINTAI TOWN OF YARMOUTH Building Department (508) 398-2231 ext.261 PERMIT NO FB-07-1397 ISSUE DATE 6/5/2007_ _ ; PROPOSED USE APPLICANT _Martha Zum _ _ _ _ _ _ _ _ _ - - 1-7 AT (LOCATION) 10172BLUE ROCK RD ZO (f DIS SUBDIVISION MAP LOT BLOCK 101.159 BUILDING IS TO BE: LOT SIZE BUILDING __ _= PERMIT JOB WEATHER CARD PERMIT TO Alterations CT R-40 Bldg. Type: Residential CONSTTYPE 5-B USEGROUP R-4 finish kitchen area to create an in-law apartment as per BOA petition# 4109 and per plans dated REMARKS 06/04/07 AREA (SO FT) EST COST ($ $4,600.00 PERMIT FEE OWNER IMartha Zum /�WLDING DEPT BY ADDRESS 0172 BLUE ROCK RD / / 1 if CONTRACTOR LICENSE PHONE 15083264224 Certificate Issue Date i CERTIFICATE of OCCUPANCY Departntal Approval for Certificate of Occupancy and Compliance Inspector Date Permit Number Approved By Remarks I0 1f, 111= 011101011 11- To be filled in by each division indicated hereon upon completion of its final inspection. a ry TOWN OFYARMOUTH Building Department BUILDING - - - - - (608) 396-2231 a#.261 i ® PERMIT NOT F615/20097: ISSUE DATE r t PERMIT - 6/5/2007 ;PROPOSED -- --- APPLICANT Martha USE - ---------- - �OB Zom WEATHER CARD PERMITTO Alterations AT (LOCATION) 0172BLUE ROCK RD ZONING DISTRICTEE Bldg. Type: Residential .. SUBDIVISION MAP LOT BLOCK 101.159 BUILDING IS TO BE: CONSTTYPE 5-B USE GROUP R-4 LOT SIZE finish kitchen area to create an in-law apartment as per BOA pe6tionb 4109 and per plans dated REMARKS 06/04/07 AREA(SO FT) OWNER C ADDRESS FC EST COST ($ I$4,600.00 PERMIT FEE ($) BUILDING DEPT BY CONTRACTOR FENSE PHONE 6083264224 INSPECTION RECORD FIELD COPY G oc r� TOWN OF YARMOUTH Building Department BUILDING (508) 398-2231 ext.261 n PERMIT NO FB-07-237 ISSUE DATE PROPOSED USE ' PERMIT _ - - - - - 006 _ tltltl _ _ APPLICANT 'Charles Meyer - - - - .. ... .. ... ....... - - - - - - - - -- ...... JOB WEATHER CARD PERMIT TO Addition AT (LOCATION) ID0172BLUE ROCK RD ZONING DISTRICT R-40 Bldg. Type: ResWentlal SUBDIVISION MAP LOT BLOCK 1101.159 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 LOT SIZE construct addition for bedroom, bath & living area, renovate wasting interior as per plans dated 08104106. REMARKS AREA (SO Fr) EST COST ($ OWNER Thorns Zum ADDRESS 8 Richard Road SMM Yarmouth I 102W4 PERMIT FEE ($) BUILDING DE" BY INSPECTION RECORD PHONE CONTRACTOR LICENSE 009813 Meyer, Chores 27 Paoket Drive Dennis MA 02638 5083854421 FIELD COPY .:Note Progress - Corrections and Remark oF'r'tR,� ONE & TWO FAMILY ONLY -BUILDING PERMIT 71 APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOUSH A 0 R INIOF o _ y Town of Yarmouth Building Department 6 1146 Route 28 • Yarmouth, MA 02664-4492 �UL Tel: (508) 398-2231 x261 • Fax: (508) 3 836 rpT. Office Use Only (�� Planning Board Information Assessors Department Infor i nit, Permit No. ' �' ateD (,1 Ian Type /map / of`s Permit Fee $ Z�% I Endorsement Date Recording Date New s 9 Deposit ReC'd. $ZS Date _ Plan N . 1.4 Prb em Dimensibns: f�S a Net Due $ Z3.2 er Lot Ara (sl) Frontage (tt)., Lot Coverage 11 This Section for Office Use Only !///�Q 115 O� ,o 6 Certificate of Occupancy Signature: _'� :/ /�� O Building Official Daie is is not requiretl Section 1 - Site Information I Use Group: R-4 Type: 5-B I 1.1 Property Address: 1.2 Zoning Information: t1a 66- A(ki% FA S. ��fYHI) f4� Zoning District Prbposco Use 1.3 Building Setbacks fit) Front Yard Side Yards Required Provided Required Provided 1.4 Water Supply (M.G.L. c. 40. S 54) 1.5 Flood Zone information: Comr 1 Public Private Zone: BFE: �'(� Section 2 - Property Ownership/Authorizpt 2.1 ner of 1 Lp `r a1 Na int 1 5 2 i g d ress n i — a lG08 •�aa( 3.1 -- —_-- I iiL a IM El ED 1 9 2006 ` 'bZA JA License Number T �I fib« %.ture Expirati n Date Telephone J I i� 3.2 Registered Home Improvement Contractor' ComRany Name . Not Applicable ❑ SCA. Telephone 1 of Section 4 - Workers' Compensation Insurance Affidavit (M.G.L. c. 152 S 25C (5) 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 - Descriotion of Pr000sed Work (check all anolicanlat rooms New Construction ❑ 1 No. of Bedrooms FAddition Existing Bldg. � Repair(s) Alterations U-Accessory Bldg. ❑ Type Demol Other Specify, Brief D or ption f Proposed Wo k: Q r Section 6 - Item Estimated Cost (Dollars) to be completed by permit applicant 1. Building d Ctxo 2. Electrical ;iG C bp, - 3.Plumbing/ Gas 1s pVV 4. Mechanical (HVAC) is ogre, 5. Fire Protection S. Total = (1 + 2 + 3 + 4 + 5) 7 Total Square Ft. (new houses & adMons) Section 7a - Owner Authorization - To be Completed When Owner'sAcient or Contractor Applies for Building Permit hereby authorize my behalf, in all matters relative to work authori e (-I �„ _ Signature of Ow Section 7b rQwAer/Authorized Aaent Declaration 1, rinWr Check Below U Conservation -Commission Filing (if applicable) ❑ Old Kings Highway & Historical Commission approval (if appli ble) n�A as owner of the subject property to act on by this building permit application. -g5. ;2�&D i Date as Owner/Authorized Agent hereby declare that the statements dt#lnformation on the foregoing application are true and d accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. CGodilo) U-A241e u12 of Owner/Agent «�1 aa>U t Date 9- 15-99 2 of 2 TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: Job Location:_ Owner of Property: Construction Supervisor, Address: Licensed Designee: (If other than Supervisor) Name RC4, Street 2.15 Responsibility of each license holder: Village License No. 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 shallwillfullyviolate 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 I ility insurance policy or its substantial equivalent which meets the requirements of MGL Ch.152 YNo ❑ If you have checked M, please ia the Type coverage by checking the appropriate box. odic 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 152 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: or Owner's Agent Owner I] Agent %. Building Official Approval: For Office Use Only Permit No. Date TOWN OF YARMOUTH AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142A requires that the reconstruction, alteration, renovation, repair, modemiration, conversion, improvement, removal, demolition or construction of an addition to any pre-existing owner -occupied building containing at least one but not more than four dwelling units or structures which are adjacent to such residence or building' be done by registered contractors, with certain exceptions, along with other requirements.' Type of Work: wun 3 R2hc4JbtkM Est. Cost — bC AO. ' Address of Work 11.) 8�h Owner Name: ►/IMVi JUM Date of Permit Application: S I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under $1,000 Building not owner occupied Owner pulling own permit Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Signed under penalties of perjury' I hereby apply for aMy, s the agent of the owner: 410 o Lu, Al i III & atD' a Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property, Date Owner Name The Commonwealth ofMassaehusetts Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston, AM 02111 ' wwramass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers City/State/Zip: 1) +Mt li a Ah c:)US6 Phone #: Z�bg• 5XY 't'O( Are you an employer? Check the appropriate boa: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I 6. [a New construction loyees (full and/or part-time).* have hired the sub -contractors 2. am a sole proprietor or partner- listed on the attached sheet t emodeling ship and have no employees These sub -contractors have 8. ❑ Demolition working for me in any capacity workers' comp. insurance. 9 NaBuilding addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.[�lectrical repairs or additions required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL 11. Vlumbing repairs or additions myself. [No workers' comp. c. 152, § 1(4), and we have no 12. �oof repairs insurance required.] t employees. [No workers' 13 ❑Other comp. insurance required.] •Any applicant that checks box N 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 tConlrecaxs that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' conW. policy infortnation. l am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Policy # or Self -ins. Lic. #, Job Site Expiration Date: 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. ! do here y uis erlhe p ,ss annd penalties of perjury that the information providded above is true and correct Sip_na ""V1 UJ N/A�: Date: '{ I cif `ftL.f 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 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. + Pursuant to this statute, an employee is defined as " .every person in the service of another under any contract of hive, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or perinit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(1) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self -insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that most submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit The Office of Investigations would Ile to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-NMSSAFE Revised 5-26-05 Fax # 617-727-7749 www.mass.gov/dia ? A TOWN OF YARMOUTH Building Department s Tom Hall Yarmouth, MA 02664 (508) 398-2231 ex1.261 BBUILDING PERMIT TRANSMITTAL Temp Permit No.: T-07-047 Applicant Name: Charles Meyer Applicant Phone: 5083854421 Building Location: 00172 BLUE ROCK RD Owner's Name: Thomas Zum Owner's Addres 8 Richard Road South Yarmouth MA 02664 Owner's Telephone: (OFFICE USE ONLY Recorded By. Ic Permit Fee: $0.00 Deposit Rec: $25.00 Payment Type: Check ChkNo.: 18444 Net Owed: ($25.00) Application Date: 7/31/2006 Issue Date: Expiration Date Comments: Map/Lot: 101159 construct addition for bedroom, bath & living area, renovate existing interior ZONING 11.17 ROVED REVIEWED BY: 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: PLEASE NOTE COMMENTS: RECEIPT OF COPY* SIGNATURE OF APPLICANT: DATE: Date Printed: 8/1/2006 TOWN OF YARMOUTH 1146ROUTE28 SOUTHYARMOUTH MASSACHUSETTS02664-4451 Telephone (508) 398-2231, Ext. 261 — Fax (508) 398-2365 r><�i�w��eee��>lwa:�ta:ruwcr+ 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 at th d rbrpis sultin rom the proposed work/demolition to be conducted at �t �(& Work Address is to be disposed of at the following location: Uit"J - I Jrl>v+�1 Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. . W ., Signature of Permit No. bs e& Le Da e OyYgR To be comple; Building Site Proposed TOWN OF YARMOUTH HEALTH DEPARTMENT �18 PERMIT APPLICATION SIGN OFF TRANSMITTALS HEALTH DEPT. **Ifyou would like e-mail notification ofsign of please provide e-mail Owner Name: Owner No.. Lot No.. RESIDENTIAL AND/OR COMMERCIAL BUILDING No.;&nbs'45ftl )ate Filed: I LT a Tel. No.I's -2 2 HEALTH DEPARTMENT Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. Please submit four (4) copies of plans, to include: (I.) Site Plan showing existing buildings, water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building (all existing and proposed) — Note. Floor plans not required for decks, sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY PLEASE NOTE COMMENTS/CONDITIONS: � u4 w law w / uti+ e vocw� j}u�5e- ?p /Itc ,nka.' k &- J vo aw. S t Y TOWN OF YARMOUTH WATER DEPARTMENT y 99 Buck Island Road West Yarmouth, MA 02673 Telephone: (508) 771-7921 • Fax: (508) 771-7998 BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET � OQ Bldg. Site Location: (E ``� • _ Map #: Lot #: Proposed Address: Tel. `I Date Filed: 1� RESIDENTIAL AND / OR COMMERCIAL BUILDING Water Department: Determines Compliance of Water Availability and or Existing Location. Engineering Department: Determines Compliance for Parking and Drainage Conservation Commission Determines Compliance to Wetlands Acts; i.e. If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Ocean, Bogs, Bays, Marshland, Etc... Health Department Determines Compliance to Stat and town Regulations' i.e., Requirements for Septage Disposal and other Public Health Activities. Fire Department: Determines Compliance to State and Town Requirements for Personal Safetv. ProDertv Protection; i.e. Smoke Detectors, Sprinkler Systems, Etc... COMMENTS: OLJwJ�✓� 1-1141ZZ fi1,P2Y Fo✓t SS/tu/C£ LN4Ti"2 SL/ALL /1s <LfGdfh k- 1cds7- /o' To E.,7Wf2 Date: TOWN OF YARMOUTH 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664 Tel(508) 398-2231 — Fax (508) 398-0836 thar�0� 6.� Town ofYarmouth Conservation Commission Building Permit Sign -off Application Cons. Coi Property Construc Assessors Map andaPel-••IM'AP PARCEL GeneralContractor�� U. 110 Company Company Project Description :,[,r r1 k-N -By Lk;)." A Contractor Plan Submi Conservation Commission Filing Required: If Yes, Type of Filing: Notice of Intent CONSERVATION COMMISSION YES NO CoNPIIc�C Request For Determination Of Applicability �/ Conservation Commission Sign -of Signature: Date: % — 1 7 — d c NMI" Rx 1"Pe ATTIC FLOOR BEAM D "•� �(7 a�. OVER BEDROOM #1 TJ-BeemD s.Nl serial Number ]005111 MID User3 W15200510:4323AM 2 PCs Of 1 3/4" X 11 7/8" 1.9E Microllam® LVL P 1 E eVembn:6 019 ape n9in THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED RECEIVED AUG 1 74 Product Dlegram Is CorceptueL LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 12' Primary Load Group- Residential - Living Areas (psf): 30.0 Live at 100 %duration, 10.0 Dead SUPPORTS: Input Bearing Vertical Reactions (Ibs) Width Length Llve/Dead/Uplif rrotal 1 Stud wall 3.50" 2.31" 2520 / 920 / 0 / 3440 2 Stud wall 3.50" 2.31" 2520 / 9201013440 Detail Other Ai: Blocking 1 Ply 1 3/4" x l l 7/8" 1.9E Micmilam@ LVL Al: Blocking 1 Ply 1 3/4" x 11 718" 1.9E MicrollarrO LVL -See TJ SPECIFIER'S I BUILDERS GUIDE for detail(s): Al: Blocking DESIGN CONTROLS: Maximum Design Control Control Location Shear (Ibs) 3358 -2811 7897 Passed (36%) RL end Span 1 under Floor loading Moment (Ft-Lbs) 11475 11475 17948 Passed (64%) MID Span 1 under Floor loading Live Load Oat (in) 0.329 0.342 Passed (U498) MID Span 1 under Floor loading Total Load Deft (in) 0.449 0.683 Passed (U365) MID Span 1 under Floor loading -Deflection Criteria: STANDARD(LL:U480,TL:U240). -Bracing(Lu): All compression edges (top and bottom) must be braced at 9' 2" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANTI The analysis presented is output from software developed by Tms Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLYI PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code UBC analyzing the TJ Distribution product listed above. -Note: See TJ SPECIFIER'S I BUILDER'S GUIDES for multiple ply connection. SANDY MEYER ZURN JOB 8 RICHARD RD YARMOUTH MA Cop ighe o 2005 by 'hue doiec, a Meyerhaeueen eualneee Microlisse is a iegi.1.1ed Li demaik Ot S dOlet. OPERATOR INFORMATION: Bill Rubel Mid -Cape Home Centers PO Box 1418 465 RTE 134 South Dennis, MA 02660 Phone 508-398-6071 Fax 508-398-4559 bmbel@midcape.net ATTIC FLOOR BEAM D •� �i� aeiene OVER BEDROOM #1 T6.20 Sepal Number i005111359 use,:. 2 : W&'15200fit0:p33M1 2 Pcs of 1 3/4" x 11 7/8" 7.9E Microllam® LVL �age2 Engine Version: 6.20.16 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group: Primary Load Group 13 Max. Vertical Reaction Total libel 3440 Max. Vertical Reaction Live fibs) 2520 Required Bearing Length in 2.31(W) Max. unbraced Length (in) 8 00' 110 3440 2520 2.31(W) Loading on all spans, LDF = 0 90 , 1.0 Dead Shear at Support (lbs) 752 -752 Max Shear at Support (lbs) 898 -898 Member Reaction (lbs) 898 898 Support Reaction (lbs) 920 920 Moment (Ft-Lbs) 3070 Loading on all span., LDF = 1 00 1 0 Dead + 1 0 Floor Shear at Support (lbs) 2811 -2811 Max Shear at Support (lbs) 3358 -3358 Member Reaction (lbs) 3358 3358 Support Reaction (lbs) 3440 3440 Moment (Ft-Lbs) 11475 Live Deflection (in) 0.329 Total Deflection (in) 0 449 SANDY MEYER ZURN JOB 8 RICHARD RD YARMOUTH MA Copyright O 2005 b ltue Joist, a Weyerhaeuser Buainece MS<ro13art6 ie a regiet—d trademark of 'frua dofe[. OPERATOR INFORMATION: Bill Rubel Mid -Cape Home Centers PO Box 1418 465 RTE 134 South Dennis, MA 02660 Phone 508-398-6071 Fax 508-398,4559 bmbel@midcape.net RIDGE BEAM E • � �° 6n:m OVER KITCHEN/LIVING AREA UJ- 2m®e2oserlaa8.13AMoos11t35e 2 PCs of 1 3/4" x 14" 1.9E Microllam® LVL ue«:z ansrzooe m:aea3nm Peg61 Engi�Vemi n:6.20.16 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slope: III Rod SlopeSA2 AN d-onenslons are horizordaL Product Diagram Is Conceptual LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 6' 6" Primary Load Group - Snow (psf): 30.0 Live at 115 % duration, 20.0 Dead SUPPORTS: Input Bearing Vertical Reactions (Ibs) Width Length Live/Dead/Upliftrrotal 1 Stud wall 3.50" 2.60" 212911734 / 013863 2 Stud wall 3.50" 2.60" 2129 / 1734I0 / 3863 Detail Other Lt: Blocking 1 Ply 1 3/4' x 14" 1.9E Microllam LVL 1-1: Blocking 1 Ply 1 3/4" x 14" 1.9E Microllam LVL -See TJ SPECIFIERS / BUILDERS GUIDE for detail(s): L1: Blocking DESIGN CONTROLS: Maximum Design Control Control Location Shear (Ibs) 3804 -3347 10707 Passed (31%) Rt. end Span 1 under Snow loading Moment (Ft-Lbs) 20447 20447 27897 Passed (73%) MID Span 1 under Snow loading Live Load Deft (in) 0.644 1.075 Passed (L1400) MID Span 1 under Snow loading Total Load Deft (in) 1.169 1.433 Passed (L/221) MID Span 1 under Snow loading -Deflection Criteria: STANDARD(LL:L/240,TL:L/180). -Bracing(Lu): All compression edges (top and bottom) must be braced at T 3" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -Design assumes adequate continuous lateral support of the compression edge. ADDITIONAL NOTES: -IMPORTANTI The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLYI PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code UBC analyzing the TJ Distribution product listed above. -Note: See TJ SPECIFIER'S I BUILDER'S GUIDES for multiple ply connection. PROJECT INFORMATION: SANDY MEYER ZURN JOB 8 RICHARD RD YARMOUTH MA CQp ight O 2005 b 14ve doleq a Weyer :er Business Mcrollm Is a registered [mde rk of S dolet. OPERATOR INFORMATION: Bill Rubel Mid -Cape Home Centers PO Box 1418 465 RTE 134 South Dennis, MA 02660 Phone 508-398-6071 Fax 508-398-4559 bmbel@midcape.net RIDGE BEAM E •� `�*�°J OVER KITCHEN/LIVING AREA Ti62 W15nM i10Number ]0051 H 359 uaenz ensnoo61o:4s:14nM 2 Pcs of 1 3/4" x 14" 1.9E MicrollamO LVL . Pap ENine Verabn: 620.16 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group: Primary Load Group 21. 6.00' ^ Max. Vertical Reaction Total (lbs) 3863 3863 Max. Vertical Reaction Live (lbs) 2129 2129 Required Bearing Length in 2 60(W) 2.60(W) Max. Unbraced Length (in) 87 Loading on all spans, LDF = 0 90 , 1 0 Dead Shear at Support (lbs) 1503 -1503 Max Shear at Support (lbs) 1708 -1708 Member Reaction (lbs) 1708 1708 Support Reaction (lbs) 1734 1734 Moment (Ft-Lbs) 9180 Loading on all spans, LDF = 1 15 1.0 Dead t 1 0 Floor s 1 0 Snow Shear at Support (lbs) 3347 -3347 Max Shear at Support (lbs) 3804 -3804 Member Reaction (lbs) 3804 3804 Support Reaction (lbs) 3863 3863 Moment (Ft-Lbs) 20447 Live Deflection (in) 0 644 Total Deflection (in) 1.169 SANDY MEYER ZURN JOB 8 RICHARD RD YARMOUTH MA Copyright O 2005 by m . Jolct, a M,—heeuaer ..ineaa micr.11. ie a r aieterad trademark of Trua Jofet. OPERATOR INFORMATION: Bill Rubel Mid -Cape Home Centers PO Box 1418 465 RTE 134 South Dennis, MA 02660 Phone 508-398-6071 Fax 508-398-4559 bmbel@midn pe.nel r t MAIN FLOOR BE A • �y�aoQ. OVER B M #3 TJ-eeamA 8.20 Serial Numher: ]OOSH 1359 Usen2 6I14(L 841:39" 3 1/2" x 9 1/2" 2.0E ParallamO PSL -Pagel Engine Vsrean:6.20,16 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Product Dieprem is ConeeptuaL LOADS: Analysis is for a Drop Beam Member. Tributary Load Width: 1Z Primary Load Group - Residential - Living Areas (psf): 30.0 Live at 100 %duration, 10.0 Dead SUPPORTS: Input Bearing Vertical Reactions (Ibs) Width Length Live/Dead/Uplift/Total 1 Stud wall 3.50' 2.12' 2310 / 83710 / 3147 2 Stud wall 3.50' 2.12' 2310 / 837 / 013147 Detail Other Li: Blocking 1 Ply 1 1/4' x 9 1/2' 1.3E TimberStrand® LSL L1: Blocking 1 Ply 1 1/4' x 912' 1.3E TimberStrand® LSL -See TJ SPECIFIER'S / BUILDERS GUIDE for detail(s): Lt: Blocking DESIGN CONTROLS: Maximum Design Control Control Location Shear (Ibs) 3065 -2615 6428 Passed (41%) RL end Span 1 under Floor loading Moment (Ft-Lbs) 9578 9578 13057 Passed (73%) MID Span 1 under Floor loading Live Load Deg (in) 0.420 0.417 Passed (1J357) MID Span 1 under Floor loading Total Load Deg (in) 0.572 0.625 Passed (L/262) MID Span 1 under Floor loading -Deflection Criteria: STANDARD(LL:L/360,TL:L240). -Bmcing(Lu): All compression edges (top and bottom) must be braced at 1Z 10' o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANTI The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code UBC analyzing the TJ Distribution product listed above. PROJECT INFORMATION: SANDY MEYER ZURN JOB 8 RICHARD RD UTH MA YARMO-�) Copyright a 2005 b T s Jai.1, m Meye:naeuser Business Paralla is a iegistered trademark of Trus Joist. Bill Rubel Mid -Cape Home Centers PO Box 1418 465 RTE 134 South Dennis, MA 02660 Phone 508-398-6071 Fax 508-3984559 bmbel@midmp,e.nel MAIN FLOOR BEAM A •� �� yem OVER BEDROOM #3 TJ-BsemA 6.20 Serial NuiMer. ]005111359 Usar:2 &14nM&41:39M 31/2" x 9 1/2" 2.0E Parallam® PSL •Pege2 Eogine Vasker 6.20.16 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group: Primary Load Group ^ 12' 6 00' ^ Max. vertical Reaction Total (lbs) 3147 3147 Max. Vertical Reaction Live (lbs) 2310 2310 Required Hearing Length in 2 12(W) 2 12(W) Max. unbraced Length (in) 154 Loading on all spans, LDF = 0.90 , 1.0 Dead Shear at Support (lbs) 695 -695 Max Shear at Support (lbs) 815 -815 Member Reaction (lbs) 815 815 Support Reaction (lbs) 837 837 Moment (Ft-Lbs) 2546 Loading on all spans, LDF = 1.00 Shear at Support (lbs) Max Shear at Support (lbs) Member Reaction (lbs) Support Reaction (lbs) Moment (Ft-Lbs) Live Deflection (in) Total Deflection (in) PROJECT INFORMATION: SANDY MEYER ZURN JOB 8 RICHARD RD YARMOUTH MA 1 0 Dead + 1.0 Floor 2615 -2615 3065 -3065 3065 3065 3147 3147 9578 0 420 0 572 copyright O 2005 b True .Joist, a Weyerhaeuser Business Paralla•S is a registered trademark of True Joist. Bill Rubel Mid -Cape Home Centers PO Box 1418 465 RTE 134 South Dennis, MA 02660 Phone 508-39MO71 Fax 508-398-4559 bmbel@midcape.net FLOOR BEAM B 4-�N'Z�359 UNDER KITCHEN/DINETTE AREA ~2 8I14a0 S:50:48" 3 1/2" x 11 7/8" 2.0E Parallam@ PSL, Wolmanized@ - SL 2 (16% < MC •PeQe3 EngineVersun:826.16 <28%) THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED „1p: primary Load Group r 11' 8.00• ax. Vertical Reaction Total (lbs) 3750 3750 J' Max. Vertical Reaction Live (lbs) 2040 2040 Required Hearing Length in 5.28(W) 5.28(W) Max. Dnbraced Length (in) 144 Loading on all spans, LDF = 0 90 , 1.0 Dead Shear at Support (lbs) 1345 -1345 Max Shear at Support (lbs) 1663 -1663 Member Reaction (lbs) 1663 1663 Support Reaction (lbs) 1710 1710 Moment (Ft-Lbs) 4850 Loading on all spans, LDF = 1.00 , 1 0 Dead * 1 0 Floor Shear at Support (lbs) 2949 -2949 Max Shear at Support (lbs) 3646 -3646 Member Reaction (lbs) 3646 3646 Support Reaction (lbs) 3750 3750 Moment (Ft -Lb.) 10634 Live Deflection (in) 0.224 Total Deflection (in) 0 552 PROJECT INFORMATION_ SANDY MEYER ZURN JOB 8 RICHARD RD YARMOUTH MA copyright a 2005 M ] s Joist, a Xeyerbaeuear Business Paralla is a registered trademark of True Joist. Bill Rubel Mid -Cape Home Centers PO Box 1418 465 RTE 134 South Dennis, MA 02660 Phone 508-398-6071 Fax 508-398-4559 bmbel@midcape.net ROOFBEAM C AT BEDROOM #2 4L��!@�359 Uaer:2 e11420 901:15AM 3 1/2" x 9 1/2" 2.0E ParallamO PSL V ' 62016 . Pape 1 Engine see on. . THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slope: 0/12 Roof Slope0M2 RIM ,a a trc AN dimensions are horizordel. Product Diagram is ConceptuaL LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 1T Primary Load Group - Snow (psf): 30.0 Live at 115 % duration, 20.0 Dead SUPPORTS: Input Bearing Vertical Reactions (Ibs) Width Length LIve/Dead/Uplif motel 1 Stud wall 3.50" 2.86" 2405 / 185710 / 4262 2 Stud wall 3.50" 2.86" 2405 / 1857I 014262 Detail Other Li: Blocking 1 Ply 1 l/4' x 9 l/2a 1.3E TimberStrand@ LSL L1: Blocking 1 Ply 1 1/4' x 91Y2' 1.3E TimberStrand® LSL -See TJ SPECIFIER'S I BUILDERS GUIDE for detail(s): L1: Blocking Maximum Design Control Control Location Shear (Ibs) 4146 -3513 7393 Passed (48%) Rt end Span 1 under Snow loading Moment (Ft-Lbs) 12439 12439 15016 Passed (83%) MID Span 1 under Snow loading Live Load Defl (in) 0.388 0.600 Passed (1-/371) MID Span 1 under Snow loading Total Load Defl (in) 0.688 0.800 Passed (1-1209) MID Span 1 under Snow loading -Deflection Criteria: STANDARD(LL:L/240,TL:L1180). -Bracing(Lu): All compression edges (top and bottom) must be braced at 12' 4a o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -Design assumes adequate continuous lateral support of the compression edge. ADDITIONAL NOTES: -IMPORTANTI The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLYI PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code UBC analyzing the TJ Distribution product listed above. PROJECT INFORMATION_ SANDY MEYER ZURN JOB 8 RICHARD RD YARMOUTH MA Cop ioht 0 2005 W Tv detet, a Nate=Laeusee Business r--hens is a reaiaetea t:aaemerk or True Solet. OPERATOR INFORMATION: Bill Rubel Mid -Cape Home Centers PO Box 1418 465 RTE 134 South Dennis, MA 02660 Phone 508-398-6071 Fax 508-398-4559 bmbel@midcape.net ROOF BEAM C •� 'A AT BEDROOM #2 TJ-eea,nb 6.20 Serial Number. 2005111359 user 2 8I1420 901:15AM 31/2" x 9 1/2" 2.0E Parallam® PSL Pe¢e 2 Engine Vemion: 6.20.16 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group: Primary Load Group 12' 0 00e ^ Max. Vertical Reaction Total (lbs) 4262 4262 Max. Vertical Reaction Live (lbs) 2405 2405 Required Bearing Length in 2.86(W) 2.86(W) Max. Unbraced Length (in) 148 Loading on all spans, LDF = 0 90 , 1.0 Dead Shear at Support libel 1530 -1530 Max Shear at Support (lbs) 1806 -1806 Member Reaction libel 1806 1806 Support Reaction libel 1857 1857 Moment (Ft-Lbs) 5419 Loading on all spans, LDF = 1 15 1.0 Dead + 1.0 Floor + 1 0 Snow Shear at Support (lbs) 3513 -3513 Max Shear at Support libel 4146 -4146 Member Reaction (lbs) 4146 4146 Support Reaction (lbs) 4262 4262 Moment (Ft-Lbs) 12439 Live Deflection (in) 0.388 Total Deflection (in) 0 688 PROJECT INFORMATION: SANDY MEYER ZURN JOB 8 RICHARD RD YARMOUTH MA Copyright O 2005 by Trus .Joist, a Weyerhaeuser Business Pora11a is s repia[ered trademark of '[1vs Joist. Bill Rubel Mid -Cape Home Centers PO Box 1418 465 RTE 134 South Dennis, MA 02660 Phone 508-398-6071 Fax 508-3984559 bwbel@midcape.net BENCH MARK --TOP & CENTER OF WD. STAKE— 36.32 ASSIGNED I: (26' OFF HOUSE CORNER) N /F 2,11 MACNIECE \ .a- JSJ \ \ BENCH MARK --MAC. NAIL SET IN PAVEMENT= 43.61 ASSIGNED (21'-6' OFF HOUSE CORNER)' �` l \ 5 PA `x W w 1/EC , z LOT' 92 a ,- 0, '292 O \ 101 OOfS.F. N p 2� i" V � OyF11 MA10i IL1E G,30 10 r / elz ti� RES / „ I N/F DOUGLASS �y p��RowmD DESIGN & CONS O �pi JUL 1 9 2006 1. DOWNSTAIRS BATH AND BAR PLUMBING WITH AN EJECTOR HEALTH DEPT. 2 UPSTAIRS PLUMBING TO BE F O3. REDUCE GRADES OVER LEACF WORK MU CONFORM TOWN EXTRA PEASTONE TO MAINTAI BYLAWS *DAT .. WITuweTF 11FPT TLIIP ni AAI 0 TH 1 —T- - E 40.4 REV. 11 /3, 1 N /F DOUGLASS DESIGN & CONSTRUCTION NOTES t 1. DOWNSTAIRS BATH AND BAR SINK TO BE TIED INT( PLUMBING WITH AN EJECTOR PUMP. e 2. UPSTAIRS PLUMBING TO BE PLUMBED OUT FRONT 3. REDUCE GRADES OVER LEACH AREA AS SHOWN, 0 EXTRA PEASTONE TO MAINTAIN 3• MAXIMUM COVEF TEST HOLE LOCATION, NUMBER WATER LINE MARKINGS UNDERGROUND TELEPHONE MARKINGS OVERHEAD ELECTRIC LINES GAS LINE MARKINGS EXISTING & PROPOSED ELEVATIONS ('X• MARKS POINT) EXISTING CONTOUR PROPOSED CONTOUR U11UTY POLE (IF SHOWN) EXISTING DRAINAGE CATCH BASIN FENCE (IF SHOWN, NOT ALL SHOWN) TREE (IF SHOWN, NOT ALL SHOWN) —LEACHING MOVED THIS PLAN IS A VALID COPY c AN ORIGINAL RED STAMP AND H AL AGENT APPROVAL BENCH MARK --TOP & CENTER OF WD. STAKE= 36.32 ASSIGNED (26' OFF HOUSE CORNER) N /F MACNIECE BENCH MARK--MAG. NAIL SET IN PAVEMENT= 43.61 ASSIGNED (21'-6- OFF HOUSE CORNER) J^,il LD 9292 4 ,M 200±S. F. �� wNYIfE 40 pPE ..a a \ 3, 39.2 1 -lop, P" WORK M BYLAWS GJ0 n rr-rp \7j2n JUL 1 9 2006 LL TOWN 7i /_6 DATE N /F DOUGLASS DESIGN & CONS 1 DOWNSTAIRS BATH AND BAR PLUMBING WITH AN EJECTOR 2. UPSTAIRS PLUMBING TO BE F 3. REDUCE GRADES OVER LEACF EXTRA PEASTONE TO MAINTAI rule n. •�. LEGEND TH 1 TEST HOLE LOCATION, NUMBER ' WATER LINE MARKINGS - T - UNDERGROUND TELEPHONE MARKINGS E OVERHEAD ELECTRIC LINES , GAS LINE MARKINGS 40.4 EXISTING & PROPOSED ELEVATIONS ('X• MARKS POINT) EXISTING CONTOUR .__g-- PROPOSED CONTOUR 0 UTILITY POLE (IF SHOWN) EXISTING DRAINAGE CATCH BASIN FENCE (IF SHOWN, NOT ALL SHOWN) TREE (IF SHOWN, NOT ALL SHOWN) REV. 11/3/04--LEACHING MOVED RE N /F DOUGLASS DESIGN & CONSTRUCTION NOTES 1 DOWNSTAIRS BATH AND BAR SINK TO BE TIED INT( PLUMBING WITH AN EJECTOR PUMP. 2. UPSTAIRS PLUMBING TO BE PLUMBED OUT FRONT 3. REDUCE GRADES OVER LEACH AREA AS SHOWN, 0 EXTRA PEASTONE TO MAINTAIN 3' MAXIMUM COVEF THIS PLAN IS A VALID COPY I AN ORIGINAL RED STAMP AND aL aLk H AL AGENT APPROVAL 30 N /F MACNIECE BENCH MARK--MAG. NAIL SET IN PAVEMENT= 43.61 ASSIGNED (21'-6' OFF HOUSE CORNER) BENCH MARK --TOP & CENTER OF WD. STAKE= 36.32 ASSIGNED (26' OFF HOUSE CORNER) \ \ lo 41 \ �F /\ v, ^x \ 1 eSi �:Ri ri�'i 7' L9r 92 / 29,200±S.F. / oyv\we uwc , gee ,•• 90 , N/F OOl� DOUGLASS S A JUL 1 9 2006 DESIGN & CONS O\ kd 1. DOWNSTAIRS BATH AND BAR HEALTH DEPT. PLUMBING WITH AN EJECTOR �O2. UPSTAIRS PLUMBING TO BE F WORK M T CONFO TO ALL TOWN 3. REDUCE GRADES OVER LEACF BYLAWS RE EXTRA PEASTONE TO MAINTAI 7j VARMDIITH WATPR DEPT DATE rwc M. .�. 57 LEGEND TH 1 TEST HOLE LOCATION, NUMBER ' WATER LINE MARKINGS - T - UNDERGROUND TELEPHONE MARKINGS - E OVERHEAD ELECTRIC LINES GAS LINE MARKINGS 40.4 EXISTING & PROPOSED ELEVATIONS ('X' MARKS POINT) EXISTING CONTOUR _gam- PROPOSED CONTOUR 0 UTILITY POLE (IF SHOWN) EXISTING DRAINAGE CATCH BASIN FENCE (IF SHOWN, NOT ALL SHOWN) TREE (IF SHOWN, NOT ALL SHOWN) REV. 11 /3/04--LEACHING MOVED N /F DOUGLASS 0 DESIGN & CONSTRUCTION NOTES 1. DOWNSTAIRS BATH AND BAR SINK TO BE TIED INT( PLUMBING WITH AN EJECTOR PUMP. 2. UPSTAIRS PLUMBING TO BE PLUMBED OUT FRONT 3. REDUCE GRADES OVER LEACH AREA AS SHOWN, 0 EXTRA PEASTONE TO MAINTAIN 3' MAXIMUM COVEF THIS PLAN IS A VALID COPY 1 AN ORIGINAL RED STAMP AND H ALT AGENT APPROVAL fZMi(4 f `yy Lin fiL r �L�'Ci�1h 91�p6 Lzv,� C L( Apr Zc.lY/h Rah RA k" B rb I NAME - STREET i j VILLAGE SERVICE NO. O &I ✓ - METER NO. 77r t it 0 V U C � „ i v« 1 1 MAScheck COMPLIANCE REPORT I I Aassachusetts Energy Code I Permit 8 MAScheck Software Version 2 01 I I I Checked by/Date I I CITY: Dennis STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE 7-17-2006 DATE OF PLANS June 2006 TITLE: Mr./Mrs Thomas Zurn PROJECT INFORMATION Zurn/Harrison 172 Blue Rock Road South Yarmouth, MA COMPANY INFORMATION Sandscape Building Co., LLC 27 Packet Dr Dennis, MA COMPLIANCE PASSES Required UA = 139 Your Home = 128 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 657 30 0 0 0 23 WALLS Wood Frame, 16" O.C. 518 13 0 0 0 43 GLAZING: Windows or Doors 99 0 330 33 FLOORS: Over Unconditioned Space 657 20.0 0 0 30 HVAC EQUIPMENT: Furnace, 85 0 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code The heating load for this building, and the cooling load if appropriate, has been determine ing the applicable Standard Design Conditions found in the Code The HV C equipment se ected to heat or cool the building shall be no grea er an 2� of t design load as specified in Sections 780CMR 13 4 9 Builder/Design r Date b � T m C) m 0 o s G m I 0 MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 01 Mr./Mrs Thomas Zurn ` DATE: 7-17-2006 Bldg I Dept.1 Use I CEILINGS: [ 1 I 1 R-30 Comments/Location I I WALLS: [ 1 I 1 Wood Frame, 16" O.C., R-13 Comments/Location I WINDOWS AND GLASS DOORS: [ 1 l U-value 0 33 I For windows without labeled U-values, describe features # Panes_ Frame Type Thermal Break? [ ] Yes [ ] No Coments/Location I FLOORS: [ ] 1 1 Over Unconditioned Space, R-20 Comments/Location I I HVAC EQUIPMENT: [ ] I 1 Furnace, 85 0 AFUE or higher Make and Model Number I AIR LEAKAGE: [ 1 I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements 1 Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. 1 2 Type IC rated, in accordance with Standard ASTM E 283, with no more than 2 0 cfm (0.999 L/s) air movement from the the I conditioned space to the ceiling cavity The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. VAPOR RETARDER: Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values, glazing U-values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION Ducts shall be insulated per Table J4.4.7 1. DUCT CONSTRUCTION All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems TEMPERATURE CONTROLS: Thermostats are required for each separate HVAC System. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4 SWIMMING POOLS All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources Pool pumps require a time clock. HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): HEATING SYSTEMS Low pressure/temp Low temperature Steam condensate COOLING SYSTEMS Chilled water or refrigerant PIPE SIZES (in.) TEMP (F) 2" RUNOUTS 0-1" 1 25-2" 2 5-4" 201-250 1.0 1.5 1 5 2.0 120-200 0 5 1 0 1 0 1.5 any 1 0 1.0 1 5 2 0 40-55 0.5 0 5 0.75 1 0 below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS Insulate circulating hot water pipes to the following levels (in.): PIPE SIZES (in.) NON -CIRCULATING I CIRCULATING MAINS a RUNOUTS HEATED WATER TEMP (F) RUNOUTS 0-1" 1 0-1.25" 1 5-2 0" 2 0+" 170-180 0 5 I 1.0 1.5 2 0 1 140-160 0 5 I 0 5 1 0 1.5 1 100-130 0.5 I 0 5 0 5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- TOWN OF YARMOUTH MELDING DEPARTMENT PLAN PJn9M R WELDING PERAGT ApmcATION REVIEW NOTES CAGC� �R �exrr►)T CosT ADDRESS: Map / Lot: Date of Initial Rtsvmw: orf1 Eg j far._.._ _.._„ zoomg Denial gappac"). ,-uo, q5, Z-y-ab _Sectioa 104.32, Pori ChaoM Exkodm Q Allerrooa (peads ft nooaonformiog) The purposed n>q. a Special pQmit Bmu the Tmioa Bond of Appesla Bml&q Cade DoW (ifWpUcabk) RECEIVED E G 2 S BUILDING DEPT. LOT 92 29, 062.5 t S.F. F A NN v 901 t 0 P�ZH OF,yRSs'' ROBIN 9ns WILLIAM N W LC N0.31341 TO THE BEST OF MY INFORMATION, KNOWLEDGE, AND BELIEF THE FOUNDATION SHOWN ON THIS PLAN HAS BEEN LOCATED ON THE GROUND AS INDICJA�TE��i�� 08/25/O6 DATE PROFESSIONAL LAND C.• I S6 I pROJ 11 EXIS77NG FOUNDA77DN ADD/AOYV "AS -BUILT" PLOT PLAN SOUTH YARMOUTH, MASS. LOT 92, LC. PL 32679 DATE 08125/O6 SCALE 10 = 40' JOB 6427-00 CLIENT SANDSCAPE SWEETSER ENGINEERING 235 GREAT WESTERN ROAD PO BOX 713 SOUTH DENNIS. MA 02880 dwg 1 6927-cpp.,0" 0 2006 SASLMS" "MrATZRING OF yq� �3®g TOWN OF YARMOUTH i P iard 1 s 05 ,u P BUILDING D[PT By APPLICATION FOR PERMIT TO DO PLUMBING (OFFICE USE ONLY) By A d Fee: $ zj- c / f PERMIT NO. OS- 7 S Building � r� ,7 �IP LI1 �C> AT. Location 2-17(JS QaC [>tc Date 10-D� Owner's Name S 1 1',, T TypeofOccupancy Wci rvclNew❑ Renovation � Replacement ❑ edIansSubmitted Yes❑ No❑ f N �P z N a ot 0 NCF > ra A. /.�� W Li- `r W y J to Q V Q N 7 Q G G Q a Q 3 X U z 2 m D: N W } F N z O u, 6 C O lit W O O W < N Q W N ¢`o z C H> f O N US 7 y f z 0 0 C¢ < f a5 3 Y J O] rn 0 0 J 3 2 N LL C7 7 ME¢¢ 0 Q 3 O rc m O - SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Check One: Installing Company Name :57 n . S to* T I v A,. ', v N k kg ❑ Corp. Address Ll S 6t,;cL j L kLf_ Plk ❑ Partnership A^h 62Ely'' 4aarm'/Company Business 41ephone 7 -1 94 -Yr3 L, -B'6 1 I Name of Licensed Plumber • ti o u INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yes ❑ No ❑ If you have checked YES, please indicate the type of 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 voerage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature otOwnerorOwner'sAgent I hereby certify that all of the details and Information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be In compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Check on Owner ❑ Agent ❑ wmw Signature of Licensed Plumber ayya3 License Number J Type: Master❑ Journeyman UI-111 .� J Owner or �( Owner'sAddres N Is this permit in �x Purpose of Bui1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, (MEC), 527 CMR 12.00 si RECEIVED �T_OWN F.YAd RM TH � (OFFICE USE ONLY) By Fee: $ 1L-gla PERMIT NO. [ ' " Q �� V.ORR INFORMATION) Date:ation the undersigned gives notice of his or her intention to perform the electrical �1 LUF I`D. .S { F112Torn N Telephone No. con unc n with.a building ermit? ❑ Yes J �Q t g P ❑ eek�tpptop to Bo15 3 !(S ling r tT/Vr S I V E-AYit A t— ti ttv Authorization N J Existing Service 1 0 O Amps rW 6 Volts kNew Service 200 Amps Z O Volts V Number of Feeders and Ampacity 0 Tit1 19 j Location and Nature of Proposed electrical Work:_ Overhead�dgrd ❑ No. of Meters I, �Vt No. of Total No. of Recessed Fixtures No. of il.-Sus . Paddle Fans Transformers KVA No. of Lighting Outlets No.. of Hot Tubs Generators KVA ove n- No. of Emergency Lighting No. of Lighting Fixtures SwimmingPool mcL ❑ good. ❑ Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones ♦( o. O tecuon an No, of Switches No. of Gas Burners Initiatin Devices 0 Total No. of Ranges No. of Air Cond. Tons No. of Alerting Devices Heat mpp um er ons No. of Self -Contained No. of Waste Disposers Totals: 5 —1 — — — Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection ❑ Other No. of Dryers Heating Appliances KW Security Systems: rY PP uur of Devices or Equipvalent No. of Water No. of No. of Data Wiring: Heaters KW Signs Ballasts No. of Devices or Equivalent No. H dromassa a Bathtubs No. of Motors Total HP Telecommunications Wiring: y g No. mDevices s uivalen[ Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may be issued unless the licensee provides roof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in e, and has exhibited proof of same to the permit issuing office. .I CHECK ONE: INSURANCE Q' BOND❑ OTHER❑ (Specify:) I — -07 (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) �l Work to Start:-7 1 b — Inspections to be requested in accordance with ME ule 10, and upon completion. �I certify, under the pain and penaltiegf perjury, at the informati on this applicatio is true and complete. FIRM NAME: LIC. NO. 1 -7 A 01 1 `Licensee: o A W \4OKF Signature LIC. NO. r (If applicable, enter "exempt" in the license number lin Bus. Tel. No.. r.l Address:�9 CI /J CiSWFfi it CL �- �JJ 0 Es It. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability incur a coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) owner owner's agent.0 Owner/Agent -? 37 V O Z Signature Telephone No. [Rev. 04100] Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may be issued unless the licensee provides roof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in e, and has exhibited proof of same to the permit issuing office. .I CHECK ONE: INSURANCE Q' BOND❑ OTHER❑ (Specify:) I — -07 (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) �l Work to Start:-7 1 b — Inspections to be requested in accordance with ME ule 10, and upon completion. �I certify, under the pain and penaltiegf perjury, at the informati on this applicatio is true and complete. FIRM NAME: LIC. NO. 1 -7 A 01 1 `Licensee: o A W \4OKF Signature LIC. NO. r (If applicable, enter "exempt" in the license number lin Bus. Tel. No.. r.l Address:�9 CI /J CiSWFfi it CL �- �JJ 0 Es It. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability incur a coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) owner owner's agent.0 Owner/Agent -? 37 V O Z Signature Telephone No. [Rev. 04100] A -4 q L�I b6 gj&tt /ejrakiU i b Vtnrs AUM t lorts��06 3 �1�' -7. (?,C3 l� WPS - Permit Page 1 of 1 rt 0j,, fllSTAR WPS - Permit Work Order Information Utility Auth/WO #: 01531152 Date: 07/13/2006 Company EILEEN CAREW Rep: Report By: YAR 172 BLUE ROCK RD ZURN MARTHA H Status: ACTIVE Service: RELOC Type: RES Nature of Work: RELO OH TO UG FROM POLE 449/11, UPG 100- 200 AMP ADDNIG 2 ELEC RANGES, NO A/C, OUOTED FEE 250.00, PENDING INSP Service Information: There is no Service Information. Permit Information Permit #: E07-039 Meters: 1 Reseal (YIN): Y Date: 08/09/2006 Inspector: W10060 Description: Search' ''Detail Contacts NSTAR Home WPS Logon WPS Help ® Comments WO Request WPS News �u IT 40 Copyright 2003 NSTAR, 800 Boylston Street, Boston MA USA. All rights reserved. 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Unauthorized modification o1 any information stored at this site may result in criminal prosecution. http://www.nstaronline.com/apps/wps/wpspermit.cfm?Page=Permit&Unique= f ts_'2006-08-... 8/9/2006 ECEl11ED a, N 0 1 2007 RE -INSPECTIONS MDNGDLPr By' ,IT RE -INSPECTION - $30.00 f.. 2ND RE -INSPECTION - $40.0 3 OR MORE - $50.00 moo' c DUPLICATE - $25.00 WEATHER CARD DATE: to 1 l G 7 ADDRESS: /%Z /W� :/f ISSUED TO: REASON FOR � RE -INSPECTION: q nlaTC t BUILDING DEPT.: ELECTRICAL: - 07 o- Qz FIRE DEPARTMENT: GAS: OCCUPANCY PERMIT: PLUMBING PERMIT• OTHER: OFFICE MEETING NOTES ADDRESS: -_ Z 7-,,- Names of Attendees: Zoning District: JGL_<1L Flood Zone: C Meeting Topic: DATE: ;5 , , I I I 1 10 L25 CK4'-0" FWG6068R 5'-11 Tk" 244CW6050 L--_-_I 5-11" x 4'-11%" d I OT I I i o I fC O --i xl in W{tils — — — — T --, - — —ex at no KI C EN DINETTQp REVIEWEDF N YARMOUTFj N�AN�ZONWG CODE CO I 1 i Q Valley S OR OMMI 0 VE THE �p ICANT OMPLIANC OM THE RE Too I I Q) Q t / n4 /}� + CENTER LINE pr'iE: �.r/ o a + I I l r nb SUPPORTING RIDGEl 23 - I SIZED BY OTHERS INS FFIc a a I - ----1i �.- _-..- NEW FLOOR TO MATCA LASTING FLOOR HEIGHT I B30D , I art # � ---- --- 1 3' 0" Post 2'-8" C H L BACK ENTRY AT \\ + x CLOSET '- �----- - - - - -- I X4 Support Post \ I = N BEDROOM q� \ R move Existing IWa '�x1 I " LIN i`_S1/n T1/2 aralfam a TUB I CLO SIZED BY OTHERS m Raise Existin floor -- - - - - - - - - to Match EntFY Wosfi x LaRamow II 'r , BATH uni aistina Walls 1 I n Roo - - Set x T NE i O 7'-10?„ T W i Dr r ' --- ----- -- ' AN?51 ' i1NL51 N Garage Storage --- - 2'-2' 2 —9 2'-2 STEP a , 2'—O sTEP E I I 8"x8" block I as fire stop under new wood wall I I + CD M 0 s n 0 Yarmouth Health Departnicut APPROVED -7>s7/ 41v.e� Qate