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Home My WebLink AboutBuilding PermitsPERMIT 303 5/5/98 5/5/98 LOT D1 Pescatello 328 Weir Road Yarmouthport, MA 02675 Replace existing deck (same) $3,800.00 SHEET 105 M� " J �rnmotuuaaUh o/ Mas ac4uJilts ,OOfii/cialUse Only c-�(� Permit No. el 4 � 1-7 Y,3 c� o 5 .1 parbwd '. JarvlcaJ Occupancy and Fee Checked T_ BOARD OF FIRE PREVENTION REGULATIONS [Rev.1107] eaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work td be performed in accordanco with the Massachusetts Electdcal Code WC), 27 C vM 12.00 IN (PLEASEPRIIVTINKOR BALLINFORMA 011� Date: In) �Iy City or Town of: To the Inspector of Wires: By this application the undersigned gives riolice of his or her int6htion to perform the electrical work described below. Location (Street & Owner or Tenant Owner's Address _ Telephone No. Is this permit la conjunction wilk a buildin ge it? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building t� (1T I G Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters _ New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: i'mm�/aline nflhn Ninwt"o tnhle may ha waived hV the Insaector of Hires. No. of Recessed Luminaires No. of Ceil.-Sus addle Fans P (Paddle) °' ° Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimmin Pool Above g d. ❑ nd. ❑ o. o cy g g of Receptacle Outlets No. of Oil Burners ALARMS No. of Zones No. of Switches No. of Gas Burners rBatteryUnitsNo. Detec on anitiatin Devices No. of Ranges No. of Air Cond. Tons Alerting Devices No. of Waste Dis osers P Heat Pump Totals: um er ons Self -Contained Detection/Alertin Devices No. of Dishwashers S ace/Area Heating KW P g Local ❑ Municipal ectio ❑ Othar, Connection No. of Dryers Heating Appliances I{W Sec Systems:* Devlcmes or Equivalent o. of Water ICW o. o o. of Data Wiring: Heaters Si s Ballasts No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications of Devices otr E uivalent OTHER: IAttach additional detail ifdesiied or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. " INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CiMCK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) � I certify, under the pains and penalties ofperjury, that the informwian on this application Is true and complete. FIRM NAME: I- F. i A I d uJ U b r1 8 i, . o. LIC. NO.: ,3,1 V I C. Licensee: Ait hard de-h/io� S afore Q(i LIC.NO.: I a9 afapplicable, enter `exe�at" 1 e license number 11 ie.) Bus. Tel. No.: SU q •19' j - 77 i B Address: ,� 8=1C trn ircl� S00 `/arnnv0ib NA da/n(oy AIL Tel. No.: *Per M.O.L. c.147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage- normally required by law. By my signature below, I hereby waive this requirement. I tun the- (check ono ❑ owner ❑ owner's ent. Owner/Agent Signature TelephoneNo. PERMPPFEE. $ W, o . 06 9o3 The Commonwealth of Massachusetts . ✓ Department'of lndustrial Accidents Offlce oflnvesdgations I Congress Street, Suite 100 Boston, MA 02114-2017 %%winass gov%dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lealbly Name(Businessrorgani:adon/Individual): E.F. WINSLOW. PLUMBING &HEATING CO.,INC. Address: 8 REARDON CIRCLE ' buu I n TAKMQUT-H, MA 02664 Phone #' 508-394-7778 Are you an employer? Check the appropriate box: 1. ® I am a employer with 66 � 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. ship and have no employees These sub -contractors have working for me in any capacity, employees and have workers' [No workers' comp. insurance comp. insurance.t - required,] 5. ❑ We are a corporation and its 3. ❑ I arri a homeowner doing all work officers have exercised their myself [No workers' comp. insurance required.] t right of exemption per MGL c.• 152, $1(4), and we have no employees. [No workers'. comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition . 9. ❑ Building addition 10.0 Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.0 Roof repairs 13.❑ Other �Jy wv+mmt m-, cnccar vox NJ mun auo Iur out me semon Ceiow showing their workers' compensation policy Information. t Homeowners who submit this affidavit indicating they am doing all work and then hire outside contractors must submit a new affidavit indicating such. tContraeton that check this box must attached an additional shad showing the name of the sub -contractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their; workers' comp. policy number. I am an employer that Is providing workers' compensation insurance for my emp/gyets. Below isthe policy and Job site information. Insurance Company Name: ARROW MUTUAL INSURANCE COMPANY Policy # or Self -ins. Lie. M 1764A Expiration Date: 01/01/2015 Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I I do hereby certify Phone #: - 508-394-777 that the information provided above is true and correct Offleial use only. Do not write In this area, to be completed by city or town officlal. City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person* Phone #: TOWN OF YAMIOUTH ,� • r ti , I DATE nr �9C�,, �f^^ I�, PERMIT NO..$-_{—_w5 APPLICANT John Haenpaa ADDRESS 35 CaHt, Studley Road,' n s ons Mi11n 82648 r (NO.) (STREET) : '6 ONTR'S LICENSE) #02824 PERMIT TO .alterIIti0n8-J ", NUMBER OF I_1 STORY r DWELLING UNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ) /o-/,1_0jFlELD ¢j9!H BUILDING PERMIT � AT (LOCATION) 328 Weir Road, YP 02675 1 DIISTIRIGCT R 40 INO.) (STREETI - BETWEEN AND (CROSS STREETI (CROSS STREETI SUBDIVISION LZ-W i BUILDING IS TO BE TO TYPE FT. WIDE BY USE GROUP LOT LOT DI BLOCKMaP 1.05—SZE 4-2 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION BASEMENT WALLS OR FOUNDATION (TYPE) REMARKSCnnyprt pwinting 161 r 7W frppntnndinb. garnbpintn zip rttidin fnr nwni-rla pprnnnnl use. replace/install doors 6 windows, finish interior. Note: Shall not be used for commercial or business purposes. 110.00 AREA OR VOLUME ESTIMATEDCOST $ 17,500.00 FEEMIT $ 4&reo (CUBIC/SQUARE FEET) OWNER Marie Pescatello /n/ ADDRESS328 Weir Road, YP 02675 BBYILDING DEPT. J I' • INSPECTION RECORD - \ DATE NOTECPROGRESS • CORRECTIONS AND REMARKS INSPECTOR \n�I 4 oF.ygR'rr "ATT^C", ! ONE & TWO FAMILY ONLY - BUILDING PERMIT APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING - Town of Yarmouth Building Department 1146 Route 28 • Yarmouth, NIA 02664-4492 Tel: (508) 398-2231 x261 • Fax: (508) 398-2365 ffico Use Only Permit No. _- -:L[p Date/S Permit Fee $ // D Q /� `z Deposit Rec d. $ /]5 Date Net Due $ d % D Planning Board Information Ian Type Endorsement Date Recording Date Plan No. Other Assessors Department Information: Map ,-01 nfra� Lot u Old Now 1.4 Property Dimensions: L/ `4 e Lot Area (si) Frontage (ft) This Section for Office Use Only Building Permit Number: Date Issued: 9 T Signature: I,, ing Official Date Certificate of Occupancy 2 Is is not requ Section 1 - Site Information I Use Group: R-4 Type: 5-B 1.1 Property Address: lL) e� t(L RL7 '1.2 Zoning Information: �wq P,q O /aV�r ,0� Zoning District Proposed Use 1.3 Building Setbacks (ft) 1 Front Yard Side Yards Rear Yard Re uired Provided J Required Provided Required Provided `t4 D Y-S- 2 7Sr 1.4 Water Supply (M.G.L. c. 40. S 54) Public Private 1.5 Flood Zone Information: Comments: Zone: BFE: Section 2 - Property Ownership/Authorized Agent 2.1 Owner of Re MAa_,r—_ Nam (riot) Mailing Address G (� r- p Signature Telephone 2.2 Authoriz gen . I 7 t D Na (ri I�6 Mailing Address 1 t� nature Section 3 - Construction Services OCT2 3.1 Licensed Construction Supervisor: /7n a n Not Applicable ❑ < V 1 1P C � Q [It License Number Ad ss d� G d a E Expiration Date Si dKire Telephone 3.2 Registered Home Improvement Contractor: Company Name �( e 20 m (N Not Applicable ❑ - icense Nu bar cg Addr s p [r 1 [t p yyr� /' 7 0/ 1' Si na re Telephone Expiration Date —/ 9-}�-99 1of2 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 .j�y-:.. No .......... Section 5 - Description of Proposed Work (check all applicable) New Construction ❑ I No. of Bedrooms No, of Bathrooms Existing Bldg. �O• I Repair(s) ❑, I Alterations Addition ❑ Accessory Bldg. 3-4 Type m Demolition Other Specify: Brief Description of Proposed Work: l v. AN2 CJI� Sots► L Yl tiL � w.. h t t yr G� tr✓ „ Costs Section 6 - Estimated Construction Item Estimated Cost (Dollars) to be Check Below completed by permit applicant Conservation -Commission Fling (if applicable) 1. Building 00 2. Electrical '— 3. Plumbing / Gas 4. Mechanical (HVAC) } Old Kings Highway & Historical / _ Commission approval (if applicable) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) --- 7. Total Square Ft. (newhomes&add'Aions) Section 7a - Owner Authorization - To be Completed When Owner't Agent or Co ctor Applies for Building Permit I, r e-4 , as owner of the subject property +� hereby authorize "1Z I j�—� - - ��^ X to act on tto work authorized by this building permit application. my behalf, in all matters relative to i1w lture 4.7' of Owner T Ddle Section 7b - Owner/Authorized Agent Declaration 1, IV azz 6; 7eSC4,-1 e,1 o , 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. C&1:1� P62 l�csc,�b ,/tea�rl Print NRJI -- Signature of Owner/Agent Da 1 I V 9-15-99 2of 2 �Ot'YAk,,r TOWN OF YARMOUTH 3 c ' BUILDING DEPARTMENT BUILDING PERMIT APPLICATION SIGN OFF Applicant: ry'1AQ-t' IVSCA+v LUO Building Permit No.: �/ n .( Address: ag l�AAf �� Y—► O2V Tel. No.: D` ate Filed: I ^ 01— DJ Bldg. Site Location:3aR' wcl� RD P/Map No.: a- to Lot No.: � The following information outlines the procedural steps required to obtain a permit to build, alter, or add to a structure within the Town of Yarmouth. The Building Department will determine compliance to the following: (A) Zoning Requirements (B) Historical Districts (C) Flood Zones. The Building Department will be responsible for assisting the applicant through the following departments: RESIDENTIAL AND/OR COMMERCIAL BUILDING WATER DEPARTMENT: Determines Compliance of Water Availability. (applicant to obtain) ENGINEERING DEPARTMENT: Determines Compliance for Parking and Drainage. CONSERVATION COAfIMSION: Determines Compliance to Wetlands Acts; i.e., If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc. HEALTH DEPARTMENT: Determines Compliance to State 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 Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Etc. ---------------------------------------- The following Departments must sign off, in the respective order, prior to building inspector issuing the required building permit: REVIEWED BY: 1. WATER DEPARTMENT: `CYO DATE: N/A: 2. ENGINEERING DEPARTD MT. DATE: N/A: 3. CONSERVATION: DATE: — 0 N/A: 4. HEALTH DEPARTMEN DATE: O N/A: 5. WIRING INSPECTOR: DATE: N/A: 6. PLUMBING INSPECTOR: DATE: N/A: 7. FIRE DEPARTMENT: DATE: N/A: PLEASE NOTE All stumps and/or brush must be disposed of at an approved site. COMIIIENTS: ' (j e - I i US x-- t S -e1jD irl CA_ CJ s-e Cl-- S CGl 8/99 Applicant Signaturesly�� Date TOWN OF YARM O U BUILDING DEPARTMENT TH '"'111111" CONSTRUCTION SUPERVISOR FORM PLEASE PRIM. Job Location: Number Owner of Property: Construction Supervisor: Address: Licensed Designee: (If other than Supervisor) LO P- �Slreet 12 �\ ke �t vl � VM At" Name 2.15 Responsibility of each license holder: License lv g License No. Phone 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 willfullyviolate 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 No If you have checked M, please indicate the type coverage by checking the appropriate box. A liability insurance policy X, Other type of indemnity ❑ Bond OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the insurance coverage required by Cha ter 152 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: S ature of Own or Own is Agent - Owner Agent Signature• 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, 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: / J4t(2,4t tJ-v0 Est. Cost Address of Work C, o v0 Date of Permit Application: / O - / — O 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: M1 -1 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: La-o [,o i Lhrl MAPiA pA A- )19 /to9�3 Date CZontractorNarnel Registration No. Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: Date Owner Name The Commonwealth of Massachusetts Department of Industrial Accidents Omce olloresdpstliss 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit rii) phone N 0 / O 1 am a homeowner performing all Work myself. x I am a sole proprietor and ha%e no one working in any capacity C] I am an employer pro\ iding workers' compensation for my employees Working on this job. ❑ I am a sole proprietor. general contractor. or homeowner (circle one) and have hired the contractors listed below who ha\e the followinz worker_' :ompensation polices: company names city phone N nsurince co policy N Failure to secure coverage as required uoder Section 25A of MGL 152 CAN lead to the imposition of crimiaw peasldes of a fine up to SIAW.00 and/or one years' Imprisonment as well as civil penalties io the form of a STOP WORK ORDER and a not of 5100.00 a day against me. I aaderstand that a copy of this statcmcat may be forwarded to the Once of Investigations of the DIA for coverage vtrifiadoa. I do hereby ce/.y�.JJ�.1(Indeerr thee pains and penalties ojperjury that the information provided above is true and correct Sieenah�r'� `� ,!/� v�l 1 _ - Dom' 10 `O 1 ` O f Print official use only do not w rite in this area to be completed by city or town official VOLT-IMIZE . city or town: YARMOUTH _ permit/license N nBuilding Department C31-1censing Board p H check if Immediate response is required 261 ❑Selectmen's rtmet ealth Department contact person: (508) 398-2231 eat. phone Mt _ _ mother 0rc ned 3.41 p)AI Information and Instructions N w•� Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their emploN ees. As quoted from the -law", 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 o%%ner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the da%ellina house of another uho employs persons to do maintenance , construction or repair work on such dwelling house or on the `_rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. %lGL chapter I: _ section 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 ayho has not produced acceptable evidence of compliance with the insurance coverage required. Additionall%. neither the commomvealth 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 ha%e been presented to the contracting authority. i ; I . .applicants Please till in the workers' compensation affidavit completely, by checking the box that applies to your situation and suppling company names, address and phone numbers as all affidavits 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. City or Towns 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 81 Imstl/itlens 600 Washington Street Boston, Ma. 02111 fax #: (617) 727-7749 phone If: (617) 7274900 ext. 406, 409 or 375 BUILDING TOWN OF Y A R M O U T H ELECTRICAL 1146ROUTE28 SOUTHYARMOUTH MASSACHUSETTS02664�451 GAS Telephone (508) 398-2231, Ext. 261 — Fax (508) 398-2365 PLUMBING SIGNS BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.5, I hereby certify that the debris resulting from the proposed work/demolition to be conducted at ��C%P t 2- �t� y' PO n� Work Address is to be disposed of at the following location: , 4?4.c 12 �1 Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Signature of Applicant Permit No. ^O(ro Date I I Abutter's Name Lot # If this is a corner lot, write in name of street. d .b 125 PLOT PLAN FOR LOT # Indicate location of garage or accessory building Additions with dashed lines -------------------- Sewerage disposal (cesspool) Well 0 rr I (lot.... L. J..,; ....ft. rear) I (lot...... U.4......... ft. frontage) (L.)e k� 2 � (NAME OF STREET) Information Supplied Y Abuttor I s Name Lot # If this is corner la write in name of other street. MARK NORTH POINT OFFICE USE ONLY CALCULATION FOR PERMIT COST TYPE OF ROOM, ETC NO _ �7,> 3� �� OP'S KITCHEN DINING ROOM LIVING ROOM GREAT ROOM COMPUTER ROOM DEN OFFICE FAMILY ROOM BED ROOM BATH STORAGE AREA MUD ROOM DECK WITH ROOF DECK OPEN PORCH OPEN PORCH CLOSED SUN ROOM HEATED SUN ROOM UNHEATED LAUNDRY ROOM GARAGE DEMOLITION SHED SWIMMING POOL INGROUND SWIMMING POOL ABOVE GROUN FIREPLACE LAUNDRY ROOM ADDITION ALTERATIONS REROOFING WINDOW REPLACEMENT FOUNDATION TOWN OF YARMOUTH Application for a Permit to Build No. L]� UPON FINAL APPROVAL06-;-6w FEE MUST ACCOMPANY THIS APPLICATION. MAP /OS— LOT 14 DATE '"S 9 19 The undersigned hereby applies for a permit to build according to the following specifications 1. Name of property owner Address -3 fv CLo Tel. 9 c/ 2' 7Y7Y 2. Name of Architect (if any) Tel. 3. Name of builder AllGv ddress t'-��' �� V7 Ll�ft h J 4. License No. D 3 // D Tel 3 ScSrq`2 5/ 5. Name of Mason Address 6. License No. 7. Construction address 8. Date of subdivision Approval Tel. 9. Private dwelling ❑ Estimated Cost 10. Multifamily ❑ 11. Commercials 12.Other 13. No. of stories 14. Foundation — Full ❑ Half ❑ Crawl ❑ Slab ❑ 15. Materials — Wood ❑ Cement ❑ Other ❑ plain zone N Ili Uistrlci Zone DO NOT WRITE IN THIS SPACE I Tvpe of room �e�.S,0v 16. Type of heat — Oil ❑ Gas ❑ Electric ❑ Other ❑ 17. Garage —1 ❑ 2 ❑ 18. Swimming pool - Size 19. Storage shed — Size 20. Stove — Wood ❑ Coal ❑ 21. Size of lot: No. of feet front No. of feet rear 22. Size of building. No. of feet front No. of feet side 23. Distance from nearest building: Front Ft. side 24. Distance back from line or street From rear lot line 25. H.I.C.R. No. LOT RELEASED BY PLANNING BOARD Date Signature Address /a-O. 1yte // e- yi /� 4: Z,0i 'i i _f `�1�%/� e 2 C O / Kitchen Dining Rm. Living Rm. Bed Rm. Bath Deck Closed porch Family Rm. Sun room Shed Alterations No. of feet deep No. of feet rear _ Ft. side Rear Side line No. BUILDING PERMIT APPLICATION SIGN OFF APPLICANT: (Jo6j q /`'G s e �Y;C-ao BUILDING PERMIT #: ADDRESS: 3 Z ?6 t/Gla Rc/ TELE. NO.:f30.%V9:1-7nJTDATE FILED: 6f�-Jr-i'6 BLDG. SITE LOCATION: MAP#: LOT#: THE FOLLOWING INFORMATION OUTLINES THE PROCEDURAL STEPS REQUIRED TO OBTAIN A PERMIT TO BUILD, ALTER, OR ADD TO A STRUCTURE WITHIN THE TOWN OF YARMOUTH. THE BUILDING DEPARTMENT WILL DETER- MINE COMPLIANCE TO THE FOLLOWING (A) ZONING REQUIREMENTS (B) HISTORICAL DISTRICTS (C) FLOOD PLAINS ZONING. THE BUILDING DEPARTMENT WILL BE RESPONSIBLE FOR ASSISTING THE APPLICANT THOUGH THE FOLLOWING DEPARTMENTS: WATER DEPARTMENT: ENGINEERING DEPARTMENT: CONSERVATION COMMISSION: HEALTH DEPARTMENT: FIRE DEPARTMENT: RESIDENTIAL AND/OR COMMERCIAL BUILDING DETERMINES COMPLIANCE OF WATER AVAILABILITY. DETERMINES COMPLIANCE FOR PARKING AND DRAINAGE. DETERMINES COMPLIANCE TO WETLANDS ACTS, I.E.: IF LOT(S) BORDER ANY TYPE OF WETLANDS, STREAMS, PONDS, RIVERS, OCEANS, BOGS, BAYS, MARSH LAND, ETC. DETERMINES COMPLIANCE TO STATE AND TOWN REGULATIONS, I.E.: REQUIRE- MENTS FOR SEPTAGE DISPOSAL AND OTHER PUBLIC HEALTH ACTIVITIES. DETERMINES COMPLIANCE TO STATE AND TOWN REQUIREMENTS FOR PERSONAL SAFETY, PROPERTY PROTECTION, I.E., SMOKE DETECTORS, SPRINKLER SYSTEMS, ETC. THE FOLLOWING DEPARTMENTS MUST SIGN OFF, IN THE RESPECTIVE ORDER, PRIOR TO BUILDING INSPECTOR ISSUING THE REQUIRED BUILDING PERMIT: REVIEWED BY: 1. WATER DEPARTMENT DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 4CONSERVATION: DATE: N/A: . HEALTH DEPARTMENT / // DATE: INDUSTRIAL AND/OR COMMERCIAL PERMITS 5. WIRING INSPECTOR: DATE: N/A: 6. PLUMBING INSPECTOR: DATE: N/A: 7. FIRE DEPARTMENT: DATE: N/A: PLEASE NOTE ALL STUMPS AND/OR BRUSH MUST BE DISPOSED OF AT AN APPROVED SITE. A SIGNED RECEIPT FROM THE DISPOSAL SITE MUST BE SUBMITTED TO THE BUILDING DEPARTMENT PRIOR TO ISSUANCE OF THE BUILDING COMMENTS:- �B n L,j:_ e. c c .r i _c 9 #0 c rr S .s� A., e IZL hil apt v 89 oT P 3 ADDRESS:_ Lk)t- , 2 ,\-c4 OWNERS NAME: Idi SEWAGE PEM-11T NO./SY NEW: RGFAIRY DATE ISSUED:DATE INSTALLED: INSTALLERS NAME: S��Cn % (r -GCS• LiFi°i��/ INS1'ALI.ATION OF: NIATER TABLE: FINAL INSPECTION BY:�(� DRAWING OF INSTALLATION'ON REVERSE SIDE: A; �y 9 :` :4 PLOT PLAN FOR LOT # Indicate location of garage or accessory building Additions with dashed 'lines • -------------------- Sewerage disposal (cesspool) Well 0 I(lot................ft. rear) Abuttor's Name I Lot # „ If this is a REAR OYARD� corner lot, ft. write in name of street. 'b SIDE YARD �] — • FT_ : i D e �h HOUSE SIDE YARD v-I SET BACK I (lot..................ft. fron�e) (NAME OF STREET) Information _/ �-l� Supplied by t-100� i9 Abuttor' s Name Lot # If this is corner lc write in name of a, other o street. MARK NORTH NORTH POINT BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM . PLEASE,PRINT: JOB LOCATION: 3 2 ?p LV'c,/r )e d. g-1,-/*, o sc744 po.^ M uriDLA b L =r.1 VILLAGE OWNER OF PROPERTY: [7% 4 [c? of --e a CL a ` CONSTRUCTION SUPERVISOR: Pf��Gr ,/�/,9 h Uy�trG �.lS O 3 /�d C FS -912 8/ NAME LICENSE NO. PHO\E NO. ADDRESS: r--O. /' _? 0'r S/% /V 9-i.; . LICENSED DESIGNEE: (IF OTHER THAN SUPERVISOR) NAME LICENSE NO. 2.15 RESPONSIBILITY OF EACH LICENSE HOLDER: O/ 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, MIOVAL 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 SUB- CONTRACTOR 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, RECON- STRUCTION, ALTERATION, REPAIR, REMOVAL OF DEMOLITION AS REGULATED BY SECTION 109.1.1 OF THE CODE AND THESE RULES AND REGLZATIONS. 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. I HAVE READ AND UNDERSTAND MY RESPONSIBILITIES UNDER THE RULES AND REGULATIONS FOR LICENSING CON- STRUCTION' SUPERVISORS IN ACCORDANCE ,KITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERST.'�: 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 L Ch.152 Yes 9}— No O It you have checked ves. please indicate the type c average by checking the ap:rcpriate box. A liability insurance pc:icy ®-' Other type of :ndemnity C1 Bond 0 OWNER'S INSURANCE WAIVER: I am aware that the t:censee does not have the insurance coverage required :y Chapter 152 of the Mass. General Laws, ano tnat my signature on tn:s permit =; ication waives this requiremer.. Check one: went Owneru Agent 0$- jignature or L>aner or Omer s agent SIGNATURE: BUILDING OFFICIAL APPROVAL: Suggested Affidavit for Home Improvement Contractor Permit Application For Ocoee Use only Permit No. Date NAME OF CITY/TOWN :_an —A07TV1� Home Improvement Contractor Law Supplement to Permit Application MGLc 141Arequiresthat the"reconstruction, alteration, renovation, repair, modernization, conversion, inprovement, removal, demolition, or construction of an addition to any preecistine owner-occunied building containing at least one but not more than four dwell in units .... or to structures which are adjacent to such residence or building" be done by registered contractors, with certain exceptions, along with other requirements Type of Work: rd /2 e pLgLe c /dc r✓k Est. Cost 3QOo. Address of Work .3 Owner Name: n Date of Permit Application: f— - f —'1' I hereby certify that: Registration is not required for the following rcason(s): _Work excluded by law _Job under Sum _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. OR: Notwithstanding the above notice, 1 hereby apply for a permit as the owner of the above property: Date Owner Name The Commonwealth of Massachusetts Department of Industrial Accidents exce al/oYesdpsdiis 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Applicant information: PlessePRfiYik II& / location- tD 0. 3 O.,V `6 C1 rCM/—/%//;L / /7 /! /j �%¢ O % f; O ohone a C3 I am a Homeowner performing all work myself. �rni a sole proprietor a-d have no one %corking in any capacity O 1 am an employer pro%iding workers' compensation for my employees working on this job. compant name: address: -- — ill) phone ll• insurance co policy u — I am a sole proprietor. general contractor. or homeowner (circle one) and have hired the contractors listed below %%ho ha%e the follo%%ing worker' compensation polices: compiny name: &1) phone a• c insurance co policy p — r-'--r ---• --- -- Failure to secure coverage as required under Section 2SA of MGL 152 u■ lead to the imposition of erimiaal penalties of s fine ap to S1,5N.00 and/or one years' Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Doe of SI00.00 a day against me. I andcrataad that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under thepains and penalties ojperjury that the information provided above is true and coned Signature Print name P��t� O�.or zJ Z!2!± I/ Phone # ofTicial use onIN do not %rite in this arts to be completed by city or town official city or to%n: YARMOUTII 0 check if immediate response is required permit/license a nBuildiog Department C3Licensing Board 2fi1 C3Selectmen's Once C311talth Department • (508j 398 "III ext phone N; _ __ _ rnOther contact person: ; q4 OIU Information and Instructions Massachusetts General laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law'', an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An emplo*Ver is defined as an indiN idual. 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 recei%er 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 wounds or buildings appurtenant thereto shall not because of such employment be deemed to be an emplo%er. MG1. chapter I . -' section .5 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 w ho has not produced acceptable evidence of compliance with the insurance coverage required. Additionall%. 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 ha% e been presented to the contractin^_ authorit%. Applicants Please till in the workers' compensation affidavit completely, by checking the box that applies to your situation and suppl%in: company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The aftida% it 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. City or Towns . 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 MCC of Imsn/n ens 600 Washington Street Boston, Ma. 02111 fax #: (617) 727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 PETER G. MANDRAVELIS P.O. sox 1647 HYANNIS, MA 02601 508-385-9281 April 22, 1998 Old King's Highway Regional Historic District Committee 1146 Route 28 South Yarmouth, MA 02664 Re: 328 Weir Road, Yarmouthport ear Ladies and Gentlemen: R`=�EIVE I would like your permission to replace an old deck with a new pressure treated deck, on the back of the house, for Mr. John Pescatello at 328 Weir Road in Yarmouthport. The new deck will be the same style and size as the old deck with no changes. Thank you for your -consideration. Very truly yours, Peter G.Mandravelis / /Pgm V' Wes+ �E:1'1'1 �11 �CiCc i }j �.,4 N�.).• F�: •:'-.vii.1 '/ �.!1... y..... iY YJ t •�N.{.,.., a APPROVED YARMOUTH COMMITTEE OKHRD _ _. w. - w� ��+r pe�.� •� • �.�P'r"'. _.._ .,�^'_�—a•�•.-wT� ._.�;.��t.-for.- .. -. .-.: . APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK NI work to be performed in accordance with the Massachusetts Electrical Code, (MEC). 527 CNIR 12.00 TOWN OF YARMOUTH -hy3 `k-30.0 0 (OFFICE USE ONLY) Fee: $ go, 6 PERMIT NO. (PLEASE PRINT IN INK OR TYPE ALL INFORAIATION) Date: NQ V, To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform work described below. Location (Street & N Owner or'I'enantW Telephone No. electrical Owner's Address 514 M Is this permit in conjunction with a building permit? N Yes ❑No (Check Appropriate Box) Purpose of Building sica lIo Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd ❑ No. of Meters New Service _/vt i Amps J,a(7 / 449 Volts . Overhead2q Undgrd ❑ No. of Meters J Number of Feeders and Location and Nature of Proposed electrical Completion of the fnllou ina table mat• be traived be the Inspector of Mres No. of Total of Recessed Fixtures No. of Ceil.-Susp,(Paddle)Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA Above n- ❑ ❑ No. of Emergency Lighting No. of Lighting Fixtures Swimming Pool rnd. rnd. Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of Detc:tion an Initiating Devices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices eat Ium um er ons No. of Self -Contained No. of Waste Disposers Totals: — — — — — — Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Municipal Other Local ❑ Connection No. of Dryers Heating Appliances KW Secutity Systems: No. of Devices or E ui valent No. of Water Heaters KW No. of No. of Signs Ballasts Data Wirin,: No. of devices or Equivalent Telecommunications Wiring: No. Hydromassage Bathtubs No. of Motors Total HP No. of Devices or uivalent AUach additional detail tf desired, or as required vy the Inspector of twres. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may be issued unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND OTHERO (Specify: (Expjk4fion Date) Estimated Value of Electrical Work: tkoo-- (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon c mpletion. I certify, under the pains and penalties of perjury, that the informal on this a lication is and complete. FIRM NA t LIC. NO. Licensee: Signature LIC. NO. (If applic+b -, ent "ex mpt" i he 1• ens numb line) us. Tel. No.: p� Address C Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Lice sce does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) owner ❑ owner's agent. Owner/Agent Signature Telephone No. (Rev. W/Wl APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, (IvIEQ, 527 ChIR 12.00 //\� TOWN O1&ARMOUTHH NOV 0 0�1-1 D Z3 3U.o 0 (OFFICE USE ONLY) Fee: $ t bb PERMIT NO. (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: A/O V. To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. ++Lt Location (Street & NumberLJ %f �( . A�MQI T Owner or Tenant �1 r � i 5 O Telephone No. Owner's AddrJ Is this permit in conjunction with a building permit? 0 Yes ❑No (Check Appropriate Box) Purpose of BuildingW�Y: 5JOILD Utility Authorization No. Existing Service �/� Amps / Volts Overhead❑ Undgrd ❑ No. of Meters New Service _I1/1L_ Amps 1,30 /'q_D Volts Ovenccada Undgrd ❑ No. of Meters N Number of Feeders and Ampacity � . 'rT Location and Nature of Proposed electrical Work: L-3 I 1 ; W TT 10 N —0_ Cmnnlrlinn of rho fallnwina rnhlr nmr hp .mierd by rhr In armor of Wres 2 No. of Total RecessedNo. of Fixtures No.-Svs12,(Paddlc)Fans Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA Above n- ❑ ❑ No. of L'mergency Lighting No. of Lighting Fixtures Swimming Pool rod. -rod. Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. oC Zones No. of Switches No. of Gas Burners o. ot Dett Vion an Initiating Devices No. of Ranges iota No. of Air Cond. Tons No. of Alerting Devices eat Vamp um er ons — — — No. of Self -Contained No. of Waste Disposers Totals: — — — Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Municipal Local � Connection Other No. of Dryers Heating Appliances KW Secur i Not. y ofSystemsDevlce:s or Equipvalent No. of Water No. of No. of Data Wiring Heaters KW Siens Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or uivalent p Artncn auuulauu aemu (/ aestrea, or a to tama oy utc fnspccr titres. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may sued unless the license sides .proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undcrsig certi,e tt�t'�u ter is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BONDC] OTHER (Specify: �(Ex p lion lite) Estimated Value of Electrical Work:_zw— (When required by municipal Work to Start: Inspections to be requested in accordance with NIEC Rule 10, and upon c mpletion. o I certify, under the pains and penalties of perjury, that the informal n thilication is and complete. FIRM NA s a L1C. NO. -t Licensee: Signature LIC. NO. (If appli ent "ex mPC i e l' enst numb li e.) us. Tel. No.: t?1 Address• Alt. Tel. No.: OWNER'S INSURANCE WAIVER: 1 am aware that the Licc see does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) owner ❑ owner's agent. Cl Owner/Agent Signature Telephone No. [Rev, 04/001 T-02-174 TOWN OF YARMOUTH DE T FILE CO BUILDING 09 , c PERMIT �'-63� VALIDATION DATE Sep- tamper 12- 2002 - PERMIT NO. R-03-• 5t APPLICANT,jpbnaan,paa ADDRESS PnR 1Anenn4s., MA O?f;IP C9098246 (NO.) (STREETI ICONTR'S LICENSE) PERMIT TO a _(—) STORY (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) NUMBER OF DWELLING UNITS ZONING AT (LOCATION) 32 T ir_Rogd, YP 02675 DISTRICT R�+O (NO.1 (STREET) C o [BETWEEN m (CROSS STREET; 0 m SUBDIVISION 126/2 U m BUILDING IS TO BE FT. WIDE BY O Z i TO TYPE 5$, USE GROUP_ K O REMARKS: i a 1C JZ analu Dn - One D" 14 x 14 deck expansion as per pl AREA OR VOLUME OWNER (CUBIC/SQUARE FEET) AND (CROSS STRE LOT LOT BL K SIZE . LON� FT. IN HEIGHT AN FORM IN CONSTRUCTION date.-0/02 IT d EST ATED COST E .p �._• B0. • • , �� Z7, L (Affidavit on reverse sida of application to be completed by authorized agent of owner) I. -hereby certify that the proposed work is authorized by the owner of record and I have been authorized by the owner to make this application as his authorized agent. SIGNATURE OF AGENT. ADDRESS (NUMBER) (STREET) (CrTY) APPROVED BY DATE i-Q2-17�t TCAwli 4F YARLM"M '..'-BVILDING Ewml-� I JOB WEATHER .CARD - ._ DATE Seprecbar 12, 2002 PEI APPLICANT 'TE' ='•-a�a� ADDRESS•QD 16 Deuala, Y,P.. (NO.) (STREET)' PERMIT TO ada:itioa (_1 STORY (TYPE OF IMPROVEMENT) NO. (PROPOSED USEI ' AT (LOCATION) 326 Weir Road, YP 02675 - � - � ZD IS ONING RO IND.) (STREET) a BETWEEN � �' � - .,AND ' m - - (CROSS STREET) - ICROSS STREET) - m'SUBDIVISION 126/2 _ -' - LOT BLOCK SZE O BUILDING IS•TO BE FTNTE BY FT� LONG BY•` FT. IN HEIGHT AND SHALL CONFORM IN CO77NSTRUCTION •, m i �; TO TYPE r5� USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) RE 4 'z 32 addition -•oaa bad Ooa, 1.5 bcthu. an13rga "iatiag bcdroJ2*w/&ara,e'undar. l �ZRKS: r14 aacx exponaion ac per plans to 5 3U 02. ' jf., APER RLUME �' � ` EST) ATE � �VCQ.7� FEEMIT { )CUBIC/SQUARE FEET) �r ?,tom I.' F ) -� •� }r' OWNER l'. U2 A YIr ? / DU ADORES .. ADDRESS ( � ' BY . THIS PERMIT CONVEYS NO RIGHT TO OCCUPY STREET, ALLEY',OR• SIDEWALK -OR TANY"PART*,T EdF,'-EITHER TEMPO RARILY�OR: " PERMANENTLY. ENCROACHMENTS ON PUBLIC PR ERTY, NOT SPECIFICALLY PERMITTEO: UNDER j All MUST BE .AP- -' ©PROVED BY THE JURISDICTION. STREET OR ALLEY RADES AS WELL AS DEPTH AND LOCATION OFPU BLICIS EWERS MAY' BE OBTAINED - FROM THE DEPARTMENT OF PUBLIC WORKS. THE DANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIQNS ' OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. ��t J�U V8Y4U�YU ' i- (CONTR'S LICENSE) NUMBER OF - T DWELLING UNITS MINIMUM OF THREE CALLED APPROVED PLANS MUST BE RETAINED ON JOB AND THIS wntnt wrrua.we..t INSPECTIONS REQUIRED FOR CARD+KEPT POSTED UNTIL,FINAL INSPECTION HAS BEEN PE RM ITS.e RE.REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL —PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RG.- MECHANICAL INSTALLATIONS.' _2. PRIOR TO COVERING STRUCTURAL QUIRED, SUCH BUILDINGSHALLNOT BE OCCUPIED•UNTIL MEMBERS (READY FOR LATH OR - - FINISH COVERING). FINAL INSPECTION HAS BEEN MADE. 3.-FI NAL INSPECTION BEFORE - OCCUPANCY --' POST THIS CARD SO IT IS VISIDLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 _ 2 2 2 3 ' HEATING INSPECTING APPROVALS REFRIGERATION INSPECTION APPROVALS 1 1 OTHER 2 2 WORK SHALL NOT PROCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD INSPECTOR HAS APPROVED THE VARIOUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEPHONE STAGES OF CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION. wo L: ONE & TWO FAMILY ONLY - BUILDING PERMIT APPLICATION TO CONSTRUCT, REPAIR, RENOVATE,OR DEMOLISH A ONE OR TWO FAMILY DWELLING Town ol'Yannouth Building Dcpartlnent 1 146 Route 28 • Yarmouth, MA 02664-4492 Tsl: (508) 39R-2231 x261 • Fax: (508) 398-2365 oNlceljdp�t, plapgln,pbartllgtorma1lb)t�' ?t�sdFs.pep�runeq(Inrormaftdr;r x',;_! > (�y� is� r::�4JS{ , Kyr .•I ;> I is yy,''ry^/ 1.,,.t M +_'��1 y�}.I� .t. yr w F l • • +;}rl „ J �,»f M f ' li- VFJP� ,.y 1 aFfUTf47, ( i 1� 7 �,rrjp +y: it:.} < 1 +S�J, , 41: tilt y 1 C 'J t! - 1 1� r{ f nl,,i � � 7.� `+� + ,t;4Si 13."Jr 1'•J tila . fC��Q�,fetfl�L• i]�tR y F i /If q%� 1' �y t I' �• it '/�7 /.' et 1, I � t�? , r .t^f oSf. Y- y'R •�d-yf,��YrY.}� !'ti14tt e9F'1 y ,ali ,�1^1,,1 H 1 T !{K A. ' pclrylJtf� / �i .`I.. �t t;'Cs t`� *. � Y to �4r 3 $:. G•.,, �t�, . n;f� -� , � / + ,�`}�'4, r,•`'�a�'I�xf�"7 �� ! +1 'rl 11 '� ` I+Ir /ts�3 -}? 1 b f' Y' lY uy^�n.ry `fq"i'•Yyy �, µ I,y _fe ! � i7 � � �: 1:�If rQMQ��,1 fi�11J/dr� 1�1�.1 L ! +,1 1111�IY�}} li:. ,1, +. - 41 �.�' h• 1 t rf T(� N .. I 1r�(� J[]y i ,�n F r,, f r . + t: ., ,t ..• � r, 4 r a.Y , +{4 'rY i M��It I"Fl��l.l- \: 1't ��"! 1 ld� �. 1�1 (l 1. • f r�7 �Ir 5 , t �`�A� ��f�:i{�41�'1/ Z �.{��A )1� � •41 �jf � �'lis�„My,ny�Y � ' t;;:•'�; tr i' � tit+'I�.u;i'i�r�V`NS•J+� J.�� rV / + 'rs ,,c.'r , -- > _. AA'' p�y1111 ),.� �, r.� .�� + t.. „ h�k''r•�f4.� f5 1"%t', �:++;G ?=�. .:aR N ,' �'"�lbrll��e}.l�}`�`'t�`.ap+rl»6• t�g)� .- , .E?f.l$�., • r. CAI i >/�` �i 3.•1 �` " _ t1r+1: 1 7 ^H " tY>�)•�I ts� 1Y '•. f.!.,, hFt'1 �1:-i� >•R.}L'+n� t). J;IJ ls8ect brt id Id''s_e-.C?ni �•,� 1> w. ri ,� ti. + 4)tr«!-5 i[li Mfl.l },t.i Lt'tif7(1>♦ 'IYn I�QI.(YrIY7J et1r K��l i°')'1J t�iRly MlTy '1 I+:G�-r 'i,ifi �411t1., +..:. SUE c(ti t P r < ire !• �' ri `1". 1 ! f 7t -t 4 l•' C 'WH.' 1 I 4l `, /�++l, 1uMoat` e 1 �yfi �, L1i4�L1�1M > Ij i •'+ It 1,. y{yy(( y� r i,t /•^ .rr �'+ i^fl ��(,. +; `��''1�e •i �ti�1 '1 wt ��:f/p .) }t+;i).at I.. iv1' ! i 11 (I47 }.. ii Jj '�:' nit 2/-V ICI • r 8:e6ti6ttj ;;8,t',` 'ft�'t ''aEliyOK Use Group: R-4 Type: 5- 1.1 Property Address: 1.2 Zoning Information: D , �r27 [A20yPD• _ 1 �y Zoning District Proposed Use t L r r, N Rj F— ^�T f 1.3 Building Setbacks (it) Front Yard Side Yards Rear -Yard . Required Provided Required Provided Require Provided 6n 1.4 Water Su M.o.L e. 40. S 54) Pphr i / ni A C J 4Mrl y J` 1tg FI Zpt181rtrdrr113�tl0en 1, , fi , ' �grtVgts I / f_ ;�,� /• �� 1:..� 1.I/1}�t're5fi F'yLi.�4`�`�1rr;rFt�„I+J�jtrfiLl Public tvate :.. `S�it�tifY��,Ey)'0 � ': d' is I''FtillEintizettA'��'E . 2.1 owner of Record: n- i Na nt) Mailing Address, Signature Telephone 2.2 Authrorized Agent: d AE4J Vt h Na e( altNlgPCr1 QO U Igriature Telephone ; " 1 LLT I , i APR y ySy. t $ectiori:a=: Constrilofion;SorJices. 3.1 Licensed Construcrntion Supervisor. NotApplicabta� License Number Addres Expiration Date ,rt rd a- ature Te18.phono 0.2 Registered Homo ImproverYient Coritractor: Not Applicable Com any Name ❑ �/j 1, r ` �� t1 �/a?t Linsa �WjDr ,per.. .. 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 .......... New Construction ❑ No. of Bedrooms No. of Bathrooms Existing Bldg. ❑ Repair(s) Cl* I AHerations El. Additlont& AccessoryBldg. ❑ Type Demolition Brief Description of Proposed Work: Item � " Estimated Cost (Dollars) to be completed by permit applicant 1. Building 2. Electrical 3. Plumbing / Gas 4. Mechanical (HVAC) 5. Fire Protection 6.Total=(1+2+3+4+5) 7. Total Square Ft: ( I Other . Specify. I I Check Below (b Conservation -Commission Filing (if applicable) Bold Kings Highway S Historical Commission approval (if applicable) �fmOU-�ti , as owner of the subject property hereby authorize o �� K 14co 4 D tsA, to act on my behalf,, in all matters relative to work authorized by this building permit application. Signature of Owner Data asQyw=/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. I ` Signed under the pains and penalties of perjury.- t Print na e t igr re of 01-mer/Agent Date U �, ,�°`:qRo TOWN OF YARMOUTH r..:.... S BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM JPLEASE PRINT: job Location: Number RCCt Village Owner of Property: �} —I� n�`P P Q e �,Un Construction Supervisor: �:yn \e,�y-, 0A41rPr-*0AA 02 M LO ^i'i 6—L o-q(f c�Name License No. • Phone No. Address: 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 willfullyviolatesubsections 2.15.1,2.15.2or2.15.3orany other section ofthese 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 No ❑ If you have checked yo, please indicate the type coverage by checking the appropriate box. A liability insurance policy Imo-- 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: of Owner or Owner's Agent Owner ❑ Agent ❑ Sign Building Official Approval: .I The Commonwealth of Massachusetts Department of Industrial accidents 011ka0/1" stlpsdoss 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Applicant information: PleasePRINTTedGhTa name: _ ] O lx,-,� \' Y \ f�T'.1/� �Aa— location: _� u iek 1 and a homeowner performing all work myself. AI am a sole proprietor and hate no one working in any capacity O lam an employer pro%iding workers' compensation for my employees working on this job. TAP (.i . i XI am a sole proprietoK—ceneraI contractor homeowner (circle one) and have hired the contractors listed below who have the followinsi workercompensation polices: Failure to secure coverage as required uoder Section 25A of MGL 152 can lead to the imposition of erimiul penalties of a One up to 11I.500.00 and/or one years' Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Dee of SI00.00 a day against me. I understand that a copy of this statement may be forwarded to the Ogee of Investigations of the DIA for coverage veriticstioa. I do hereby certto under the pains pd penalties ojperjury that the information provided above Lt true and correct Print n� el , ct . I Y I fi P.yt i% iFA Phone M IRcial use only do not write in this area to be completed by city or town oflieial city or town: YARMOUTIJ ❑ check if immediate response is required contact person: permitAicense # nBuilding Dtpartmeot ❑Licensing Board 261 ❑Selectmen's OMce ❑Health Department phone#:_ (508) 398-2231 eat. pother ae.nN 1.95 PJA1 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An etnph�rer 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.. Howeverthe o%%ner of a dwelling house having not more than three apartments and who resides therein. or the occupant of the d%� elling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the urounds or building appurtenant thereto shall not because of such employment be deemed to be an emplocer. %lGL chapter 152 section 25 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 whn has not produced acceptable evidence of compliance with the insurance coverage required. Additionalh. neither the commom%ealth 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 ha%e been presented to the contracting authority. Applicants Please till in the workers' compensation affidavit completely. by checking the box that applies to your situation and supply in(_ company names, address and phone numbers as all affidavits 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. City or Towns 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of investigations would like to thank you in advance for you 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 once of levesdi dell 600 Washington Street Boston, Ma. 02111 fax #: (617) 727-7749 phone 9: (617) 7274900 ext. 406, 409 or 375 WTI. r� For Office. Use Only Permit No. Date TOWN OF YARMOUTH AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MOL a 142A requires that the 'reconstruction, alteration, renovation, repair, modernization, conversion,. improvement, removal, demolition or construction of an addition to any pro -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: c4—► Est• Cost 1,°T.— Address of Work `��, � u l P t ✓z Q o Owner Name: 0 /1aA P PC cp 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 as o2- �,10110�� Date Contractor Name IRegistration No. Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: TOWN OF YARMOUTH 1146ROUTE23 SOUTHYARMOUTH MASSACHUSEM026644451 Telephone (508) 398-2231, Ext 261 — Fax (508) 398-2365 BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT BUILD= ELECIrocAL GAS PLUMIXG 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 -� ,---,� 'R- v Work Address r 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. Signature fApplicant Permit No. 3 n�2 Date i uttor's me t # this is a mer lot, ite in name street. .j k E, 1W PLOT PLAN ^ FOR LOT # Indicate location of garage or accessory building Additions with dashed lines -------------------- Sewerage disposal (cesspool) ® Well 0 I I I(lot................ft. rear) SIDE YARD 1 �] — — — - FT-=- [ REAR YARD ........1....ft. SET BACK SIDE YARD 0----- FT0 (lot..................ft. frontage) / / (NAME or• bl'REE-J-) Information Supplied by RK hInDIru nnT..... 0, v Abuttor's Name Lot # If this is corner la - write in name of other street. TOWN OF YARMOUTH Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 exL261 BBUILDING PERMIT APPLICATION RECEIPT Temp Permit No.: T-02-174 Applicant Name: John Maenpaa Location: 00328 WEIR RD Owner's Name: JOHN PESCATELLO Owner's Addres 00328 WEIR RD Yarmouthport 0 MA 02675 Owner's Telephone: (508) 760-5484 (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $25.00 Payment Type: Check ChkNo.: 997 Net Owed: ($25.00) Application Date: 4/3/02 Issue Date: Expiration Date Comments: addition and deck expandsion This is NOT a building permit. Application subject to plan review. Contact Building Department for permit status. Official Building Permit will be issued upon plan review completion, approval, and complete payment of Net Owed on Permit Fee. 9 Date Printed: 4/4/02 opt Locadox 328 WEIR RD AMPID. 126/ 2/ / / %ion ID: 14980 OtherID: IOS/ DO01/ / / CONSTRUC77ONDETAIL Element Cd. Ch Description ercidData entr Ad Type I Element Cd. Ch Description ied & AC oriel 1 tesidentiol aria verage came Type lumbing Dries Story xupancy an Qesior wall 1 : >W or Redwd esls/frim 4COMMOnwau 2 Wall Height wcstructure )Of Cover GlsfCmp CONDO/AIOBILEHOMEDATA . tecior Wall 1 ent s Description actor 2 . tenor Floor 1 R Wood lea 2 Ism eating Fuel 7yPe 2 39 ForcedAlnDac umber ofunitz 1 onene.4Ownership umber of Levels edrooms 2 Bedrooms COSTIAIAR%ET VALUATION clhrooms I Bathroom oadj. Brae Rate ize Adj. Factor 60.00 1.17979 alai Rotes Rooms ath Type 2 fodem (Q) IndeX 0.95 itcbm style fodern Rate 67.19 ld& Value 70" ear Built 1910 Year Built 1979 tml Physcl Dep 22 obatnD Obelnc p d C%ode 0 0 AIMD USE 1013 FR WATER 100 Y. Cond. 78 Bldg Value woo OB-OUTBUILDIAG YARD ITEMS /XF-BUILDING EXTRA FEATURES Code Description ILIB I units I Unitprice I Yr. I Do Rt I %Cnd Apr. false FPLI PLACE 1ST B 1 2,200.00 1968 1 100 I SW CAB2 /PLUMBING ETC L 320 28.00 2001 0 100 9,000 EOS Outs Shwr B 1 0.00 1979 1 100 0 WDK Pecl4Wood T 6" 1 701 6.771 4,703 1 Card 1 of 1 Print Datc 07/221200216 1 operty Location: 32S WEIR RD t 1sion ID: 14980 ALIPID. 126/ 2/ / / Other ID: 105/ D001/ / 1 Bldg #: 1 Card 1 of 1 Print Daft 072220021E CURRENTOWNER TOPO. UTILITIES STRTIROAD LOCATION CURRENTASSESSMENT ISC.ATELLO JORN J, TR d aved b b" Description Code Appraised Value Assessed Value UN WEIR REALTY TRUST O BOX 765 M LAND IESIDNTL 1013 1013 232,100 56,8M 232,100 56im 81S Y WEST, FL 33041 IESIDNTL 1013 9,000 9,000 YARMOUTH, SUPPLEMENTAL DATA # 1520100 "m 360 ward VISIC ISM. Tod 297,900 297,900 RECORD OF OWNERSHIP BK-VOUPAGE SALEDATE ul SALEPRICE VC PREHOUSASSESSMENTS(MISTOR ESCATELLO JOHN J, TR 0 Yr. Code Assessed Value Yr. Code Assessed Value Yr. Code Assused ' 002 1013 232.100 001 1013 232,100 000 1013 002 1013 56,300 001 1013 56,300 000 1013 002 1013 1,200 001 1013 1,200 000 1013 of 299,600 TotaL, 299,600 70faL. EXEMPTIONS OTHERASSESSMENTS This signature acknowledges a visit by a Data Colledor or Am Year scri 'on Amount Code DescHiltion Number Amount Comm Int APPRAISED VALUESUAIALMY Appraised Bldg. Value (Card) Appraised XF ((B,) Value (Value (Bgldg) A CLand Value (B►dg) Special Land Value of ' NOTES 4ROOMS REMODELED TO NEW COND Total Appraised Card Value Total Appraised Parcel Value Valuation Method: C050fa iket V 0360 el Total Appraised Parcel Value BUILDING PERMIT RECORD VISIT/CHANGE HISTORY Perm/t/D Issue Date Bre Description Amount Insp. Date %Como, Date comp. Comments Date ID Cd I PurposevRer 02-378 10/19/2001 RS enilal 17,500 411212002 100 1/1/2002 CONVERTGAR INTOI V12/2002 KF 00 eamr+Listed 303 5/S/1998 WD Deck 3AM N&1999 100 1/1/1999 REPLACE 6/8 "9 GAt 01 easuc+lVhft 6/11/1996 RD 01 easar+IVlaft LAND LINE VALUATIONSEC77ON B# Use Code Description Zone D iFrontare I Depth Units Unit Price 1. Factor S.I. C.Factor Nbad Adf. Notes- AdySpecialfricin-z Ad.UnifPrlce LandV 1 1 1013 1013 3FRWATER SFRWATER 40,000.00 3.28 SF AC 1.23 15,000.00 135 135 5 5 1.75 1.75 0050 0050 1.00 POND 1.00 FRNT L90 35,400.00 • Total Card land Unlit 4.20 AC Pmrd Total Land Area: 4 20 AC ToW Land V � S?FF1GF_lJ.S�Qn_U.Y . PROPERTY ADDRESS: 39R /2G _ALCULATION FOR PERMIT COST — �'rf� a Jry .►tee / 89. — Sioh w�� as _ /fog sr /94-rc.�.�r1ba 7S. — t?c,4rz Nr c K 3 _ row H��> `{ 7 9• yl�e as: ~ . TYPE OF ROOM ETC NO ON EUkTiONS BATH BED ROOM 3 CERTIFICATE OF OCCUPANCY COMPUTER ROOM DECK OPEN '2� DECK WITH ROOF DEMOLITION DEN DINING ROOM FAMILY ROOM FIREPLACE FOUNDATION ONLY GARAGE NO. OF BAYS GREAT ROOM KITCHEN LAUNDRY ROOM LAUNDRY ROOM LIVING ROOM MUD ROOM OFFICE PORCH CLOSED PORCH OPEN REROOFING SHED STORAGE AREA SUN ROOM HEATED SUN ROOM UNHEATED SWIMMING POOL ABOVE GROUIS D SWIMMING POOL INGROUND- WINDOW REPLACEMENT rL W G� u 7 THE NICKERSON Cl M.C.H.0 - SO , Dal.-nilS MANIFOLD SALESMAN IS E L-I- Rv-ZE=- NAME ADDRESS _Acrrucuur Busies TEL. JOB LOCATION C4 ELC Boa t�tzAM Cr\LCU1 4 :6II FLOo% 46 11 176 x 40 470 11,75 x Io - I18 i=c-=:n,-z 4ou- It,7\5 llg LoAD - Roo(- Ale Rove= = 30�L L zo D c - o o' ptiG(-{ = 4;rz L.L_ t z. x Dom= tZxzo=zero �� `-m. 7 I,CKERSON COMPANIES jj . , a M.C.H.C.- S V, l)ELj w c S MANIFOLD ,w SALESMAN 2 it, cL -A�keriucux� Buu�s NAMEyL4cK MAe5-Ajp4A, ADDRESS TEL. JOB LOCATION ESGAT: .� � ot3 CWu--D,TIDf �..pW t�tz Sao/' 1��E4v1� Z3' Zo �L F17-o" L-L- I I K 3o = 3 �o ,DC. - I l k Zo = 2 Z 0 #0n1- Itr~��'W,_Lp FLOOR BEAM A TJ-Bsam(TM)6.o2Sarial Numw,"ror.'I0�2003fi08 2 PCs of 1 3/4" x 11 7/8" 1.9E Microllam® LVL U 1 &=1 09 36 PM Pagel Fnginevers0on:121 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Elmr �0 s 14.6" ' Product Diagram Is Conceptual. LOADS: Analysis is for a Drop Beam Member. Tributary Load Wiidth:11' 9" Primary Load Group - Residential - Living Areas (psf): 40.0 Live at 100 % duration, 12.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Uniform(plf) Floor(1.00) 470.0 118.0 0 To 14' 6" Replaces SUPPORTS: Input Bearing Vertical Reactions (Ibs) Detail Other Width Length Uve/Dead/Uplift/Total 1 Stud wall 5.50" 5.50" 3408 / 93910 / 4346 1_7: Blocking 1 Ply 1 314" 1.9E Microllam® LVL 2 Plate on masonry wall 5.50" 5.50" 34081939 / 0 / 4346 L1: Blocking 1 Ply 1 3/4" 1.9E Microllam LVL -See TJ SPECIFIERS / BUILDERS GUIDE for detail(s): L1: Blocking DESIGN CONTROLS: Maximum Design Control Control Location Shear (Ibs) 4146 -3478 7897 Passed (44%) RL end Span 1 under Floor loading Moment (Ft-Lbs) 14340 14340 17848 Passed (80%) MID Span 1 under Floor loading Live Load Defl (in) 0.450 0.461 Passed (U369) MID Span 1 under Floor loading Total Load Defl (in) 0.574 0.692 Passed (L289) MID Span 1 under Floor loading -Deflection Criteria: STANDARD(LL:U360,TL•L240). -Bracing(Lu): All compression edges (top and bottom) must be braced at 2' 8" 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 ONLY1 PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code NER analyzing the TJ Distribution product listed above. -Note: See TJ SPECIFIERS / BUILDER'S GUIDES for multiple ply connection. PROJECT INFORMATION: JACK MAENPAA MARIE PESCATELLO JOB DENNIS MA Copyright C 2002 by True Joist, a Weyerhaeuser Business Hicrollams is a registered trademark of Trus Joist. OPERATOR INFORMATION: Bill Rubel Mic -Cape Home Centers 465 Rt 134 PO Box 1418 South Dennis, Mass. 02660 Phone: 1-508-398-6071 exL 4990 Fax :1-508-398-4559 brubel@midcape.net FLOOR BEAM B T,-6.amtTM>8.02� S.rie Hum6er`'"i�02003 8 2 PCs of 1314 x 11 7/8" 1.9E Microllam® LVL U 1 8l4A21'1557 M Pagel Enpkwvemk=121 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED 1 �1 110 d 14! 6" ' Product Diagram is Conceptual. LOADS: Analysis is for a Drop Beam Member. Tributary Load Width: 11' 9" Primary Load Group - Residential - Living Areas (psf): 40.0 Live at 100 % duration, 12.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Unifonn(pif) Floor(1.00) 470.0 118.0 0 To 14' 6" Replaces SUPPORTS: Input Bearing Vertical Reactions (Ibs) Detail Other Width Length Live/Dead/UpliftlTotal 1 Stud wall 5.50" 5.50" 34081939 / 0 / 4346 Lt: Blocking 1 Ply 1 314" 1.9E MicrollarnO LVL 2 Plate on masonry wall 5.50" 5.50" 3408 / 939 / 0 / 4346 Lt: Blocking 1 Ply 1 314" 1.9E MicrollamO LVL -See TJ SPECIFIER'S / BUILDERS GUIDE for detail(s): L1: Blocking DESIGN CONTROLS: Maximum Design Control Control Location Shear (Ibs) 4146 -3478 7897 Passed (44%) RL end Span 1 under Floor loading Moment (Ft-Lbs) 14340 14340 17848 Passed (80%) MID Span 1 under Floor loading Live Load Defl (in) 0.450 0.461 Passed (1./369) MID Span 1 under Floor loading Total Load Deft (in) 0.574 0.692 Passed (L/289) MID Span 1 under Floor loading -Deflection Criteria: STANDARD(LL•L/360,TL:L/240). -Bracing(Lu): All compression edges (top and bottom) must be braced at 2' 8" 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 ONLYI PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code NER analyzing the TJ Distribution product listed above. -Note: See TJ SPECIFIER'S / BUILDER'S GUIDES for multiple ply connection. PROJECT INFORMATION: JACK MAENPAA MARIE PESCATELLO JOB DENNIS MA Copyright C 2001 by Trus Joist, a Weyerhaeuser Business Merciless is a registered trademark or Trus Joist. OPERATOR INFORMATION: Bill Rubel Mic -Cape Home Centers 465 Rt 134 PO Box 1418 South Dennis, Mass. 02660 Phone :1-508-398-6071 ext. 4990 Fax :1-508-398-4559 brubel@midcape.net RIDGE BEAM C 2 PCs of 1 3/4 x 11 7/8�� a TJ-Beam(TM)6.a2 Serial Nim6er 700. 2t 1.9E Microllam® LVL User 1 &=12917 PM Pagel Engineveniort121 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slope: 0/12 Roof Slope4P12 Overall Dimension: 35' 6" 6.6" ) 15.9" All dimensions are horizontal. Product Diagram is Conceptual. LOADS: Analysis is for a Drop Beam Member. Tributary Load Width:1 Z Primary Load Group - Snow (psf): 30.0 Live at 115 % duration. 20.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Unifonn(plf) Snow(1.15) 360.0 240.0 0 To 35' 6" Replaces SUPPORTS: Input Bearing Vertical Reactions (Ibs) Detail Other Width Length Live/Dead/Uplift/Total 1 Stud wall 3.50" 3.50" 1851 / 1255 / 0 / 3106 LI: Blocking 1 Ply 1 314" 1.9E Microllam® LVL 2 Wood column 3.50" 3.50" 3812 / 2245 / 0 / 6056 L5 None 3 Wood column 3.50" 3.59" 5644 / 3772 / 0 / 9416 L5 None 4 Stud wall 3.50" 3.50" 2400 / 1656 / 0 / 4056 L1: Blocking 1 Ply 1 314" 1.9E Microllam® LVL See TJ SPECIFIER'S / BUILDERS GUIDE for detail(s): L1: Blocking,L5 -Bearing length requirement exceeds input at support(s) 3. Supplemental hardware is required to satisfy bearing requirements. DESIGN CONTROLS: Maximum Design Control Control Location Shear (Ibs) 5624 4929 9081 Passed (54%) Lt end Span 3 under Snow ADJACENT span loading Moment (Ft-Lbs) -13387 -13387 20525 Passed (65%) Bearing 3 under Snow ADJACENT span loading Live Load Defl (in) 0.335 0.779 Passed (L1559) MID Span 3 under Snow ALTERNATE span loading Total Load Dell (in) 0.559 1.039 Passed (1-1334) MID Span 3 under Snow ALTERNATE span loading -Deflection Criteria: STANDARD(LL•L/240,TLL/180). -Bracing(Lu): All compression edges (top and bottom) must be braced at 2' 8" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing Is required to achieve member stability. -The load conditions considered in this design analysis include alternate and adjacent member pattern loading. -Design assumes adequate continuous lateral support of the compression edge. PROJECT INFORMATION: JACK MAENPAA MARIE PESCATELLO JOB DENNIS MA Copyright C 2001 by True Joist, a Weyerhaeuser Business Hlcrollamz is a registered trademrk of Trus Joist. OPERATOR INFORMATION: Bill Rubel Mic-Cape Home Centers 465 Rt 134 PO Box 1418 South Dennis, Mass. 02660 Phone :1-508-398-6071 ext 4990 Fax :1-508.398-4559 brubel@midcape.net RIDGE BEAM C TJ-Beam(TM)8.025eriWN"tooB 2 PCs of 131419 x 11 7/8 1.9E Microllam® LVL U er 1 W= 229,18 PM Page Erwu,.Vxaiore121 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED ADDITIONAL NOTES: -IMPORTANT! 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 NER analyzing the TJ Distribution product listed above. -Note: See TJ SPECIFIER'S / BUILDER'S GUIDES for multiple ply connection. PROJECT INFORMATION: JACK MAENPAA MARIE PESCATELLO JOB DENNIS MA Copyright O 2001 by Trus Joist, a Weyerhaeuser Business Licrollamr is a registered tradamsrk of True Joist. OPERATOR INFORMATION: Bill Rubel Mic -Cape Home Centers 465 Rt 134 PO Box 1418 South Dennis, Mass. 02660 Phone :1-508-398-6071 ext. 4990 Fax :1-508-398-4559 brubel@midcape.net LOWER RIDGE BEAM D 7,.gaam(Thq g,pZ g��yQ"``Sam 2 PCs of 1 3/4" x 18" 1.9E Microllam® LVL used a=z3815 PM Papet ENina Versiom 12-1 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slope: Ott2 Roof Slope4M2 23' 8" All dimensions are horizontal. Product Diagram is Conceptual. LOADS: Analysis is for a Drop Beam Member. Tributary Load Wiidth:11' Primary Load Group - Snow (psf): 30.0 Live at 115 % duration, 20.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Uniform(plf) Snow(1.15) 330.0 220.0 0 To 23' 8" Replaces SUPPORTS: Input Bearing Vertical Reactions (Ibs) Detail Other Width Length Live/Dead/Uplift/Total 1 Stud wall 3.50" 4.51" 3905 / 2809 / 0 / 6714 L1: Blocking 1 Ply 1 314" 1.9E Microllam® LVL 2 Stud wall 3.50" 4.51" 3905 / 2809 / 0 / 6714 Lt: Blocking 1 Ply 1 314" 1.9E Microllam LVL -See TJ SPECIFIER'S / BUILDERS GUIDE for detail(s): L1: Blocking -Bearing length requirement exceeds input at support(s)1, 2. Supplemental hardware is required to satisfy bearing requirements. DESIGN CONTROLS: Maximum Design Control Control Location Shear (Ibs) 6620 -5698 13766 Passed (41 %) RL end Span 1 under Snow loading Moment (Ft-Lbs) 38615 38615 44566 Passed (87%) MID Span 1 under Snow loading Live Load Defl (in) 0.724 1.167 Passed (L/387) MID Span 1 under Snow loading Total Load Dell (in) 1.245 1.556 Passed (L/225) MID Span 1 under Snow loading -Deflection Criteria: STANDARD(LL•L/240,TL•U180). -Bracing(Lu): All compression edges (top and bottom) must be braced at 2' 7" 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 ONLY[ PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code NER analyzing the TJ Distribution product listed above. -Note: See TJ SPECIFIER'S / BUILDER'S GUIDES for multiple ply connection. PROJECT INFORMATION: JACK MAENPAA MARIE PESCATELLO JOB DENNIS MA Copyright C 2001 by Trus Joist, a Weyerhaeuser Business Microllams is a registered trademark of True Joist. OPERATOR INFORMATION: Bill Rubel Mic -Cape Home Centers 465 Rt 134 PO Box 1418 South Dennis, Mass. 02660 Phone: 1-508-398-6071 ext 4990 Fax :1-508-398-4559 brubel@midcape.net 3 z g (_7-e..k tat MECclseck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.2 Release I a TIUE: Pescatello Remodel CITY: Yarmouth STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 08/01/02 DATE OF PLANS: 07/15/2001 PROJECT INFORMATION: 328 Weir Road Yarmouth Port, MA 02675 COMPANY INFORMATION: Jack Maenpaa 35 Capt. Studley Road Marston Mills, MA 02648 COMPLIANCE: Passes Maximum UA = 181 Your Home = 179 1.1% Better Than Code Ceiling 1: Flat Ceiling or Scissor Truss Ceiling 2: Cathedral Ceiling (no attic) Wall 1: Wood Frame, 16" o.c. Window 1: Wood Frame, Double Pane with Low-E Door 1: Glass Floor 1: All -Wood Joist/Truss, Over Unconditioned Space Boiler 2:, 86 AFUE Permit Number Checked By/Date L va Gross Glazing Area or Cavity Cont. or Door Perimeter - alue - alue U-Factor UA 325 30.0 0.0 11 720 30.0 0.0 24 775 13.0 0.0 51 88 0.330 29 70 0.330 23 870 19.0 0.0 41 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 Massachusetts Energy Code requirements in MECcheck Version 3.2 Release la. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Condition found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Section 780CMR 1310 and J4.4. Builder/Designer Date 9 a z MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release la DATE: 08/01/02 TITLE: Pescatello Remodel Bldg. [ Dept. Use I [ ] [ ] [ ] [ ] [ ] [ ] [ ] Ceilings: 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: 2. Ceiling 2: Cathedral Ceiling (no attic), R 30.0 cavity insulation Comments: Above -Grade Walls: I. Wall 1: Wood Frame, 16" o.c., R 13.0 cavity insulation comments: Windows: 1. Window 1: Wood Frame, Double Pane with Low-E, U-factor: 0330 For windows without labeled U-factors, describe Thermal Break? [ ]Yes[ # Panes Frame Type Comments: Doors: 1. Door 1: Glass, U-factor: 0.330 # Panes_ Frame Type Comments: ]No Thermal Break? [ ] Yes [ ] No Floors: 1. Floor 1: All -Wood Joist/Truss. over Unconditioned Space, R-19.0 cavity insulation Comments: Heating and Cooling Equipment: 1. Boiler 2:, 86 AFUE or higher Make and Model Number _ Air Leakage: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When 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 inside of the recessed fixture and ceiling cavity and sealed or gasketod to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 efin (0.944 Ils) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. Vapor Retarder. Table 1: Minimum Insulation Thickness for Circulating I101 Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non -Circulating Runouts Circulatine Mains and Runouts Temperature M Up to 1" Up to 1.25" 1.5" to .0" Over 2" 170-190 0.5 1.0 1.5 1.0 2.0 1.5 140-160 0.5 0.5 0.5 0.5 0.5 1.0 100-130 Table 2: Minimum Insulation Thickness for IIYACPipes. Fluid Temp. Lsulation Thickness in Inches by Pipe Sizes Pining System Types Ranee (F) 2" Runouts 1" and Less 1 255"" to 2" 2.5" to44". Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.0 1.0 1.5 1.5 2.0 Steam Condensate (for feed water) Any Cooling Systems Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) �s Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. COPYMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. General Information From: YARMOUTH 1 Conservation Commission To: Applicant Property Owner (if different from applicant): Marie Pescatello Name Name 328 Weir Road Mating Address Mailing Address Yarmouth MA 02675 Cityrrown State Zip Code Cityrrown State Zip Code 1. Title and Date of Final Plans and Other Documents: Site Plan for 328 Weir Road Yarmouth MA 9-21-01 Title Final Date (or Revised Date if applicable) 2. Date Request Filed: 10.04-01 B. Determination Pursuant to the authority of M.G.L c.131, § 40, the Conservation Commission considered your Request for Determination of Applicability, with its supporting documentation, and made the following Determination. Project Description (f applicable): Project Location: 328 Weir Road Yarmouth, MA Street Address Cityrrown 126 2 Assessors MaptPlat Number Parcel/Lot Number WPA Fmm 2 Page I of 5 R. minn i Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 2 — Determination of Applicability ` Massachusetts Wetlands Protection Act M.G.L. a 131, §40 B. Determination (cont.) The following Determination(s) !stare applicable to the proposed site and/or project relative to the Wetlands Protection Act and regulations: Positive Determination Note: No work within the jurisdiction of the Wetlands Protection Ad may proceed until a final Order of Conditions (issued following submittal of a Notice of Intent or Abbreviated Notice of Intent) has been received from the issuing authority (i.e., Conservation Commission or the Department of Environmental Protection). ❑ 1. The area described on the referenced plan(s) Is an area subject to protection under the Ad. Removing, filling, dredging, or aftering of the area requires the firing of a Notice of Intent. ❑ 2a. The boundary delineations of the following resource areas described on the referenced plan(s) are confirmed as accurate. Therefore, the resource area boundaries confirmed in this Determination are binding as to all decisions rendered pursuant to the Wetlands Protection Ad and its regulations regarding such boundaries for as long as this Determination is valid. ❑ 2b. The boundaries of resource areas listed below are dot confirmed by this Determination, regardless of whether such boundaries are contained on the plans attached to this Determination or to the Request for Determination. ❑ 3. The work described on referenced plan(s) and document(s) is within an area subject to protection under the Act and will remove, fill, dredge, or after that area. Therefore, said work requires the filing of a Notice of Intent. ❑ 4. The work described on referenced plans) and document(s) is within the Buffer Zone and will alter an Area subject to protection under the Act. Therefore, said work requires the filing of a. Notice of Intent. ❑ 5. The area and/or work described on referenced plan(s) and document(s) is subject to review and approval by: Name of Municipality Pursuant to the following municipal wetland ordinance or bylaw: Name Ordinance or Bylaw citation WPA Forth 2 R" n7w Paye 2 of 5 i� gt � Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) ❑ 6. The following area and/or work, if any, is subject to a municipal ordinance or bylaw but not subject to the Massachusetts Wetlands Protection Act: ❑ 7. If a Notice of Intent is filed for the work in the Riverrront Area described on referenced plan(s) and document(s), which includes all or part of the work described in the Request, the applicant must consider the following alternatives. (Refer to the wetland regulations at 10.58(4)c. for more information about the scope of alternatives requirements): ❑ Altematives limited to the lot on which the project is located. ❑ Alternatives limited to the lot on which the project is located, the subdivided lots, and any adjacent lots formerly or presently owned by the same owner. ❑ Alternatives limited to the original parcel on which the project is located, the subdivided parcels, any adjacent parcels, and any other land which can reasonably be obtained withn the municipality. ❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate region of the state. Negative Determination Note: No further action under the Wetlands Protection Act is required by the applicant. However, if the Department is requested to issue a Superseding Determination of Applicability, work may not proceed on this project unless the Department fails to act on such request within 35 days of the date the request is post -marked for certified mail or hand delivered to the Department. Work may then proceed at the owner's risk only upon notice to the Department and to the Conservation Commission. Requirements for requests for Superseding Determinations are listed at the end of this document. ❑ 1. The area described In the Request Is not an area subject to protection under the Actor the BufferZone. ❑ 2. The work described in the Request is within an area subject to protection under the Act, but will not remove, fill, dredge, or alter that area. Therefore, said work does not require the filing of a Notice of Intent. ® 3. The work described in the Request is within the Buffer Zone, as defined in the regulations, but will not alter an Area subject to protection under the Act. Therefore, said work does not require the filing of a Notice of Intent, subject to the following conditions (if any). ❑ 4. The work described in the Request is not within an Area subject to protection under the Act (including the Buffer Zone). Therefore, said work does not require the filing of a Notice of Intent, unless and until said work alters an Area subject to protection under the Act. WPA Forth 2 Page 3 of 5 R. mmn -. ,. Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 2 —Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) ❑ 5. The area described in the Request is subject to protection under the Act. Since the work described therein meets the requirements for the following exemption, as specified in the Act and the regulations, no Notice of Intent is required: Exempt Activity (site applicable statuatory/regulatory provisions) ❑ 6. The area and/or work described in the Request is not subject to review and approval by: Name of Municipality Pursuant to a municipal wetlands ordinance or bylaw. Name Ordinance or Bylaw citation C. Authorization This Determination is Issued to the applicant and delivered as follows: ❑ by hand delivery on Rk by certified mail, return receipt requested on 10-22-01 Date This Determination is valid for three years from the date of issuance (except Determinations for Vegetation Management Plans which are valid for the duration of the Plan). This Determination does not relieve the applicant from complying with all other applicable federal, state, or local statutes, ordinances, bylaws, or regulations. This Determination must be signed by a majority of the Conservation Commission. A copy must be sent to the appropriate DEP Regional Office (see Appendix A) and the property owner (if different from the applicant). 10-18-01 Date WPA Forth 2 Pape 4 of S Pi (f m j . t Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 D. Appeals The applicant, owner, any person aggrieved by this Determination, any owner of land abutting the land upon which the proposed work is to be done, or any ten residents of the city or town in which such land Is located, are hereby notified of their right to request the appropriate Department of Environmental Protection Regional Office (see Appendix A) to issue a Superseding Determination of Applicability. The request must be made by certified mail or hand delivery to the Department, with the appropriate filing fee and Fee Transmittal Form (see Appendbc E: Request for Departmental Action Fee Transmittal Form) as provided In 310 CMR 10.03(7) within ten business days from the date of Issuance of this Determination. A copy of the request shall at the same time be sent by certified nail or hand delivery to the Conservation Commission and to the applicant if he/she is not the appellant The request shall state dearly and concisely the objections to the Determination which is being appealed. To the extent that the Determination Is based on a municipal ordinance or bylaw and not on the Massachusetts Wetlands Protection Act or regulations, the Department of Environmental Protection has no appellate jurisdiction. WPA Forth 2 Page 5 of 5 a.,, mrcn ... IOU" Old KingslFighwayRegional IliistoricDistrict Committee, i If in the Town of Yarmouth for a CERTM4 CATE OF APPROPRIATENF9§ , n Application is hereby trade in triplicate, for the issuance of a Certificate of Appr?P.datetne$s,upder ,rection6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as 7cscri lielow and on plans, drawings or photographs accompanying this application for. _ F) CHECK CATEGORIES THAT APPLY: ' ' — �-• ( L 1. Dacrior Building Construction: 13 New Building )ErAddntion O Alteration• - _ :: - .:._ .. ...... _ ... Indicate type ofbuddirig:X,House 13 C*arage 13 Commadd � «� 2. Exctenor Painting: [3 APPROVED 3. Signs or Billboards: E3 New Sign E3 Existing Sign 13 RePant'ng eying 5'91ARMOUTH C011A611TTE 4. Sbuctum p Fa= p Wall 13 Flagpole 13 Other OKHRD n DATE ,TYPE OR PRL%-r LEGIBLY ADDRESS OF PROPOSED WORK_ �U�i l% '24J ASSESSORS MAP NO. 101-(f I./�,i6 C� ie [LD ASSESSORS LOT NO. L OWNERS n �,, ac ��_ TIIlXPIiONENOZ. 7GD' S�Y� HOMEADDRESS?--W LIJAr2 ►l AGENT OR CONTRACTOR TE n TELEPHONE NO -SOS' YOB ATTOCCC � E' ('�,,.[ 4,l., n/n„ l%J� ✓YI ,At2�S'c%S YYl , l S A- USE ATTACHED SHEET IN PACKET FOR ABUTTING OWNERS DETAILED DESCRIPTION OF PROPOSED WORK Give all particulars of %vo& to be done including materials to be used. Incase of signs, give locations or existing signs and Proposed locations of new s-ig_ns. (Attach additional sheet, iff neeess�rv) / fiDD4, n t �lx3a, Ae lVlg i ,�-�-Yemlv j /yi✓ mf^ove -lnn$szl E�ts'I-t;� J �t�t �►gA bLS��-{�. ids t� sue - t t � AL Sip t. '�t t:c.K • owner traitor ng T S ce below line for Committee use only. Received by 0 M Date 1-1)41 ChecL tljqj0-- j IIy�[ AP�PRROO�"VED� DISAPPROVED his Certificate is hie I _ (-01)yt'24.4 I �t 0 E3 MORTANT: If Certificate is approved, approyal�,ject to the 10 day appeal period provided in the Act. E3 Pleasc rctum to: Yarmouth OKI1C DistrictCommittee Yarmouth Towu IWL 1146 Route 28, S. Yarmouth, MA 02664 1 rovidili color carps w.tv, , .1'IGypSG' III 011t f%1C _%r/t��GI�Y FR �ORIlG �G& ELECT7tIC11tETF.RONSITEPIANS p�''7�'(7 rNnrcATErA l� r, 1� FO N�YIiOUSE� NAME OF OWNERS D�,�Y: FOUNDATION (IS, MAX. EXPOSED) WALK WAY: STEPS (INDICATE BRICRlh CFNT//Oj=RR)): N%? 1rD 4��,q,osva. COLOR: itl4409AL SIDING TYPE: fed C�4PP COLOR. _ CHIMNEY (INDICATE APPROVED YARUJ;DUTH CO"dNli T r; PITCH (7/12MIN.) CURD ROOF MATERIAL:x �%51-+�� MAX.EXF--� Ak WINDOWS (GRILIXS REQUMD)_INDICATE SIZES IF NOT LISTEDs� 1 uTIONs�-r°✓� DOORS (INDICATE SIZES AND STYLE IF NOT LISTED ON ELEVATIONS): SEA f /Pv4f{#*--7 COLOR tvk'Pe TRIM: (ALL WINDOWS & DOORS TRUdMD WITH im 1 ixs MATERIAL OF TRIM: O SHUTTERS (WOODNMn) (PANELEDILOUVERED) /V/!- GUTTERS (WOOD/ALUNIINW: AJIi - GARAGE DOORS: SIZE & STYLE: STORM WINDOWS & DOORS: (INDICATE SIZES IF NOT LISTED ON ELVATIONS) M SKYLIGHTS: TYPE/SIZE: N`l� DECK: SIZE & MATERIAL: & V-15 'S14 X 4 R � W c�q , aKa u�4r�nL fNVS�))tA4fU FENCING (MAX. HEIGHT 6'): STYLE: (SHOW LAYOUT & RUNNING FOOTAGE ON SITS rLAN) /V�- COLOR �/04 COLOR Alltf- COLOR: N/,f COLOR: 011jt COLOR: "Of COLOR:°"J"`'� COLOR: !U/W- RETAINING WALL: (P.T. OR FIELDSTONE —CONCRETE INAPPROPRIATE) INNING FOOTAGE ON SITE PLAN) (SHOW LAYOUT & R /V//— ' COLOR: SIGNS: (indicate size, style, colors) 'XIM-1 ,, / COLOR: �� SIGNPOST: (indicate size, style, color) ADDITIONAL INFORMATION: REV. 6199 1 4- 1 - i s "AP f= a 1 { ? OA7E' �JJ rr r ,y. 3 .11, WS;l I 0 � "IT . . . . . . ........ .......... Td— 4i 'tk 41 ...... p.l IV 14 V WE-' I it it • is I 00101-, qp GO' is 13 VOW"Inn—, , 00,� WE WOO ins woo A, 1 a in , - 41r. I tow AI 0 ........ . I;- . .. . ........ 7't to" WIT z J 2. A 1 I fo Ash v WK KV IT I W Q r 7" MW Ji I An �L'3D to/ Vtvk— C.QA Y, S CZ� 3- w &\�5 V4 ugh N CbT) Ca.OWt. G 00-w -O I TY vd4w. � ?-� qz-� V — voo1ut, 032 w,VC)o-o V - vA14-� , yD t?Zy\oUf.ov+ ,� OA G2dss 5�-�-on 54-�avL.-�U (ZO t 5J ^644, FsO� ,Sx. O ila�yz� ��LTir5u1M�-YM to isi5 T y �d,GI o " P4+1 o Dco as 00021, W;"C�cJ Vw-.4\uei� a4 i2QQ� SIAb SITE PLAN OF LAND IN YARMOUTH, MA PREPARED FOR JOHN J. PESCATELLO DATE: JULY 11, 2001 SCALE: 1"=40' �O.E'o�oS61J y•,riS'occ� � - 75 BE Ga.�/uE.C7E0 M ysf � Ex�sT. Dace 1 1 1 1 ,CG- m N ` 1 .l • I \�\ .4 - n n /` ,V. <3 6zI yS!3/ . Yo, 8 w WELLER & -ASSOCIATES 1645 FALMOUTH RD., SUITE 4C. PO BOX 417 CENTERVILLE, F1A 02632 (508) 775-0735 SITE PLAN OF LAND IN YARMOUTH, MA PREPARED FOR N Xi i JOHN J. PESCATELLO N/00, � Re � DATE: DULY 11, 2001 SCALE: 1" a 40' I 1` �0.2opose � y•.�iS'occc Mys'� 0 N aa't I _ 1 I , I 1 I 1 � � 1 m � q � n ro ;Exl$70. 10494r c,usTi�/c,T .eCFE2F.y cE IS 3%G2' W03i , 40.ss, ,e09-CWELLER & ASSOCIATES / 1645 FALmOUTH Mx, SUITE 4C, PO BOX 417 //1/(�� CENfERVH.LE, MA 0263 fff�� 1f1' (SOS) 77S4735 *I N 6 r\ SITE PLAN `A SEA T .O .o) OF LAND IN YARMOUTH, MA PREPARED FOR JOHN J. PESCATELLO DATE: JULY 11, 2001 SCALE: 1" = 40• 1 I � _ I 1 p.�opoSE.a y•,riS'occc G-xiST, y�aG _ u,�c.v4CP- - _-- 1-.- 45s 0 v A S7ttoi o S� ` y 'EX/ST DEGC 1 I Gv E � I . 1 I \b� GZI 7o.3/ 11 WELLER & ASSOCIATES 1645 FALMOUTH RA, SUITE 4C, PO BOX 417 CENTERVULE, MA 0632 (5M 775-0735 \ .. CA lj,CEQ7- �o pe;10 \ I p.('oposEo y•�riS'occc N - T�� 6E ConluE•C7E'O ri �Ex/S'l. DEGC GZ't �-�rO,eoQQoSs'� .� EEC/STi�/ST SITE PLAN OF LAND IN YARMOUTH, MA PREPARED FOR JOHN J. PESCATELLO DATE: JULY 11, 2001 SCALE: V - 40' } i r . •-- �, ss�ss..�t�•P �zG � z . I^ W013/ ' 9c.SBo a WELLER & ASSOCIATES 1645 FALMOUTH RD., SUITE 4C, PO BOX 417 CENTERVILLE, MA 02632 (SM 775-W35 1 -Ot)-/7y TOWN OF YARMOUTH BUILDING DEPARTMENT BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTIAL SHEET Building Site Location: No: /02 V Lot No: P— i Address: f00 'ra y ' ,�i(�y,tw.,4' 7'l(IL Tel.No.:_77(e Y4rf� Date Filed: /Y D The Building Department will be responsible for assisting the applicant by dispatching your plans and or application to the following applicable departments. 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, Oceans, Bogs, Bays, Marshland, Etc HEALTH DEPARTMENT: Determines Compliance to State 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 ---------------------------------------------------------------------------------------------------------------------------------------- Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Etc. REVIEWED BY: WATER DEPARTMENT: DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: of CONSERVATION: DATE: N/A: l/s HEALTH DEPARTMENT: DATE: N/A: INDUSTRIAL AND/OR COMMERCIAL PERMITS S. WIRING INSPECTOR: DATE: N/A: 6. PLUMBING INSPECTOR: DATE: N/A: 7. FIRE DEPARTMENT: DATE: N/A: COMMENTS: RECEIPT OF COPY: PLEASE NOTE SIGNATURE OF APPLICANT: white copy — Building Dept - Yellow Copy — Health Dept - Pink Copy — Engineering Dept - Goldenrod - Fire Dept/Conscr ation e. V.4"-1.. �• w.Y1y' ♦. .. - .. Y• aA• •r♦�ri- q n..-r-..Ntr ai.r l-. •♦•• ... 4. r.n.r+..-r e. a �'♦^a.n.•S e.� i Building Site Location: /7y TOWN OF YARMOUTH BUILDING DEPARTMENT BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTIAL SHEET No lo2L Lot No: A_ • v Proposed Improvement: f Address: PO 73 d Y Qa<<g 1(j Tel.No.: 17 I10!zy Date Filed: The Building Department will be responsible for assisting the applicant% dispatching your plans and or application to the following applicable departments. 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, Oceans, Bogs, Bays, Marshland, Etc HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Scptage Disposal and other Public Health Activities. FIRE DEPARTMENT: Determines Compliance to State and Town Requirements for Personal ------------------------------ -------------------- Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Etc. .................................................................................................. REVIEWED BY: 1. WATER DEPARTMENT: DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A 4. HEALTH DEPARTMENT: DATE: ' S�'� 1--NIA: /1INb/USTRIAL AND/OR COMMERCIAL PERMI S. WIRING INSPECTOR: DATE: N/A: 6. PLUMBING INSPECTOR: DATE: N/A: 7. FIRE DEPARTMENT: DATE: N/A PLEASE NOTE COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT: White copy — Building Dept - Yellow Copy — Health DcpL - Pink Copy — Engmccring Dept. - Goldenrod - Fire Dcpt/Comsmation y..}-^u"w✓4.n.•fY•I^vi•.w«.vN \« C.:AM . �w � �LrM' - Y.��. i,J .. � -a•. �yi..s w.::ii•J�.td`_:l. s^' t,r ... �:� �..yi.r,.�'t:.,,y::.T �r r:=%(Mi.vY.�w.ii�r w.4�.:+'wy:YV'ti.ts��f�r'1�ti ir. Y.wr•o�0-Nti.�. %- G o -/7 y TOWN OF YARMOUTH BUILDING DEPARTMENT ` MATTw/_� �� •n s BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF - TRANSMITTIAL SHEET Building Site Location: 31 0 Proposed Improvement: Address: No: Lot No: �O _ 7 The Building Department will be responsible for assisting tl�e applicant by dispatching your plans and or application to the following applicable departments. 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 ar' Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc HEALTI j DEPARTMENT: Determines Compliance to State 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 Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Etc. REVIEWED BY: 1. WATER DEPARTMENT: DATE: N/A: 2. ENGINEERING DEPARTME DATE: / g�,7N/A: 3. CONSERVATION: 4. HEALTH DEPARTMENT: DATE: N/A: INDUSTRIAL AND/OR COMMERCIAL PERMITS S. WIRING INSPECTOR: DATE: N/A: 6. PLUMBING INSPECTOR: DATE: N/A: 7. FIRE DEPARTMENT: COMMENTS: RECEIPT OF COPY: PLEASE NOTE I SIGNATURE OF APPLICANT: DATE: White copy— Building Dept. - Yellow Copy— Health Dept - Pink Copy— Engrg Dept. - Goldcnrod -Fire DcpWoawvation TOWN OF YARMOUTH BUILDING DEPARTMENT BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTIAL SHEET Building Site Location: �' / J -- 1 t� Map No: ) L Lot No: _ Proposed Improvement: +% .` 'f �c ✓ / cT� 7� , n a, f'; �� Address: vAU %312 Y�Z) •v ; - 7 t t Te1.No.: r174 Uw !�: Date Filed: The Building Department will be responsible for assisting the app c"aht �y&patching your plans and or application to the following applicable departments. 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, Oceans, Bogs, Bays, Marshland, Etc HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements -FIRE For Septage Disposal and other Public Health Activities. DEPARTMENT: Determines Compliance to State and Town Requirements for Personal Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Etc. ------------------------•-----........•--.................--••-------•--•---------..........------------------------- •---------•--•---- REVIEWED BY: 1. WATER DEPARTMENT: DATE: ZN/A 11 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. ' CONSERVATION: N/A: 4. HEALTH DEPARTMENT: DATE: N/A: INDUSTRIAL AND/OR COMMERCIAL PERMITS S. WIRING INSPECTOR: DATE: N/A: 6. PLUMBING INSPECTOR: DATE: N/A: 7. FIRE DEPARTMENT: DATE: N/A: PLEASE NOTE COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE: White copy - Building Dept. - G,oen copy - Water Dept. - Yellow Copy - Health Dept. - Pick Copy - Enginocing Dept. - Goldenrod - Fire Dept/Consavatiou K q/ 0�9 TOWN OF YARMOUTH BUIMING DEPARTMENT K r PLAN REVIEW & BUILDING PERMIT APPLICATION REVIEW NOTES ADDRESS: 3AV Gv E f a Ra. Map / Lot: /a- &/Z� Date of Initial Review: SIao% 2 0tber. Approval Date - Inspector. Th a, N TES: 14D17 COKrtoC, S�e Kr S `)b V1 l 4 HHtiD w i rziz P S�1oKE l7r7h aTd.zs %�tf,�� %/f2u Oc.T S'T/2�cruit� Zoning Denial (if applicable): Section 104.32, pars. Change, E sicm a:41teratioa _. nonconforming) 'Iheproposed ..._..---...__.__.._...... requires a -Special Permit-frcmthe ZanmgBoerd-ofAppeals:-..._ __ . _ ........ Other Building Code Denial (ifapplicable) Rev. 11-01 TOWN OF YA:Ft iM ).QEi',A,R MX4T . 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