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Property Location: 30 OLD CEDAR LN 12rion 1D: 14168 ALIPID: 110116111 Other ID: 97/ V006/ / / Bldg #: 1 Card 1 of 1 Print Date: 11/04R00213:31 , IOb1ER, SUSAN E 0 OLD CEDAR LN YARMOUTH, HA 02664 dditional Owners: Description Coae Appraised Value Aiseised Value 815 YAR31OUTH, U4 IDNTL 1010 1010 115,50 1,000 115,500 1,000 _IESIDNTL ccoun Subdivision 370 'hoinn IS ID: VISION o111,400 qu yr IOMER, PETER G IOJIER, PETER G IOMER, PETER G 14278/122 11981/ 063 09/28/2001 01/11/1999 07/16/1991 U U U I 1 1 99 85,000 1 IF IF IN r. Goae AssemeaValue r.code A-13"'t-Ted Value r.Lode AsiemeaValue 2002 2002 1010 1010 115,500 1,000 001 001 1010 1010 115,5002000 1,000 1010 88900 0 oa: o - . - _ . = s gna ure ac now ages a visr y a a o ec or orAssessor ear JyPelimscription---Amount Aumber Amount Co;Fm n APPWAISED VALUE.Yuamrm,try, Appraised Bldg. Value (Card) Appraised XF (B) Value (Bldg) Appraised OB (L) Value (Bldg) Appraised Land Value (Bldg) Special Land Value Total Appraised Card Value Total Appraised Parcel Value Valuation Method: 113,500 2,000 1,000 54900 171,400 171,400 Cos01arket Valuation ° - 0370 et I otal Appraisedarce a ue 171,4UU Permit ID Jisue Late ype scrtptton Amount insp.Date Vo Uomp. Date Lomp. omments Da!e urpos su t 562 998624 9/10/1997 11/4/1991 RS Kesidenta Residential 4,000 300 100 100 ROOF OAL STOV easur-TIAsted LANDLTNE " -1. - . Use Code Description Lone V Frontagelp nits Unit Price jPactor .5.1 G. Pactor JVbhd Adj. Aotes-AdjapectalPriang Adj.UnitFrice Land Value o a r to , Parcel o a rea. o a an a u 54,9001 Property Location: 30 OLD CEDAR LN MAPID: 110/ 16/ / / Vision ID:14168 tither ID: 97/ V006/ / / Bldg #: 1 Card 1 of 1 Print Date: 11/04/2002 13 CUMMUCTIONDPIAIL ement escripnon ommercr u a emen YPe o oma emen escrip ion odel 1 esidential rY erior Wall 1 2 )f Structure >f Cover rior Wall 1 2 rior Floor 1 2 ding Fuel ding Type Type Rooms Type ien Style Stories -- ---' eilinglWall re -Fab Wood m&TrUis %Common Wall all Height ambrel sph/F GIs/Cmp GUN lectr Basebrd Number 01 Units one Slumber of Levels Ve Ownership Bedrooms Bathrooms Rooms Unadj. Base Rate escrrptron SIM HED FRAME . BI coac scrrptmn vs oor FGR arage FUS pper Story, Famished PTO atio UHS calf Story, Unfinished rAdj. Factor e (ty Index Base Rate . Value New Built Year Built Physcl Dcp uncnl Obslnc con Obslne Percenta.ze 3pect. Cond. Code pccl Cond % verall % Cond. epree. Bldg Value 2000 093532 0.95 5331 157,594 1965 1972 28 0 0 72 113,500 fiCnd I Apr. a ue IUU 100 1 1.00( 1 YAP 109 PARCEL. 53 TOWN OF YARMOUTH ' *APPROX. SAS AREA LOCUS (AS -BUILT CARO ' UNCLEAR)` OLD CELN 50 I I/I R ROUTE LEACHING AREAO 112 -I- 48. LOCATION YAP (NO SCALE) SHED SHED fr�E>OST.SEPTIC ' TANK ;h i CONC. ` d' N YAP 110 PATIO C\f / PARCEL 15 w N/F FRANCS E. FAWCETT TRS 34.r EXIST. DWELL - YM 110 E TOP FNDN — 19.39' / PARCEL 19 GARAGE N/F DAVID AND TF 19'04' � / CAROL McCARTHY /03 i / q 0 / LOT 6 / 4-,I • �. 13,082f SQ. FT. ,yi f /Cs � 14 �• I I DRIVE lie.ENST. OLD ��� ���� GARAGE (TO BE RAZED AND REPLACED ' ^ /j `��q� ``�— J �� HYDRANT WITHIN EXISTING I FOOTPRINT) TAG B 9 23.6 ELEV = Z3.69' ASSUMED JOB# 02-188 CERTIFIED BUILDING PLAN FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT ONLY•' -1 PREPARHD F�ORO so OLD CEDAR LANE LOCATION (SOUTH) YARMOUTH. MASS. �' ' ,> SUSAN'CO ER p SCALE 1 = 30 DATE OCTOBER 9. 2002 REFERENCE PLAN BK. 122 PC. 79 ' ASSESS. MAP 110 PCL. 16 1 HEREBY CERTIFY THAT THE STRUCTURE 0� SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. Of�c off. 508-362-4541 nor ARNE I fax 508-362-9880 u OJALAH down cope engineering, inc. No. 6 CIVIL ENGINEERS _.. LAND SURVEYORS O"�OIa �0 / LAND 939 main st yarmouth, ma 02675 DATE REG. LAND SURVEYOR MAP 109 PARCEL 53 ' TOWN OF YARMOUTH *APPROX SAS AREA CARD UNCLEAR) ROUTE 6 I LOCATION MAP (NO SCALE) SHED V• fa MAP 110 PARCEL 15 N/F FRANCIS E. FAWCETT TRS 4- p�lla.�\ ar BENCHMARK HYDRANT TAG BOLT/619 ELEV - 23.69' ASSUMED ^ 21-2.* LEACHING AREA* O / DOST. / SEPTIC / TANK CONC. PATIO EXIST. DWELL TOP FNDN — 19.39' � I / 1 50. 1 1 I I .Yi I d• / j ; GAIE TF 119.0 LOT 6 13,082t SQ. FT. •-y �� / CO 1 I PAVED j DR1VE / I / Z4)V& / JOB# 02-188 CERTIFIED BUILDING PLAN FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT ONLY LOCATION : 30 OLD CEDAR LANE (SOUTH) YARMOUTH, MASS. SCALE I" = 30' DATE : OCTOBER 9, 2002 REFERENCE : PLAN BK. 122 PC. 79 ASSESS. MAP 110 PCL. 16 1 HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. off. 508-362-4541 fax 508-362-9880 down cape engineering, inc. (� CIVIL ENGINEERS iy j01 Y LAND SURVEYORS (/ 939 main sL yannouth, ma 02675 DATE 1 ss.r I 6.1. MAP 110 to PARCEL 19 N/F DAVID AND r$ti CAROL UCCARTHY I O /J o / m o Lu .0 Iw i EXIST. GARAGE (TO BE RAZED AND REPLACED J WITHIN EXISTING / FOOTPRINT) PREPARED FOR: SUSAN HOMER ARNE H. OJALA No. 2634 REG. LAND SURVEYOR Appeal #: TOWN OF YARMOUTH BOARD OF APPEALS TOVVNI ; •;! .FRK APPLICATION FOR HEARING 207 NOV -y tJ1 10: 06 Hearing Date: 0 Fee$ 3 • o 0 RECEIVE -Di Applicant: Peter G. and Susan E. Home (Full Name- including d/b/a) 30 Old Cedar Lane South Yarmouth 02664 Atty(508)790-8999 (Address) (zip) (Telephone Number) and is the (check one) U Owner ❑ Tenant ❑ Prospective Buyer ❑ Other Interested Party Property: This application relates to the property located at: 30 O 1 d Cedar Lane, 'So. Yarmouth MA which is also shown on the new Assessor's Map: 110 as Parcel: 1 6 (old Map & Lot #) 9 7 V 6 Zoning District:R - 4 p Project: The applicant seeks permission to undertake the following construction/use/activity :(give a brief description of the project. i.e.: "add a 10' by 15' deck to the front of our house" or "change the use of the existing building on the property"): Remove existing 1 car garage, utility room and storage area and replace with 1 car garage, utility room and storage, plus 2nd oor bedbroom and bath RELIEF REQUESTED: The applicant seeks the following relief from the Board of Appeals: 1) REVERSE THE DECISION OF THE BUILDING INSPECTOR OR THE ZONING ADMINISTRATOR dated (attach a copy of the decision appealed from). State the reason for reversal and the ruling which you request the Board to make. 2) x SPECIAL PERMIT under § 1 n 4.3 _ ? (9) of the Yarmouth Zoning By-law and/or for. a use authorized upon Special Permit in the "Use Regulation Schedule" §202.5 3) VARIANCE from the Yarmouth Zoning By-law. Specify all sections of the by-law from which relief is requested, and, as to each section, specify the relief sought: Section: Relief sought: Section: Relief sought: Section: Relief sought: ADDITIONAL INFORMATION: Please use the space below to provide any additional information which you feel should be included in your application: FACT SHEET Owner of Property (if other than applicant) Same as applicant (Full Name) ( Address) How long has the owner had title to the above premises; (Telephone Number) 1991 (Give title reference if available) Use Classification: Existing: residential §202.5 # A 1 Proposed: r c i d P n_ i a 1 §202.5 # A t Is the property vacant: N o How long has it been vacant: n / a Lot Information (if available) Area: 13 , 082 Subdivision/Plan Reference: 110 / 162 Is this property within the Aquifer Protection Overlay District: ' Yes X No Other Department(s) Reviewing Project: Indicate the other Town Departments which are/ have/ or will review this project, and indicate the status of their review process: B u i l d i n ga Health Repetitive Petition: Is this a re -application: N o If yes, do you have Planning Board Approval: Prior Relief: If the property in question has been the subject of prior application to the Board of Appeals or Zoning Administrator, indicate the Appeal number(s) and other available information: Building Commissioner Comments: Applicant's Address: Signature Building Commissioner Signature Owner's Signature Site Plan Review Required Completed ❑ Yes ❑ No ❑ Yes ❑ No Application.wpd Peter Homer t r�e No.: 98110056 Ass:30 Old Cedar Lane Case No.: N/A }b /Varmouth State: MA Zip: 02664 22' 26' 36' I Bath Bedroom 22' Second Floor 22 Bedroom 36' Patio 48' 36' First Floor A14' / Not to Scale llsiTcALe/ at re -.a- - �.►in�A �� Aw AA F..���.�� V SKETCH CALCULATIONS Al Al : 48.0 x 4.0 = 192.0 Az A2 : 36.0 x 14.0 = 504.0 A4 A3 : 56.0 x 8.0 = 448.0 A4:8.0x4.0= 32.0 Ax First Floor 1176.0 A5 : 36.0 x 22 0 = 792.0 As Second Floor 792.0 Total Living Area 1968.0 Aa AB: 22.0 x 22.0 = 484.0 A7 :14.0 x 12.0 = 168.0 Ar Attached Garage 652.0 25 Mid Tech Drive, Suite E, West Yarmouth, MA 02673 508-778-0101 STANDARD FEATURES � • The largest vieivinuq area in each class size is ied with true ividthlof. and 42'. � �-- • Caliber minimizes the steel surron I7 ;11 a yes the viewing area a better -looking fireplace. • A very realistic wood -like f 2'ate urge b ning embers, ras dom flame, and logs with ha a!_ill��d d • Topp or rear direct vent allows ' u"I atio 1 interior or exterior wt below,grade, or in corners; ava le in s ing pilot or electronic ign tion systems. • "Quick Access Glass" keeps ro itin iaiiiteiiance simple and creates a tight, sealed combustion chamber; uses only outside air for combustion. • A modulating flame control means variable Btu input (tip to 32, 000., tlje Caliber 60 and tip to 35, 000 for the Caliber 80) and flame height. Heater listed to ANSI Z21.88. • Tested and Listed to UL Safety Standards; Limited Lifetime Warranty. FINISHING MATERIALS ,When finishing the Caliber, combustible material may be brought rip to the sides of the fireplace but mist never overlap th, black area. Thic black metal may bt completely covered ivitls noncombustible material only, sscch as marble, tile, stone, ctc. Warning: You cannot cover any of the grilles on UNIT AND FRAMING DIMENSIONS this unit as this may create a fire hazard. M *Interior firebox depth: 20" Model A 11 I C I D I E Caliber 60 36" 41' 241/2" 715/8" 505/8" Caliber 80 42" 47" 301/2" 775/8" 1 551/4" y Is options not Pic Caliber 60: width - 42'%", height - 38V4'; cavity depth - 23'�a" NXTAAID70/90 a s er . nvs t z - 4 ; ncsg ht - 4 ; cays cpt l - 231"2" NIXTBFMD70/90 CLEARANCES TO SURROUND/CONIBUSTIBLES FFNXT70/90-PWT • Minimum mantle heights: 0" to 3" Mantle Projection - 39"* WSK-KILT-HTL • 3" to 6" Mantle Projection - 41"*; BC10/11/12 • 6" to 9" Mantle Projection - 44"*; FK4 • 9" to 12"** Afantle Projection - 45"* RIO • hfiz:i»nun: window height - 40"*** CKVP • Afininuan recessed s/telf 1jeight to bottom framing - 38,V8"*** CKVN • Top of standoffs - 0 ; Floor - 0; Back and sides of fireplace - v2 - QKE3B, QKE4B Ceiling - 30" RCA60D, RCA80D *Alande be4gbt lisud it from the BASE of the appranec. TK6B/S, TK7B/S *•12' is the maxin,a,n mantle projection allowed. TK47B/S •••7bese dimensions can only be obtained mhen using the rear vtut system. DFBC36, DFBC42 CERTIFICATIONS/GENERAL CONSIDERATIONS TKB6, TKB2 • Certified for installation in bedrooms, bed/sitting rooms and uzobile bonzes. • Consult local building codes for local installations and operationalguidelincs. • Tlie rosrgb framing dimensions shown above represent the distance fzom stud to stud only and do not take into consideration the addition of sheetroek/dzywall. • Wiring for an optional fan kit or rci note control insist be done prior to finish- ing the installation. • For best results, do not construct the framing until the unit is in place. • A hearth extension is not required. MODELS AVAILABLE Gas line knockout 1 26+/2 7Vi Electrical 63/e' knockout 91/1 Cabinct-style arcbcd fiUjqrcc front, , Bi fold lostvercd front, black Fil�qree front, pewter Multi -functional wall switch Fan controls Tsansaxial fan 160 CFM fan Ugas conversion kit Naturalgas conversion kit Quick Tilc trim Refractory lining Polished Grass/Stainless steel trip, Polished brass/Stainless steel trio: Bay front Polished brass bay door trim kit VENTING SPECIFICATIONS • 5" inner pipe; 8" outer pipe • Horizontal runs: 1" cicarancc bottom and sides; 3" clearance top • Vertical rums: I" cicarancc GCDC60 41"wide standing pilot, naturalgas GCDC80 47" wide standing pilot, naturalgas GCDC60E 41"wide electronic ignition, naturalgas GCDC80E 47" wide electronic naturalgas GCDC60L 41"wide standing pilot, L.P.gas GCDCSOL 47" Ivide standing pilot, L.P. gas • GCDC60LE 41"widc electronic ignition, L.P.gas GCDC80LE 47" widc electronic ignition s vzmin rr- nt tnz Hearth & Home Technologies 1 t' ✓ 1915 W Saunders St. • Art. Pleas t IA 52 800-843-2848 • fax 800-259-1 For consumer information: 800-927-6841 he-tilator.com • fireplaces.com f 1PJ1171L ATOR is a rcb�stered trademark of Hearth & Home Technolo&s This information is provided for planning purposes only: Please refer to installation instructions when installing this product. GCDC60 41 a Caliher Tnn/Rear Direct Vent Circulatinn Gas ennliance calibe 41 Overall unkwiftW qla�mq: too or rear direct vent, heat cl=j p 11 vr.��=ez2 •.�F-r� �,•,r p .-�,.,,_-..-•�T��=rt ;,� R-:.+.;..-. °„.,t - „� ,^'`r ;;�'t "Wei ftit? n' 3 �C �•.,.Modeftn.;-. Descri Uon�. iro'lw,L1L,�n-.ar.(`,hi.w. ti.I.Y...ii` ^n#1_+a/>.Y•l Y.t+Ll^Y�Ma3:.f�?y,1 a W �'pbll:tt.,�.�Y R ::�(�'. GCDC60 141@ heat drouleM ttandxg pilot, natural gas 150 bs. 204 $15 GCDCGOL 41' heat circulating standing pibL.P. gas 150 bs. 20.0 S1 S GCOC60E 41' heat cira lrating electronic Ignition, natural gas 150 bs. 20.0 515: GCDC60LE 41' heat circulating electronic ignition, LP. gas 150 ins. 20.0 51 S VAILABLEFACTORYdNSTALLEDOP.770NALFEATURES"; @ems listed below are upgrade features of this appliance that may be ordered and Installed at the factory prior to shipment. 0 an assembly code is not indicated during of order, the appliance wig be shipped with fire standard feature Installed (indicated above} These upgrade features are also available alter the product has been shipp for a slightly higher cost. . 5„ >y'1Y .Y ( y'rk �, Opttoni� 2�,L..,...-..: .,, JIW'1 �/ ri,.�• .Assembl y i M1.-+. �,r ;Coded.`n� w r.r �'! 5 t�Y?•�.� •.y ;s Mode(i . 7`-w`+SL,:R>rto \ =it pl i1 Iyt'..-♦ Upgrade Feature �.�:,. r , ti,,'�A:n`�.L*+-.,: ,_ S ]A 12 i. 1�5 11 f ,7 r i s w I v ,y Weight ;, f,rw / ° S_` ,.� ,._ 1 •�Iz , �( ,�.+ uric...:.1'...A•'{rM]•�Y,Y..F.+11Jial.4` n.+iyR'�V: � r e rCIEfQ ,, n cr.,.....,k t '•!!w .fM1.Y �. s ir a andinstalled k..•,,,. �,;wftilUnd�-, •" 'T,..ry r*s andshii -,.,...�. •,separa Refractory R RCA60D Gray steel refractory 8.6 bs. 1 09 1 $71.00 1 $11 Shipped standard with black metal lining V assembly code not Indicated. Fan F I FK160 I Transaxial tan kk 4bs 02 1 $14200 1 S17 Stopped standard without tan it assembly code rat Indicated. OptionalAccessmie3(shippedseparatclyjr�` N)(TAM070 Cabinet -style Arched Filigree Front Black 30.0 b. 3.30 $45 NXTBFM070 Wold Louvered Front Blade 25.0 b. 3.30 SU FFNXT70PWT Filigree Front, Pewter 25.0 b. 3.30 $5E FK41e0 Transaxial fan kit 4 bs. OS $17 BC10 Fan motor meostat corarol, wag mounted 05 b. OS S: BC11 Temperature -activated tan control (mounted under firebox) 1.5 bs 02 $. SC12 Temperature -activated tan control (mounded on glass retainer) 1 b. 0.1 SE OKE3B Ouick Tie brass surround finish • supports 4' 114 Was albs. 2.5 Szi WSK4ALT4fTL MWWurction wall switch (standirg pilot or lsegdre Ignition) 3.5 02 $1! RC.SMART•HTL Remote cmtml (requires 110v or prewiring) 1 to. OS Stf RC-EIE04M Remote control for use with eledronic ignition (direct spark electronic Ignition units) 2 bs. 05 $11 RCT-MLT-NTL Mutt functional remote: OnNO, higWw Hama, roan temp, tan speed (standing pilot or Intel fire orsy) 3.5 bs. 0.1 S2! SMARMTAT-HT1. Mut&huctimal remote: On=. room temp, themhostat temp., timer (standing plot or InteUre only) 2 bs. 0.1 S15 SMART -BAT T-HTL MWti-lurrtional remote: OrM f, thermostat temp., Hiner (stardirg plot a Wevile mly) 1 lb. 09 $1! CKVP L.P. gas conversion kit 1 b. OS 33 CKVN Natural gas conversion kit 111). U $7 TK3028 Polished brass frail trim kit (5 bars, l hoo(j l upper trim) 32 bs. 1.0 SE TK302S Stainless steel front trim kit (5 bars, l food, t upper kim) 32 bs 1.0 $f TK47B Polished brass perimeter trim kit (3 pieces) Sibs. 0.1 17 TK47S S"ess steel perimeter trim kit (3 pieces) 5 bs. 0.1 $7 TK68 Polished brass grille trim kit (4 bars) 4 bs. 0.1 $7 TK6S Sta"ess steel grille trim kit (4 bars) 4 bs. 0.1 $7 TK86 Polished brass bay door trim kit (6 grille bars) 22 bs 0.1 SE OFN68 Fixed bi-told polished brass glass doors 30lbs. 2.4 E DFN6S Fixed bNold sfaiNess steel glass doors 30 bs. 2.4 $21 DFA36 Fixed cabinet -style, arched, black finish glass doors 30 bs. $2i Fixed QMW-style7rched, polished bmwjlasrdoors S27 - doors S26 DFBC36 Fixed polished brass bay doors VAbs 2. $37 IAVA-M Lava rock mulls -pack (15 bags at 41bs. each) 1 S $8 �Ftw1:MUW � A �rflw b EWnau ..32' jI e' 241/i r/1 36' 261/i 7'1 ' _41 Imotkouh h eadlator. InAt f,.xr,anr in f.,,�rcux 02/03 0 CIIf11N� GOLD Cnj0 Series 2 Gas -Fired Water Boiler Boiler Manual • Installation •Maintenance • Start -Up •Parts ervic dea, Part Number 550-110-710/02 GOLD CGi Series 2 Gas -Fired Water Boiler Fol How it works .. . ' O Control module The control module responds to signals from the room thermostat, air pressure switch and boiler limit circuit to operate the boiler circulator, pilot burner, gas valve and inducer. When room thermostat calls for heat, the control module starts the system circulator and inducer. The control module runs the inducer long enough to purge the boiler flue passages, then opens the pilot valve and activates pilot ignition spark. The control module allows up to 15 seconds to establish pilot flame. If flame is not sensed within 15 seconds, the control module will turn off the gas valve, flash the Flame light, and then enter a 15-second postpurge. The control module will then start a new cycle. This will continue indefinitely until pilot flame is established or power is interrupted. Once pilot flame is proven, the control module opens the gas valve to allow main burner flame. When the room thermostat is satisfied, the control module turns off the gas valve, operates the inducer for a 15-second postpurge and waits for the next heat call. The control module indicator lights show normal sequence when the lights are on steady. 4 When a problem occurs, the control module flashes combinations of lights to indicate the most likely reason for the problem (see page 47). OTransformer The control transformer reduces line voltage to 24 volts for the gas valve and limit circuit. OInducer The inducer pulls flue gases through the boiler, causing air to be pulled in through the boiler air openings. The inducer pushes the flue gases through the vent pipe as well. ® Air pressure switch The air pressure switch signals the control module, telling the control module whether the inducer is working correctly or the vent is blocked. OWater temperature limit switch The water temperature limit switch turns off the gas valve if the temperature in the boiler -� goes above its setting. (The circulator will continue to run as long as there is a call for heat.) OBoiler circulator The boiler circulator circulates water through the external (system) piping. The circulator is shipped loose, and can be mounted on either the boiler supply or return piping. The factory - installed circulator wiring harness provides ample length for either location. NOTE — The control module provides a pump exercising routine. If the boiler is not operated for 30 days, the control module will power the circulator for 30 seconds, then turn off. Other boiler components: a supply to system f pressure/temperature gauge k pilot burner and bracket b return from system c stainless steel bumers d flue outlet e gas valve g relief valve h air vent connection i flame rollout thermal fuse element (TFE) j burner shield 1 gas manifold m cast iron boiler sections n flue collector o junction box Part Number 550-110-710/0200 Boiler Manual Fus 3c Venting — direct exhaust — system components Obtain vent system components 1. The following special gas vent systems comply with UL-1738 and ULC-5636 standards and are certified by CSA as the only systems suitable for use with CGi boilers (all 3" diameter): • Heat -Fab, Inc. Saf•T Vente • Flcx-L International, Inc. StaR-34 • Z-Flex®, Inc. Z-Vent 11 • ProTech Systems FasNSeall Use only the vent starter of the same manufacturer as the vent compo- nents. Do not mix components from different systems. The vent system could fail, causing flue gas spillage, resulting in severe personal injury or death. 2. Select vent method based on page 14 and installation requirements. Table 5 Vent system components 3. Refer to Table 4 for maximum vent run lengths an number of elbows. Do not exceed data in Table 4 4. Select vent components from Table 5. A - components, including the vent starter, must be ( the same vent manufacturer. Do not mi components. Table 4 Maximum vent length Max.vent Total number of elbows (Note 1 length (feet) j 1 2 33 4 5— 1 6 CGi-25 to CGI-6 ! 55 48 j 41 t 34 27 20 CGi-7 35 i 28 121 14 7 — CGi-8 28 21 14 j 7 j — — Note 1: j Do not include termination fining when I counting total number of elbows. Description Saf-T Vents StaR-34 Z-Vent 11 FasNSeall Weil -McLain part number Sat-T Vents part number CGi Starter 699-999-015 699-999-001 73WMCGIS 73WMTERM SRAWCG3 SVEWMFA03 SVSTPX03 FSA-WEIL-CG. FSB3S Termination Coupling with Screen — Termination Elbow with Screen 699-999-069 1314TERM SRTE-03 SVSTEX0390 FSTE90 Termination Tee with Screen 699-999-026 7390TEE SRTT-03 SVSTTX03 FSTT3 45'Elbow 699-999-010 7311GC SRE4503 SVEEWC0345 FSEL4503 90-Elbow 699-999-011 7314GCTR SRE9003 SVEEWC0390 FSEL9003 6" Pipe 699-999-003 7301GC SR06P03 SVEPWC03.5 FSVL603 12" Pipe 699-999-004 7302GC SR72P03 SVEPWC0301 FSVL1203 18" Pipe 699-999-005 7304GC SR24P03 I SVEPWC0318 SVEPWCo3 FSVL1803 FSVL2403 24• Pipe 699-999-006 7305GC 36" Pipe — — SR36P03 SVEPWC0303 FSVL3603 37 1/i Pipe 699-899-f)07 7307GC — — 48" Pipe — — — SVEPWC0304 — 49 Va" Pipe 699-999-008 7308GC- 60" Pipe 699-999-012 7360GC SR60P03 SVEPWC0305 -- Slip Connector (See Note) 699-999-009 7324GC9 SRSJ03 — Horizontal Support 699-999-016 7323GC — FSSH Horizontal Drain Tee 699-999-014 7320GC _ SRTDH03 SVEDWC03 FSHDT3 Joiner Band — — SRJB-14 — — Sealant As specified by individual vent pipe manufacturer Not required Note: Use to adjust for non-standard pipe lengths and Saf-T Vents only, before termination coupling to terminate run Part Number 550-110-710/0200 Boiler Manual IM 0 0 GOLD CGi Series 2 Gas -Fired Water Boiler Part Number 550-110-71010200 GOLD CGi Series 2 Gas -Fired Water Boiler Foml 1 a, Prepare boiler location — codes & checkl ist Installations must Local, state, provincial, and national codes, laws, regulations and follow these codes: ordinances, • National Fuel Gas Code, ANSI Z223.14atest edition. • Standard for Controls and Safety Devices for Automatically Fired Boilers, ANSI/ASME CSD-1, when required. • National Electrical Coda For Canada only: B149.1 or B149.2 Installation Code, CSA C22.1 Canadian Electrical Code Part 1 and any local codes. _tea NOTICE The CGi boiler gas manifold and controls met safe lighting and other performance criteria when boiler underwent tests specified in ANSI Z21.13—latest edition. Before locating the boiler, Check for nearby connection to: check the following: System water piping • Venting connections • Gas supply piping • Electrical power • Check area around boiler. Remove any combustible materials, gasoline and other flammable liquids. s Failure to keep boiler area clear and free of combustible materials, gasoline and other flammable liquids and vapors can result in severe personal injury, death or substantial property damage. • Boiler must be installed so that gas control system components are protected from dripping or spraying water or rain during operation or service. • If new boiler will replace existing boiler, check for and correct system problems, such as: 1. System leaks causing oxygen corrosion or section cracks from hard water deposits. 2. Incorrectly -sized expansion tank. 3. Lack of antifreeze in boiler water causing system and boiler to freeze and leak. 6 Part Number 550-110-71010200 NI • Boiler. ManualRml 0 lb Prepare boiler location — clearances Provide the following clearances: 1. Hot water pipes — at least sh" from combustible materials. 2. Recommended service clearances — See Figure 1. 3. Minimum clearances for tight spaces — See Figure 2. Figurel Recommended clearances for service Figure2 Minimum clearances for tight spaces Provide (2) fresh air openings — 6" from top and 6" from bottom located on wall next to boiler front.. Each opening must have free area of 1 square inch per 1,000 Btuh of CGi boiler input Flooring and foundation Flooring The CGi boiler is approved for installation on combustible flooring, but must never be installed on carpeting. Do not install boiler on carpeting even if foundation is used. Fire can result, causing severe personal injury, death or substantial property damage. Foundation Provide a solid brick or minimum 2-inch thick concrete foundation pad if any of the following is true: • floor can become flooded. • the boiler mounting area is not level. The minimum foundation size is: Boiler model Minimum foundation length Minimum foundation width CGI-25 25" 12" J CGi-3 25" 1Y CGIA 25" 15, CGI-5 25" 18" CGi-6 25" 21" CGI-7 25" 24• CGIB 25" 27• _J Residential garage installation Precautions Take the following special precautions when installing the boiler in a residential garage. if the boiler is located in a residential garage, per ANSI Z223.1, paragraph 5.1.9. • Mount the boiler a minimum of 18 inches above the floor of the garage to assure the burner and ignition devices will be no less than 18 inches above the floor. • Locate or protect the boiler so it cannot be damaged by a moving vehicle. Part Number 550-110-710/0200 7 GOLD CGi Series 2 Gas -Fired Water Boiler :=a 1e Prepare boiler location — vent system CGi venting Failure to follow all instructions can result in flue gas spillage and carbon monoxide emissions, causing severe personal injury or death. Inspect existing chimney before installing boiler. Failure to dean or replace perforated pipe or the lining will cause severe personal injury or death. Do not install the CGi into a common vent with any other appliance. This will cause flue gas spillage or appliance malfunction, resulting in possible severe personal injury, death or substantial property damage. When removing boiler from existing common vent system: At the time of removal of an existing boiler, the following steps shall be followed with each appliance remaining connected to the common venting system placed in operation, while the other appliances remaining connected to the common venting system are not in operation. a. Seal any unused openings in the common venting system. b. C. d. C. Visually inspect the venting system for proper size and horizontal pitch and determine there is no blockage or restriction, leakage, corrosion or other deficiencies which could cause an unsafe condition. Test vent system — Insofar as is practical, close all building doors and windows and all doors between the space in which the appliances remaining connected to the common venting system are located and other spaces of the building. Turn on clothes dryers and any appliance not connected to the common venting system. Turn on any exhaust fans, such as range hoods and bathroom exhausts, so they will operate at maximum speed. Do not operate a summer exhaust fan. Close fireplace dampers. Place in operation the appliance being inspected. Follow the operating instructions. Adjust thermostat so appliance will operate continuously. Test for spillage at draft hood relief opening after 5 minutes of main burner operation. Use the flame of a match or candle. remaining connected to the common venting system properly vents when tested as outlined above, return doors, windows, exhaust fans, fireplace dampers, and any other gas -burning appliance to their previous conditions of use. Any improper operation of common venting system should be corrected so the installation conforms with the National Fuel Gas Code, ANSI Z223.1—latest edition. Correct by resizing to approach the minimum size as determined using the appropriate tables in Part 11 of that code. Canadian installations must comply with B149.1 or B149.2 Installation Code. Chimney or vent requirements 1. Venting must be installed according to Part 7, Venting of Equipment, of National Fuel Gas Code, ANSI 2223.I_latest edition and applicable building codes. Canadian installations must comply with B149.1 or B149.2 Installation Codes. 2. See Ratings table on page 67 for minimum chimney or vent sizes. A chimney or vent without a listed cap should extend at least 3 feet above the highest point where it passes through a roof of a building and at least 2 feet higher than any portion of a building within a horizontal distance of 10 feet.A chimney or vent must not extend less than the distances stated above. 3. A lined chimney is preferred and must be used when required by local, state, provincial and national codes, laws, regulations and ordinances. Vitreous tile linings with joints that prevent retention of moisture and linings made of noncorrosive materials are best. Advice for flue connections and chimney linings can be obtained from local gas utility.Type B double -wall metal vent pipe or single -wall vent pipe maybe used as a liner. 4. Cold masonry chimneys, also known as outside chimneys, typically have one or more walls exposed to outside aieWhen any atmospheric gas -fired boiler with automatic vent damper is vented through this type of chimney, the potential exists for condensation to occur. Condensation can damage a masonry chimney. Weil -McLain recommends the following to prevent possible damage. a. Line chimney with corrosion -resistant metal liner such as AL29-4C® single -wall stainless steel or B-vent. Size liner per National Fuel Gas Code ANSI Z223.14atest edition. ' f. After it has been determined that each appliance b. Provide drain trap to remove any condensate. Part Number 550-110-71010200 • GOLD CGi Series 2 Gas -Fired Water Boiler le Prepare boiler location — air openings Combustion air and ventilation openings must comply Air directly from outside to boiler with Section 5.3, Air for Combustion and Ventilation, room of National Fuel Gas Code ANSI Z223.14atest edition, 1. Tightly constructed buildings must be provided or applicable local building codes. Canadian with combustion and ventilation air openings to installations must comply with B149.1 or B149.2 boiler room, which are adequate to handle the Installation Codes. boiler needs plus the needs of all other fuel burning appliances, exhaust or ventilation fans and Provide adequate combustion and fireplaces. ventilation air to assure proper combustion and reduce the risk of 2. When combustion air is supplied to the boiler severe personal injury, death or space directly through outside walls (Figure 4): substantial property damage caused Provide two permanent openings: by flue gas spillage and carbon One air opening within 12 inches of floor. monoxide emissions. A second opening within 12 inches of ceiling. Air from inside building (boiler in interior room - Figure 3) 1. Tightly constructed buildings must be provided i with openings to outside for combustion and ventilation air. These openings must be sized to handle all fuel burning appliances, exhaust or ventilation fans and fireplaces. 2. When openings to boiler room are taken to interior spaces, provide two permanent openings: • One air opening within 12 inches of floor. • A second opening within 12 inches of ceiling. Each opening must provide a minimum free area of 1 square inch per 1,000 Btuh of input of all appliances in room plus requirements for any u ! exhaust fans in room. The interior space supplying combustion and ventilation air must have adequate infiltration from outside. 10 Each opening must provide a minimum free area of 1 square inch per 4,000 Btuh of input of all appliances in room plus requirements for any exhaust fans in room. The interior space supplying combustion and ventilation air must have adequate infiltration from outside. Figure 4 Air directly from outdoors Each opening free area = g °.tr a 1 sq. inch per 4,000 Btuh 2 8 a� v N CGi qua O other appliances Figure 3 Air openings to interior space 3. Each opening free area = o fir 1 sq. inch per 1,000 Btuh ao Add air opening& CGi to outside d boiler building is tight Other construction. appliances P C e as o t tt-r 0 /I When combustion air is supplied to the boiler space directly from outside or ventilated attic/ crawl space through vertical ducts (Figure 5): Provide two permanent openings: • One air opening within 12 inches of floor. • A second opening within 12 inches of ceiling. Each opening must provide a minimum free area of 1 square inch per 4,000 Btuh of input of all appliances in room plus requirements for any exhaust fans in room. The duct cross sectional area must be no less than the required area of the permanent openings. Part Number 550-110-710/0200 Boiler Manual Fol Figure 5 Air from outdoors — vertical ducts Special considerations Outside or ventilated attic Tight construction Each opening free area = ANSI Z223.1 defines unusually tight construction 1 sq. inch per 4,000 Btuh where: a. Walls and ceilings exposed to the outside CGi atmosphere have a continuous water vapor retarder boiler Other with a rating of 1 perm or less with openings applism" Und gasketed,and... 80 b. Weather-stripping has been added on openable windows and doors, and ... � ti Gores _.. ••••- -• c. Caulking or sealants arc applied to areas such as t ;Ventilated joints around windows and door frames, between :•crawlspace _' ':'. sole plates and floors, between wall -ceiling joints, t ,; between wall panels, at penetrations for plumbing, electrical, and gas lines, and in other openings. 4. When combustion air is supplied to the bailer space directly from outside through horizontal For buildings with such construction, provide air openings into the building from outside, sized per the ducts (Figure 6): Provide two permanent openings: appropriate case in Figure 4 if appliances are to use • One air opening within 12 inches of floor. inside air for combustion and ventilation. • A second opening within 12 inches of ceiling. Each opening must provide a minimum free area of 1 square inch per 2,000 Btuh of input of all Exhaust fans and air movers appliances in room plus requirements for any exhaust fans in room. The duct cross sectional area The appliance space must never be under a negative must be no less than the required area of the pressure, even if the appliance(s) are installed as direct permanent openings. vent. Always provide air openings sized not only to the dimensions required for the firing rate of all appliances, but also to handle the air movement rate of the exhaust fans or air movers using air from the building or space. Figure 6 Air from outdoors — horizontal ducts Each opening free area 1 sq. inch per 2,000 Btuh ae n • o CGi 13 boiler � Other O appliances rA a'a 0 °etr Part Number 550-110-710/0200 11 • GOLD CGi Series 2 Gas -Fired Water Boiler Pm] 2 a Prepare boiler — placement & setup Place boiler/crate near position death or substantial property damage. 1. Leave boiler in crate and on pallet until installation site is ready. 3. Reinstall burner shield. 2. Move entire crate and pallet next to selected Do not operate boiler without burner shield in place. Failure to do location. so could result in severe personal ., 3. Remove crate. injury, death or substantial property damage. 4. Remove boiler from pallet. NOTICE Do not drop boiler'or bump jacket on floor or pallet. Damage to boiler can result Orifice replacement procedure a. Tilt left side of boiler up and place a board (When required) under left legs. b. Tilt boiler the other way and place a board 1. Remove the screws securing the burner shield and under right legs. remove burner shield. c. Slide boiler backward off pallet and into position. 2. Using a'/u" open-end wrench, remove the burner orifices from the manifold. I 5. Check level. a. Shim legs, if necessary. 3. Apply a small amount of pipe dope to each of the b. Do not alter legs. new orifices and install in the manifold using a'/4" open-end wrench. Make sure the orifices are alined correctly, not cross -threaded in the manifold tappings. orifices and burners Use onlyInspect ifb ilex is to be propane gas, even propane gas, even if boiler is to be 1. Remove front jacket door. Remove burner shield operated on natural gas. Failure to comply could result in severe (see Figure 40, item 4, page 58). personal injury, death or substantial 2. Check for correctly -sized manifold orifices. See property damage. :. Table 2 for sizing. (The orifice size is stamped on =" the orifice spud barrel.) 4 Carefully replace the burner shield. u : Correctly -sized manifold orifices 5. Follow the check-out procedure, section 8 page 36, must be used. Failure to do so will to assure the boiler is now operating properly after result in severe personal injury, orifices are replaced. 12 Table 2 Manifold orifice sizing at sea level and altitudes to 4,500 feet Location Boiler model number Natural gas Propane gas 0-2,000 ft over 2,000 ft 0-2,000 ft over 2,000 ft U. S. CGi-25 2.30 mm (Note 1) #54 (Note 1) CGi-3 — CGi-8 2.70 mm 1.65 mm 0-2,000 ft 2,000-4,500 0-2,000 ft 2,000-4,500 Canada CGi-25' 2.30 mm #44 . ,_ , :: #54 , . #55 CGI-3 = CGi-8 2.70 mm #38 1.65 mm #53 Note 1: For elevations above 2,000 feet, contact your local Weil -McLain sales office for details. Part Number 650-110-71010200 Boiler Manual 2bPrepare boiler — pressure test Perform hydrostatic pressure test Pressure test boiler before attaching water or gas piping (except as noted below) or electrical supply. Prepare boiler for test 1. Remove the shipping nipple (from CGi supply tappin§) and remove the boiler relief valve. Temporarily plug the relief valve tapping with a 3/. NPT pipe plug. w 2. Remove l W nipple, reducing tee and drain valve from circulator hardware and pressure/ temperature gauge carton. Install in boiler return connection as shown on page 3 and Figure 42, page 60. Install circulator on either the return or supply. 3. Remove I Vi" nipple, IV4" x l yi" x W tee and pressure/temperature gauge from circulator hardware and pressure/temperature gauge carton. Pipe to boiler supply connection as shown on page 3 and Figure 42, page 60. (Use pipe dope sparingly.) 4. Connect a hose to boiler drain valve, the other end connected to a fresh water supply. Make sure hose can also be used to drain boiler after test. 5. Connect a nipple and shutoff valve to system supply connection on the lV4" tee. This valve will be used to bleed air during the fill. (Valve and nipple are not included with boiler.) 6. Connect a nipple and shutoff valve to system return connection (at circulator flange if circulator installed on return). This valve will be used to bleed air during the fill. (Valve and nipple are not included with boiler.) Fill and pressure test 1. Open the shutoff valves you installed on supply and return connections. 2. Slowly open boiler drain valve and fresh water supply to fill boiler with water. 3. When water flows from shutoff valves, close boiler drain valve. 4. Close shutoff valves. 5. Slowly reopen boiler drain valve until test pressure on the pressure/temperature gauge reaches no more than: • 45 psig for boilers with 30 psig relief valve. • 75 psig for boilers with 50 psig relief valve. 6. Test for no more than 10 minutes at: • 45 psig for boilers with 30 psig relief valve. • 75 psig for boilers with 50 psig relief valve. Do not leave boiler unattended. A cold water fill could expand and cause excessive pressure, resulting in severe personal injury, death or substantial property damage. 7. Make sure constant gauge pressure has been maintained throughout test. Check for leaks. Repair if found. Leaks must be repaired at once. Failure to do so can damage boiler, resulting in substantial property damage. Do not use petroleum -based cleaning or sealing compounds in boiler system. Severe damage to boiler will occur, resulting insubstantial property damage. Drain and remove fittings 1. Disconnect fill water hose from water source. 2. Drain boiler at drain valve or out hose, whichever provides best access to drain. Remove hose after draining if used to drain boiler. 3. Remove nipples and valves unless they .:ill remain for use in the system piping. 4. Remove plug from relief valve tapping. See section 4a, page 20 to replace relief valve. Part Number 550-110-710/0200 1' GOLD CGi Series 2 Gas -Fired Water Boiler FA 3a Venting —general information venting methods The CGi boiler can be vented using one of the following methods: 1. Chimney draft venting — Uses the natural draft provided by a vertical vent or chimney. Category I appliance (non -positive vent static pressure and vent gas temperature that avoids excessive condensate production in vent). See section 3b, below. Chimney draft installations use: a. Vent connector (single or doublewall) sized to eliminate positive pressure in vent system. Diameter increases immediately at boiler. b. Doublewall metal vent (B-vent) or chimney with liner approved by the National Fuel Gas Code, ANSI Z223.14atest edition, or in Canada B149.1 or B149.2 Installation Code. 2. Direct exhaust — vertical or sidewall — Uses inside combustion air with no combustion air connector piping. All CGi flue gas vents are pressurized, requiring careful sealing of all joints. Category III appliance (positive vent static pressure and vent gas temperature that avoids excessive condensate production in vent). See pages 15-19. Direct exhaust installations use: a. Vent pipe specified in this manual. b. Vent termination through outside wall, roof or unused chimney. Tight chimney areas will make vent joint construction very difficult. 3bVenting — chimney draft venting Table 3 Vent connector diameter Figure 7 Chimney draft venting 14 Boiler 'D" Minimum model vent connector number diameter CGi-25 8 CGi-3 4' CGi-4 to CGi-8 5' Inspect existing chimney before installing boiler. Failure to clean or replace perforate pipe or lining will cause severe personal injury or death. Vent sizing given in Table 3 is only a general guideline. 13 The vent connector and chimney must be designed, sized and constructed in compliance with all applicable codes. Failure to correctly size and install the vent system could result in severe personal injury, death or substantial property damage. 1. Use doublewall metal vent (B-vent) or chimney with liner as required by the National Fuel Gas Code, ANSI Z223.1— latest edition, or in Canada, B149.1 or B149.2 Installation Code. 2. To prevent downdrafts, chimney should extend at least 3 feet above the highest point where it passes througghh a roof and at least 2 feet higher than any portion of a building within a horizontal distance of 10 feet. 3. To vent with another appliance, see National Fuel Gas Code, ANSI Z223.1—latest edition or in Canada B149.2 or B149.2 Installation Code 4. Do not connect breeching to any portion of a mechanical draft system that can operate under positive pressure. 5. Maintain minimum 2" clearance from combustible materials to vent pipe. 6. Do not use chimney with an open fireplace. 7. Make horizontal runs as short as possible. Long runs can cause condensation. 8. When longer runs are used, support pipe with appropriate hangers. 9. To prevent blockage, do not vent into bottom of chimney. 10. Vent pipe must not go beyond inside wall of chimney. 11. Vent passing through floors or ceilings must be firestopped. 12. See Figure 7and Table 3toconnect boiler toventing system. Part Number 550-110-710/0200 GOLD CGi Series 2 Gas -Fired Water Boiler Fun] c_J _10 9 3dVenting —direct exhaust —vent starter 1. Select avent pipe manufacturer and obtain all vent 3. Follow all applicable national, state, local or components needed, based on boiler location and provincial codes when venting the CGi boiler. venting method 4. Connect vent starter to blower housing outlet as 2. You must use the vent starter made by the vent pipe shown in the Figures 8 through 11, below. manufacturer. See Table 5, page 15, Vent system a. Do not mix components from different vent components, forpart number of each component, manufacturers. listed by vent manufacturer. r b. Maintain minimum 2" clearance from ' Use only the vent starter of the same combustible materials to vent pipe. manufacturer as the vent compo- c. Seal with sealant specified by vent pipe nents. Do not mix components manufacturer, using %" bead (not required for from different systems. The vent FasNSeal"). system could fail, causing flue gas d. Tighten strap at band damp screw until strap spillage, resulting in severe personal is snug around blower housing. injury or death. n Band strap Band damp FasNSeal"r starter Band damp mew Figure 8 FasNSeal" vent starter Blower Figure 9 housing outlet Z-Vent II vent starter 7102 Saf-TVent® Figure 10 starter Band clamp Saf-T Vent® vent screw starter %* Bead of sealant Blower housing outlet 71(m Figure 11 StaR-34 vent starter Tighten position Feed �' position Z-Vent II curter Band damp rr"n_ � Band clamp screw ill' Bead of sealant Blower housing outlet 71010 StaR-34 {tarter Sand clamp screw IIB' Bead )f sealant Slower lousing 7utlet 7w17 16 Part Number 550-110-710/0200 •• a Boiler Manual Fol 0 Using any termination other than one of those shown vertical or s i d ewa I 1 could cause nuisance outages and loss of heat, resulting in substantial property damage. Figure 15 Sidewall termination C N Termination elbow or tee Termination elbow or tee Note r ' Elbow and termination ' coupling with screen , • Note 1: DO NOT use horizontal tee with CGi-7 or CGi-A Elbow and termination coupling with screen I Sealant t mew plate e Nate 1: DO NOT use horizontal tee with CGi-7 or CGi-a. Termination elbow or tee Termination coupling not available mew � 000 a pate M �C13 Sealant Sealant" U) plat" eat ' lat" E w4 i ! Note 1 i Nate 1: DO NOT use horizontal tee with CGi-7 or CGi-a. Z . fA ILL Termination elbow or tee ! Elbow and termination ! Note 1: DO NOTuse horizontal tee with CGi-7 or CGi-& coupling with screen Poe section Metal plate o co Dl section tlng ( Metal4 F ♦a is aa ®Ia Note 1 ' 71017 Part Number 550-110-710/0200 19 GOLD CGi Series 2 Gas -Fired Water BoilerFm 4a Water piping — general information f General piping information If installation is to comply with ASME or Canadian requirements, an additional high temperature limit is needed. Install control in supply piping between boiler and isolation valve. Set second control to minimum 20'F above setpoint of first control. Maximum allowable setpoint is 240'F. See section 9b, pages 38 and 39, for wiring. A low water cutoff device is required when boiler is installed above radiation level or by certain state or local codes or insurance companies. Use low water cutoff designed for water installations. Electrode probe - type is recommended. Purchase and install in tee in supply piping above boiler. Use backflow check valve in cold water supply as required by local codes. Pressure/temperature gauge Install pressure/temperature gauge in tee on supply piping (as shown in drawing on page 3). The gauge well is a self -closing valve, allowing removal of the gauge without draining the system. Slowly remove pressure/temperature gauge from well. The self -closing valve could leak if clogged with sediment. If water begins to spray, stop removing gauge. Close system fill valve and drain enough water to release system pressure before continuing with gauge removal. Escaping hot water could cause severe personal injury. Relief valve Install relief valve vertically in Yi" tapping on side of boiler. See Figure 16 or 17 and the tag attached to the relief valve for manufacturer's instructions. To avoid water damage or scalding due to relief valve operation: • Discharge line must be connected to relief valve outlet and run to a safe place:of disposal. Terminate the discharge line to eliminate possibility of severe burns should the valve discharge. • Discharge line must be as short as possible and be the same size as the valve discharge connection throughout its entire length. c • Discharge line must pitch downward from the valve and terminate at least 6" above the floor drain where any discharge will be clearly visible. • The discharge line shall terminate plain, not threaded, with a material serviceable for temperatures of 375'F or greater. • Do not pipe the discharge to any place where freezing could occur. • No shutoff valve shall be installed between the relief valve and boiler, or in the discharge line. Do not plug or place any obstruction in the discharge line. ' • Failure to comply with the above guidelines could result in failure of the relief valve to operate, resulting in possibility of severe personal injury, death or substantial property damage. • Test the operation of the valve after filling and pressurizing system by lifting the lever. Make sure the valve discharges freely. If the valve fails to operate correctly, replace it with a new relief valve. Circulator The circulator is shipped loose (wiring pre -attached to boiler) to allow you to locate it either in the return or supply piping, as desired. See page 3 for a typical installation. Pipe the expansion tank to the suction side of the circulator whenever possible. Install an air separator in the supply piping. Connect the expansion tank to the air separator only if the separator is on the suction side of the circulator. Always install the system fill connection at the same point as the expansion tank connection to the system. Figures 16 and 17 show typical near -boiler piping connections. System water piping See Figure 16 (diaphragm -type or bladder -type expansion tank) or Figure 17 (closed -type expansion tank) on page 21, and Table 6 below, for near -boiler and single -zone systems designed for return water at least 130'F. See pages 22-23 to complete multiple -zone piping or pages 24-29 to complete piping for radiant heating systems or converted gravity systems. Refer to page 29 for boilers used with refrigeration systems. Table 6 Water pipe size (based on 20'F rise) Boiler To From model number system system CGi-25 3/i 'k' CGI-3 1' 1' CGI4 1' 1' CGI-5 1' 1" CGI-6 1 Y.' 1 Y.' CGI-7 1 Y.' 1 YV CGI-8 1 Ya' 1 W Vote: Circulator nange supplied with boner Is same size as recommended piping above. V"910F }"M Install boiler such that — Chilled medium, if used, is piped in parallel with heating boiler. Use appropriate valves to prevent chilled medium from entering boiler. Consult I=B=R Installation and Piping Guides. If boiler is connected to heating coils located in air handling units where they can be exposed to refrigerated air, use flow control valves or other automatic means to prevent gravity circulations`► during cooling cycle. Circulation of cold water W through the boiler could result in damage to the heat exchanger, causing possible severe personal injury, death or substantial property damage. 20 Part Number 550-110-71010200 GOLD CGi Series 2 Gas -Fired Water Boiler in 4e Water i — multiple zones I. piping 9 Piping multiple Follow instructions on pages 20 and 21 to install near -boiler or single -zone piping. (Al zones refer to Piping for radiant heating systems or converted gravity systems, below, applicable.) See Figure 18 or Figure 19 to complete installation. Zoning with 1. Size each circulator to individual circuit requirements. circulators, return 2. Do not install circulator on boiler (except for primary/secondary piping). temp over 130 OF 3. Install isolation (balancing) valves to adjust flow to distribute heat to all zones. 4. Install and wire a separate relay for each zone circulator. Zoning with zone 1. Install isolation (balancing) valves to adjust flow to distribute heat to all zones. valves, return temp 2. Provide a separate 24-volt transformer to power the zone valves. Size the transformer over 130 of handle the total rated load of all connected zone valves. Piping for radiant Converted gravity (or steam) systems heating systems or Whenever possible, use the primary/secondary piping shown in Figures 20 or 21 on page converted gravity This piping design allows changing boiler flow rate without affecting primary circuit fl, systems rate. If Figures 20 or 21 cannot be used, use the boiler -bypass piping shown in Figure 22 or Figu 23 on page 27. You can also use the piping shown in Figure 24 on page 29 (system -bypass) the reduced flow rate in the heating system will not cause heat distribution problems. Failure to prevent low return water temperature to the boiler could cause corrosion of t boiler sections or burners, resulting in severe personal injury, death or substantial propel damage. Radiant heating systems Preferably, use primary/secondary piping, as shown in Figures 20 or 21 on page Alternatively, use the method of either Figure 22 or Figure 23 on page 27. Do not use V piping of Figure 24 (system -bypass), because this method does not control radiant systi supply temperature. If radiant system tubing has no oxygen barrier, a heat exchanger must be used. Radiant heating system piping should include a means of regulating the boiler return wit temperature and the system supply temperature (such as provided by an injection pumpi control). Boiler return water temperature will be adequately controlled using the metho shown in this manual provided the system supply temperature is relatively constant. Do not apply the methods in this manual if the system is equipped with an outdoor res control. instead, provide controls and piping which can regulate the boiler return wit temperature at no less than 130 °F regardless of system supply temperature. Contact yu Weil -McLain representative for suggested piping and control methods. Failure to prevc cold return water temperature to the boiler could cause corrosion damage to the sections burners, resulting in possible severe personal injury, death or substantial property damage 22 Part Number 550-110-710102 do I ,i �f Boiler Manual typical piping — multiple -zone installations Figure 18 Figure 19 Zoning with circulators Zoning with zone valves — return water 130 °F or higher. — return water 130 eF or higher. -------- ZONE 2 ------- ---------------- - ZONE 1 1 1 2 2 1 q 1 3( 6 0 coia 4.11 water 12 13 6 10 n® 71020 --------- - ZONE 2 L------- --------------- ZONE 1 — 1 1 5 13 6 6 1 1 Aft"at. 3 c rcuara bc�t on 9 10 11 �12 71021 1 Boiler isolation (balancing) valves air vent when using dosed -type expansion tank. It would allow air to leave the system, causing 2 Flow/check valve waterlogging of the expansion tank. 3 System or zone circulator 11 Fill valve 5 Zone valve 12 Diaphragm -type or bladder -type expansion tank, if used (For dosed -type expansion tank, pipe from 6 Drain valve top of as separator to tank fitting as in Figure 17.) 9 Relief valve 13 Air separator and automatic vent, if used (Note that the fill valve must always be connected to the 10 Automatic air vent (with diaphragm -type expansiontank.regardless oflocation ofexpansion expansion tank), or connect to tank fitting (dosed- tank circulator or air separator. type expansion tank). DO NOT use an automatic For systems with possible low retum-water temperature (such as converted gravity systems, ITT. k radiant heating systems and heat pump systems), refer to the special piping suggestions of Figures 20 - 24, as applies. Failure to prevent sustained low return water temperature to the boiler could cause corrosion of the boiler sections, resulting in severe personal injury, death or substantial property damage. Part Number 550-110-71010200 C 2 GOLD CGi Series 2 Gas -Fired Water Boiler 5Gas piping Connecting gas supply piping to boiler 1. Remove jacket front panel and refer to Figure 26 to pipe gas to boiler. a. Install drip leg at inlet of gas connection to boiler. Where local utility requires drip leg to be extended to the floor, use appropriate length of pipe between cap and tee. b. Install ground Joint union for servicing, when required. c. Install manual shutoff valve in gas supply piping outside boiler jacket when required by local codes or utility requirements. d. In Canada — When using manual main shutoff valve, it must be Identified by the installer. 2. Support piping with hangers, not by boiler or its accessories. 3. Purge all air from gas supply piping. 4. Before placing boiler in operation, check boiler and its gas connection forleaks. a. Close manual main shutoff valve during any pressure testing at less than 13" w.c. b. Disconnect boiler and gas valve from gas supply piping during any pressure testing greater than 13" w.c. 4}}® Do not check for gas leaks with an open flame — use bubble tut. Failure to use bubble test or check for gas leaks can cause severe personal injury, death or substantial property damage. Figure 26 Gas supply piping Natural Gas: 1. 5. Use pipe dope compatible with propane gases. Apply sparingly only to male threads of pipe joints so that pipe dope does not block gas flow. Failure to apply pipe dope as detailed above can result in severe personal injury, death or substantial property damage. I main gas val'4 equired Joint un equired. 71 Refer to Table 7 for pipe length and diameter. B on rated boiler input (divide by 1,000 to obt. cubic feet per hour). Table 7 is only for gas %, specific gravity 0.60, with a pressure do through the gas piping of 0.30" w.c. Foradditioi gas pipe sizing information, refer to ANSI Z22: (or B149.1 or B149.2 for Canadian installations 2. Inlet pressure required at gas valve inlet: " Maximum: 13" w.c. Table 7 Pipe capacity for 0.60 specific gravity natural gas -Minimum: 5" w.c. " Manifold gas pressure: 35" w.c. Gaspipe h(Capacity length Cepaclty of plpe for plpe'slze of: in cubic feet gas.per hour 9 P ... ) ' (feet) '!/4U ' - � � ,111,' 1'1/411 mill , 10 132 278 520 1050 1600 20 92 190 350 730 1100: 30 73 152 285 590 860 40 63 - 130 ;`245 ': 500. 760 50 56 115 215 440 670 75 45 ' 93 '. '175 360 645 100 38 79 150 305 460 150 31, 64 120. 250 380 3. Install 100% lockup gas pressure regulator supply line If Inlet pressure exceeds 13" w. Adjust for 13" w.c, maximum. Propane Gas: 1. Contact gas supplier to size pipes, tanks and 100 lockup gas pressure regulator. 2. Adjust propane supply regulator provided by g. supplier for 13" w.c. maximum pressure. 3. Inlet pressure required at gas valve inlet: • Maximum: 13" w.c. • Minimum: I I" w.c. " Manifold gas pressure: 10" w.c. 30 Part Number 550-110-710/020 Boiler Manual �n 6 Field wiring NOTICE For your safety, turn off electrical power supply at service entrance panel before making any electrical connections to avoid possible electric shock hazard. Failure to do so can cause severe personal injury or death. Wiring must be N.E.C. Class 1. Thermostat 1. Connect thermostat as shown on wiring diagra. on boiler. 2. Install on inside wall away from influences t drafts, hot or cold water pipes, lighting fixture television, sunrays, or fireplaces. If original rollout thermal fuse element wire as supplied 3. with boiler must be replaced, use only type 200 •C wire or equivalent. If other original wiring as supplied with boiler must be replaced, type 105 •C wire or equivalent must be used. Boiler must be electrically grounded as required by National Electrical Code ANSI/NFPA 70—latest edition. Electrical installation must comply with: 1. National Electrical Code and any other national, state, provincial or local codes or regulations. If thermostat has a heat anticipator, set he anticipator in thermostat to match pow, requirements of equipment connected to it. connected directly to boiler, set for 0.1 amps pll gas valve current. See information on with diagram as shown in Figure 32, page 39. For oth devices, refer to manufacturer's specification Wiring diagram on boiler gives setting for contr module and gas valve. Also see instructions wi- thermostat. Junction Box (fumished) 1. Connect 120 VAC power wiring as shown i Figure 27. 2. In Canada, CSA C22.1 Canadian Electrical Code 2, Fused disconnect or service switch (15 am. Part 1, and any local codes. recommended) may be mounted on this box. F1 those installations with local codes which prohiF Wiring connections installation of fused disconnect or service swit. on boiler, install a 2 x 4 cover plate on the boil Boiler is shipped with controls completely wired. junction box and mount the service switt remotely as required by the code. Figure 27 Field wiring connections —service switch and thermostat (or end switch) provided by installer NOTICE The CGi control module is polarity -sensitive. The hot and neutral wires must be connected to the correct lead A flashing POWER light usually indicates reversed polarity of 120 VAC lead wires. 120 VAC Hot ININeutral Serviceswitch PMVWo � I „ a Black White 1L Junction box, boiler left side Ground � i I I Thermostat or end switch I I fro orovdW I I I I I I I I I I Ground Wirnuts straw Green Black Black Thermostat leads, through jacket left side 71029 Servi ^ swit Inot pov�a i Thermost or end swit. Owl Wo'd Part Number 550-110-710/0200 GOLD CGi Series 2 Gas -Fired Water Boiler Operation — wiring diagrams Figure 31 Schematic wiring diagram • The control module is polarity -sensitive to the LY Incoming 120 VAC power. If polarity is reversed, control will flash the POWER light when powered and will not cycle boiler. p I • All contacts shown without power applied. Z • Connector and status light locations/orientations may vary. White Plug-in connectors Items not provided White hose 120 VAC - t Hot SERVICE SWITCH Neutral 1Gnd FIELD I WIRING t Ground I screw-.,,' Black I Whitell G Junction box, boiler left side AIR PRESSURE yTRANSFORMER SWITCH irmrcnHiunr LIMIT SWITCH P Y G " Additional '' '' limits, �` Y Y w If used lI w (note 7) 1 Y ROLLOUTifi , [! ?ION TFE BLOWER MOTOR CIRCULATOR I Black HERMOS a� %; Bla Jacket opening, boiler left side (Honeywell VR8204 shown) BI_ Y J •C• •A• [ ICJ w �\ PILOT � •e. R BURNER ,•� Terminal blc GAS VALVE (See Table c 38 Part Number 550-110-710/0 `''i Boiler Manual Figure 32 Ladder wiring diagram Electrical shock hazard — can cause severe injury or death. Disconnect power before installing or servicing. NOTICE All contacts are shown without power applied. Legend for ladder wiring diagram 120 VAC field wiring Low voltage field wiring —• 120 VAC factory wiring Low voltage factory wiring ,;�---�•= High voltage spark ignition wiring Ground connectors Table G: Gas valve terminals and anticipator settings Gas valve 'A' B. 'C' Anticipator s 9 Honeywell VR8204 HoneywellVR8304 MWPV _MV MWPVI MV PV 0.6 PV 0.8 I White -Rodgers 36E 2 1 3 0.64 White -Rodgers 36C 2-4' 1 3 0.7 Terminals 2 4 are factory-jumpered on the 1 white.Rndaers 36C nas valve. Hot 120 SERVICE SWITCH 4 r 1. All wiring must be installed in accordance with: A. U.S.A. — N.E.C. And any other national, state, or local code requirements. B. Canada — C.S.A. C22.1 C.E.C. Part 1 and any other national, provincial, or local code require- ments. 2. Pilot lead wires are not field replaceable. Replace pi- lot assembly if necessary. 3. If any of the original wire as supplied with the ap- pliance must be replaced, use minimum 105 °C wire or equivalent. Exception —wires to a rollout TFE must be 200 C or equivalent. 4. Thermostat anticipator setting (single zone) — see Table G for anticipator setting, depending on which gas valve is installed in boiler. 5. For multiple zoning, use either zone valves or circulators. Refer to the component manufac- turer's instructions and this manual for applica- tion and wiring suggestions. 6. Refer to control component instructions packed with the boiler for application information. 7. Wire any additional limit controls (low water cut- off, additional high limit, etc.) in series with boiler limit control as shown. Part Number 550-110-71010200 HIGH PILOT IGNITION ELECTRODE CONTROL MODULE 120 VAC SECTION NeutralQ Grid INDUCER MOTOR CIRCULATOR 120 VAC 24 VAC Power THERMOSTAT CIE PILOT GAS MR Tstat—Circ VALVE ROLLOUT WATER TEMP r/.r 1� TFE LIMIT SWITCH OAr �¢ R Limit A ditional rBr limits (note 7) AIR PRESSURE R Press switch MAIN GAS VALVE SW� See Table G b 71033 HIGH PILOT VOLTAGE FLAME ii__ SENSOR - R Flame Control module low voltage section GOLD CGi Series 2 Gas -Fired Water Boiler Fun 13a Dimensions Figure 44 Dimensional drawing Qt Supply piping (note 1) © Gas supply piping 02 Return piping (note 1) 11'/° 5 © Drain valve 4 ® Relief valve, Y: NPT © Gas supply entrance (right or left side) 1 ® 1/2" NPT to expansion tanklair vent - @ Pressure/temperature gauge @ 3• Diameter vent Note 1: Bailer supply and return tappings are both 134' NPT. 2Ya i<- See Table 6, page 20 for recommended system sup - TOP VIEW ply and return piping sizes. Note 2: Boiler circulator Is shipped loose. Circulator may be ALL DIMENSIONS IN INCHES mounted on either boiler supply or return piping. Circulator flange provided with boiler is same size as recommended pipe size In Table 6, page 20. t �-2% © i 131/a ' r —al 4Ya �— 5 i —►{ 4Ya It— s `r. a �O -ham ®®s NorE 2 28Ye 1 • 1s O 131Yie Ef —12 s 23Yi 13'a iwa LEFT SIDE FRONT RIGHT SIDE ` Boller model, ;number SuPPIY tapping (inches NPT) , Return:. ~ tapping . , , (inches NPT) :... Gas , . . i connection size ; : : Note 3 .,(inches NPT) Gas manifold size Note 3 ,(inches NPT) •'W� Jacket width .(inches) 8611-25 1 Ya 1 1/a 1/e 1/. 10 CGi-3 "' '''`,'1Ya,.. .'1Ya: a. K 10 CGi-4 11/a 11/4 1h 1/a 13 CGi-5 ' -11/a 11/a :' 1ha Ya 16 CGi-6 11/a 11/4 1/2 1/2 19 CGi-7 l Ya 1 1/i �/i`. ''c a . 22 CGi-8 11/a 11/4 Ya Ya 25 Note 3: Gas plping from meter to boiler to be sized per local utility requirements.. , . oc't Part Number 550-110-71010200 w w Boiler Manual 0 JQU Ratings OF��N 1 SP Table 10 Boiler ratings (B Boiler model number DOE Heating capacity (Btuh) 0-2,000 feet altitude 2,000-4,500 feet altitude Net I=B=R ratings (Btuh) Boiler water content (gallons) DOE Seasonal efficiency (`yo A.F.U.E) Vent size Input (Btuh) Output (Btuh) Input (Btuh) Output (Btuh) (Note 1) . (Note 2) (Note 3) (Note 4 CGi-25 42,000 50,000 42,000 45,000 38,000 37,000 1.5 84.0 3" CGi3 . 57,000 , 67,000 . 57,000 60,000 51,000 50,000 1.5 84.3 3" CGi-4 85,000 100,000 85,000 90,000 76,000 74,000 2.1 84.0 3" CGi-5 112,000 133,000 112,000 120,000 101,000 97,000 2.7 83.7 3" CGi-6 140,000 167,000 140,000 150,000 126,000 122,000 3.3 83.3 3" CGi-7 ; 167,000 200,000 167,000 180,000 150,000 145,000 3.8 83.0 3" CGi-8 194,000 233,000 194,000 210,000 175,000 169,000 4.4 82.7 3" Notes 1. Add'PIN" for natural gas boiler -'PW for propane gas boiler. 2. Based on standard test procedures prescribed by the United States Department of Energy. 4. 3. Net I=B=R ratings are based on net installed radiation of sufficient quantity for the requirements of the building and nothing need be added for normal piping and pickup. Ratings are based on a piping and pict allowance of 1.15. An additional allowance should made for unusual piping and pickup loads. CGi boilers require special venting, consistent a Category 1 or III boiler. Use only the vent materials. methods specified in this manual. Vent diameter sho above is for direct exhaust venting. See Table 3, page for vent diameter when chimney draft venting. �, NOTICE CGiboilcrs for residential radiant panel systems, converted gravity heating systems or other low water tcmperat, applications should be installed with balancing valves and bypass piping equal to the supply and return size avoid excessive flue gas condensation due to lower operating water temperatures. For alternate piping, coat your Weil -McLain sales office. CSA design certified for installation on combustible flooring. Tested for 50 working pressure. r Part Number 550-110-71010200 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, (MEC), 527 Ch1R 12.00 TOV (PLEASE PRINT IN INK OR To the Inspector of Wires: By work described below. 7� Location (Street & Number) 30 C � Owner or Tenant L4e= 'r-5 S U cr C g Owner's Address Is this permit in conjunction with a building permit? Q Yes Q No (OFFICE USE ONLY) Fee: $ -? < op PERMIT NO. I3 l--7 Date: notice of his or her intedtiodto perform the electrical LI/ Telephone No. SO S - 7379�Y (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps 1 Volts OverheadQ Undgrd Q No. of Meters New Service Amps / Volts OverheadQ Undgrd Q No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed electrical Work: �.5 ➢'7C � (61ttS-iIN Comnletinn nfthe lallowinv table may be waived by the hunector of {ffires RecessedNo. of Fixtures 1e) Fans o. of Total Transformers KVA No. of Liphtina Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Above n- SwimmingPool md.. Q md. ❑ No. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of Detection an Initiating Devices No. of Ranges No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: um er ons — — — — No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Municipal Q Q Connect. Local on Other No. of Dryers ry Heatin Appliances KW g pp Security systems: No. of Devices or Equipvalent No. of Water Heaters KW No. of No. of Signs Ballasts Data Wirng: No. of Devices or Equivalent No. Hng: dromassa a Bathtubs y g No. of Motors Total HP Telecommunications Wiri No. of Devices or uivalent Attach additional detail iJ desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may be issued unless the licensee provides 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 �q_ BONBOND[]��j� OTIIERQ (Specify:)R� V Q (Lxpira on D •) 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. I certify, under t m and pe t o cr ury, that the ormation on this application is true and complete. FIRM NAME: � C F�! �iliwI y ,/J LIC. NO. Licensee: (If applic: in Signature OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not below, I hereby waive this requirement. I am the (check one) owner C] • the liability insurance coverage normally required by law. By my signature owner's agent. Owner/Agent Signature Telephone [Rev.04/001 OF yq ? '9 _ �e o. i rmo ��, I tJP �9- Type of Occupancy MsL'ItIr ``"� r_l New ❑ Renovation ElReplacement -I I'I <I fi�lans Submitted Yes ❑ No ❑ Fif Iqc TOWN OF YARMOUTH Building AT: Location 3 APPLICATION FOR PERMIT TO DO PLUMBING " I ! . .... Name z z Y Q O V Z Q N W W LLJ N Z y J fA W 2 �'" Z 0 Z C7 Z N Z O. 7 0 N W y FQ- N 2 cc ~ Q W fN N Y S [L U. Q d Q W O M W Q in uj Q W Z O Q(n Z cc a X 0 Y. Cr Q 5.>+ O Z = 3 Y O. 0 F- Q he Q W LL U. W Q > Q= N N Q Z 0 0 rn Z Z W F O 0 2 3 Y g m W 0 c g 3 Q~ 2 N LL 0 D c a 3CC m 0 SUB-BSMT. BASEMENT 1ST FLOOR 1 2ND FLOOR 3RD FLOOR (PRINTORTYPE) n Check One: Installing Company Name e ;n ►/IC9r;rjL F� n 4 ❑ Corp. Address 11 —4 pr.' ❑ Partnership ui. 71--rrml2t.�1,) IIIH ❑ Firm/Company Business Telephone 4556 Name of Licensed Plumber INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yes Id No ❑ If you have checked YES, please indicate the type of coverage by hacking the appropriate box. A liability insurance policy I1 Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance voerage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature or Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Check on Owner ❑ Agent ❑ ,��z 13Ignatufe of Licensed Plumber ll4'ao License Nu ber Type: Master? Journeyman El APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Ilectrical Code, (MEC), 527 CMR 12.00 TOWN (PLEASE PRINT IN INK OR To the Inspector of Wires: By work described below. Location (Street & Nu Owner or (OFFICE USE ONLY) By Fee: $_ PERMIT 110. notice of his or her intchodto perform thelelectrical Telephone No. -5_Q -73_7- 9 W,. Owner's Address Is this permit in conjunction with a building permit? ❑ Yes Q No (Check Appropriate Box) Purpose of Building Utility Authori2ation No. Existing Service Amps / Volt., OverheadQ Undgrd ❑ No. of Meters I I New Service Amps / Volts 'OverheadQ Undgrd Q No. of Meters A Number of Feeders and Ampacity r Location and Nature of Proposed electrical Work: �i Com eriot ofthe following table maybe waived bMebispectorof Hire. t No. of Recessed Fixtures No. of - s le No. o ota Transformers KVA No. of Lighting Outlets o of Hot Tubs GeneratorsK A No. of Lighting Fixtures ve n- Swimming Pool rnd.• Q d. Q o. o Emergency Lighting I Batte Unit No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. df Zones No. of Switches No. of Gas Burners o Initiating g Detectionand Devices No. of Ranges tal No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Heat um Totals: um er ons M — — No. of Self -Contained — Detection/Alertin Devices No. of Dishwashers Space/Area Heating KW Municipal Other Local Q Connection No. of Dryers Heating Appliances KW Secutity S stems: No. ofdevices or ui valent No. of Water Heaters KW o. o No. of Si Ballast ata irtn .. Na. of Devices or Equivalent No. Hydiomassage Bathtubs No. of Motors Total HP Telecommunications of Devices of Wtsirrmvalent Attach additional detail i1'desired, or as required by the In pector of Wires. INSURANCE COVERAGE: Unless waived by the owner. no permit for the performance of elecirical work may be issued unless the licensee provides 1 proof of liability insurance including "completed operation" coverage or it substantial equivalenL The undersigned certifies that such coverage is in V force, and has exhibited proof of same to the permit issuing office. v CHECK ONE: INSURANCE BOND❑ OTHERQ (Specify:, ( pira 'on D ) , 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. I certify, under t amains and p Of pe ury, that the information on this application is true and complete. FIRMNAME•'f &71A PJ 1 R �L eff( . /J LIC. NO.�+e��OICJ Licensee: (If applici in OWNER'S INSURANCE WAIVER: I am aware that the Licensee does hot below, I hereby waive this requirement. I am the (check one) owner Owner/Agent Signature lRev.041001 s the liability insure ice coverage normally required by law. By my signature owner's agent O Telepho to No. �TGPM ta Fig TOWN OF Y, U AUG 0 2003 U LIZA S APPLICATION FOR PERMIT TO DO GASFITTING (OFFICE USE ONLY) XC Fee: $ X a PERMIT NO. Building AT: Location cr Lei New ❑ Renovation/ Replacement ❑ Plans Submitted Yes ❑ No ❑ Date_ _Y� V! / A20-3— Name Owner's w r r jj�� r•• �/ Type of Occupancy 07-si CLAI(C.-1 .JAZ(GJf (PRINT OR TYPE) Installing Company Name Ll¢,' mr--gry-19-I Address it Business Telephone =F-4 She Name of Licensed Plumber or Gasfitter IX, Check One: ❑ Corp. ❑ Partnership ❑ Firm/Company INSURANCE COVERAGE: Check One I have a current liability insurance policy or Its substantial equivalent. Yes No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy V Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check One: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent 1 hereby certify that all of the details and Information I have submitted (or entered) In above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ignature of Licensed Plumber or Gasfitter Agn License Number TYPE LICENSE: ❑ Plumber ❑ Gasfitter Master 0 Journeyman "J; TOWN OF YARMOUTH BOARD OF APPEALS DECISION FILED WITH TOWN CLERK: February 5, 2003 PETITION NO. #3801 HEARING DATE: January 23, 2003 PETITIONER: Peter G. & Susan E. Homer RECEIVED. y, '03 FEB 5 PH3:30 TOINN CLERK E TREASURER SOUTH YARAIOUTH, IJA PROPERTY: 130 Old Cedar Lane, South Yarmouth; Assessors Map:-110,-Lot: 16 -(97N6) Zoning District: R40 MEMBERS PRESENT AND VOTING: John Richards, Chairman, Joseph Sarnosky, Diane Moudouris, Richard Neitz, Scan Igoe, James Robertson, Alternate. It appearing that notice of said hearing has been given by sending notice thereof to the petitioner and all those owners of property deemed by the Board to be affected thereby, and to the public by posting notice of the hearing and published in The Register, the hearing was opened and held on the date stated above. The petitioners seek a Special Permit under §104.3.2(2), in order to replace an existing attached garage with a new garage, and to add above it a second floor area containing an additional bedroom and bath. The property contains approximately 13,082 square feet of land within the R40 zoning district. The existing two story single-family house and attached garage do not conform to the easterly (right) side setback, where 16.1' are present. The proposed replacement structure will maintain the existing footprint throughout. The existing house is a two -bedroom home. The height will increase from 19' to 23.5'. Conservation Commission and the Old Kings Highway Committee approvals are represented to have been granted. The existing house contains 2,956 square feet of area, and 608' of habitable area will be added by this renovation. Two neighbors and the owner of the abutting cranberry bog spoke or wrote in favor of the petition. The board finds that the proposed vertical expansion, while within the side yard setback, will not be substantially more detrimental to the neighborhood. The lot is the last residential lot at the end of a dead end road. The abutter toward where the garage encroaches is a cranberry bog. No residential abutters or immediate neighbors will be affected by the expansion, now or in the future. Accordingly, a motion was made by Mr. Igoe, seconded by Mr. Neitz, to grant the Special �! Permit, as requested, to make the garage expansion as displayed in the site and architectural plans filed with the Board. The members voted unanimously in favor of the motion. No permit shall issue until 20 days from the filing of this decision with the Town Clerk. Appeals from this decision shall be made pursuant to MGL c40A section 17 and must be filed within 20 days after filing of this notice/decision with the Town Clerk. Unless otherwise provided herein, the Special Permit shall lapse if a substantial use thereof has not begun within 24 months. (See bylaw §103.2.5, MGL c40A §9) Unless otherwise provided herein, a Variance shall lapse if the rights authorized herein are not excised within 12 months. (See MGL c40A § 10) David S. Reid, Clerk 2 RE COPY JUN 1A 2003 D 1 1 I to .o o /m LOT 6 0 0 13,082t SQ. FT. Lou 0 / W �IB.�e• l Old / Z-4*& JOB 02-188 CERTIFIED BUILDING PLAN FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT 30 OLD CEDAR LANE PREPARED FOR: LOCATION : (SOUTH) YARMOUTH, MASS. SUSAN HOMER SCALE I" = 30' DATE : JUNE 10, 2003 REVISED DATE : SEPTEMBER 10. 2002 — TOF, BENCHMARK REFERENCE : PLAN BK. 122 PG. 79 ASSESS. MAP 110 PCL. 162 I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. .,� ur ALI,•..T � oft soB-3s2-,s„ ���' p11NE I fax SOB-362-9880 it. : r down cape engineering, Inc.O < OJAI.A 71G ti CIVIL ENGINEERS I J LAND SURVEYORS �,\v 939 main at yQmatiN ma 02675 DATE REG. LAND SURVEYOR At 1. wYKtar ace r Id e TOWN OF YARMOUTH Building Department BUILDING (508) 398-2231 ext.261 PERMIT NO B-03-786 •' PERMIT -- �y ISSUE DATE :- - 3/25/Q3 • • : PROPOSED USE APPLICANT -PETER GHOMER JOB WEATHER CARD ADDRESS 00030 OLD CEDAR l l PERMIT TO Addition AT (LOCATION) 100030OLD CEDAR LN ZONI DISTRICT R-40 SUBDIVISION MAP LOT BLOCK 1110.16 BUILDING IS TO BE USE GROUP R-4 LOT SIZE I CONST TYPE 5-13 CONTR'S 069860 demolish garage, utility room & livingroom and replace with garage, tamilyroom, laundryroom, REMARKS mudroom, utilityroom. 2nd story addition: bedroom, bath as per plans dated 03/24/03 and special permit M 3801. AREA (SQ FT) EST COST ($ $127,728.00 PERMIT FEE OWNER PETER G HOMER ADDRESS 100030 OLD CEDAR LN BUILDING DEPT BY INSPECTION RECORD LICENSE CONTR'S NAME Hodsdon, David FIELD COPY Date Note Progress - Corrections and Remarks Inspector -0 3 -O 5` fL-c- ONE & TWO FAMILY ONLY — BUILDING PERMIT APPUCATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING Town ofYannouth Building Department 1146 Routc 2R • larntcntth, MA 02664-4492 Tel: (508) 398-2231 x261 • Fax: (508) 398.2365 Office Usebnly der. PermitNo�ate Permit fee' • Deposit Rec'd y $ Date o x , ':.Y ,�;' t + �..t� i Y rt :`� � PlanrnngBoardlntormatron TYPe Plan EndorsemerrtDatC p r liecordingDaie. k ��. ' �,� r <r t Plad Na �l� � a 'nY l Z � �' } a Assessocslepartmentlntormation, Map r , ,-+ .a r�operty Danensans } `.-,.�' � _ � ° , - a V i • } i 4i%: V l' 1 •• tAreastf r r '�Prbntagesk) "" ;,,Lot coverage„ s> a-erlI lcate of Occupanc� Si•nature s g ....' dingOt6cial ' .., ,. Dates; . " 3 r-" ,s° " { �.�snotr tegluto w,y Sectiorrl=Sit eJntorrnatioii -4 Type: 5 -B 1.1 Property Address: 3o 06f) (5-eo42 z/v 12 Zoning Information: Lp _I s Zoning District Proposed Use S VA�Lvy�uT�r�ecr t2iy oZi 1.3 Building Setbacks (it) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 011o.13 C? zd ' 3Y ? Z9. 1.4 Water Supply (M.G.L. c. 40 S 54) Publ Private t S FboZone tormahon , .� bpmments.' r `", , 3.. Zone j BFl:::°i - Section 2.`-Property-0wnershtplAi tftortzedRge»f 2.1 Oynner of Record: 1 c f��V '��R,occ� Name (prin t V Jy1a` io `Pddress oZ( ce �, 5 S-W8 3�y- S26 Signature `, \1WtAKon 2.2 Auth e i Blvd Name(prnt (Nailing Address Signa Telephone Section '3:=ConstiiId6.48 rvices` 1 -A \1G 0 ` 3.1 Licensed Construction Supervisor. 1 \ S /� Not Applicable ❑ �/wlLi �'V1L License Number Address Q . O zZ/ �/ A -Aral// Expiration Oat . �� %_ Signal elephone��//0,3 3.2 Registered Home.Irnprov&m of -:.Contractor Company Name �tUry l�o�'rbfv,� Not Applicable ❑ Address .-- / Ltd. O/r T Z f �OZ� / JW ;?4r- r License Number le,S—/;� Z Expiration Date Signature ephone �/� d POP 0 ' 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 ... t • No .......... New Construction ❑ I No. of Bedrooms I No. of Bathrooms Existing Bldg. ❑ Repalr(s) ❑ Alterations Addition ❑ AccessoryBldg. ❑ Type Demo ition f Other Specify: Brief Description of Proposed Work: —_41 - - • -el R !1 I Check Below I ❑ Conservation -Commission Fling (if applicable) Old ICngs Highway & Historical Commission approval (if applicable) 40-%7P-8,- , as owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building:permit application. of Owner Date I, r Ile,) Si>� , as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print name f M , � c r_ O�f�y PLEASEPRIAT. job Location: TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM so C>6 zo Number Owner of Property: LIU Street !av - Construction Supervisor. Name License No. Address: d '�� Z2 ly�/I.Yrov`r' tiles/ OZG Village Licensed Designee:. v414OP-4ev—rr `1199 f-` < AT �- t4R ko l So (If other than Supervisor) Name License No. Z15 Responsibility of each license holder. 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 drawi ngs as approved by the building official. 2.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration. repair, removal ordemolition involving the structural elements of building and structures onlypunuant to the state building code and all other. applicable laws of the commonwealth, even though he, the license liolder, is not'the permit holder but only a subcontractgr or contractor to the permit holder. 2.15.3 The license holder shall immediately notify the building official in writing of the discoyerr of arn- violations which are covered by the building permit. 2.15.4 Anylicensee who shall willfullyviolate subsections 2.15.1.2.15.2 or2.15.3 or any other section of these rules and regulations and any procedures, as amended, shall be subject: to revocation or, suspension cif 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 supendse those persons engaged in construction,* reconstruction. alteration, repair, removal of demolition as regulated by section 109.1.1 of the code and these roles and regulations. In theevent thatsuch licensee is no longersupervisingsaid persons, theworkahalI 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 ❑ 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. Cherk nna- The Commonwealth of Massachusetts Department of Industrial Accidents 011leeioll" atlpsUsss 600 Washington Street Boston, Mass. 02111 y Workers' Compensation Insurance Affidavit Applicant Information: PfeascPRf1V7?Ti�d.'hTa .S'v location: n 30 DGJ Cif hu . .�/ / �/ city' .�• �1f�I'y%P�I/�j �%/�/ e7 l 06. / nhnno d O 1 am a homeowner performing all work myself. O 1 am a sole proprietor and have no one working in any capacity I am an employer pro%iding workers' compensation for my employees working on this job. company name. fifOr�Sria•<�� �6iC�srQ (JG%iJ address:/ �?lJ. J?C) ZZ� city: yy'"f/��Pl2LGL-OZG7S� phone N: .548 26 insurineeCo /fZG,52—i4!/f 71—kX t-0 policyN e� S/ c c-saPZ/X/3Z I am a sole proprietor. general contractor. or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation polices: city: phone N• -5 Failure to secure coverage as required under Section 25A or MGL 151 as lad to the imposition of erimlaai penalties of a lineup to 51,500.00 aad/or out years' imprisoamcat as well as civil penalties in the form of a STOP WORK ORDER and a floe of 5100.00 a day against me I anderstaad that a copy of this statement may be forwarded to the Office of Investigations of the DU for coverage vtrifiation. t do hereby certify and a pa its a e u that the information provided above is true and coned Signatmur Date Print name / v�, P/ !� hone 0 official use only do not w rite in this area to be completed by city or town official city or Iowa: YARHOUTti _ permit/license N nBuilding Department puceosing Board p check if immediate response is required 261 E3Selectmcn's Olive (508) 398-2231 eat. pllealth Department phone N; _ pother contact person: I.--. 1.04 VIA V Information and Instructions Massachusetts General Laws chapter I52 section 25 requires all employers to provide workers' compensation for their enplo%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 etnpl(!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 ofa deceased employer, or the receiver or trustee of an individual . partnership. association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the d%%elline house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. .%IGI- chapter 15= 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 who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, 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 contracting authority'. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying 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 aff davits 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 Mee of 111VISUIRUIRS 600 Washington Street Boston, Ma. 02111 fax #: (617) 727-7749' phone #: (617) 7274900 ext. 406, 409 or 375 PLEASE PRINT: DATE: • - • JOB LOCATION: TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 260 17� "HOMEOWNER" NAME PRESENT MAILING ADDRESS CITY OR TOWN The current exemption for `Homeowner' and to allow such homeowners to engage homeowner shall act as supervisor. (State HOMEOWNERUCENSE EXEMPTION STREET ADDRESS /SECTION OF TOWN HOME PHONE / WORK PHONE STATE ZIP CODE extendeVf4hire ude owner —occupied dwellings of one or two units rdividuawho does not possess a license, provided that such ildinr; Cion 108.3.5.1) Definition of-omeowner: Person(s) who owns a parcel of land on wAheesides or intends to reside, on which there is or is intended to be, a one or two f unify attached or detacassessory to such use and / or farm structures. A person who constructs more than one home in a two -all not be considered a homeowner, such "homeowner" shall submit to the building official, on a formthe building official, that he / she shall be responsible for all such work' erformed under he buildinn 108.3.5.1) The undersigned `homeowner' y r compliance with the State Building Code and other applicable codes, by-laws, rules and egu The undersigned `homeowner'cAffies that he / she un minimum inspection procedul and requirements and requirements. HOMEOWNER"S APPROVAL OF BUILDINO OFFICIAL the Town of Yarmouth Building Department / she will comply with said procedures and INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent, w 'ch meets the requirements ofMGL Ch.142. Yes ❑ No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 0 Other type of indemnity 0 Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Check one: Owner 0 Agent 0 ' For Office Use Only Permit No. Date TOWN OF YARMOUTH AFFIDAVIT Rome Improvement Contractor Law Supplement to Permit Application MGL c. 142A requires that the 'reconstruction, alteration, renovation, repair, modemization, 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: ' i¢%%�e/T/'ov�ls Est. Cost /Zo, d& p Address of Work _ 20 OG 0 Get392 6411 �'• /��L•-r-r�y% �YJ , Owner Name: J1,9ekcIz, 17&''t� Date of Permit Application: Z UZ I hereby certify that: Registration is not required for the following reason(s): Work excluded bylaw Job under S 1,000 Building not owner occupied Owner pulling own permit Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. 9' Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: Date Owner Name TOWN OF YARMOUT'H 1I46ROUTE28 SOUTH YARMOUTH MA.SSACHUSEITS02664 4451' Telephone (508) 398-2231, ExL 261 — Fax (508) 398.2365 BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT B=IG GAS PLUIIBGfG 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%demo ition to be conducted at �� ��y �e'192 Gam• S• yfl2mofi/ Work Address , is tb be disposed of at the following location: 1/�iL✓YiO1/� Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. ipiature of Applicant Date Permit No. TOWN OF YARMOUTH BUILDING DEPARTMENT PLAN REVIEW & BUILDING PERMIT APPLICATION REVIEW NOTES ' ADDRESS: -5O ' O`a. 6a-_.P4rL ZN• `• Y, Map / Lot: f%/j Date of Initial Review .. 3�� //0 3 .. Other. Approval Date: Inspector :T,4>2,- .... _ NOTES:���(lSTJ�LL DSrIJT /GoaiL/��n )9109N 3GOS; lu/Co,�j-n oc- c i.v r 91„y, 6/0L_ Por,(_y vxota SLgB .... �� �%/La✓� DE .l�.�Ti>.,!'0.2.. ��s. Fir' - /,J/t-t�Gy�J2E O� whAvOEy B�Q L'COE Dpv�12 a 5 iN� E•'fno2 5T2u�TvrLL �C wi 1'o!/IDE. k/S%/N6 F�d'O� ,L,4yovT ,�.dCLuD/NL :3s/YT ,S� l�rL o v. � n �' � i fl-rYo%n /✓�'.� �i� Fat. ff ✓�t� o /4- . • �E�1?/N�- �Y5>/i�175 " ai1v�/f�rLt�s ok Ago Aec�s .FiLoh,-X�sr�/y� F3fP7T y N n�cS'PiKE 8) Zoning Denial (if applicable): Section 104.32, pars Change, Extension or Alteration (pie-edstin& nonconforming) --The proposed Other ._raluim a -Special Permit fronrthe-Zoning BoardofAppeals. . Building Code Denial (if applicable) Rev.1l-0l is TOWN OF YARMOUTH Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BUILDING PERMIT APPLICATION RECEIPT Temp Permit No.: T-03-082 Applicant Name: (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $25.00 Payment Type: Check ChkNo.: 285 Net Owed: ($25.00) Application Date: 8/8/02 Issue Date: Expiration Date David Hodsdon Comments: Location: .'06030 OLD CEDAR LN Owner's Name: PETER G HOMER Owner's Addres 00030 OLD CEDAR LN demolish garage and rebuild, 2nd floor add ZONING APPROVED South Yarmou MA 02664 - Owner's Telephone: (508) 394-9264 b }�3�/ /f- �_3 /' /J.- 00 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. 0 Bak 16468 PS241 023318 •(?�'^gk 02-27-2003 0'1 -10a 55ca TOWN OF YARMOUTH �. y 2 03 U OARD OF APPEALS 2 DECISION BY 1-EC? IVED. FILED WITH TOWN CLERK: February 5, 2003 03 FEB 5 PH3:30 PETITION NO. #3801 CLEfi{<&TRLFASUn:R ;,U fti YAr 0U'rH, NA HEARING DATE: January 23, 2003 PETITIONER: Peter G. & Susan E. Homer PROPERTY: 30 Old Cedar Lane, South Yarmouth Assessors Map: 110, Lot: 16 (97N6) Zoning District: R40 MEMBERS PRESENT AND VOTING: John Richards, Chairman, Joseph Sarnosky, Diane Moudouris, Richard Neitz, Sean Igoe, James Robertson, Alternate. It appearing that notice of said hearing has been given by sending notice thereof to the petitioner and all those owners of property deemed by the Board to be affected thereby, and to the public by posting notice of the hearing and published in The Register, the hearing was opened and held on the date stated above. The petitioners seek a Special Permit under §104.3.2(2), in order to replace an existing attached garage with a new garage, and to add above it a second floor area containing an additional bedroom and bath. The property contains approximately 13,082 square feet of land within the R40 zoning district. The existing two story single-family house and attached garage do not conform to the easterly (right) side setback, where 16.1' are present. r The proposed replacement structure will maintain the existing footprint throughJut. The existing house is a two -bedroom home. The height will increase from 19' to 23.5'. Conservation Commission and the Old Kings Highway Committee approvals are represented to have been granted. The existing house contains 2,956 square feet of area, and 608' of habitable area will be added by this renovation. Two neighbors and the owner of the abutting cranberry bog spoke or wrote in favor of the petition. The board finds that the proposed vertical expansion, while within the side yard setback, will not be substantially more detrimental to the neighborhood. The lot is the last residential lot at the end of a dead end road. The abutter toward where the garage encroaches is a cranberry bog. No residential abutters or immediate neighbors will be affected by the expansion, now or in the future. 1 Accordingly, a motion was made_ by_Mr.-Igoe, seconded by Mr..Ileitz, to grant_the_Special -- Permit, as requested, to make the arse expansion as displ�e�d �n the site and architecturalE jplans filed with the Board. The members voted unanimously m favor of the motion. No permit slialf issue until 20 days from the filing of this decision with the Town Clerk. Appeals .from this decision shall be made pursuant to MGL c40A section 17 and must be filed within 20 days after filing of this notice/decision with the Town Clerk. Unless otherwise provided herein, the Special Permit shall lapse if a substantial use thereof has not begun within 24 months. (See bylaw § 103.2.5, MGL c40A §9) Unless otherwise provided herein, a Variance shall lapse if the rights authorized herein are not excised within 12 months. (See MGL c40A § 10) David S. Reid, Clerk 2 I Appeal #3801 COMMONWEALTH OF MASSACHUSETTS TOWN OF YARMOUTH BOARD OF APPEALS Date: February 25, 2003 Certificate of Grantine of a Special Permit (General Laws Chapter 40A, section 11) To: Peter G. & Susan E. Homer Address: 30 Old Cedar Lane Town: South Yarmouth, MA 02664 Affecting the rights of the owner with respect to land or buildings at: 30 Old Cedar Lane, South Yarmouth. Assessor's Map: 110, Lot: 16 (971V6) Zoning District: R40 and the said Board of Appeals further certifies that the decision attached hereto is a true and correct copy of its decision granting said Special Permit, and that copies of said decision, and of all plans referred to in the decision, have been filed. The Board of Appeals also calls to the attention of the owner or applicant that General Laws, Chapter 40A, Section 11 (last paragraph) and Section 13, provides that no Special Permit, or any extension, modification or renewal thereof, shall take effect until a copy of the decision bearing the certification of the Town Clerk that twenty (20) days have elapsed after the decision has been filed in the office of the Town Clerk and no appeal has been filed or that, if such appeal has been filed, that it has been dismissed or denied, is recorded in the registry of deeds for the county and district in which the land is located and indexed in the grantor index under the name of the owner of record or is recorded and noted on the owner's certificate of title. Theee for such recording or registering shall be paid by the owner or applicant. 4zza David S. Reid, Chairman TOWN OF YARMOUTH TOWN CLERK CERTIFICATION OF TOWN CLERK I, George F. Barabe, Town Clerk, Town of Yarmouth, do hereby certify that 20 days have elapsed since the filing with me of the above Board of Appeals decision #3801 and that no notice of appeal of said decision has been filed with me, or, if such appeal has been filed it has been dismissed or denied. George F. Barabe Town Clerk PROPERTY ADDRESS; : ►LCULAT.IO_N_ FOR PERMIT COST L �30 K ��. = G G o � , 0 OF ALTERATIONS BATH BED ROOM CERTIFICATE OF OCCUPANCY ,2X 7, 3v X A = 3 DECK OPEN 6 q o DECK WITH ROOF DEMOLITION ✓�3 / DEN DINING ROOM / ;L)- t FAMILY ROOM —'� FIREPLACE GAX S� FOUNDATION ONLY ^ 8 2 , GARAGE NO. OF BAYS GREAT ROOM KITCHEN � S"a lo-S LAUNDRY ROOM 471 11AUND Ac-Pm . /1-�/ x 96,- _ //7/ ai4, — i Ig RY ROOM MUD ROOM OFFICE PORCH CLOS 71 PORCH OPEN REROOFING SUN ROOM HEATED SUN ROOM UNHEATED SWIMMING POOL ABOVE GROU SWIMMING POOL INGROUND WINDOW REPLACEMENT UrtLiry, , NO Y�,����o� -A13� .. s41owk MM" �, �� ,. y"No 1Kl M[w1R -m '"""" Qld•King'sFEghwayRegional l istoricDistrictCommitt�gH C in the Town of Yarmouth for a ' V Ali CERTIFICATE OF APPROPRIATENESS 1t01 JU��! 27 la 18 RECE!'V Application is hereby made in triplicate, for the issuance of a Certificate of Appropriateness under QQon 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for. CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction : D w Building ❑ Addition Alteration Indicate type of building: D House R Garage D Commercial Other 2. Exterior Painting: D 3. Signs or Billboards: D Ncw Sign D Existing Sign D Repainting existing sign 4. Structure:. D Fence D wall D Flagpole D Other TYPE OR PRINT LEGIBLY ADDRESS OF PROPOSED MAP NO. OWNER MR.�Q�,yt�F�2 SSA-r� }�pt��. ASSESSORS LOT NO. HOME ADDRESS SAME TELEPHONE NO.�3q 4 � USE ATTACHED SHEET IN PACKET FOR ABUTTING OWNERS DETAILED DESCRIPTION OF PROPOSED WORK Give all particulars of work to be done including materials to be used In case of signs, give locations of fisting signs and proposed locations of new signs. (Attach additional sheet, if necessary). R12tN0lA1— oP ek"SfiN(, \, fie_ 6Lr w� l>�vrt`� V-OoM k Qaoty► � ��Q�rn�c of SaM�I P\�S � �,¢.c.oc�� F�� �n,�,Z� rg artrt� • Signed vll�_ Space below line for Committee use only. 1nerontr ctor-Agent Received by OKIIC 9 =01 _19MA11 RUN APPROVED D IMPORTANT. If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. DISAPPROVED D Please return to: Yarmouth OKHC District Committee Yarmouth To%%u Hall, 1146 Route 28, S. Yarmouth, MA 02664 6tu ti a•Aiv3i SPECIFICATION SHEET (YARMOUTH OKHC) 1 Please fill out the form in its entirety providing colbtAp- JIVjs, LWJ4re Itecessary. INDICATE LANDSCAPING, EXTERIOR LIGHTING & ELECT'0 ffLE! OLV PLANS FOR NEW HOUSES PROPERTY ADDRESS: 2(07 JUN 27 1'di 10: FOUNDATION (18" MAX. EXPOSED): CONCRET OTHER DRIvERECEIVED WALK WAY: NA, STEPS (INDICATE BRICK/CEMENT/OTHER): SIDING TYPE & MATERIAL: Q.c.. cA.AQ W ' COLOR: -TO M*6V)a bw.C, 9A1fJ'4%-0--5 e-xmJtmw+ CHIMNEY (INDICATE BRICK/STUCCO/WOODFACED) N COLOR: ROOF MATERIAL: PITCH (7/12 MIN.) 16'\7-/ 4=�Z COLOR: cwwm MAX. EXP. awe%-,wt) WINDOWS (GRILLES REQUIRED) —INDICATE SIZES IF NOT LISTED ON ELEVATIONS: 6Nacaex9oj''rW. OOJ�I .'k�.I►-�� DOORS (INDICATE SIZES AND STYLE IF NOT LISTED ON ELEVATIONS): COLOR: Weg CA.xoai�-- ,a , TRIM: (ALL WINDOWS & DOORS TRIMMED WITH 1X4 / 1X5) COLOR: MATERIAL OF TRIMJ 00 , VINYL, ALUMINUM) SHUTTERS (WOOD[ ANELED/LOUVERED) NPc COLOR /j,,t4A GUTTERS (WOOD/ALUMINUM): kw%N WUM COLOR: GARAGE DOORS: SIZE & STYLE: 90J42V- 09 - E7k\4Vkt�1G1 COLOR: STORM WINDOWS & DOORS: COLOR: (INDICATE SIZES IF NOT LISTED ON ELVATIONS) SKYLIGHTS: TYPE/SIZE: NN COLOR: DECK: SIZE & MATERIAL: N Pc COLOR: FENCING (MAX. HEIGHT 61): STYLE: N A COLOR: (SHOW LAYOUT & RUNNING FOOTAGE ON SITE PLAN) RETAINING WALL: (P.T. OR FIELDSTONE —CONCRETE INAPPROPRIATE) l}ricUr'��I (SHOW LAYOUT & RUNNING FOOTAGE ON SITE PLAN) NN ` ,111 ,'.i SIGNS: (indicate size, style, colors) NP COLOR: �Q i SIGN POST: (indicate size, style, color) koN ADDITIONAL INFORMATION: REV. 12101 COLOR: `• YARMOUTH Application to TOWN CLERK Old King's Highway Regional Historic District Committee 202 JUN 27 All 10: o0 in the Town of Yarmouth for a .ICATION FOR PERMIT TO DO QUITTING (OFFICE USE ONLY) .Z,C, 30.OD NO. 6^O 1—/ 0 )-- NewX Renovation ❑ Replacement ❑ Plans Submitted Yes❑ NoK Date�f IrP3ool_ Owner's c � Name CKIn CIAA-,t?M Type of Occupancy (n V)W Y N N y S UO � F¢- ¢ r7 N W O Um I= Z M S Z m¢ En W WO O Z a O ZQH 7 Z OC W¢ > WN z Z J Z tu W ¢ W Lu O> ~W lL _WW J N¢ ¢ W a aW = > n o O SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Check One: Installing Company NameSNbw's Plymbinq � geAVt IJf, ❑ Corp. Address V6 6ex 9cl ❑ Partners W &MEXA P , MR babIfl$ I$( Firm/Co any -PR 2 3 2001 Business ��� 8 -9 I I By f�� Name of Licensed Plumber or Gasfitter 'fi s IikW INSURANCE COVERAGE: Check One have a current liability insurance policy or its substantial equivalent. Yes 4 No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy 52 Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check One: Ow r ❑ Anant Signature of Owner or Owner's Agent I hereby certify that all of the details and Information I have submitted Signature of Licensed (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Plumber or Gasfitter fl? /0 >a �" License Number TYPE LICENSE: Plumber ❑ Gasfitter []Master ❑ Joumeyman APPLICATION FOR PERMIT TO DO PLUMBING TOWN OF YARMOUTHELM w,m � i APR 2 3 2001 I USE ONLY) Fee: $_ /,S PERMIT NO. /0 —O/ -- S S / Date `'j I n t9=jeEL_ Owner's n `-Ym7 tl V &I tLl 011724 Type of Occupancy New( Renovation ❑ Replacement ❑ Plans Submitted Yes ❑ No ❑ z Z Y Z Q W Y J N Q U Q y Z D O y M S O W F- W W Y Q LL Z Z Z 0 N FE y co N S�~ Q W O a Q a O. Q IL W W S O M = W 3 Q fWl1 0 Z S Q 3 W Y N p F- _jj Q Z Y p W G Y W Q 4. IL 3 x g m v, o c g 3 x t- v, U. o M o a 3 0¢ m o SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) I Check One: Installing Company Name � s P/11nt III n1 �El2 lam_ ❑ Corp. Address_- _- ❑ Partnership woaf �1�1e�� �`�� )K Firm/Company Business Telephone Name of Licensed Plumber INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yes)< No ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance voerage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent I hereby certify that all of the details and Information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under Permit Issued for this application will be In compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Check on Owner Agent ❑ Gie�L Signature of Licensed Plumber /i/la70� License Number Type: Masterg Journeyman 0 ,o�'YAR,y { o ./, bg�' TOW D�c DEP RMO�UT H ,p3 BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTIAL SHEET Building Site Location: Proposed Improvement: Address: r O eaX aot �1/lin tl 0116 The Building Department will be responsible for assisting the appl applicable departments. Map No: /0 Lot No: —� Tel.No.: 34 A Oy 8.3 Date Filed: Sl 0 by dispatching your plans and or application to the following 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: 1. WATER DEPARTMENT: DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT: DATE: N/A: S. WIRING INSPECTOR: INDUSTRIAL AND/OR COMMERCIAL PERMITS N/A: 6. PLUMBING INSPECTOR: DATE: N/A: 7. FIRE DEPARTMENT: DATE: NhV COMMENTS: RECEIPT OF COPY: PLEASE NOTE SIGNATURE OF APPLICANT: DATE: white copy —Budding Dept. - Ydlow Copy— Health Dept - Pink Copy— Enginwing Dept - Goldmod - Fire Depu'Consavation r...... .. .i �.... .'.....-... r.�. .a.. , .'�. .. ,..•- ... J '-,.. a r ♦.. ..r w.. ....� M.... 4n .l.a,. Y...•. y.o.Yl l'i �.t.. 'a• Building Site Location: Proposed Improvement: TOWN OF YARMOUTH BUILDING DEPARTMENT BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTIAL SHEET 3lJ s Map No: / /D Lot No: Applicant: _ t . v 31V 9n Address: Tel.No.:_36al 6(l2?3 Date Filed: Y k U Ga G S 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: L • WATER DEPARTMENT: DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: // DATE: N/A: 4. HEALTH DEPART 3. 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: DATE: White copy —Budding Dept - Ye low Copy — Health Dept - Pick Copy — Engineering Dept - Goldenrod -Fire DcO Cwa Lion �-��.I'l-.�.L.a�...fr..n-I ....: :. t'.. r.«.},r.r. .*^...� ._.. .-�. ,1�..'y.. .'� .• .w... .. -:y .r �1. . «r+' •..-. ..... • ^. vy.r: .,,n. _.. x..-- , .. i.p3 1&?2-% Building Site Location: TOWN OF YARMOUTH BUILDING DEPARTMENT BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTIAL SHEET Map No: //U Lot No: /h Proposed Improvement: / 7a , .. '1 G `/ Address: j2 U /�r%�' / / r1 1 l , '_ / Tel.No.: 3G Gt/ ;?3 Date Filed: �'b /L 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: 1. WATER DEPARTMENT: DATE: N/A: 2. ENGINEERING 3. CONSERVATIG 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 SIGNATURE OF APPLICANT: DATE: White copy — Building Dept - Yellow Copy — Health Dept - Pink Copy — Engine g Dept. - Goldearod - Fire lion . JOBfi 02-188 i i_ I CONC. LPATIO I 2=� / EXIST. DWELL LOT 6 / .-/i 13,082t SQ. FT. CO I LD J �, A ezn4,� �r f Y,� Yp..RN10l�TH /2 ~ O Y 0 / 01 j EXIST. GARAGE (TO BE RAZED AND REPLACED EXISTING IWITHIN FOOTPRINT) CERTIFIED B UILDING PLAN FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT PREPARED FOR: LOCATION : qo OLD CEDAR LANE SUSAN HOMER (SO UTS) YARMO UTH, MASS. SCALE 1 is= 3IIQ' DATE JUNE j 50 2002 REFERENCE PLAN BK. 122 PC. 79 ASSESS. MAP 110 PCL. 162 I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEIREON. ,h OF a� off. 508-362-4541 ARNE � H �✓, � ra: �-ass—saaD y a O.IALA down cape engine IrnNa g, inc. 4 zs3a8 cl; �• q �fa CIVIL ENG�2.'EERS Fss 10sl S`� LAND SURV:.'YORS Iu 0 G/ I . 0 939 main sL yartnouthl nc 02675 DATE REG. LAND SURVEYOR TOWN OF YARMOUTH BUILDING DEPARTMENT / BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTIAL SHEET Building Site Location: Proposed Improvement: Address: The Building Department will be applicable departments. No: Lot No: 1/0 Tel.No.: Date Filed: �,�L�I� ��. oy�3 � o for assi§ting the&20,D �rt by dispatching your plans and or application to the following RESIDENTIAL AND/OR COMMERCIAL BUILDING WATER DEPARTMENT: Determines Compliance of Water Availability and or existing location. ENGINEERING DEPARTMENT: Deterrines 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: 1. WATER DEPARTMENT: DATE: O 40413, 2 N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A 3. CONSERVATION: DATE: N/A 4. HEALTH DEPARTMENT: DATE: N/A. - INDUSTRIAL AND/OR COMMERCIAL PERMITS 3. WIRING INSPECTOR: DATE: N/A 6. PLUMBING INSPECTOR: DATE: N/A: 7. FIRE DEPARTMENT: DATE: N/A PLEASE NOTE COMMENTS: 00cr NoT )t-MraGea2 64-,rTy wn-IrR .Seervicc RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE: White copy - Building Dept. - Green copy - Water Dept - Yellow Copy - Health Dept - Pick Copy - Engineering Dept - Goldenrod - Fire Dept/Coumvation YA.RN10ujTH OW ;. .► ARK zm? �uiil 27 !L 0 RE�;ct r ;o. ,CIO h 0 r� EXIST. GARAGE (TO BE RAZED AND REPLACED IWITHIN EXISTING FOOTPRINT) r JOBx 02-188 CERTIFIED BUILDING PLAN FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT PREPARED FOR: LOCATION : qO OLD CEDAR LANE SUSAN HOMER „ (SOUTH) YARMO UTH. MASS. SCALE 1 = 30 DATE JUNE 15, 2002 REFERENCE : PLAN BK. 122 PC. 79 ASSESS. MAP 110 PCL. 162 I HEREBY CERTIFY •THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE AD GROUND AS SHOWN HEi CN. pf ARNE off. 508-362-4541 H. c= t fax 508-362-9880 i o OJALA N . �,� 1 L, down cape engineering, inc. Naz53as oa. { CIVIL ENGA"R EES o �fCIST F Q� I YLAND SU �oxs t� `�3�ON L • �S• r 939 main sL yartnouth! nc 02675 DATE REG. LAND SURVEYOR Lb JOB# 02-188 41&4& i R \jiouTH �W�io o '`, ARK 2m1 JUi127 i 0 A�: `j EXIST. GARAGE (TO BE RAZED AND REPLACED /WITHIN EXISTING FOOTPRINT) CER TIFIED �.B UILDING PLAN FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT PREPARED FOR: LOCA110N : qO OLD CEDAR LANE S USAN HOMER (S0 KITH) YARMO UTH, MASS. SCALE : 1 " = 3IIQ' DATE JUNE 15, 2002 REFERENCE : P ILAN BK. 122 PC. 79 ASSESS. MAP 110 PCL. 162 I i HEREBY CERTIFY THAT THE STRUCTURE t SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREIN. OF atgl� aN. 2-4541 508-36 or ARNE I J fax H. 508-362-9880 c OJALA N �� down cape engineirirsg, inc. q No (� CIVIL ENG�NEERS gFfS, �fCI$T F �01 C 1 Y LAND SURVi1'ORS G/ , �N I .0 939 main sL yarmouthIl rac 02675 DAIS REG. LAND SURVEYOR I I Homer Residence -TJ.8 ,c 0.0269W Nuinber 07oozoo69l4 3 PCS of 1 3/4" x 9 1/2" 1.9E Microllam® LVL User2 7 MOMIsa1o5AM P*pI Eminevecam12.1 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Overall Dimenslom 9' 1V q P d._4.11e a 4.11e—� Product Diagram is CorlceptuaL LOADS: Analysis is for a Drop Beam Member. Tributary Load Width: 8' Primary Load Group - Residential - Living Areas (psf): 40.0 Live at 100 % duration,15.0 Dead SUPPORTS: Input Bearing Vertical Reactions (Ibs) Detail Other Width Length Live/Dead/UplitUTotal 1 Plate on masonry wall 3.50" 3.50" 718 /261 / 0 / 979 Lt: Blocking 1 Ply 1 314" 1.9E Microllam LVL 2 Steel column 3.50" 3.50" 1900 / 794 / 0 / 2694 L5 None 3 Plate on masonry wall 3.50" 3.50" 718 / 261 / 0 / 979 L1: Blocking 1 Ply 1 3/4" 1.9E Microllam LVL See TJ SPECIFIERS / BUILDERS GUIDE for detail(s): L1: Blocking,L5 DESIGN CONTROLS: Maximum Design Control Control Location Shear (Ibs) 1347 922 9476 Passed (10%) LL end Span 2 under Floor loading Moment (Ft-Lbs) -1280 -1280 17682 Passed (7%) Bearing 2 under Floor loading Live Load Dell (n) 0.005 0.158 Passed (L/999+) MID Span 2 under Floor ALTERNATE span loading Total Load Dell (in) 0.007 0237 Passed (L/999+) MID Span 2 under Floor ALTERNATE span loading -Deeection Criteria: STANDARD(LL:11360,TL:L240). -Brecing(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 member pattern loading. 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 BOCA analyzing the TJ Distribution product listed above. -Note: See TJ SPECIFIER'S / BUILDER'S GUIDES for multiple ply connection. Operator Notes: crawl space girt PROJECT INFORMATION: Copyright O 2001 by Tres Joist. a Weyerhaeuser Business Microllam* is a registered trademark of Tres Joist. Ci\Documents and Settinas\CAT-ARCHITECTS\PROJECTS\HOMER\hmer cirt.ans OPERATOR INFORMATION: ERIK TOLLEY ERT ARCHITECTS, INC 74 NOTTINGHAM DRIVE YARMOUTHPORT, MA 02675 Phone: 508 362 8W3 ERT-ARCHITECTS@ATTBI.COM Homer Residence � ""`�'�~� Buskm91/2" TJI®/Pro/�M)-250 @ 12is o/c UFeasm(T1� sD2 S" Number. 70020091, Uear:7 7l272=9MMAM Page, UVk* Vsrsl= 12.1 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED z Product Diagram is Conceptual. LOADS: Analysis is for a Joist Member. Primary Load Group - Residential - Living Areas (pso: 40.0 Live at 100 % durabon,15.0 Dead SUPPORTS: Input Bearing Vertical Reactions (lbs) Detail Other Width Length Live/Dead/Upidt/Total 1 Stud wall 3.500 225" 330 / 124 / 0 / 454 A3: Rim Board 1 Ply 1 114" 0.8E TJ-Strand Rim Board® 2 Stud wall 3.50" 225" 330 / 124 / 0 / 454 A3: Rim Board 1 Ply 1 114" 0.8E TJ-Strand Rim Board® -See TJ SPECIFIEKS / BUILDERS GUIDE for detail(s): A3: Rim Board DESIGN CONTROLS: Maximum Design Control Control Shear pbs) 442 -438 1120 Vertical Reaction Qbs) 442 442 1120 Moment (Ft-Lbs) 1778 1778 3338 Live Load Dell (n) 0298 0.402 Total Load Defl (in) OA09 0.804 TJPro _ _ _--37----30-- Passed (39%) Location RL end Span 1 under Floor loading Passed (39%) Bearing 2 under Floor loading Passed (53%) MID Span 1 under Floor loading Passed (1.1648) MID Span 1 under Floor loading Passed (L/471) _ MID Span 1 under Floor loading Passed _ - Span 1 - — -Deflection Criteria: STANDARD(LLL1480,TL:L240). -Allowable moment was Increased for repetitive member usage. -Deflection analysis is based on composite action with single layer of 19/32", 5V Panels (20" Span Rating) GLUED & NAILED wood decking. -Bracing(Lu): All compression edges (top and bottom) must be braced at Z 8" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing Is required to achieve member stability. TJ-Pro RATING SYSTEM -The Ti-Pro Rating System value provides additional floor performance information and Is based on a GLUED & NAILED 19W. SW Panels (20" Span Rating) decking. The controlling span Is supported by walls. Addtional considerations for this rating include: Ceiling - None. A structural analysis of the deck has not been performed by the program. Comparison Value:1.76 ADDITIONAL NOTES: 4MPORTANTI 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 BOCA analyzing the TJ Distribution product listed above. PROJECT INFORMATION: Copyright o 2001 by Una Joist, a Weyerhaeuser Business TJ1* and TJ-Beam* are registered trademarks or Trus Joist. rI Joist -,Pro" and TJ-Pro- are trademarks of Trus Joist. OPERATOR INFORMATION: ERIK TOLLEY ERT ARCHITECTS, INC 74 NOTTINGHAM DRIVE YARMOUTHPORT, MA 02675 Phone: 508 362 8883 ERT-ARCHTTECTSCATTBI.COM a Homer Residence • .eewn(l"e0N,B,,,e'`b7002000914 9112" TJI®/Pro(TM)-250 @ 14 o/C Wert 7r27moo OMMAM Pap�2 Ergku Vasion:,zt THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Operator Notes: M"mum floor span ERIK TOLLEY ERT ARCHITECTS, INC 74 NOTTINGHAM DRIVE YARMOUTHPORT, MA 02675 Phone: 508 362 8883 ERT-ARCHITECTSCATTBI.COM Copyright si 2001 by Trus Joint, a Weyerhaeuser Business TJIS and TJ-Beam® are registered trademarks of Trus Joist. s-I Jolot-,Prd- and TJ-Pro are trademarks of True Joist. Permit Number MECcheck Compliance Report CheckedBy/Date 1995 MEC MECcheck Software Version 3.3 Release I Data filename: C:\Documents and SettingsNERT-ARCHITECTS\PROJECTS1iiOMERlhomer.cck TITLE: Homer Residence CITY: Yarmouth STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: Single Family DATE: 07/27/02 DATE OF PLANS: 8/1/02 PROJECT INFORMATION: Addition COMPANY INFORMATION: ERT Architects, Inc COMPLIANCE: Passes Maximum UA - 328 --- -- — — — — — Your Home = 260 20.7% Better Than Code Gross Area or Cavity Perimeter R--Valuc Glaring Cont. or Door R-Valu U--Facto UJA Ceiling 1: Cathedral Ceiling (no attic) 750 30.0 0.0 26 Wall 1: Wood Frame, 16" o.c. 2016 13.0 0.0 151 Window 1: Vinyl Frame, Double Pane 152 0.330 50 Door 1: Glass 24 0.330 8 Floor 1: All -Wood Joist/Truss, Over Unconditioned Space 750 30.0 0.0 25 Boiler 2: , 85 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 1995 MEC requirements in MECcheck sio Release lb and to comply with the mandatory requirements listed in the MECcheck Insnect sec is . Date g— -y Z MECcheck Inspection Checklist 105 MEC MECcheck Software Version 3.3 Release lb DATE: 07/27/02 TITLE: Homer Residence Bldg. Dept. Use I Ceilings: [ ] I 1. Ceiling 1: Cathedral Ceiling (no attic), R-30.0 cavity insulation Comments: I Above -Grade Walls: [ ] I 1. Wall 1: Wood Frame, 16" o.c., R-13.0 cavity insulation Comments: i Windows: [ J I 1. Window 1: Vinyl Frame, Double Pane, U-factor: 0.330 For windows without labeled U-factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: I I Doors: [ J I 1. Door 1: Glass, U-factor. 0.330 # Panes Frame Type Thermal Break? [ ] Yes [ J No Comments: -- _ - ----- — -- —Floors: 1. --------- ----- [ ] I 1. Floor 1: All -Wood Joist/Truss, Over Unconditioned Space, R-30.0 cavity insulation Comments: I Heating and Cooling Equipment: [ ] I 1. Boiler 2: , 85 AFUE or higher Make and Model Number I Air Leakage: [ j I Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. [ j I Recessed fights must be Type IC rated and installed with no penetrations, or Type IC or non -IC rated installed inside an appropriate air -tight assembly with a 0.5" clearance from combustible I materials and 3" clearance from insulation. I Vapor Retarder. [ J I Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. I I Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] I Insulation R-values, glazing U-factors, and heating equipment efficiency must be clearly marked on the building plans or specifications. . I Duct Insulation: L ] I Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-6.5. I Duct Construction: [ ] I All ducts must be sealed with mastic and fibrous backing tape. Pressure -sensitive tape may be used for fibrous ducts. Duct tape is not permitted. [ J I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ J I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] I All heated swimming pools must have an ontoff heater switch and require a cover unless over 201/o of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ J I HVAC piping conveying fluids above 120 OF or chilled fluids below 55 °F must be insulated to the levels in Table 2. K] Table l: tlfinimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Heated Water Non -Circulating Runouts Circulating Mains and Runouts Temperature ( F) Up to V Up to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Tyoes Rance ( F) 2" Runouts V and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressurefremperature Low Temperature Steam Condensate (for feed water) Cooling Systems Chilled Water, Refrigerant, and Brine 201-250 1.0 1.5 1.5 2.0 120-200 0.5 1.0 1.0 1.5 Any 1.0 1.0 1.5 2.0 40-55 0.5 0.5 0.75 1.0 Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the rneturn�key. vo rttra Massachusetts Department of Environmental Protection COPY 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 Conservation Commission To: Applicant Susan Homer Name 30 Old Cedar Lane Mailing Address South Yarmouth MA 02664 City/Town State Zip Code 1. Title and Date of Final Plans and Other Documents: Property Owner (f different from applicant): Name Mailing Address —' Cityrrown State Zip Code Certified buildin Ian forSusan Homer 6.24.02 Title Final Date (or Revised Date if applicable) 2. Date Request Filed: 7.1.02 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 (if applicable): To demolish an existing garage and construct a new garage. Project Location: 30 Old Cedar Lane South Yarmouth Street Address Cityrrown 110 16 Assessors Map[Plat Number Parcel/Lot Number page) d 5 WPA Forth 2 Rm NAY) 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.) The following Determination(s) is/are 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 Act 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 plans) is an area subject to protection under the Act. Removing, filling, dredging, or altering of the area requires the filing 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 Act and its regulations regarding such boundaries for as long as this Determination is valid. ❑ 2b. The boundaries of resource areas listed below are >Lconfirmed 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 alter that area. Therefore, said work requires the filing of a Notice of Intent. ❑ 4. The work described on referenced plan(s) and document(s) is within the Buffer Zone and will after an Area subject to protection under the Act. Therefore, said work requires the filing of a Notice of Intent. ❑ 5. The area and/orwork 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 Fom 2 ' Pape 2 of 5 Am CVM 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 riot subject to the Massachusetts Wetlands Protection Act: ❑ 7. If a Notice of Intent is filed for the work in the Riveriront 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 altematives requirements): ❑ Alternatives 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 within 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 d 5 Rev 02M 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 6. 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 Date [� by certified mail, return receipt requested on July 22, 2002 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 ifferent from the applicant). ❑OSignatures: %� � 7 r July 18, 2002 Date WPA Forth 2 ' Pape 4 of 5 aM man 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 Appendix 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 mail or hand delivery to the Conservation Commission and to the applicant if he/she is not the appellant. The request shall state clearly 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 Form 2 • Pape 5 of 5 Rm COW TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 261 BUILDING DEPARTMENT TOTAL DEMOLITION SIGN -OFF FORM State Building Code (780-CMR) Chapter 1, Section 112.1-Service Connections "Before a building or structure is demolished or removed, the owner or agent shall notify all utilities having service connections within the structure, such as water, electric, gas sewer and other `r connections. A permit to demolish or remove a building or structure shall not be issued until a release, is obtained from the utilities, stating that their respective service connections and appurtenant equipment, such as meter and regulators, have been removed or sealed and plugged in a safe manner." "All debris shall be disposed of in accordance with 780CMR 111.5 " 3o C31c( Cec14.t- tpi Building or Structure Location: S, �ar.�.ek�i'� Map: //0 Lot: `6 Z Owner's Name: Pe ep *"� Address: 30 YL( Coda. L" Phone: Sa-F'39V - 92G S. am d&N-L-M Contractor's Name: Add-50(0'►t ('ten lieUuc7� v`. Address: e,b.'bex zz.l Phone: S of-774 -6o gc N;016"W %,.no ,o rf-kl} 0247s Commonwealth Electric: Date: Title: Colonial Gas: Date - By. S,�o�_ S'T�rL t4cctzS Title: T-tC t k;. CQre 17rl- Water Dept.: Date: 7- 2 1. By -- Title: Board of Health: Date: 7- X By: A rvr-. - 0-1, /(, c,7' Title: D, ✓i o7 Condition: 1j ew cunST r� Ho CroSL`ti h jV Fire Dept.: Date: � By: L /W Title: '`,Historic Commission: Date:Da- By: - I� Title: � — tt:aennignuQ *vim L30 OLD CEDAR LN wonLD. 14169 tories 'UPMX7 aderior Wall 1 2 oaf Structure oofcover or Wall 1 2 a Floor I 2 �kc Type 11010 FA.1i Stores Iv -Fab Wood :ambrel uph/F GWCmp "wWVSheet hwISoe Wood .arpet lect is lectr Bambrd one Bedrooms Bathrooms Rooms OB-OUTBUILDIIVG & YARD Cods I Dean non !/B FPL3 STORY CBLN1 B SBD1 BED FRAME L DIAPID. 110/ 16/// Other ID: 97/ V006/ / / Bldg 0. 1 Card 1 of 1 Print Dare: 0S/13/200216 t n cr SKETCH Wall HOME =�Aa� 00 be ofUnits tl. tisa Flat 60.00 Mi. Fact Index M95532 Base Rate 5331 Value New 157,584 Built 1963 Year Built 1 1972 iobslncc 0 1ObsIm 0 i CovA Code i Cond % rail%cond. 72 rec. Bldg Value 113,00 F-BUILDING EXTRA FEATUI aft PHcv Yr. I Dv Rt %Cn 2,800.00 1972 1 100 8.00 2000 1 0 100 FG4 I I I Ipe721.35 pe�ry,t7ofabed 1.008I,OOg1� 53.31 iF��n0748 2241396 due 2.000 1,000 3 .. 1 f►4` 83,803 7,517 53,736 586 11,941 LN MAPID: 110/ 16/ I I Other ID: 97/ V0061I / Bldg k: 1 Card 1 of 1 PrW Date: 08/23120021E UT& AIA 02664 Owners: M. G G 0370 1\ 370 01/11119" 1 U I I 07116/1"1 U I CURRENTASSESSMENT Descrl rlon I Code lAmpolsed Value LAND 1010 1 54.900 MNTL 1010 I151500 mNTL 1010 Um 1 I IF I Yr. lCodd 99 IF 002 1010 B5.000 IN 0021010 002 1010 100 100 I Value 54'900 815 11.m YARMOUTH, VISIC 1010 115.500 000 1010 1010 1,000 oroL• 171 td r ackeawledges a issit by a Data Collector or APPRAISED VALUE SUALIJARY Appraised Bldg. Value (Card) Appraised XF (B) Value (Bldg) Appraised OB (L) Value (Bldg) Appraised Land Value (Bldg) Special Land Value Total Appraised Card Value Total Appraised Parcel Value Valuation Method. C050fartret IV SIOV U� U� -� �z goo. J 50' ! I jSHED CONC. VL PATIO N I 21,2'# /TOF 19�9 GARAGE�OUND. TOF 19.04' 1 Co LOT LOT 6 / �� / R o o 13,082t SO./ FT. yi / / / Lu / 10 /PAVED �p DRIVE / t � / 0 EXIST. GARAGE (TO BE 04� / � RAZED AND REPLACED BENCHMARK J // WITHIN EXISTING HYDRANT � �/ I ,FOOTPRINT) TAG BOLTJ619 Jam/ A r i ELEV - 23.69' ASSUMED JOB# 02-188 CERTIFIED BUILDING PLAN FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT 1 PREPARED FOR: LOCATION : 30 OLD CEDAR LANE (SOUTH) YARMOUTH, MASS. SUSAN HOMER SCALE I" = 30' DATE : JUNE 15, 200E REVISED DATE : SEPTEMBER 10, 2002 - TOF, BENCHMARK REFERENCE : PLAN BK. 122 PG. 79 ASSESS. MAP 110 PCL. 162 1 HEREBY CERTIFY THAT THE STRUCTURE SHOVN ON GROUND AS SHI OW HEREON. PLAN IS LOCATED ON THE StkOfd!43Sgc TIMOTHY ti G off. 508-362-4541 H• I for 508-362-9880 u No. y down cope engineering, Inc. q CIVIL ENGINEERS t Su LAND SURVEYORS 7/J� 939 main st yarmouth, ma 02675 DATE REG. t6NND SURVEYOR 21.2'f / 1 TODUST. 9W39L GARAGE FOUND. 1 TOF d 19.04' 1 1Y / /o c) I m LOT 6ff / 13,082t SQ./ FT. ,w �� , / , �dr� W I CO cr , / / D 1 V, % PAVED p` DRIVE OT� �`� ' I EXIST. GARAGE (TO BE RAZED AND REPLACED BEN0 1ARK C�i f�� / WITHIN EXISTING HYDRANT �`_� fJ D iL FOOTPRINT) TAG BOLT/619 jam/ I ElEV - 23.69' ASSUMED L JOB# 02-188 / CERTIFIED BUILDING PLAN FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT PREPARED FOR: LOCATION : 30 OLD CEDAR LANE (SOUTH) YARMOUTH, MASS. SUSAN HOMER SCALE If" = 30' DATE : JUNE 15, 2002 REVISED DATE : SEPTEMBER 10, 2002 — TOF, BENCHMARK REFERENCE : PLAN BX 122 PC. 79 ASSESS. MAP 110 PCL. 162 1 HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE �HOFIq GROUND AS SHOWN HEREON. TIMOTHY cyc off. 508-362-4541 R I tax 508-362-9880 o COVELL ti down cape engineering, inc. u No.38D35 CIVIL ENGINEERS �L q LAND SURVEYORS Jel; ��% Z(%OZ� �Q, 939 main sL yarmouth, ma 02675 DATE REG. IXNn SURVEYOR TOWN OF YARMOUTH �} �_ BUILDING DEPARTMENT �� • 1146 Route 28 South Yarmouth, MA 02664 508-398-2231 ext. 261 September 16, 2002 W. & Mrs. Peter Homer 30 Old Cedar Lane. So. Yarmouth, MA 02664 RE: 30 Old Cedar Lane. S. Y. Dear Mr. & Mrs. Homer: I am in receipt of your building permit application received, August 8, 2002, on whichyou propose to perform the following work: "Demolition & replace — Install foundation, replace garage, utility room, living room and second floor master bedroom as per design." Having reviewed said application and associated documents I have determined that a building permit cannot be issued at this time for the following reasons: Section 104.3.2, para. 2, Change, Extension or Alteration (pre-existing, nonconforming). The proposed height increase in relation to the non- conforming side setback triggers the need for a Special Permit. Therefore, in order to proceed you are required to seek relief by filing the required application for a public hearing and appeal with the Yarmouth Zoning Board of Appeals pursuant to MGL Chapter 40-A. Any questions you may have regarding this matter may be directed to this department and / or the Board of Appeals secretary. Very truly youroA Ja `t. Brandolini, CBO Building Commissioner Copy to: Board of Appeals Mdenialzaning TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, NIA 02664 508-398-2231 ext. 261 September 16, 2002 Mr. & Mrs. Peter Homer 30 Old Cedar Lane. So. Yarmouth, MA 02664 RE: 30 Old Cedar Lane. S. Y. Dear W. & Mrs. Homer: I am in receipt of your building permit application received, August 8, 2002, on which you propose to perform the following work: "Demolition & replace — Install foundation, replace garage, utility room, living room and second floor master bedroom as per design." Having reviewed said application and associated documents I have determined that a building permit cannot be issued at this time for the following reasons: Section 104.3.2, para. 2, Change, Extension or Alteration (pre-existing, nonconforming). The proposed height increase in relation to the non- conforming side setback triggers the need for a Special Permit. Therefore, in order to proceed you are required to seek relief by, filing the required application for a public hearing and appeal with the Yarmouth Zoning Board of Appeals pursuant to MGL Chapter 40-A Any questions you may have regarding this matter may be directed to this department and / or the Board of Appeals secretary. Very truly your s, G J Aot . Brandolini, CBO Building Commissioner Copy to: Board of Appeals H:dmiatmoiag .eB j TOWN OF YARMOUTH Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 94261 BBUILDING PERMIT APPLICATION RECEIPT Temp Permit No.: T-03-082 (OFFICE USE ONLY Recorded By. k: Permit Fee: Deposit Rec: Payment Type: Net Owed: $0.00 $25.00 Check ChkNo.: 285 ($25.00) Application Date: 8/8/02 Applicant Name: David Hodsdon Comments: Location: 06030 OLD CEDAR LN demolish garage and rebuild, 2nd floor addition D Owner's Name: ``PETER G HOMER Owner's Addres 00030 OLD CEDAR LN ZONING APPROVED South Yarmou r MA 02664 _ _ 3 " / Q �3 Owner's Telephone: (508) 394-9264 (3 / 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. '2 ti•,--�—/�� Date Printed: 8/8 ope ty Laudon: 30 OLD CEDAR LN 'irion ID: 14168 AMPID: 110/ 16/ / / OtherID: 97/ V006/ / / Element YTwo odel a& xics =peay tciat wall 1 2 )Of Structure oof Cover terior Wall 1 2 -terior Floor 1 2 eating Fuel eating Type C 7�pe Amoms ahroonu oW Room uh Type itches Style SBDI r5HM FRAME Stories re -Fab Wood ambrd aph/F Gls/Cbrp me/SoR Wood lectr Basebrd one Bedrooms Bathrooms Room 100 H 1 1 L 120 Wall j. Base Rate 60.00 M. Factor 0.93S32 e (ty hide: 0.95 Base Rate 5331 Value New 157.58: Built 1965 Year Built 1972 1 Physcl Dep 28 alObalnc 0 i Obdnc 0 L Cond. Code % -a%Cond. 72 x Bldg Value 113,500 F BUILDING EXTRA MTU, 8.0012000 1 0 MR 21.35 PTO Lamie6ol Story U'nndshed I FbdsW 1,0 o I 1 V 4IUffs 12io I s96 0: 1 Card 1 of 1 Print Date 08/231200216 . j•a Ilow 701He F 83,803 7,517 53,736 586 II,R11 _ nperty Lo_ation: 30 OLD CEDAR LN Vuion M. 14168 MAPID: 110/ 16/ / / Other M. 97/ V006/ / / BM z #: 1 Card I of 1 Print Date 08/23I2002 It CURRENT WNER TOPO. UTILITIES STRTIROAD LOCH 770N CURRENTASSESSMENT HOMER, PETER G 0 OLD CEDAR LN YARMOUTIL MA 02664 dhianalOwners: Descn Lion Cods Appraised Value Assessed Value 815 YARMOUTII, LAND NTL MIDNTL 1010 1010 1010 54,9W I15.500 1.0W 54.9W 11515W 1.o00 SUPPLEIIENTAL DATA A000urt # 14443W Subdivision 370 v ID: VISIC Tdd 171.400 1 11,4 01 RECORD OF OWNERSHIP BK-VOLPAGE SALE DATE t✓i SALE PRICE KC PREVIOUSASSFSSMENTSfamulis TOR OMER, PETER G OMER, PETER G IOMER, PETER G 14273/ 122 11931/ 063 09128R001 01/11/1999 07116/1"1 U U U I I I 1 99 85.000 1F IF IN Yr. rode Assessed Value Yr. Code Assessed Value Yr. Cade Assessed i 2002 2002 002 1010 1010 1010 54,900 1151500 1,000 001 001 001 1010 1010 1010 54.900 t000 1151500 1,000 000 1010 1010 171,400 Totak 171,400 Totak EXEMP77ONS O ER ASSESSMENTS This signature acknowledges a sisit by a Data Collector or Asa Year elDescry Bo Amount Code Deseri non Number Amount Comm /nt. APPRAISED VALUESU3fbL4RY Appraised Bldg. Value (Card) Appraised XF (B) Value (Bldg) Appraised AppraisedTO,B,,) Value ldg) S a Va1Vue ue (B dg) Total Appraised Card Value Total Appraised Panel Value Valuation Method: COSUMA ket V oral NOTES 9 ROOMS EST 0370 et Total Appraised Parcel Value BUILDING PERAf HTRECORD VISITICHANGE HISTORY Permit/D Issue Date nre Descry Lion Amount Insv.Date %Comm Date Coma Comments Date ID Cd. se/Res 285 562 998624 10/20/1999 9/10/1997 11/4/1991 RS RS esldentlal Reswentill 1.000 4,000 300 100 100 ZEROOF EMOLISH&CONSTRI AL STOV 9/14/1996 RD 00 easar+Uzted LAND LINE VALUATION SECTION B# Use Code Descri non Zone D RvnLage Depth Units I Unit Price I. Factor IS.I. ICFacror Nbad. Adf. Notes- A ' al Ptfcin-e Adf.UnttPrlce LandVt 1 1010 SINGLEFAM 13.068.00 SF 3.11 1.35 5 1.00 0050 1.00 4.20 Total CardLnd 5;6 13,06&00 1 SF 1 ftrdTofa1=Arewj 13,068 SF Twat Land V41 PERMIT 562 9/10/97 9/10/97 LOT V6 Homer, Peter G. 30 Old Cedar Lane - South Yarmouth,. MA 02664 Strip & re -roof $3,000-$4,000 SHEET 97 42WM15 SlipGen- Portal Home 1 Town of Yarmouth Template [Building Dept] 1 Slipsheet Identifier [sg243891 Document Category Building Permits Map -Block Number 110.16 Street Number 0030 Street Name OLD CEDAR LN Department Building Parcel ID 14168 Backfile Batch Scan No Document? Additional Naming Info Index Operator Operator, Yarmscan Date - Time 2015-04-29 - 11:37 hVJAaser6che14/Sl1pGerV 1/1