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BOARD OF FIRE PREVENTION 'REGULATIONS
Official Use Only
Permit No.
Occupancy and Fee Checked
[Rev- 1/071 eave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (NEC), 527 qM 12.00
;EASE PRINT ININK OR TYPEALL INFORMATION) Date: // J j� / 3
City or Town of: (' To the Inspector of (Fires:
this application the undersigned gives notice of his o her intention to perform the electrical work described below. \
:ation (Street & Number)
or Tenant
's Address
Telephone No.
Is this permit in conjunction with a buil�ifl p it? Yes ❑ No t❑/ (Check Appropriate Box)
Purpose of Building rl PS t ,`j�P M'. I Q Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
T
New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
Camoletian afthe follawinQ table may be waived by the In neetor afWires.
No. of Recessed Luminaires
No. of Ceil.-Susp. (Paddle) Fans
o ota
Trraa nsformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Swimming Pool Above ❑ n- ❑
d. d
o. ot Emergency Lighting
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS No. of Zones
No. of Switches
No. of Gas Burners
nd
M.o electron Initiatin Devices
No. of Ranges
No. of Air Cond. Tons
No. of Alerting Devices
No. of Waste Disposers
eat ump
Totals:
NumberiTons
IKW
o. o e - ontaine
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ Connection Municipal❑ Other
cti
No. of Dryers
Heating Appliances KW
eCuriSystems:*
No orD vices or E uivalent
o. Of ater
Heaters KW
o. o o. o
Sims Ballasts
Data Wiring:
No. of Devices or E uivallent
No. Hydromassage Bathtubs
No. of Motors Total HP
a No. of Devices or E uivalent
OTHER:
Estimated Value of Electrical Work:
Attach additional detail tfelesired or as required by the Inspector ojWiru.
(When required by municipal policy.)
Work to Start: Inspection to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE [a' BOND ❑ OTHER ❑ (Specify:)
I certify, under th_epains and penalties ofpedury, that the informadon on this application it true and complete.
FIRM NAME": /iJ L.um G `% E 'f! CO /Mc LIC.NO: 7 -L7
Licensee: /A1 /C�{r of L. -Sa> .4,ft ^ Signatur i' C. NO: 307sv
(If applicable, enter "exempt" In the license monber line) Bus. Tel. No. & 34c/ 77 7$
Address: 5 41- l�n.v GaILGr £ Sr�c.! / r�►ocutl {!b'f� U2�Gy Alt Tel. No.:
*Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No.
OWNER'S INSURANCE WAIVER I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent
Owner/Agent
Signature Telephone No. PERMIT FEE. $
. The Commonwealth ofMassaehusettr
Department oflndustrialAccidents
Office of Investigations
600 Washington Street
Boston, MA 02III
www.mass gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Leelbly
Name (Business/Orgmizationandividuao:
Address: $
SOui�
MA Phone #: 5U R.:M4 --)n
Are on an employer? Check the appropriate box:
1. I am a employer with
4. ❑ I am a general contractor and I
—En
employees (full and/oipart-time).*
have hired the sub -contractors
2. ❑ I am a sole proprietor or partner-
listed o`n the attached sheet
ship and have no employees
These sub -contractors have
working for me in any capacity.
employees and have workers'
[No workers' COMP. hisu ante
comp, insurance)
required.]
S. (] We are a corporation and its
3. ❑ I am a homeowner doing all work
officers have exercised their
myself. [No workers' comp.
right of exemption per MGL .
insurance required.] t
c. 152, § 1(4), and we have no .
employees. [No workers'
comp. insurance required.]
Type of project (required):
6. ❑ New construction
7. ❑ Remodeling
8. ❑ Demolition
9. ❑ Building addition
10.❑ Electrical repairs or additions,
11.❑ Plumbing repairs or additions
12.El Roof repairs
13.❑ Other
'My applicant that checks box #1 must also fill out the section below showing their workers- compensation I Policy 1
P po 'cy bmit nation
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating sueh.
tContractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have
employees. If the subcontractors have employees, they must provide their workeri comp. policy number.
I am an employer that is providing workers' compensation insurance for my employees: Below is the policy and job site information "
Insurance Company Name
Policy # or Self -ins. Lic. #: t70A Expiration Date: 1- J — ,A01 q--
Job Site Address: City/Statemp:
Attach a copy of the workers' compensation -policy declaration page (showing the policy number and expiration date).
Failureto secure coverage as required under Section 25 f MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonmen well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to S250aq agaitrst th v lator. Be vised�t a copy of this statement may be forwarded to the Office of
Investigati of the DIA for ' ce coves P .,Pr;fi
I do hereby
that the information provided above is true and correct
Phone #- SUS- lei 4-7-79Q
F
fficial use only. Do not write in this area, to be completed by city or town official
City or Town:
Permit/License #
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person• Phone #:
OLD
TO F YARMO I 44?
/. FC�Y�' '
BUILDING
PERMIT'
-- DATE September 7, 2001 PERMIT No. B-02-233, '
APPLICA )nsbury ADDRESS 24 Rainbow Road W.Y. 02673 061815-
' (NO.) (STREET) (CONTR'S LICENSE)
addition NUMBER OF
PERMIT TO - (-) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) f
AT (LOCATION) 18 Channel Point Drive W.Y. 02673 ZDISTRICT
ONING R 25
IND.) (STREET) -
a BETWEEN - -- - AND
O1 )CROSS STREET) ICROSS STREET) -
w _
m SUBDIVISION-'14�11 LOT
LOTB109 BLOCKIMP 9 • , SIZE .61
U
O BUILDING IS TO BE ' FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION -
0
6
Z TO TYPE 5B
USE GROUP R4 BASEMENT WALLS OR FOUNDATION .
(TYPE)
O
L REMARKS: add two story addition to right side of building with wrap around deck - 1 kitchens
1 diningroom, l livingroom, 1 study, 1 bath, 1 open deck, 1 opem porch, 1 laundryroom.
AREA OR
VOLUME ESTIMATED COST $ 91,400.00 FEEMIT $ 657.00
(CUBIC/SQUARE FEET) -
OWNER James Burke
ADDRESS
18 Channel Point Drive W.Y. 02673 BYILDING DEP
INSPECTION RECORD
DATE
• NOTE PROGRESS - CORRECTIONS AND REMARKS
INSPECTOR
00,G1 , rr
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LEV1i.
The Commonwealth of Massachusetts
Department of Industrial Accidents
17=801/"affINVONs
600 Washington Street
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
O 1 am a homeowner performing all work myself.
❑ 1 am a sole proprietor and ha%e no one working in any capacity
00141� am an employer pro% iding workers' compensation for my employees working on this job.
eom�nv name:���%� 1���
address
C24t*57� ohone oh tO B 1—?6 - 20-9
n�j J / oolie k (a��/ U�_.4&9 NO7 y
insur�nceeo v' v " r ' Y
O lam a sole proprietor. general contractor. or homeowner (circle one) and have hired the contractors listed below who have
the follow ink workerscompensation polices:
companyn
city* phone q•
insurance co policy N —
Failure to sccure coverage as required under Section 25A of MGL 132 can lead to the imposition of erimi M penalties of a fine up to S1.Soo.00 asdlor
one years' imprisonment as well as civil penalties In the form of a STOP WORK ORDER and a fine of SI00.00 a day against ma 1 oadentaad that a
copy of this statement maybe forwarded to the Office of lovestigatiom of the DIA for coverage verification.
1 do hereby
Print name
thr Al an prnairits edury that the information provided above is true and correct
�/ � �V�� ��% _ Phone N S 7� .� 2 a3
otrieial use onh do not write in this area to be completed by city or town official
city or town: YARMODTI1 permittlicense N r38uilding Department
pl.icensing hoard
0 check if immediate response is required 261 pseleetmen's 0111ee
Health De artment
contact person:
phone N; _ (508) 398-2231 eat. mother p
Ironed 194 PW
Information and Instructions ' • '
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. as quoted from the "law", an enrploree is defined as every person in the service of another under any
contract of hire, express or implied. oral or written.
An employer is defined as an individual. partnership, association, corporation or other legal entity, or any two or more of
the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual , partnership. association or other legal entity, employing employees. However the
owner of a &,elling house having not more than three apartments and who resides therein, or the occupant of the
d%%ellina 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.
NIGL chapter 1:2 section 2: 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 ,kyho has not produced acceptable evidence of compliance with the insurance coverage required.
Additionall%. neither the commom%ealth nor any of its political subdivisions shall enter into any contract for the
performance of public %%ork until acceptable evidence of compliance with the insurance requirements of this chapter ha%e
been presented to the contracting authorit%.
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 affjdavits may be returned to
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address, telephone and fax number.
The Commonwealth Of Massachusetts
Department of Industrial Accidents
MCC of IlmstllltUos
600 Washington Street
Boston, Ma. 02111
fax #: (617) 727-7749
phone #: (617) 7274900 ext. 406, 409 or 375
APPLICATION FOR PERMIT -TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, (MEC). 527 ChfR 12.00
(OFFICE USE ONLY)
TOWN OF YARMOUTH By.
Fee: $_i
PERMIT NO.
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: t
To the Inspector of Wires: By this application the undersigned gives notice of his or her intention
work described below. A t &A
Location
Owner o
Owner's
electrical
Is this permit in conjunction w'th a building permit? Yes ❑ No (Check Appropriate Box)
Purpose of Building Ali(' �g Utility Authorization No.
Existing Service 240 Amps 11C% / YOVolts Overhead❑ Undgrd No. of Meters
New Service Amps / Volts Overhead❑ Undgrd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed electrical Work:��
Coni letion o the ollmrin table mar• be kaived by the Inspector o Ili
No. of Recessed lFixtures
o of it - us . Pad le) Eans
No. o ota
Transformers KVA
No. of Lighting Outlets
No. of Hot Tubs
Generators KVA
No. of Lighting Fixtures
Above n-
Swimming Pool rnd. ❑ md. ❑
No. of Emergency Lighting
Battery Units
No. of Receptacle Outlets (4
No. of Oil Burners
FIRE ALARMS
No. of Zones
' No. of Switches
No. of Gas Burners
o. o Detection an
Initiating Devices
No. of Ranges
Total
No. of Air Cond. Tons
No. of Alerting Devices
No. of Waste Disposers
Heat rump
Totals:
um er
— -
ons
_
— —
No. of Self -Contained
Detection/Alerting Devices
No. of Dishwashers ;
Space/Area Heating KW
Municipal
Local ❑ Connection ❑ Other
No. of D ers
rY
Heatin A liances KW
g PP
Secutity Systems:
No, of Devices or Equipvalent
No. of Water .
Heaters' KW
No. of No. of
Signs Ballasts
Data Winn:
No. of Devices or uivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecommunications Wiring:
No. of Devices or uivalent
Attach additional detail if desired, or as required by the Inspector of Wires.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may be issued unless the licensee provides
proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in
force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND[] OTHER[] (Specify:)
(Expiration Date) .
Estimated Value of 3�n 1 }Fork: ��• (When required by municipal policy.)
Work to Start: 3 1 Inspections to be requested in accordance with MEC Rule 10, and upon completion.
I certify, under the fainsland penalties of perjury, that the information on this application is* true and complete.
FIRM NAME LIC. NO.
Licensee: -0/ y/J Signature . LIC. NO. d
(If applicable, enter "exempt" in the license number line.) Bus. Tel. No.:
Address Alt. Tel. No.:
f " it_
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normany required by law. By my signature
below, I hereby waive this requirement. I am the (check one) owner i) owner's agent.13
Owner/Agent
Signature Telephone No.
IRev. 041001
' OF . r
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APPLICATION FOR PERMITTO DO PLUMBING
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TOWN OF YARMOUTH
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PERMIT -NO.
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New ❑
Type of Occupancy
Renovation Replacement ❑
Plans
Submitted -
Yes 2 No ❑
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1ST FLOOR
2ND FLOOR
3RD FLOOR
(PRINTORTYPE) M Check One: ;
Installing Company Name i1' 1 r ❑ Corp.
Address t_O!aQSe ❑ Partnership
Y�A r 4 0 ? (o - Irm/Company
Business Telephone Name of Licensed Plumber
INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent. Check One: Yes ❑- fro ❑
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 I
the Mass. General Laws, and that my signature on this permit application waives this requirement. .
Check on Owner ❑ Agent ❑
Signature of Owneror 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 Plumber
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 License Vymber
Chapter 142 of the General Laws. Type: MasterpL Journeyman 0
S� I PERMIT NO. CT ^ U d . J ZVL Y
Date_ /�—
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AT: Location �q nn-eL PQ f M Name Zf, ==e r
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Type of Occupancy
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Check One:
Installing Company Name ( i /-ln�
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Address (4, PA— P SS P
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Name of Licensed Plumber or Gasfitter r
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INSURANCE COVERAGE:
One
have a current liability insurance policy or Its substantial equivalent.
.Check
Yes.` 0-- No ❑
If you have checked yes, please indicate type of coverage by checking the
appropriate box.
A liability insurance policy . Other type of indemnity
❑ Bond O
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 D
Signature of Owner or Owner's Agent
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I hereby certify that all of the details and Information 1 have submitted
Signature of Licensed
(or entered) In above application are true and accurate to the best of
Plumber or Ga fitter
my knowledge and that all plumbing work and installations performed
?� ��
under Permit Issued for this application will be In compliance with all
License NumberT_
pertinent provisions of the Massachusetts State Plumbing Code and
ICE
TYPE LICENSE -
Chapter 142 of the General Laws.
0 Plumber 0 Gasfitter aster Od6umeyman
BOISE CASCADE - BC CALCTm 2001 DESIGN REPORT - US Tuesday, August21, 200113:34
File
Triple -1 3/4" X 91/4" V-L SP 2900 Name: Hanbury burke beam b.BCC
Job Name - Burke Residence Customer - David Hanbury
Address - Specter -
Designer - Jay Malaspino
City, State, Zip - Yarmouth, Ma. Company: - Shepley Wood Products
Code Reports - ICBO 5512, BOCA 98-52, SBCCI 9852 Misc: - Eng. Wood (508) 862-6223
Beam B
777
1n" 3-1/2
BO B1
300lbs LL 300 Ibs LL
637Ibs DL Total Horizontal Length-12-00-00 637lbs pL
General Data
Version:
US Imperial
Member Type:
- Floor Beam
Number of Spans
- 1
Left Cantilever
- No
Right Cantilever
- No
Slope
0112
Tributary
01-03-00
Repetitive
n/a
Construction Type
n/a
Live Load
Dead Load
Part Load
Duration
40 PSF
10 PSF
0 PSF
100
Disclosure
The completeness and accuracy of
the input must be verified by anyone
who would rely on the output as
evidence of suitability for a
particular application. The output
above is based upon building
code -accepted design properties
and analysis methods. Installation
of Boise Cascade engineered wood
products must be in accordance
with the current Installation Guide
and the applicable building codes.
To obtain an Installation Guide or if
you have any questions, please call
(800)232-0788 before beginning
product installation.
Load Summary
ID Description
S Standard
1 wall load
Controls Summary
Control Type Value
Load Type Ref. Start End Live Dead Trib. Dur.
Unf.Area Load Left 00-00-00 12-00-00 40 PSF 10 PSF 01-03-00 100
Unf.Un. Load Left 00-00-00 12-00-00 0 PLF 80 PLF n/a 100
Moment
2811ft4bs
End Shear
817 Ibs
Total Deflection
U1368 (0.105")
Live Deflection
U4274 (0.034")
Max. Defl.
0.105"(Limit 0.5")
Span[Depth
15.6
Bearing Supports
Name Type
BO Wall/Plate
Bt Wall/Plate
%Allowable
Duration
15.1%
@ 100%
8.7%
@ 100%
17.5%
8.4%
21.0%
Loadease Span Location
2 1 - Internal
2 1 -Left
2 1
2 1
2 1
1
Dim. (L x W) Value % Allowed Case Material
3-1/2" x 5-1/4" 937lbs 12.0% 2 Spruce -Pine -Fir
3-1/2"x5-1/4" 937lbs 12.0% 2 Spruce -Pine -Fir
meets Code minimum (1.1240) Total load deflection criteria.
meets Code minimum (L/360) Live load deflection criteria.
meets arbitrary (0.5") Maximum load deflection criteria.
Page 1 of 1 BCIV and Versa -Lam® are registered trademarks of Boise Cascade Corp.
BOISE CASCADE - BC CALCTm 2001 DESIGN REPORT - US Tuesday, August21,2001 13:41
File
Triple -1 3/4" X 9 1/4" V-L SP 2900 Name: Hanbury burke beam c.BCC
Job Name - Burke Residence Customer - David Hanbury
Address - Specifier -
Designer - Jay Malaspino
City, State, Zip - Yarmouth, Ma. Company: - Shepley Wood Products
Code Reports - ICBO 5512. BOCA 98-52, SBCCI 9852 Misc: - Eng. Wood (508) 862-6223
Beam c
Standard Load -40 PSF 110 PSF Tributary 14-00-00
1/2" 3-1/2•
BO 131
3360 Ibs LL 3360 Ibs LL
92� Ibs DL Total Horizontal Length-12-00-00 922 Ibs L
General Data
Version:
US Imperial
Member Type:
- Floor Beam
Number of Spans
- 1
Left Cantilever
- No
Right Cantilever
- No
Slope
0112
Tributary
14-00-00
Repetitive
n/a
Construction Type
n1a
Live Load
Dead Load
Part Load
Duration
40 PSF
10 PSF
0 PSF
100
Disclosure
The completeness and accuracy of
the input must be verified by anyone
who would rely on the output as
evidence of suitability for a
particular application. The output
above is based upon building
code -accepted design properties
and analysis methods. Installation
of Boise Cascade engineered wood
products must be in accordance
with the current Installation Guide
and the applicable building codes.
To obtain an Installation Guide or if
you have any questions, please call
(800)232-0788 before beginning
product installation.
Load Summary
ID Description Load Type Ref. Start End Live Dead Trib. Dur.
S Standard UnfArea Load Left 00-00-00 12-00-00 40 PSF 10 PSF 14-00-00 100
Controls Summary
Control Type Value
Moment
12846 ft4bs
End Shear
3732 Ibs
Total Deflection
L299 (0.481")
Live Deflection
11381 (0.377")
Max. Defl.
0.481" (Limit 0.5")
Span/Depth
15.6
Bearina Supports
Name Type
BO Wall/Plate
B1 Wall/Plate
% Allowable Duration
69.0% @ 100%
39.7% @ 100%
80.1 %
94.3%
96.2%
Loadcase Span Location
2 1- Internal
2 1- Left
2 1
2 1
2 1
1
Dim. (L x W) Value % Allowed Case Material
3-12" x 5-114" 4282 Ibs 54.8% 2 Spruce -Pine -Fir
3-12" x 5-1/4" 4282 Ibs 54.8% 2 Spruce -Pine -Fir
INOTES:
Design meets Code minimum (L240) Total load deflection criteria.
Design meets Code minimum (U360) Live load deflection criteria.
Design meets arbitrary (0.5") Maximum load deflection criteria.
Page 1 of 1 BC0 and Versa -Lam® are registered trademarks of Boise Cascade Corp.
• BOISE CASCADE - BC CALCTm 2001 DESIGN REPORT - US Tuesday, August 21. 200113:42
' Triple -1
3/4" X 9 1/4" V-L SP 2900
File
Name: Hanbury burke beam d.BCC
Job Name -
Burke Residence Customer
- David Hanbury
Address -
Specifier
-
Designer
- Jay Maiaspino
City, State, Zip -
Yarmouth, Ma. Company:
- Shepley Wood Products
Code Reports -
ICBO 5512, BOCA 98-52, SBCCI 9852 Misc:
- Eng. Wood (508) 862-6223
Beam V-
D
Standard Load -40 PSF 110 PSF Tributa 11-0e-00
BO 1207-lbs LL 06-00-00 345QlyyIbrti 06-00-00 '20TIbbs-LL
289 lbs DL Total Horizoi�aSlle84h-12-00-00 289 lbs pL
General Data
Version:
US Imperial
Member Type:
- Floor Beam
Numberof Spans
-2
Left Cantilever
- No
Right Cantilever
- No
Slope
0/12
Tributary
11406-00
Repetitive
n/a
Construction Type
n/a
Live Load
Dead Load
Part Load
Duration
40 PSF
10 PSF
0 PSF
100
Disclosure
The completeness and accuracy of
the input must be verified by anyone
who would rely on the output as
evidence of suitability for a
particular application. The output
above is based upon building
code -accepted design properties
and analysis methods. Installation
of Boise Cascade engineered wood
products must be in accordance
with the current Installation Guide
and the applicable building codes.
To obtain an Installation Guide or if
you have any questions, please call
(800)232-0788 before beginning
product installation.
Load Summary
ID Description Load Type Ref. Start End Live Dead Trib. Dur.
S Standard Unf.Area Load Left 00-00-00 12-00-00 40 PSF 10 PSF 11-06-00 100
Controls Summary
Control Type
Value
% Allowable
Duration
Loadcase
Span Location
Moment
2649 ft-Ibs
14.2%
@ 100%
2
1- Right
End Shear
1043 Ibs
11.1%
@ 100%
4
1 -Left
Cont Shear
1754 Ibs
18.7%
@ 100%
2
1 - Right
Total Deflection
U4547 (0.016")
5.3%
4
1
Live Deflection
U5301 (0.014")
6.8%
4
1
Total Neg. Deft.
-0.004"
0.8%
5
1
Max. Deft.
0.016" (Limit 0.5")
3.2%
4
1
Span/Depth
7.8
1
Bearing Supports
Name
Type
Dim. (L x W)
Value
% Allowed
Case
Material
BO
WalUPlate
3-1/2"x5-1/4"
1497lbs
19.2%
4
Spruce -Pine -Fir
B1
Post
3-1/2" x 3-1/2"
4415lbs
42.4%
2
Versa -Lam
B2
WaIVPlate
3-1/2" x 5-1/4"
1497 Ibs
19.2%
5
Spruce -Pine -Fir
NOTES:
Design meets Code minimum (1-/240) Total load deflection criteria.
Design meets Code minimum (L/360) Live load deflection criteria.
Design meets arbitrary (0.5") Maximum load deflection criteria.
Page 1 of 1 BCI® and Versa -Lam are registered trademarks of Boise Cascade Corp.
Beam e
BOISE CASCADE - BC CALCTm 2001 DESIGN REPORT - US Tuesday, August21,200113:46
File
Single -1 3/4" X 11 7/8" V-L SP 2900 Name: Hanbury burke beam e.BCC
Job Name - Burke Residence Customer - David Hanbury
Address - Specifier -
Designer - Jay Malaspino
City, State, Zip - Yarmouth, Ma. Company: - Shepley Wood Products
Code Reports - ICBO 5512, BOCA 98-52, SBCCI 9852 Misc: - Eng. Wood (508) 862-6223
d
0
Q 5.7
d = os o0 00 31 00 �1 12-08-12 �b 7 lAbs LL
o - 00-0940
364 Ibs DL Total Horizontal Length-13-09-07 599 Ibs pL
General Data
Version:
US Imperial
Member Type:
- Simple Hip
Numberof Spans
- 2
Left Cantilever
- Yes
Right Cantilever
- No
RafterSlope
8112
Repetitive
n/a
Construction Type
n/a
Live Load
25 PSF
Dead Load
15 PSF
Part Load
0 PSF
Duration
115
Disclosure
The completeness and accuracy of
the input must be verified by anyone
who would rely on the output as
evidence of suitability for a
particular application. The output
above is based upon building
code -accepted design properties
and analysis methods. Installation
of Boise Cascade engineered wood
products must be in accordance
with the current Installation Guide
and the applicable building codes.
To obtain an Installation Guide or if
you have any questions, please call
(800)232-0788 before beginning
product installation.
Load Summary
ID Description
Load Type Ref.
Start
End
Live
Dead Trib. Dur.
S Standard
Simple Hip Left
00-00-00
13-09-07
25 PSF 15 PSF n/a 115
Controls Summary
Control Type Value
% Allowable
Duration
Loadcase
Span Location
Moment 3305 ft-Ibs
28.9%
@ 115%
5
2 - Internal
End Shear 1018 Ibs
22.0%
@ 115%
2
2 - Right
Cont Shear 705 Ibs
15.3%
@ 115%
2
2 - Left
Total Deflection L/712 (0.237") 25.3%
5
2
Live Deflection L/1332 (0.127") 18.0%
5
2
Total Neg. Defl. -0.06"
8.0%
5
1
Span/Depth 12.9
2
Bearina Supports
Name Type
Dim. (L x W)
Value
% Allowed
Case
Material
B1 Post
3-1/2"x1-3/4"
760lbs
14.6%
2
Versa -Lam
B2 Wall/Plate
3-1/2" x 1-314"
1300 Ibs
50.0%
5
Spruce -Pine -Fir
NOTES:
Design meets Code minimum (L/180) Total load deflection criteria.
Design meets Code minimum (L/240) Live load deflection criteria.
Page 1 of 1 BCI® and Versa -Lam are registered trademarks of Boise Cascade Corp.
Beam F
d=12-00-00
O = 00.09-00
BOISE CASCADE - BC CALCTm 2001 DESIGN REPORT - US Thursday, August23, 2001 07:19
File
Single -1 3/4" X 11 7/8" V-L SP 2900 Name: Hanbury burke beam F.BCC
Job Name - Burke Residence Customer - David Hanbury
Address - Specifier -
Designer - Jay Malaspino
City, State, Zip - Yarmouth, Ma. Company: - Shepley Wood Products
Code Reports - ICBO 5512, BOCA 98-52. SBCCI 9852 Misc: - Eng. Wood (508) 862-6223
General Data
Version:
US Imperial
Member Type:
- Simple Hip
Number of Spans
- 2
Left Cantilever
- Yes
Right Cantilever
- No
RafterSlope
8112
Repetitive
n/a
Construction Type
n/a
Live Load
25 PSF
Dead Load
15 PSF
Part Load
0 PSF
Duration
115
Disclosure
The completeness and accuracy of
the input must be verified by anyone
who would rely on the output as
evidence of suitability for a
particular application. The output
above is based upon building
code -accepted design properties
and analysis methods. Installation
of Boise Cascade engineered wood
products must be in accordance
with the current Installation Guide
and the applicable building codes.
To obtain an Installation Guide or if
you have any questions, please call
(800)232-0788 before beginning
product installation.
d
0
5.7
19
a-1n" 3.1/2'
1-00-41 - - - 16-11-10 B2
1 602 Ibs DL Total Horizontal Lenath-18-00-06
1039 Ibs
Load Summary
ID Description
Load Type Ref.
Start
End
Live
Dead Trib.
S Standard
Simple Hip Left
00-00-00
18-00-06
25 PSF 15 PSF n/a
Controls Summary
Control Type Value
% Allowable
Duration
Loadcase
Span Location
Moment 7645 ft-Ibs
66.8%
@ 115%
5
2 - Internal
End Shear 1897 Ibs
41.1%
@ 115%
2
2 - Right
Cant Shear 1224 Ibs
26.5%
@ 115%
2
2 - Left
Total Deflection L/231 (0.974") 77.8%
5
2
Live Deflection U428 (0.525") 56.0%
5
2
Total Neg. Defl.-0.183"
24.4%
5
1
Span/Depth 17.1
2
Bearing Supports
Name Type
Dim. (L x W)
Value
% Allowed
Case
Material
B1 Post
3-1/2"x1-3/4"
1279lbs
24.6%
2
Versa -Lam
B2 Wall/Plate
3-1/2"x1-3/4"
2275lbs
87.4%
5
Spruce -Pine -Fir
NOTES:
Design meets Code minimum (L/180) Total load deflection criteria.
Design meets Code minimum (1-/240) Live load deflection criteria.
Dur.
115
Page 1 of 1 BCI® and Versa -Lam® are registered trademarks of Boise Cascade Corp.
r1
BOISE CASCADE - BC CALC'm 2001 DESIGN REPORT - US
Double -1 3/4" X 14" V-L SP 2900File
Name:
Thursday, August 23, 2001 07:27
Hanbury burke beam G.BCC
V, 1W Job Name -
Burke Residence
Customer
- David Hanbury
Address -
Specifier
-
Designer
- Jay Mataspino
City, State, Zip -
Yarmouth. Ma.
Company:
- Shepley Wood Products
Code Reports -
ICBO 5512, BOCA 98-52, SBCCI 9852
Misc:
- Eng. Wood (508) 862-6223
Beam G
o
_"-j
12
2106 Ibs LL 5842 Ibs LL 1483 Ibs
1308 lbs DL 16-06-00 3949 Ibs DL 11.06 00 560 Ibs M
Total Horizontal Length - 28-00-00
General Data
Load Summary
Version: US Imperial
ID Description Load Type Ref.
Start
End
Live Dead Trib. Dur.
S Standard UnfArea Load Left
00-00-00
28-00-00
25 PSF 15 PSF 11-06-00 115
Member Type: - Roof Beam
1 P.L. FROM BEAM F Conc.PL Load Left
13-00-00
13-00-00
677 Ibs 602lbs n/a 115
Number of Spans - 2
Left Cantilever - No
Controls Summary
Right Cantilever - No
Control Type Value %Allowable
Duration
Loadcase
Span Location
Moment 14576 ft-Ibs 46.7%
@ 115%
2
1 - Right
Slope 0112
End Shear 2862 Ibs 26.3%
@ 115%
4
1 -Left
Tributary 11-06-00
Cont Shear 5247 Ibs 48.2%
@ 115%
2
1 - Right
Repetitive n/a
Uplift -27 Ibs
4
2 - Right
Construction Type n/a
Total Deflection U574 (0.345") 31.3%
4
1
Live Deflection L/905 (0.219") 26.5%
4
1
Live Load 25 PSF
Total Neg. Deft.-0.072" 9.6%
4
2
Dead Load 15 PSF
Max. Dell. 0.345" (Limit 1") 34.5%
4
1
Part Load 0 PSF
Span/Depth 14.1
1
Duration 115
Disclosure
Bearing Supports
The completeness and accuracy of
Name Type Dim. (L x W)
Value
% Allowed
Case Material
the input must be verified by anyone
BO Wall/Plate 3-1/2" x 3-1/2"
3415 Ibs
65.6%
4 Spruce -Pine -Fir
who would rely on the output as
B7 Post 3-1/2" x 3-1/2"
9792 Ibs
94.0%
2 Versa -Lam
evidence of suitability for a
B2 Wall/Plate 3-12" x 3-1/2"
2044 Ibs
39.3%
5 Spruce -Pine -Fir
particular application. The output
above is based upon building
CAUTIONS:-27
code -accepted design properties
Uplift of Ibs found at span 2 -Right
and analysis methods. Installation
of Boise Cascade engineered wood
products must be in accordance
with the current Installation Guide
NOTES:
and the applicable building codes.
Design meets Code minimum (L/180) Total load deflection criteria.
To obtain an Installation Guide or if
Design meets Code minimum (1-240) Live load deflection criteria.
you have any questions, please call
Design meets arbitrary (1") Maximum load deflection
criteria.
(800)232-0788 before beginning
Slope = 0, consider drainage.
product installation.
Page 1 of 1 BCIV and Versa -Lam® are registered trademarks of Boise Cascade Corp.
\\ \\
49.3�
F
BDH EXISTING
ouND CONCRETE ^oU;
FOUNDATION a
\�� LOT 109 /���
RIVEWAY
v J ry
�G
GP
EXISTING 1
DWELLING
2nd
STORY
DECK
DECK •�6�1
O
` 44.8' �OQ
52.6'
P�
�O
ASSESSORS MAP 14
PARCEL 11
G�
PREPARED FOR:
THE STRUCTURE IS LOCATED IN ZONE 'A-120
Mr. JAMES BURKE
18 CHANNEL POINT DRIVE
AS SHOWN ON FIRM COMMUNITY PANEL
250015 0005 D. EFFECTIVE DATE: 7/2/1992
W. YARMOUTH, MA 02673
I HEREBY CERTIFY TO THE BEST OF
MY PROFESSIONAL KNOWLEDGE,
INFORMATION AND BELIEF THAT THE
LOT CORNERS, DIMENSIONS AND
SETBACKS TO THE STRUCTURE AS
DETERMINED BY INSTRUMENT SURVEY
AND AS SHOW ON THIS PLAN ARE
CORRECT.
-���� /o � a�
CRAI A. FIELD. PLS DATE
FOR THE BSC GROUP, INC.
FIELD
Hm �p
'�,u>o
THE BSC GROUP, INC
657 MAIN STREET WEST YARMOUTH MA.
CERTIFIED
PLOT PLAN
#18 CHANNEL
POINT DRIVE
W. YARMOUTH
MASSACHUSETTS
SCALE: t a40
DATE: 9/28/01
BSC# 48349.00
SHEET 1 OF 1
FILED WITH TOWN CLERK:
PETITION NO:
PETITIONER:
HEARING DATE:
10
♦ ..
TOWN OF YARMOUTH
BOARD OF APPEALS
DECISION 3 RE 10 A9:45
► -M
AUG 5 (ten -N�
WON
3005 ]OWN CLERK o fREA..Uf.f
James Burke, West Yarmouth, MA
7/8/93 & 7/22/93
PROPERTY LOCATED AT: 18 Channel Point Drive, West
Yarmouth, MA and shown on Assessor's Map 9 as Parcel B109.
PETITIONER REQUESTS: A modification/clarification
of decision #2974 to allow a peastone driveway (already existing per
Conservation Commission) leading to approved boat storage building
(appeal #2974).
MEMBERS OF THE BOARD PRESENT AND VOTING: Leslie Campbell, Chairman,
Fritz Lindquist, David Reid, Joyce Sears, Jerry Sullivan.
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 that public notice
of such hearing having been given by publication in the Yarmouth Sun
the hearing was opened and held on the date first above written.
Mr. Burke appeared before the Board and presented his own petition.
This is essentially a request to clarify or modify Decision #2974,
filed on March 8, 1993, by eliminating the condition imposed at that
time which prohibited the installation of a driveway leading to the
new storage building. The petitioner presented to the Board a plot
plan of the site (dated June 23, 1993) which shows that a peastone
driveway already exists in front of the storage building. He
represents that this driveway pre -dated the construction of the
building, but that his contractor, who represented him at the hearing
on petition #2974, failed to rake that fact clear to the Board. The
Board has also received a letter, dated July 22, 1993 from the
Conservation Administrator, indicating that the stone driveway is
considered to be more desirable from a Conservation perspective, as
it will help to control dust and erosion.
The Board members discussed the fact that the driveway condition had
been imposed in order to help assure that the building is used for
storage, and not as an automobile garage. The petitioner acknowledges
this purpose and restriction, but indicated that the stone driveway
is nevertheless needed and desired in order to store his boat, etc.
in the building.
t
After deliberations and considerations, a Motion was made by Mr.
Lindauist, seconded by Mrs. Sears, to modify decision ;2974, by
-,tri'.rinn frnm the or,'±nf of tie relief the condition that "no driveway
to maintain the existing driveway, as shown on the current plot plan
which is incorporated herein by reference. In all other respects,
said decision shall remain in force and effect. The Board members
voted unaniirously in favor of this Motion. The petition is therefore
granted.
�• . Sri •j�-
David S. Reid; Clerk
Board of Appeals
o
zo
w
•^•
O
NO
t
TOWN OF YARMOUTH
BOARD OF APPEALS
DECISION
FILED WITH TOWN CLERK: MR 8 19M '
PETITION NO: 2974
PETITIONER: David Anderson for James,,&Trke
HEARING DATE: -February 25, 1993 MAR -8 A 9 ;33 _..... _..
PROPERTY LOCATED AT: 18 Channel Point Lane.31ANt[A!,UF.f is -
and shown on Assessor's Map 9 as Parcel B109. - - --. - --•-- .. -
PETITIONER.REQUESTS: A variance from section 202.5 03 to
allow the construction of a 24' x 26' boat storage building as per
design and specification.
MMERS OF THE BOARD PRESENT AND VOTING: Leslie Campbell, Chairman,
Fritz Lindquist, David Reid, Joyce Sears, Jeanne Bullock
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 that public notice
of such hearing having been given by publication in the Yarmouth
Sun, the hearing was opened and held on the date first above written.
The petitioner/owner was represented at the hearing by Mr. David
Anderson, the general contractor for the owner. The property in
question is presently iirproved with a single family home, including
an attached two (2) car garage. The owners propose to construct
a free standing storage building, located as shown on their Sketch
Plan, revised through 2/2/93, drawn by Stanley R. Sweetser, Inc.,
Engineers (Robin W. Wilcox). This out -building is proposed to
be used for storage of the owner's boat and for miscellaneous personal
yard items . No automobiles will be stored therein. The building
conforms to all applicable by law requirements, except for the
limitation inposed in section 202.5, footnote 5 which requires this
Board's authorization since the structure as designed is capable
of storing another motor vehicle. The petitioner represents that
no motor vehicle (other than a boat) will be stored in the building,
and no driveway leading to the building will be provided in the yard.
After hearing and considerations, a Motion was made by Mr. Reid,
seconded by Mrs. Sears to grant this petition, as shown on the plan
(of 2/2/93) on the conditions that no automobiles shall be permitted
to be stored or parked in the building and no driveway shall be
created assessing the building.
The Board Members voted unanimously in favor of this Motion. The
petition is therefore granted.
.0
No permit shall issue until the passing of 20 days from the filing (,1
of vision th the Town Clerk.
�
r•
Dave S. ReiClerk
Board of Appeals
TOWN OF YARMOUTH BUILDING DEPARTMENT
PLAN REVIEW & BUILDING PERMIT APPLICATION REVIEW NOTES
Address: t?arjrT P-D.
Map / Lot: IV II1 / Cq f8/v
Date of Initial Review: F Other: �/Z Y�a / Approval Date:
Inspector. 'Z.r-, 1�?/f y t t D
Notes:
[J/ovl`KOff7•ro/V �N -"4"j /J- hf1✓,C S4ve--TVIL)4- t
� t�iJ�B"R 17tsis�r fLO-c D � /�dS/STA/YT -�K f�CLe2DRNG� %V,TN R3�OG Cd��
SFzc, 3I07, d
v2 4 J &) 6N v45- OR Sor=Fr T W . T tf 1QrrD6t-E ✓E,�r i
a Pe-2S A%RX VNILOSs Az-7,w0,W, H-D Fort.
j76cl� Stir eKGR P
1-FiD��2 �O/jr2DS /�TTlfcf/6� %0 fYI•¢rX �n2ucTu.zE Rro,/STS
41mN /z" ��� V. /-Rrr2 O7wav aeA.Ts -a adt-r5 GSo- 0.ffA5# B'rY
S)f-Dv srs rffq/u gns Sort EXDs
G iZ<Ncs I'lJi�v. 3G"ff��µ w%AL vsTCrz.s si'9�n r�clylrlr• S�
7 A0P A6114D 9to ate5- aN i n OF 70?,FFLAM;-S t3 rvT,, c6W
Zoning Denial (if applicable):
Section 104.32, pare. Change, Extension or Alteration (pre-existing,
nonconforming)
The proposed
Other
Building Code Denial (if applicable)
requires a Special Permit from the Zoning Board ofAppeals.
e
Important:
When filling out
forms on the
computer, use
only the tab
key to move
your cursor -
do not use the
return key.
_ f�
Iml
Note:
Before
completing this
form consult
your local
Conservation
Commission
regarding any
municipal bylaw
or ordinance.
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 3 - �iotice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. General Information
1. Applicant
E-Mail Address
DEP He Nuriber.
Sc 173- /S5�
'ProMeed_by DEEP
T,ydm
JUN _- g
V
Mailing Address ��_ , "' ^ WON
rthh MmPta MA 01060 -
cityrrown State Zip Code
508•-775•-4634
Phone Number Fax Number (if applicable)
2. Representative (if any):
Paul'E. Sweetser -Professional Land Surveyor
Finn
Vito C. Marotta
Contact Name E-Mail Address (if applicable)
900 Route 134 915
Mailing Address
S. Dennis, -MA 07660
Cdylrown State Zip Code
508-385-6530 508-385-7854
Phone Number Fax Number (if applicable)
3. Property Owner (if different from applicant):
18 Channel Point Drive Yarmouth MA
< o
Name
a
ca U
Mailing Address
w
Q o
Cityrrown
State Zip Code
olW
4. Total Fee:
c0
fl
-
.J a.
(from Appendix B: Wetland Fee Transmittal Form)
$ zl
-
5. Project Location:
18 Channel Point Drive
Yarmouth
,46
Street Address
Cdy/rown
Map 14 -
Parcel 11 (Lot109)
Assessors Map/Plat Number
Parcel /lot Number
6. Registry of Deeds:
Barnstable
Ctf. 69927
County
Book Page
Certificate (d Registered Land)
R AFffm
� �
H16/ve/ PE-5 U
Property Location: 18 C1iANNEL POINT DR '
Vblon lD: 106
MAP ID: 14111111 ' •
Other ID: 9/ B109/ / / Bldg #: 1 Card 1 of
Print Date. WW2
C RRENTOW F,R—,7J
/L/T/
STRT R AD
TION
C IRRENTASSESSMENT
URKE,JA IES
Des Non
Code
Avoratsed Value
Assessed Value
US LAND
1013
323,600
323.6if
813
B CIIANNEL POQVT RD
IESIDNTL
1013
182,90C
18290
V YARAfOUTll; MA 02673
IDNTL
1013
22.00C
22,001
YARMOUT11,
SUPPLEMEM L DATA
t'Account#
Q ��
0001500
+Subdivision:
130,
recinctecd _
VISI
IS ID:
TofD4
528.50q
528,50
RECORD OF E 1/ P
BR-V UPAGE
SALEDATE
g&
v
A
SALEPRICEV
!
7QUY AM
ES ME H/STOR
URKE,JAMES
yr,
fek
AssessedValue
Assessed Va
od
ssess d
2001
1013
323,60
1013
241,502001
101J
18200
1013
140,1200
1013
22,00
!Yr,ode
1013
22,70
ml
529401
aL
404JO 7014l
EXEMPTIONS
71ris signature acknowledges a visit by a Data Collector or As
a► •
/ 1
Amount
Code
1
umber
Amount
Comm, lot
APPRAISED VALUESUMMARY
Appraised Bldg. Value (Card)
Appraised XF (B) Value (Bldg)
Appraised OB (L) Value (Bldg)
Appraised Land Value (Bldg)
NOTES
Special Land Value
5 RNIS IG DCKS-PP
0130
Total Appraised Card Value
Total Appraised Parcel Value
NEWADDN.26X162LV..,•. __,..._ ____ _:'.____ ____
+. � ,: •.
Valuation Method:
Cost/Market
YR BLT 1995 ;
et Total Appraised Parcel Value
. BUILDING PEA WTNECORD
P'SITICHANI
PE HISTORY
Permit D I
Is5we Date
tl n
Amour
/n. Date
If CQmP,—.le
om
mmen
Date
ID
Cd.
PurromplRes
723
i0/7198
AD
ddltlon
990
S/25N9
100
1/1/99 BOAT
HOUSE 18 X 20
5/25199
GI1t
00
etsar+Ltsted
" 996577
7/18194 � `
3A
8116195
100
111/95 4DDITION
8/16195
JF
00
Inser+Usted
99759
1/27/93
-
12,50
100
1/l/94 BOATSTOR
4129/94
DB
00
%lessa0l,lited
998790
12r1B8 ''
-- -- ---. :. __ ....
_ _--. 50100
_. _ _
1
;; 100
1/1/90 4DDITION
.
--- ---
LAND LINE L
FC77ON
B#
Use Code
Descr&ffon
Zone I
D I
Fronfaveunits
I Unitor
S1 I
C Factor
Nbhd.
- Notes- AdilSpecial PrictmeAdf.
Unit
1
IO1J
SIR WATER
26971.E
S
1.7
2.7
8
2.5
0080
IA
_ - .• - - _ - ----
12.1
':,;.,•: ;,. ,• , ., ,, Total
LandUn
26972.0
S
Total Land VOW
Property Location: 18 CHANNEL POINT DR MAP ID: ; 14111111
Vision ID: 106 Other ID: 9/ B109/ / / Bldg #: I Card 1 of 1 Print Data 08/20/2001
CONSTRUMONDET IL
SKETCH
Element
Cd. IC&I
Description
C0j
Im
WivElememb—
I
ityId Type
3
oloalal
Element
Crl
Ch.
Description
odel
1
Itsidential
leat&AC
34 WDK
rade
6
Lictiltat
FrameType
WDK
aths/Plumbing
2 WDK 6 32
K
toria . '
,
Stories
26 '
3cciiPancY
0 ::
,
,.
iling/Wall
34
xterior Wall l
4
Vood Shingle
Common Wall
. _. _ _..._
S 34_2
FUS
nterior Wall l
IS
2
iderior Floor 1
19 .
2
14
eating Fuel
4
leating Type -
7
C Type
I I
edroorm; .._
3
athroonn ...
.S .
otal Roorm
atchc
Style • ::
1013 [FRWATER
61e,'vent
Height RAS 1 6
WHIP 2
dF Gls/Cmp
CONDO/MOBILE HOME DATA 13 6
valVShret ods Description actor 2
FUS
Soft Wood A�dj 3 —
xt , nit Location ; ..
- 27. ._
trBasebrd umberofUnits OP 18
mntxr of Levels
/s Ownership
drooms
Bathrms COST I RKE "VALUATION FOR
nadj. Base Rate 0.00 22
ize Adj. Factor 1.93947
rade (t) Index 38
Base Rate 7.79
Ig. Value New 23,102 22 .
ear Built 979 tOP 22'
M Year Built 981 -
rmlPhysd Dep 9 2
uncnl Obslnc
Obslnc
is pecl. Cond. Code
pecl Cond Y.
too XMH%CDnd. l
Bldg Value 90,700 -
rG do YARD ITEMS L 1"-BUILDING EXTRA FEATURES B
B units Unit r Rt nd Ayr, Value
OOS Open Outs Shwr B I O.00 1987 1 100
FP1J 2 STORY CHIM B I 2,800.0C 1979 1 100 2.20
FGRS WILOFTGOOD L 984 24.00 1993 1 100 22,001
,
BUILD SUB -AREA SUMMARYSEC770N
Code Description n a GrossArea FIT Areanit Cost Undeprec, Value
BAS
Int Floor
1,211 1.21
1,21
77.7
94.74
FGR
arage
I 48
19
31.1
15,09
FOP
lorch, Open, Finished
1 . 7
1
15.11
1108
_
_
FUS
Jpper Story, Finished
1,32 1,32
1.72
77.71103,07
{VDK
eelyWood
1,17
11
7.7
9,101
mse
11v/1 ^zvo Aria '
2s4 4.271
_ 2.8681
R1,10 Val'!
1 2330
Pronenl8 CHANNEL P03L4.14/ 11/ / /
Min O[691 B109// Ir 0: 1 ird 1 ot 1 Date.0=1
acrtpr
'le
xrip!
tyw
oloslal
Icat
tesidentis
«Dent
tame
Stories
11
ood Ski
looms
/. Con
an
loof!bIdUI
toof
ph/FG1
/BILE
ItfO
NOM
BS
leTe
act
I
aterk
dson
IA
rpet
f
i
CT
eetrie
tr BAS
one
Niumbe
/*owl
Bedroomj.
1/S Bath
B
me Mi.
AO
33947
(Q)
9
row
j. Base
Idg Valu
.79
23,102
earBuflt
979
Year
"I
mrl
9
uncut
Obsl
PCCL Con
'FR
WA
100
peCI CM
77 77
erall Y.
t
BI
180,700
YARD
ITEMS
L
/XF-BUILDING
I
WrOpenOut3111
0
rMSTORY411
1180.0012,20
/LOFT
24
0
2,00
MA
Moor,21
21
,21
7.7 94,70�
48
7
19
1
1.1 15,O9
S.1 IAg
d2
a2
.7 OJA
,1
11
7. 9,10
nL
_ check COMPLIANCE REPORT
4.saehusetts Energy Code
MAScheck Software Version 2.0
CITY: Hyannis
STATE: Massachusetts
HDD: 5973
CONSTRUCTION TYPE: 1
HEATING SYSTEM TYPE:
DATE: 8-22-2001
DATE OF PLANS:
TITLE:
COMPLIANCE: PASSES
Required UA = 413
Your Home = 411
or 2 family, detached
Other (Non -Electric Resistance)
Permit #
Checked by/Date
Area or
Insul
Sheath
Glazing/Door
-----------------------------------------------------
Perimeter
R-Value
R-Value
U-Value UA
CEILINGS
WALLS: Wood Frame, 16" O.C.
852
1 829
38.0
-"-----------
0.0
26
GLAZING: Windows or Doors
475
19.0
3.0
99--
DOORS
0.320 152
FLOORS: Over Unconditioned Space
126
852
19.0
0.350 44
BSMT: 4.0' ht/3.0' bg/3.0' insul.
512
10.0
40
----
--------------------------------------------------------------------------
5
COMPLIANCE STATEMENT: The proposed building design represented in these
documents is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building
has been designed to meet the requirements of the Massachusetts Energy Code.
The heating load for this building, and the cooling load if appropriate
has been determined using the applicable Standard Design Conditions found
in the Code. The HVAC equipment selected to heat or cool the building
shall be no greater than 125% of the design load as specified in
sections 780CMR 1310 and J4.4.
Builder/Designer,
Dat
MAC-6-heck INSPECTION CHECKLIST
MA§sachusetts Energy Code
MAScheck Software Version.2.0
DATE: 8-22-2001
Bldg
Dept
Use
CEILINGS:
1. R-38
Comments/Locatio
WALLS:
1. Wood Frame, 16"
Comments/Locati
O.C., R-19 + R-3
AUG 2 3 2001 D
WINDOWS AND GLASS DOORS:
I. U-value: 0.32
For windows without labeled U-values, describe features:
# Panes Frame Type Thermal Break?
Comments/Location
[ ] Yes [ ] No s/
DOORS:
I. U-value: 0.35
Comments/Locatio
FLOORS:
I. Over Unconditioned Space, R-19
Comments/Location
BASEMENT WALLS:
1. 4.0' ht/3.0' bg/3.0' insul., R-10
Comments/Location
AIR LEAKAGE:
Joints, penetrations, and all other such openings in the building
envelope that are sources of air leakage must be sealed. Recessed
lights must be type IC rated and installed with no penetrations
or installed inside an appropriate air -tight assembly with a 0.5"
clearance from combustible materials and 3" clearance from insulation.
VAPOR RETARDER:
Required on the warm -in -winter side of all non -vented framed
ceilings, walls, and floors.
MATERIALS IDENTIFICATION:
Materials and equipment must be identified so that compliance can
be determined. Manufacturer manuals for all installed heating
and cooling equipment and service water heating equipment must be
provided. Insulation R-values and glazing U-values must be clearly
marked on the building plans or specifications.
DUCT INSULATION:
Ducts in unconditioned spaces must be insulated to R-5.
Ducts outside the building must be insulated to R-8.0.
DUCT CONSTRUCTION:
All ducts must be sealed with mastic and fibrous backing tape.
Pressure -sensitive tape may be used for fibrous ducts. The HVAC
system must provide a means for balancing air and water systems.
TEMPERATURE CONTROLS:
Thermostats are required for each separate HVAC system. A manual
or automatic means to partially restrict or shut off the heating
and/or cooling input to each zone or floor shall be provided.
HVAC EQUIPMENT SIZING:
Rated output capacity of the heating/cooling system is
not greater than 125% of the design load as specified
in sections 780CMR 1310 and J4.4.
MISC REQUIREMENTS:
I l ; Refer to 780 CMR, Appendix J for requirements relating to swimming
Pools, HVAC piping conveying fluids above 120 F or chilled fluids
below 55 F, and circulating hot water systems.
----NOTES TO FIELD (Building Department Use Only)-------------------------
r-
pp DII AUG 3 Alzoo,
1-l; o
-oj�4ans4 t x�ST
l21-0 J�T'v-Uo() P.O.
teeh.�.A Ns hRSIA
at%
." �SV�EETS� 'P(!aN CdTEn 3` 3�'Z�_as REVISEO�
- - OQENt NS5 %� 1�.`( c3� . ��L OGI�'C>✓� 'Co 5utT
�'lE�p CA1�1'D\'(10115
_ la Ct�E,•t1�1EL ?o\+-tr- wet> .
►" x 310� R •�
2$ I.sI t o
DAMES E.
EGAN
385.2a44
W 6 Nt-15. oR-
&rweu-) wiox�5.
wovo Poles ,1
•�� p F Fr
L ^' ' 'i YIFT
(T'l n)
G
4 % 4
s7 r F F
2L'S 4 $UI.TS
CEIANN�L jplN7 a2
fLOOM.S : 40 Q S F
UO.F : 15 ps F
V.
i3� V 2
J EGEAgNE
urn ToP
Fes.
/D/ 1-7101
SK' � I Si'slhS tOVE4E9 : .
CANTILEVER BEAM CHANNEL POINT DR., W. YARM.
C1 Date:10/18/01 BeamChek22
Choice Wax 10 A36 Wide Flange Steel Lateral Support at Lc = 4.2 ft max.
Conditions Actual Size is 4 x 7-78 in., Overhang,
Data
Attributes
Actual
Critical
Status
Ratio
Values
Adiustments
Mm nearing t_engm
n i_ u.o rn. r%z- v.0 r,L
Beam Span
16.0 ft
Reaction 1
3032#
Beam Wt per ft
10.0 #
Reaction 2
4993 #
Beam Weight
195 #
Mabmum V
3528 #
Overhang Length 3.5 ft
Max Moment
11188 W
Max V (Reduced)
N/A
Total Beam Length 19.5 ft
TL Max Dail
L / 240
TL Actual Dell
L / 349
OH TL Actual Dell . L 1254
Section n
Shear i
TL Deft m
OH TL Defl
7.81,
1.34
0.55
-0.33
5.65
024
0.80
0.35
OK
OK
OK
OK
72%
18%
69%
94%
Fb ( Fv E (psi x mil)
Base Value Fy 36000 36000 29.0
Base Adjusted 23760 14400 29.0
YP Factor, Lc 0.66 0.40
At Point Loads: Provide these minimum bearing lengths in inches or provide web stiffeners.
F=0.6
BeamChek has automatically added the beam sett-"gnt inm the caicuiauons.
Loads Uniform TL: 400 = A (Uniform Ld on Backspan Only
Point TL Distance Par Unif TL Start End
F = 800 (OH) 3.5
L =180 (OH) 0 3.5
Pt loads:
R1�3032 R2 = 4993
BACKSPAN =16 FT OH = 3.5 FT
Uniform and partial uniform bads are Ibs per lineal ft. Overhanging bad distances are from R2.
Notes
PAGE 1
BOISE CASCADE - BC CALCTm 2001 DESIGN REPORT - US
Tuesday, August2t, 2001 13:38
.;
' Triple -1
Job Name -
3/4" X 91/4" V-L SP 2900
Burke Residence Customer
File
Name:
- David Hanbury
Hanbuq burkebeam a CC
(� Cht1P'^L tip7PC
Address
i Specifier
-,r,�
W '
Designer
- Jay Malaspino
City, State, Zip -
Yarmouth, Ma. Company:
- Shepley Wood Products
Code Reports -
ICBO 5512, BOCA 98-52, SBCCI 9852 Misc:
- Eng. Wood (508) 862-6223
Beam a
BO B1
10 6 Ibs LL 1464 Ibs LL
51�1 Ibs DL Total Horizontal Length - 05-06-00 761 Ibs PL
General Data
Version:
US Imperial
Member Type:
- Floor Beam
Number of Spans
- 1
Left Cantilever
- No
Right Cantilever
- No
Slope
0112
Tributary
08-00-00
Repetitive
n/a
Construction Type
n/a
Live Load
40 PSF
Dead Load
10 PSF
Part Load
0 PSF
Duration
100
Disclosure
The completeness and accuracy of
the input must be verified by anyone
who would rely on the output as
evidence of suitability for a
particular application. The output
above is based upon building
code -accepted design properties
and analysis methods. Installation
of Boise Cascade engineered wood
products must be in accordance
with the current Installation Guide
and the applicable building codes.
To obtain an Installation Guide or if
you have any questions, please call
(800)232-0788 before beginning
product installation.
Load Summary
ID Description Load Type
Ref.
Start
End
Live Dead Trib.
Dur.
S Standard Unf.Area Load
Left
00-00-00
05-0640
40 PSF 10 PSF 08-00-00
100
1 p.l. from beam b Conc Pt Load
Left
03-06-00
03406.00
300 Ibs 637 Has n/a
100
2 p.u.l. from front section Unf.Area Load
Left
03-06-00
05-06-00
40 PSF 10 PSF 06-00-00
100
Controls Summary
Control Type Value % Allowable
Duration
Loadcase
Span Location
Moment 3022 ft-Ibs 16.2%
@ 100%
2
1 - Internal
End Shear 1675 Ibs 17.8%
@ 100%
2
1 - Right
Total Deflection L2972 (0.022") 8.1%
2
1
Live Deflection U4740 (0.014') 7.6%
2
1
Max. Defl. 0.022" (Limit 0.5") 4.4%
2
1
Span/Depth 7.1
1
Bear(na Supports
Name Type
Dim. (L x W) Value % Allowed Case Material
BO Wall/Plate
3-12"x5-1/4" 1587lbs 20.3% 2 Spruce -Pine -Fir
Bt Wall/Plate
3-12"x5-1/4" 2225lbs 28.5% 2 Spruce -Pine -Fir
NOTES:
Design meets Code minimum (U240) Total load deflection criteria.
Design meets Code minimum (U360) Live load deflection criteria.
Design meets arbitrary (0.5") Maximum load deflection criteria.
Page 1 of 1 BCI® and Versa -Lam® are registered trademarks of Boise Cascade Corp.
TOWN OF YARMOUTH
BUILDING DEPARTMENT
1146 Route 28, South Yarmouth, NIA 02664 508-398-2231 ext. 260
PLEASE PRINT:
DATE:
JOB LOCATION:
NAME
"HOMEOWNER"
HOMEOWNER LICENSE EXEMPTION
STREET ADDRESS
SECTION OF TOWN
NAME HOMEPHONE WORK PHONE
PRESENT MAILING ADDRESS
CITY OR TOWN STATE ZIP CODE
The current exemption for `Homeowner' was extended to include owner — occupied dwellings of one or two units
and to allow such homeowners to engage an individual for hire who does not possess a license, ,provided that such
homeowner shall act as supervisor. (State Building Code Section 108.3.5.1)
Definition of Homeowner:
Person(s) who owns a parcel of land on which he / she resides or intends to reside, on which there is or is intended
to be, a one or two family attached or detached structure assessory to such use and / or farm structures. A person
who constructs more than one home in a two-year period shall not be considered a homeowner; such "homeowner"
shall submit to the building official, on a form acceptable to the building official, that he / she shall be responsible for
all such work performed under the building permit. (Section 108.3.5.1)
The undersigned `homeowner' assumes responsibility for compliance with the State Building Code and other
applicable codes, by-laws, rules and regulations.
The undersigned `homeowner' certifies that he / she understands the Town of Yarmouth Building Department
minimum inspection procedures and requirements and that he / she will comply with said procedures and
requirements.
HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING OFFICIAL
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL CIL 142.
Yes ❑ No ❑
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER I am aware that the licensee does not have the insurance coverage required
by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement.
Signature of Owner or Owner's Agent
Check one:
Owner ❑ Agent ❑
hhomeownrlicex=p
BUILDING
TOWN OF Y A R M O U T H ELECTRICAL
GAS
1146ROUTE28 SOUTHYARMOUTH MASSACHUSETTS026644451
Telephone (508) 398.2231, Ext. 261 — Fax (508) 398-2365 PLUMBING
SIGNS
BUILDING DEPARTMENT
DEMOLITION DEBRIS DISPOSAL AFFIDAVIT
Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.5,
I hereby certify that the debris resulting from the proposed work/demolition to be
conducted at JO Chov,0ir;L1— ��/)7 vZR� �' �� M,9 0267—?'
Work Address
is to be disposed of at the following location: YA241g TIi1 6uW J'o
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111, Section 150A.
Signature of Applicant Date
Permit No.
Abutbor's
Name 11
Lot #
If this is a
corner lot,
write in name
of street.
PLOT PLAN
FOR LOT # IOcf'
Indicate location of garage or accessory building
Additions with dashed lines --------------------
Sewerage disposal (cesspool)
Well
� �2D-2SJ....ft. I
.... . rear) I
SIDE YARD
0 - . FT.
�+ /4 • o
IV
MARK NORTH POINT
Q
REAR YARD
.O
1
HOUSE
SIDE YARD
/! 0 FTO
SET BACK
..�9:a ft.
i
i
(lot..ft.
frontage)
%owr L I
10A -
(NAME OF STREET)
Information �j f r �, /•
Supplied by I pwvw
a
b
V.
Abuttor I s
Name
Lot # IOF
If this is
corner loa
write in
name of
other
street.
TOWN OF YARMOUTH
ZONING ADMINISTRATOR
DECISION
FILED WITH TOWN CLERK: November 4. 1997
PETITION NO:
HEARING DATE:
PETITIONER:
#3422
September 19,1997
James Burke
PROPERTY: 18 Channel Point Drive, West Yarmouth
Map: 9 Parcel B109 Zoning District: R25
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 Zoning Administrator 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, represented by the construction contractor, Mr. David Anderson, seeks to expand
an existing boat storage building at this residential lot. The' building, and proposed addition, meet
all applicable dimensional requirements. However, the building is present by virture of a Special
Permit (42974 & 3005), because it exceeds the permissiblelunit of §202.5 footnote 5, of parking
for not more than 2 vehicles.
The prior decision, as modified, preserved this bylaws inten and purpose by restricting the use of
the building to boat storage, with no automobiles allowed. The petitioners proposes to continue
that restriction with the expansion of the building. The proposed addition would be 18' x 20' and
would comply with the set -back requirements of the bylaw.
No one appeared in opposition to the petitioner. Mr. Campbell approved of the addition, on the
condition that it not be used for automobile storage, but be limited to storage of the personal
boat(s) and related personal property of the homeowner, and on the further condition that the
petitioner file with the Board a certified plot plan, showing the proposed addition, prior to
commencing construction.
-1-
No permit shall issue until 30 days from the filing of this decision with the Town Clerk. Appeals
from this decision shall be made pursuant to MGL c40A' § 17 and must be filed within 30 days
after the filing of this noticeldecision with the Town Clerk.
Leslie Campbell, Zoning Administrator
David S. Reid, Clerk
-2-
' For Office Use Only
Permit No.
Date TOWN OF YARMOUTH
AFFmAVIT
Home Improvement Contractor Law
Supplement to Permit Application
MGL c. 142A requires that the reconstruction, alteration, renovation, repair, modernization, conversion,
improvement, removal, demolition or construction of an addition to any pre-existing owner -occupied
building containing at least one but not more than four dwelling units or structures which are adjacent to
such residence or building' be done by registered contractors, with certain exceptions, along with other
requirements. qy %J,,,..,
Type of Work: l,)1(�/� &Z1044— f? /C7.,kG� JZk Est. Cost*/j�CZ)
Address of Work 13 CYIANti�C 101A)T `�"` . �'Y/�r�LAc�ra �d�'
Owner Name:
Date of Permit Application:
I hereby certify that:
r3glve-tom_
Registration is not required for the following
Work excluded by law
Job under $1,000
Building not owner occupied
Owner pulling own permit
Other (specify)
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH
UNREGISTERED CONTRACTORS FOR APPLICABLE HOME
IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION
PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
Signed under penalties ofpedury:
I hereby apply for a permit as the agent of the owl ter•.
of
/0
Da& Contractor Name Registra ion No.
OR:
Notwithstanding the above notice, I hereby apply for a permit as the owner of the above
property:
Date
Owner Name
CALCULATION FOR PERMI
,
err-
14 P)rloK afd7� K.-_
07
SS-
r�gck '�la3'ie m-
_ y
I ` • DINING
di
li
e
u�rn.� -
FAMILY ROOM
BED ROOM
• BATH .w !
-STORAGE AREA
MUD ROOM
• DECK WITH ROOF
DECK OPENgo/,— !
wwww• I wwwwas
SWIMMING POOL INGROUND .
SWIMMING POOL ABOVE GROUNEI
r.
FIREPLACE ' ,
LAUNDRY ROOM '
ADDITION
ALTERATIONS
• !1/�P1AAlI�A .
I,• pf Yqk�
TOWN OF YARMOUTH //5-5U
BUILDING DEPARTMENT
BUILDING PERMIT APPLICATION SIGN OFF
Applicant: w wle:lyl
Building Permit No.:
Address: _ p ,/ Tel. No.: ate Filed:
Bldg. Site Locadon:l 6Uu ��� ��2' Map No.: Lot No.:
. • / Opt �
The following information outlines the procedural steps required to obtain a permit to build, alter, or add
to a structure within the Town of Yarmouth. The Building Department will determine compliance to the
following: (A) Zoning Requirements .(B) Historical Districts (C) Flood Zones. The Building Department
will be responsible for assisting the applicant through the following departments:
RESIDENTIAL AND/OR COMMERCIAL BUILDING
WATER DEPARTMENT:
Determines Compliance of Water Availability. (applicant to obtain)
ENGINEERING DEPARTMENT:
Determines Compliance for Parking and Drainage.
CONSERVATION CONEWSSION:
Determines Compliance to Wetlands Acts; i.e., If Lot(s) Border any Type
of Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc.
HEALTH DEPART11iENT:
Determines Compliance to State and Town Regulations; i.e., Requirements
for Septage Disposal and other Public Health Activities.
FIRE DEPARTMENT:
Determines Compliance to State and Town Requirements for Personal
----------------------------------------
Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Etc.
The follouringDepartments must sign off, in the respective order, prior to building inspector issuing the required
building permit
REVIEWED BY: Q�.,� ��
1.1�WATER DEPARTMENT: 1 _J to DATE: N/A:
2. ENGINEERING DEPARTNEM: DATE: N/A:
ONSERVATION: DATE: N/A:
HEALTH DEPARTMENT DATE: 30 U N/A:
5. WIRING INSPECTOR: _
6. PLUMBING INSPECTOR:
7. FIRE DEPARTMENT: —
PLEASE NOTE
All stumps and/or brush must be disposed of at an approved site.
Lt I
DATE:
DATE:
N/A:
N/A. -
DATE.
N/A:
V-ooV%AJc
8/99 Applicant Signature Date
OF YAR,,r
3r °
PLEASE PRIM.
Job Location:_
TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
Number
Owner of Property:
Construction Supervisor. 5=t1"t'
Name
r D2 LJ'VA'znou71-1 Gl*"o 0267�
2f'f�c
Village
0612 / S 6z:9 7?0 y24fR
/j / �%� n,/� ' t /j.) Phone No.
Address: iY K 1%,e)%)'J Od 4), tM12ti l(►Xi�tT ' � g 0�73 .
Licensed Designee:
(If other than Supervisor)
Name
2.15 Responsibility of each license holder:
License No.
License No.
2.15.1 The license holder shall be fully and completely responsible for all work for which he is supervising.
He shall be responsible for seeing that all work is done pursuant to the state building code and the drawings
as approved by the building official.
2.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration,
repair, removal or demolition involving the structural elements of building and structures only pursuant to
the state building code and all other applicable laws of the commonwealth, even though he, the license
holder, is not the permit holder but only a subcontractor or contractor to the permit holder.
2.15.3 The license holder shall immediately notify the building official in writing of the discovery of any
violations which are covered by the building permit.
2.15.4 Any licensee who shall willfullyviolate subsections 2.15.1, 2.15.2 or 2.15.3 or any other section of these
rules and regulations and any procedures, as amended, shall be subject to revocation or suspension of
license by the board.
2.16 All building permit applications shall contain the name, signature and license number of the
construction supervisor who is to supervise those persons engaged in construction, reconstruction,
alteration, repair, removal of demolition as regulated by section 109.1.1 of the code and these rules and
regulations. In the event that such licensee is no longer supervising said persons, the work shall immediately
cease until a successor license holder is substituted on the records of the building department.
2.17 The license holder shall be responsible for requesting all required inspections. Failure to do so may
be deemed a violation of the permit conditions.
I have read and understand my responsibilities under the rules and regulations for licensing construction
supervisors in accordance with section 109.1.1 of the state building code. I understand the construction
inspection procedures and the specific inspection as called for by the building official.
INSURANCE COVERAGE:
1 have a current li ility 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 aa._� Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Ch of the Mass eneral s, and that my signature on this permit application waives this requirement.
���� Check one:
Signature of Owner or Owner's Agent Owner ❑ Agentple
Signature: Building Official Approval:
ONE & TWO FAMILY ONLY - BUILDING PERMIT
APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
p y Tolvrt of Yarmouth Building Department
F "TT.C...s Z 1146 Route 28 • Yarmouth, NIA 02664-4492
Tel: (508) 398-2231 x261 • Fax: (508) 398-2365
Office Use Only
Permit No. ate W�
Permit Fee'. $�sj,
reposit Redd. $' Dat
Net Due $437L
Planning Board Information
Plan Type
Endorsement Date
Recording Date
Plan No.
Other
Assessors Department Information:
Ma �t 9 map // t
Old New
1.4 Property Dimensions:
57 .
Lot Area (sQ .(o Frontage (ft) Lot Coverage
This Section for Office Use Only
Building Permit Number:
Date Issued:
Signature: 49 C
Buildi Offieial Date
Certificate of Occupancy
is is not t� ' required
Section 1 - Site Information
I Use Group: R-4 Type: 5-B
1.1 Property Address:
AP
�g 01C
1.2 Zoning Information:
R- a
Zoning District Proposed Use
• 11_�R17arrll If.4 O2Z. 73 •
1.3 Building Setbacks (it) .
Front Yard
Side Yards
Rear Yard
Required
Provided
Required
Provided
Required 7F77Provided
3d
r1,
ao 1
1.4 Water Supply (M.G.L. c. 40. S 54)
Public Private
1.5 Flood lone Information: Comments: '
Zone: BFE:
Section 2 - Property Ownership/Authorized Agent
2.1 owner of Record:
-5 al 1; .E. Q
Name (p ' t) ailinVEn&4
PO?
Sign u Tele ho
s L A� �7Z.
T
2.2 Authel4ed Agqnt:, // A' � r,
ilingrAress
�d 3 _/7f is�/� ozs7s,
Signature Telephone 0
Section 3 - Construction Services
3.1 f/Lic edADv/st tionyperv�or2� By r
//y1"f"1
Not Applicable ❑
�.
License Number
Addr I , p7
�j J 2&
Expiration ate
Si nature Telephone
3.2 Registered Home Improvement Contractor:
Compa ame ,
Not Applicable ❑
License Number
Addr s '
A,�✓loloa/7-1
�
Signatur Telephone
Expira' n Dat O-3
9-15-1 010� - 1of2 OVER
Section 4 - Workers' Compensation Insurance Affidavit (M.G.L a. 152 S 25C (6)
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure Y
to provide this affidavit will result in the denial of the issuance of the building permit.
Signed Affidavit A tached Yes .......... No ..........
Section 5 -,Description of Proposed Work (check au applicable)
New Construction ❑ No. of Bedrooms No. of Bathrooms
Existing Bldg. ❑ Repair(s) ❑ Alterations ❑ Addition
Accessory Bldg. ❑ Type
Demolition
Other Specify:
Brief Description of Proposed Work:�+� ,,/
►J]Ad 94/C O &% l+%r lit 'Jl� %i —O�Y_wd ' t
Section 6 - Estimated Construction
Costs
Estimated Cost (Dollars) to be Check Below
completed by permit applicant
❑ Conservation -Commission Filing
(if applicable)
/
❑ Old Kings Highway & Historical
Commission approval
Ll Z,00 (if applicable)
To be Completed When
for Building Permit
Item
1. Building
2. Electrical
3. Plumbing / Gas
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5)
7. Total Square Ft. (new houses&addNons)
Section 7a - OwnerAuthorization -
Owner's Agent or Contractor Applies
I, Ue_ f -- "'' , as owner of the subject property
hereby authorize �����/d��� to act on
my behalf, ' all matters relative to work authorized by this building permit application.
IA
Signature er Date
Section -Owner/Authorized Agent Declaration
as Owner/Authorized Agent
hereby declare that the statements and information on the foregoing application are true and accurate,
to the best of my knowledge and belief.
Signed under the pains and penalties of perjury.
Print name
Signature of Owner/Agent Date
r.
9.15-99 2 of 2
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GiASFiTTING
(Print or Type)
Qa I h1 ss. Date_
City, ToQ$3q-�
Permit #.
y. Building : C1 �v na (�_' ,, r Owner's
AT: Location fF�U� I/ 1177��Name_
Type of Occupancy:eS
New ❑ Renovation ❑ Replacement
flans Submitted Yes ❑ No
UNIONS
No
MARINE
.
......................
.........................
.........................
mmnnmmMM
=n
mm
n
Qom
�nnmm�nnn
n�
Emmons
(Print or Type) / Check One: Certificate
Installing Company
,N•ame•&MWIO P111,47 3��%VCo�C.: fz, Corp.0#-�Yh/ 93
Address ffJE4' eaDON Partnersh'p
ta)-11TY/Q��/(11 r,?A o� ❑ Firm/Corapany
Business Telephone —39 _ % 7 % � Name of Licensed P)l�um'beerr oor�Gasfitter
I hereby certify that all of the details and information 1 have submitted (or entered) in abovr. application are true t.nd accurate to the best of my
knowledge and that all plumbing work and installations performed under Permit issued for this appl wt n compliance with all pertinent
provisions of the Massachusetts State Gas Code and Chapter 142 of the G:neral laws.
I have irformed the owner or his agent that 1 do not have liability insurance including eom opentio
Siputwe of 0w rnsem - -
I have a current liability insurance policy to include completed cp.-rations mavcrage.
By
Tttl:
City/Town
APPROVED(OFFICE USE ONLY
TYPE LICENFl:'-��
El Plumber Sigaature of Licensed
Plumber or Gasfitter
❑ Gasfitter �Z� ^ /��
Master
0 Journeyman ' icense Number
BELOW FOR OFFICE USE ONLY
FINAL INSPECTION SKETCHES
PROGRESS INSPECTION,
FEE
NO.
ADD11/`11 TIAU CAD DCp\IIT TA AA n..erlT"um
NAME A Tvpa nF Alm noun -
LOCATION OF BUILDING
PLUMBER OR GASFITTE^
LIC. NO.
t
f
PERMIT GRANTED
DATE
GASINSPFCTOR
i
t
a
4S
4'4� a`
Y�`- .��.. ,. O• .p.� '� '�. "ys� .4'i" _• _ �. 'T.:1;'r".ZY.: "'.t.. -.tea. .t q � .��� '��_
ir
T CV
} I
IUz
�t
718=15 SlfpGen- Portal Hone
Town of Yarmouth
Template [Building Dept]
■
Slipsheet Identifier [sg31349]
Document Category Building Permits
Map -Block Number 014.11
Street Number
0018
Street Name
CHANNEL POINT DR
Department
Building
Parcel ID
106
Backfile Batch Scan
No
Document?
Additional Naming Info
Index Operator
Operator, Yarmscan
Date - Time
2015-07-08 - 11:19
tttp/Aasedche12/SlipGen 1/1