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rMA SlipGen- Portal Hare Document Category Map -Block Number Street Number Street Name Department Parcel ID Backfile Batch Scan Document? Additional Naming Info Index Operator Date - Time Town of Yarmouth Template [Building Dept] Slipsheet Identifier [sg33880] Building Permits 132.9.1 0039 BELLE OF THE WEST RD Building 16178 No Operator, Yarmscan 2015-07-20 - 14:10 ft0JAasedche12/SlipGerV 7/1 Old King's Highway Regional Historic District Committee ;n the Town of Yarmouth for aYARMOUTH TOWN CLERK CERTIFICATE OF APPROPRIATENESS 20 JUN 13 M 9: 56 Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness un on 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed wor rt e 1 w and on p rawings or photographs accompanying this application for: Mg) B n CHECK CATEGORIES TJIAT APPL Exterior Building Construction: 0 New Building ■ Addition Alteratl Indicate type of building: ■ House 0 Garage 0 Commkcial IR Other 2. Exterior Painting: 0 3. Signs or Billboards: O New sign 0 Existing sign 0 Repainulsign 4. Structure: ■ Fence OWall O Flagpole OOthcr TYPE OR PRINT LEGIBLY ADDRESS OF PROPOSED WORK HOME NO. 132 NO. 9 AGENT OR CONTRACTOR Brown Lindauist Fenuccio & Richmond Architects. Inc. TELEPHONE NO. 508-362-8382 ADDRESS 923 Main Street Yarmouthport. MA 02675 APPRnwn AHMOUTH COMMITTEE USE ATTACHED SHEET IN PACKET FOR ABUTTING OWNERS O*IRD 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 existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). Construct various additions and new one car garage to existing structure with cedar shingles, asphalt roof shingles, complete window replacement and nee _ 0' long�i ► edar fence. Signed Owner -Contractor -Agent Space below line for Committee use. Received by OKHC Date Check # I= Approved ❑ IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ Please return to: Yarmouth OKII District Committee Yarmouth Town Hall,1146 Rt. 28, South Yamtouth, MA 02664 YARMOUTH 0 AMENDMENTS TOWN CLERK DATE OG�/,LAaa- ?(OF ADDRESS I. FlNce i o Sinn/ of ilakJs (� Fi CEDaQ (3prre0 ST�Po� Down F/Laa, G F'1. To SFi , NFf, FRo�i F_dsc �� FE,✓cE nioi 2. ?i3 CXir,�� r3F_��,.ip F.en.i a� yryrE. �o�- OvrR l�- G1Jrw paJ D� 2/Gtli FRow� of �/uur� cvrt� $E �fl�i�0 3. V 12 GRF_Enl S gZg6.0 77?1 d'c/te CAJ Ok4P8 #v1zp S Ecp'# ffl ' O A) Flli rr' D F MOqJ,9 /iwo G'9z4C,E 4. I agree to the above conditions - OKWC Signature YAfii Oli1ii i��; r,!IiTc. cr;�rro SPECIFICATION SIIEE-TYn%(3f��t�@j kV WC) Please ell out the form ill its ell TIPeWNp��l� g color chips where �Y Itecessary. INDICATE LANDSCAPING, EXTERIOHIITyTI(VG�& E9LECGTRIC METER ON SITE PLANS FOR NEW HOUSES. (�[ 3 PROPERTY ADDRESS : . FOUNDATION (18" MAX. EXPOSED): ECEiVEU 10" ONCREOTHER DRIVEWAY: WALKWAY: Brick STEPS (INDICATE BRICK/CEMENT/OTHER): SIDING TYPE & MATERIAL: White Cedar Shingles — 5" Exp. COLOR: Pre -Stained Cape Cod Gray - . ------- ----- - - - CHIMNEY: (INDICATE BRICK/STUCCO/WOODFACED) Existing to Remain COLOR: ROOF MATERIAL: PITCH: (71/2MIN.) ± 7:12 (match existing) COLOR: Certainteed A AX. EXP. "Georgetown Gray" S: (GRILLES REQUIRED) —INDICATE SIZES IF NOT LISTED ON LEVATION : 2/2 Grilles (True Divided Lites) DOORS (INDICATE SIZES AND STYLE IF NOT LISTED ON ELEVATIONS): COLOR: Benjamin Moore TRIM: (ALL WINDOWS & DOORS TRIMMED 1X4 / 1x5) �Sax:� MATERIAL OF TRIM: ( O D NYL, ALUMINUM) Red Cedar SHUTTERS: (WOOD / VINYL GUTTERS: (WOOD / ALUMINUM) Aluminum GARAGE DOORS: SIZE & STYLE: 9' x 7' Vert.1 x 6_ APPROVFD STORM WINDOWS & DOORS: YHRMOIlTh CL.,it„ITTEE (INDICATE SIZES IF NOT LISTED ON ELEVATIONS.) cKf1hD SKYLIGHTS: TYPE / SIZE: Venting (30" x 38") 2059-20 (attached) COLOR: White COLOR: COLOR: COLOR: COLOR: Cape Cod Gray COLOR: Dark Bronze Frame — - DECK: SIZE & MATERIAL N/A COLOR: FENCING (MAX. HEIGHT 61): STYLE: AWPLAN.) COLOR: Grey Stain (SHOW LAYOUT & RUNNING FOOTAGE RETAINING WALL: (P.T. OR FIELDSTONE —CONCRETE INAPPROPRIATE) Rebuild Existing Stone Wall (SHOW LAYOUT & RUNNING FOOTAGE ON SITE PLAN.) SIGNS: (indicate size, style, colors) SIGN POST: indicate size, style, colors) ADDIIIW INFORMA COLOR COLOR REV. 12/01 AMENDMENT S DATE Sr 920 C/A # �t A ADDRESS 3g e)eil c CO-P .t`e3f 2. Ea 3.. 2 m o Z 0 v � I agree to the above conditions - Owner/Age OKH/Chairrnan Signature Signature O "" ` Old King's Highway Regional Historic District Committee YA T�wN �L TH in the Town of Yarmouth fora ERK CERTIFICATE OF APPROPRIATENESS 'Mq HAY 20 Application is hereby made in triplicate, for the issuance of a Certificate of AppropriatesAn 0.17 e of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as descn�>�a plans, drawings or photographs accompanying this application for. CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: 0 New Building p Addition 0 Alteration Indicate type ofbuilding; 0 house 13 Garage 0 Commercial 13 Other 2. Exterior Painting: p 3. Signs or Billboards` 0 New Sign 0 Existing Sign 0 Repainting existing sign 4. Stnunue p Fence 0 Wall p Flagpole' p Other TYPE OR PRLYr LEGIBLY DATE �- ADDRESS OF PROPOSED WORK 3q Bpel It' " 'F 12 L/l��Q yE ASSESSORS MAP NO.—J J�_— OWNER LOSS � St4vin �dpQl NYIaA1 ASSESSORS LOT NO. 5 HOME ADDRESS 39. 3e l le a7F At- VAc,E TELEPHONE NO. 5�WS AGENTORCONTRACTOR .`GlrnLs M. BaLr RLdlder TELEPHONENO 50V37S43Y5- ADDRESS BOX %4 Uarmadh Pori HA- n2 cos 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 costing signs and proposed locations of new signs. (Attach additional sheet, if necessary). 1414m4ijrs t aPP roved P1a,t - Ft / a✓bor- Sk�Ci -I, in r' leAr Signed `yle� w d�Gt t t" s0� C� er-Contractor-Agent Space below line for Committee use only. Received by OKiIC Date - D Cheek 0 By r APPROVED DISAPPROVED IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act O Please returnto: Yarmouth OKHC District Committee Yarmouth Town Ball, 1146 Route 28, S. Yarmouth, MA 02664 1 SPECIFICATION SHEET (YARMOUTH OKHC) YARMotj Please fill out the form in its entirety providing coloT(fijN i 1 e { necessary. INDICATE LANDSCAPING, EXTERIOR LIGHTING & E RIC METER ON�IT.E` PLANS FOR NEfi'HOUSES 1074 Mar zo An 10: 18 ADDRESS: m EIVED FOUNDATION (is* MAX EXPOSED): CON OTHER DRIVEWAY: WALK WAY: bri C k STEPS (INDICATE BRICK/CEMENT/OTHER): Wooden SIDING TYPE & MATERIAL: Wiu.tL C(A4.r'-Slu� COLOR: CHIMNEY (INDICATE BRICK/STUCCO/WOODFACID) -,t*j g( q ROOF MATERIAL: I K0 d/r; F�' PITCH /1 ) 0 WINDOWS (GRILLES REQUIRED 00 THER) INDICATE SIZES IF NOT LISTED ON ELEV TIONS: A r6p Q DOORS OOD ) (INDICATE S AND STYLE IF NOT LISTED ON ELEVATIONS): TRIM: (ALL WINDOWS & DOORS TRII lAED WITH 1X4 / IX5) MATERIAL OF TRIM: OOD ALUMINUM SHUTTERS (WOOD/VINYL) (PANELED/LOUVERID) GUTTERS (WOOD, GARAGE DOORS: SIZE & STYLE: -7 '(a n (? Wacd-en STORM WINDOWS & DOORS: (INDICATE SIZES IF NOT LISTED ON ELVATIONS) SKYLIGHTS: TYPE/slzE: ,QaC P/a"K. WOOD DECK: SIZE: WOOD FENCING (MAX HEIGHT 61: STYLE: (SHOW LAYOUT & RUNNING FOOTAGE ON SITE PLAN) RETAINING WALL: (P.T. O LDSTONE-CONCRETE INAPPROPRIATE) (SHOW LAYOUT & RUNNING FOOTAGE-ONISITE PLAN) SIGNS: (indicate size, style, colors) SIGN POST: (indicate size, style, color) ADDITIONAL INFORMATION: COLOR: ck-n b GS g10f� COLOR: toyr Mn 5� 'en COLOR: �j I CIA COLOR: COLOR: COLOR: COLOR: COLOR: COLOR: COLOR: COLOR: COLOR: REV. 12/02 464103 0 ! S annapolis gray sail cloth JAMES N. BASLER �t BUILDER Custom Homes since 1972 00 (508) 375-0345 00 Box 366 Yarmouth Port Massachusetts 02675 Mass. Construction Supervisor License #012929 Mass. Home Improvement Contractor Reg. #102128 1 1 /3/05 Town of Yarmouth Building Department 1146 Route 28 South Yarmouth MA 02664 Regarding your letter of 10-24-05 concerning 39 Belle of the West. We will call for an inspection when the job is complete as it is still in progress. Regards, Nancy Basler �ZLI'ZL- V"i/- • a Y R� TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 m Telephone 508-398-2231 ext. 260 Fax 508=398-0836 NOTICE OF VIOLATION Inspection Date: 10-24-05 Property Address: 39 Belle of the West Owner's Name: Ross and Susan Coppleman Mailing Address: 39 Belle of the West Yarmouthport, Mass. 02675 Inspection type: Final Permit No: B-04-164 An inspection of the above captioned property was conducted by the undersigned during which the following VIOLATIONS were observed: "Failure to call for and receive a final inspection, Chapter 1, Section 115.2 of The Massachusetts State Building Code" (780 CMR) You are hereby ordered to abate said violation within 14 days. Failure to do so may result in criminal or civil complaints being filed against you, which may be subject to fines as prescribed by pertinent laws and regulations. Signed CERTUMMAR K notice of violation Sept 21, 05 SUBDIVISION MAP LOT BLOC 1132.9 LOT SIZE O 00 TOWN OF YARMOUTH Building Department BUILDING (508) 39 - 23 xt.261 3 PERMIT NO .::. .. • 10 ......... PERMIT :.....:. W� ISSUE DATE ; • - _8/5/03- - , ; PROPOSE Usk APPLICANT James Basler """' JOB WEATHER CARD PERMIT TO Addition AT (LOCATION) 100039BELLE OF THE WEST ZONING DISTRIC R 40 Bldg. Type: Residential BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 addition: garage, bedroom, bath as per plans dated 08105/03. REMARK AREA (SO FT) EST COST ($ $550,000.00 PERMIT FEE ($) $738.00 OWNER Ross & Susan Coppleman BUILDING DEPT BY ADDRESS 100039 BELLE OF THE WEST Yarmouthport I MA 102675 "k LgUd_l4rr iki1_13de1_1D CONTRACTOR LICENSE 102128 Basler, James POB 366 Yarmouthport MA 02675 5083750345 FIELD COPY Date Note Progress - Corrections and Remarks ` Inspector 3 OW - D -oZ -0 3 5.e..06 d r odd �lL now / �dY 5/ /1O UL &.�e • Z -o �/ J1,aaY.•e d /,�� .tom. Ax I t• (� , A,d E ONE & TWO FAMILY ONLY - BUILDING PERMIT APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING Town of•larinuuth Builcling Departinent 1146 ROLIte 28 • larnicnttli, MA 0_'664-4492 Tel: (508) 398-22s1•x261 - Fax: (508) 398-2365 Office.Use Onl x� r Permit No ate 8 t, `^" PermttFee $j3S'• "z' ! - \ eposit R.ec'd Net Due."�. $.7:�, a. a, V•, `r Pfanrung BoardlnfOmpatlori eini• eGrzT^4kvrst,.; b �anTyP� \r -,--- k S yr � }�4♦ � '` EgdorsementDate t ' ecdrd�ngData ot 'AeC `` Assessorsbepa5tment InforhaaUon Tr °.e.+.- •F.F. ,1 p.. ,i i�°P[ry'L f fl��yZ , , �� ;t x Map , .icr c /r D - i K nra'k,. ;` r ,� 7 y' aids yr=;1y ` Nd s i.43 _ro er1 Dune cobs,£ 5 t^x" "'' , LotE,rea(sf1 ° :` ' Ff�l `;• • LdtCoverage Z 4 `ThtsSecttonrbr Office Use On1 : w�'^�.J� �'£4♦{°"`'F, r.�-'� , Bulldln 'Permit'Number f '\ �' �^ = s ={, . Date issued= Signature: r�Ger2titczrteof�Occupancy, ' Bwldmg;OfLcfar -"' • � � j rX: h ` . fegun Section 1°-Site,informatior Use Group: R-4 T e: 5-B 1.1 Property Address. 12 Zoning Information: 39 B ll of ,E h u '. Load Zoning District Proposed Use __ VQrmou-&h P )rt MA O� a 7 -' 1.3 Building Setbacks (it) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided o' ¢ Yo't ao r .� 3 1A Water Sr(M.G.L. c. 40. S 541 Public Private 1.5 FloodZone Inrs inatton t:omrttentS i '� , ' zone'_ ,DFJ=,(' Section 2 w-Property Ownershi "I ui t7orizedAge7n7 2.1 Owner of Record: fisA e sa-g a n Sq a ol. G r a VNa e(print) �� Mailing Address ' Q r0 _ Signature Telephone 2.2 Authorized Agent: 51�IIIAO< AL r Name (print) 509375e�EPI fA-x Mailing Address 50 37S — D M J00rt O 75 Signatur Telephone Sectio 3;= Construction Services°: 1 n 3.1 Licensed Construction Supervisor: COOS / • rlerr- t,S NotA icable UL License Number Address AlA--�1 n 01AAL 50�,375 o3yra 37SQ�2 / L/gX Expiration Date D Sid r Telephone 3.2 Registered.Home:(mprovement=:Contractor:` Company Name 1'e- Not Applicable ❑ Addiress License Number AA, 0�37� /�3Y5 Sig cure Telephone 10.2/,RJ2 Expiration Dat CP 3�51 Wn W 9- ry-s9 1 of 2 OVER •Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure ' to provide this affidavit will result in the deniaOf the Issuance of the building permit. Signed Affidavit Attached Yes ... • No ........... New Construction No. of Bedrooms o. of Bathroo Existing Bldg. Repair(s) ❑ I Alterations Addition Accessory Bldg. ❑ Type I Demolition Other Brief Description of Proposed Work: Item Estimated Cost (Dollars) to be completed by permit applicant 1. Building 2. Electrical 3. Plumbing / Gas 4. Mechanical (HVAC) 5. Fire Protection 6.Total=(1 +2+3+4+5) 7. Total Square Ft. (new bases & &mti ns) 149 1P Specify: I Check Below I `` ❑ Conservation -Commission Filing ` (it applicable) 00. 416 , 9Old Kings Highway & Historical - 0, Comrnlss(on approval 20. (if applicable) C.C.S �33a jratl-p- s,crP2N as owner of the subject property hereby authorize J rn S At Baslzor Bid ld e ' to act on my behalf, in all matters relative to work authorized by this building -permit application. %—/ i —a3 Date I, `� �'S U ' &<J'ej� , 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. Pri t name 7�/3-D3 • Signature of Owner/Agent Date oS'Y iR br —� TOWN -.OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT job -Location: Owner of Pro, Construction Supervisor: S Name Address: R4K ,361j VarN6 ` Licensed Designee: (If other than Supervisor) Name 2.15 Responsibility of each license holder: License No. License No. Phone No. 2.15.1 The license holder shall be fully and completely responsible for all work for which he is supervising. He shall be responsible for seeing that all work is done pursuant to the state building code and the drawings as approved by the building official. 2.15.2 The license holder.'shalI lie 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 immediaiely notify the building official in writing of the discovery of any violations which are covered by the building permit. 2.15.4 Any licensee who shall willfully violate subsections 2.15.1, 2.15.2 or 2.15.3 or any other section of these rules and regulations and any procedures,'as'amended, shall be subject to, revocation or suspension of license by the board. 2.16 All building permit applications shall contain the name, signature and license number of the construction supervisor who is to supervise those persons engaged in construction, reconstruction, alteration, repair, removal of demolition as regulated by section 109.1.1 of the code and these rules and regulations. In the event that such licensee is no longer supervising said persons, the work shall immediately cease until a successor license holder is substituted on the records of the building department. 2.17 The license holder shall be responsible for requesting all required inspections. Failure to do so may be deemed a violation of the permit conditions. . I have read and understand my responsibilities under the rules and regulations for licensing construction supervisors in accordance Witli :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 PP No ❑ If you have checked yau, please indicate the type coverage by checking the appropriate box. A liability insurance policy P 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 ass. General taws, and that my signature on this permit application waives this requirement. Check one: Signatur of Owner or Owner's Agent Owner ❑ Agent Signature: Building Official Approval; The Commonwealth ofMassaehusetts Department of Industrial accidents exc0011asrosffMass 600 Washington Street Boston, Mass. 02111 y Workers' Compensation Insurance Affidavit Applicant information: PiesirPiTI1VTTMib�a cit.• phone p 0.1 am a homeowner performing all work myself. O 1 am a sole proprietor :rd have no one .corking 'in any capacity O 1 am an employer pro% iding workers' compensation for my employees working on this job. Onsnrnnren- p0licy ii �I am a sole proprietor. general contractor. o homeowner (c cle one) and have hired the contractors listed belowwho have the following wwoorkers' compensation polices: addresse iniurnrice .,. �R r—yY7 Fl,�./y1.G 1,c,1 pnfie.• a ez�� Failure Insecure coverage as required under Seedon 25A of MGL 152 as lead to the imposidoo of criminal penalties of a not up to si wom and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a not of SI00.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of Investigatiou of the DIA for coverage verification. I do -hereby certify under the sins and penalties ojperjury that the information provided above is true and correct Sittnature Print name official use only do not w rite in this area to be completed by city or town official city or town: YARMOUT11 _ permit/license 0 t"iBuilding Department ❑Wcensing Board 0 check if Immediate response is required 261 ❑Selectmen's Office C3Health Department contact person: phone p: — (508) 398—=31 esti. ,,Other BUILDING TOWN OF Y A R M O U T H ELECTRICAL 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 026644451 GAS Telephone (508) 398-2231, ExL 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, 39 /fir e2j� me L! dsS ! Work Address is to be disposed of at the following location: RF/ -Try S/n:e S Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Signature of Applicant Permit No. 7//3/v3 Date r • ' BOARD OF BUILDING REGULATIONS Lkenss: CONSTRUCTION SUPERVISOR w NumbW,19.� 012929 B+(tlhT414! 03/08j1`946 . t XP[�pg Q/0$/2Q04 Tr. no: 17962 R�s�r t;dr� JAMES N BASLFkR PO BOX 366 •- 's YARMOUTHPORT. M& 02675 Administrator �'/,e {oananamweal!/a o�✓��uaa/uaella Board o1 Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 102128 Expiration: 6/30/2004 Type: Individual JAMES N. BASLER James Basler Box 3661923 RT 6A T Yarmouth Port, MA 02675 pdminlstntor 0 JUN-13-2003 FR1 12:40 PM MARK SYLVIA INSURANCE 5084209227 P. 02 ;ACO ,r CERTIFICATE OF LIABILITY INSURANCE - ° 06/1 noo �' PROOUCEIl . Serial # 100339 MARK W SYLVIA THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAICO INSURED JAMES BASLER PO BOX 368 YARMOUTHPORT, MA 02676 INsuRER A: FARM FAMILY CASUALTY INSURANCE INSURER B: INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENTWITH RESPECTTO WHICHTHIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I DPP TYPE OF INSURANC4 POLICYNUMSFR �I' NB PO LIC EWWA ION LIMITS A GFNEAAL IIAERJTY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OOCCUR CONTRACTORS 1001x0091 3-1-03 3-1-04 EAWOCCURRENCE t 1,000,000 ^ D ENMinEO i so 000 MEDFXP ("mopfirWI S 5,000 PERSONAL 6 ADV INJURY S ADVANTAGE SPECIAL OENERALAGOREGATE $ 2,000 000 GRMLAIiORJiGATEUMRAPPUESPEA POLICY M %?T r7 LOC PRODUCTS-COMPIOPAGG S 1,000,000 AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUT03 ECHEDULEPAUTOJ HIRaD AUTCS NON•OWNEDAUTOS COMSINEP SINGLE LIMB (Ea atwdw!) BODILY INJURY (perpomm) f BODILY INJURY (Par adawo i Pdt�PFRTY WMAGB i GARAGE LIABILITY ANY AUTO • AUTO ONLV-EA ACCIDENT S OTHER r EA ACC f AUTO Y: A00 I EXCESSNMSRELLA LIABILITY OCCUR �CWMS MADE DEDUCTIBLE RETENTION f FACHOCCURRENCE f AGGREGATE f i t t A WORXEIYB COMPENSATION AND EMPLOYERSLIABILITY OFFICRERRIMEMDFR EXCLUDEEDD? EC�NE E Y@i, do:q Da mum SPECIAL PROVISIONS D9IO.V 2001 W6198 2-18.03 2-16-04 1 T%mys EL EACH ACCIDENT t 600,000 FL OISEASE-[A EMPLOYEE f 600,000 FL DISEASE -POLICY LIMIT i 600 000 OTHER DESMPTION OF OPERATIONSrLOCATIONSIVENICLE&E'XCLUSIONS ADDED BY ENDORSEMENTISPECUL P=W610" CARPENTRY D CE 1,TIFICATE HOLDER CANCELLATION JAMES BASLER J Ii SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EW IRATION DATE THRREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FNLURC TO DO SO SHALL UMOSB NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE INSURER, ITS A06NTS OR REPRESENTATIVES AUTHORM REP TATNB .. wnnnwe.�rnu .nee ACORD 2612001108) V e nvvrr...v..rvn... I ... .... For Office Use Only ' Permit No. Date TOWN OF YARMOUTH AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142A requires that the 'reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition or construction of an addition to any 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: fj,�'j([j//[� / m'1!a- Est. Cost 5619.,, Address of Work Owner Name: Date of Permit Application: r%— / 7 - 00 - I hereby'certify that: Registration is not required for the following reason(s): Work excluded by law Job under $1,000 Building not owner occupied Owner pulling own permit Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: )3-7-17 03 Date Contractor Name Registration o. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: 7 -1 "7--03 � &aqL Date Owner Name In TOWN OF YARMOUTH d� Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 eA261 BUILDING PERMIT APPLICATION RECEIPT Temp Permit No.: T-04-051 Applicant Name: James Basler Location: 00039 BELLE OF THE WEST .*Owner's Name: Ross & Susan Coppleman Owner's Addres 00039 BELLE OF THE WEST Yarmouthport I MA 02675 Owner's Telephone: (508) 362-4885 (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $25.00 Payment Type: Check ChkNo.: 8462 Net Owed: ($25.00) Application Date: 7/17/03 Issue Date: Expiration Date Comments: / addition: garage, bedroom, bath ZONING APPROVED 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. P Date Printed: 7/22103 TOWN OF YA.RMOUTH BUILDING DEPARTbMNT FAIN REVIEW & )WEDING PERMT APP"CATION REYE'W NOTES ADDRESS: ,7f jg%,cc., tiiap / Lot: /aa/9 Date of initial nmc -s1y/03 Other- ksl=wr }rc AFppvval Date: NOTES; 6 A,/c. Pe1-y vKo/1.c s) ©aprron.ss- •'""mg DcaW (if at phmbke _ Secdm 104, 32, pars Change, Ldc s cn CrAl (prs a "f nmrenfmliag) Tk proposed- _ rWJirm- a -Special-Pa uk fiumihc-7 kQ g aher - Bailding Code Denial. (if applicable) 0q, TOWN OF YARMOUTH BUILDING DEPARTMENT BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET Building Site Location: (3 / 0 1!D" 97(i -Map No: 1371 Lot No: Proposed Improvement: Applicant; we ro The Building Department will be responsible for assisting the applicant by dispatching yow applicable departments, � ►IY _.►t��: �uu_: :ll t and or application owing WATER DEPARTMENT: Determines Compliance of Water Availability and or existing location. ENGINEERING DEPARTMENT: Determines Compliance for Parking IW Drainage. CONSERVATION COMMISSION: Determines Compliance to Wetlands Ads; i.e., If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, OceaM, 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, Eta -..................••-------.................................----•..................................-----...----............---... REVIEWED BY: 1. EATER DEPARTMENT: DATE: N/A: 2. - EN, UNEERING DEPARTMENT: DATE: N/A: - - - - 3 CONSEWATION: DATE: A 4. HEALTH DEPARTMENT DATE: WA: INDUSTRIAL AN COMMERCIAL PERMITS S. WIRING INSPECTOR: DATE: 'N/A: 6. PLUMBING INSPECTOR 1)ATEc ' N/A 7. FIRE DEPARTMENT: --- - DATE: N/A: COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE: White copy - Baildmg Dept• - PWk copy - Water Dept - Yellow Copy - HcaU Dept - Pwk Copy -E B Dcpt -Zgoiiim-d.SEire =!U!a w ... . ... , .. . . �Oq 'I TOWN OF YARMOUTH BUILDING DEPARTMENT BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET Building Site Location: Proposed Improvement: Address: The Building Department will be responsible for assisting the applicant by dispatching your applicable departments. No: 13v4 Lot No: _ S % r' —Date Riled_: �-7 // / /lam sand or appl �i dto tlic'flowing 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: Wk 4. HEALTH DEPARTMENT- DATE: EWA: S. WIRING INSPECTOR N/A: 6. PLUMBING INSPECTOR DATE: N/A 7. FIRE DEPARTMENT: DATE: N/A: COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE: White copy - Building Dept. - Pwkcopy - water Dcpt. - Ydk w Copy - Hwhh DcpL - Pick Copy - Engwcmng DcpL - Goldenrod - F" Depc/croswvzim TOWN OF YARMOUTH I BUILDING• DEPARTMENT BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET Building Site Location: 3 y Proposed Improvement: �/1� r:% i z2",e_Map No: 1321 LotNo: !%i �f /'_�tr nvT ✓_� » I—zt-!�2. Applicant: Address: Po 3 . Te1No.: 3 %S [ /" - Date Filed: V T dispatching pl� and The Building Department will be responsible for assisting the applicant by your or application to1C��''flowing 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 tection; i.e., Smoke Detectors, Sprinkler Systems, Etc. ..............................................• REVIEWED BY: --•......... .........----•-..............-----••-----••.......---..........-•----....•---•-•--- 1. WATER DEPARTME DATE 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. WMING INSPECTOR DATE: N/A: 6, PLUMBING INSPECTOR: DATE: N/A: 7. FIRE DEPARTMENT: DATE: N/A: PLEASE NOTE COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE: W61tewpy-HeddmgDept - Pmkaw-WatcDept. - YdbwCopy - Health .DepL - P&Copy -Eogin Di - Goldenrod-FimDeptCounryarim Daniel E. Braman, P.E. - • C CO P P u er,6& A. 189 HarWr Point Rd. CanunaIW4 MA 02637-0361 f39` G LLE or- ` 44r= "E p r✓� �.] -05 Q n��c-ts DES C� t-E ��' STrz..� �'('c� g,�•c1 S`(�E�. � E-,�MS _ St'at� Z2.5 ------, ., w� �EoK dI22 SE.E V,D.L,�= a2 42-0 t Use V.l vo r,3 n(L v"! lZx Ar0 SELori 6d A -A mo Q, 6 Pz FILE COPY RAMSBEAM V2.0 - Gravity Beam Design Licensed to: Dan Braman, P.E. Job: Coppleman, Yarmouthport, MA 1 SPM INFORMATION: Beam Size (Optimum) = W16X31 Total Beam Length (ft) = 22.50 Top Flange Braced By Decking LOADS: Self Weight = 0.031 k/ft Point Loads.(kips): Dist DL Pre DL LL 15.00 2.27 0.00 3.43 11.00 1.00 0.00 1.76 Line Loads (k/ft): Distl Dist2 DL1 DL2 0.00 22.50 0.233 0.233 Steel Code: AISC 9th Ed. Fy = 36.0 ksi Flange Bracing Top Bottom Yes Yes Yes Yes Pre DL1 Pre 012 0.000 0.000 SHEAR: Max V (kips) = 15.09 fv (ksi) = 3.46 MOMENTS: Span Cond Moment kip-ft Center Max + 92.7 Controlling 92.7 REACTIONS (kips): DL reaction Max + LL reaction Max + total reaction DEFLECTIONS: Dead load (in) Live load (in) Total load (in) LL1 LL2 0.620 0.620 Fv = 14.40 @ Lb Cb Tension Flange Comp Flange ft ft fb Fb fb Fb 11.9 0.0 1.00 23.56 24.00 23.56 24.00 11.9 0.0 1.00 23.56 24.00 --- --- Left Right 4.24 4.97 9.02 10.13 13.26 15.09 at 11.48 ft = -0.251 L/D = 1077 at 11.48 ft = -0.506 L/D = 534 at 11.48 ft = -0.756 L/D = 357 RAMSBEAM V2.0 - Gravity Beam Design Licensed to: Dan Braman, P.E. Job: Coppleman, Yarmouthport, MA SPAN INFORMATION: Beam Size (User Selected) = W12X40 Total Beam Length (ft) = 22.50 Top Flange Braced By Decking LOADS: Self Weight = 0.040 k/ft Point Loads (kips): Dist DL Pre DL LL 15.00 2.27 0.00 3.43 11.00 1.00 0.00 1.76 Line Loads (k/ft): Steel Code: AISC 9th Ed. Fy = 36.0 ksi Flange Bracing Top Bottom Yes Yes Yes Yes Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 0.00 22.50 0.233 0.233 0.000 0.000 SHEAR: Max V (kips) = 15.20 fv (ksi) = 4.31 MOMENTS: Span Cond Moment @ Lb kip-ft ft ft Center Max + 93.2 11.9 0.0 Controlling 93.2 11.9 0.0 REACTIONS (kips): Left DL reaction 4.34 Max + LL reaction 9.02 Max + total reaction 13.36 DEFLECTIONS: Dead load (in) Live load (in) Total load (in) LL1 0.620 Fv = 14.40 Cb Tension Flange fb Fb 1.00 21.56 24.00 1.00 21.56 24.00 at 11.48 ft = -0.309 at 11.48 ft = -0.612 at 11.48 ft = -0.921 Right 5.07 10.13 15.20 L/D = L/D = L/D = LL2 0.620 Comp Flange fb Fb 21.56 24.00 874 441 293 RAMSBEAM V2.0 - Gravity Beam Design Licensed to: Dan Braman, P.E. Job: Coppleman, Yarmouthport, MA t SPAN INFORMATION: Beam Size (Optimum) = W12X14 Total Beam Length (ft) = 16.00 Top Flange Braced By Decking LOADS: Self Weight = 0.014 k/ft Point Loads (kips): Dist DL Pre DL LL 4.50 2.96 0.00 4.75 Line Loads (k/ft): Distl Dist2 DL1 DL2 0.00 16.00 0.020 0.020 Steel Code: AISC 9th Ed. Fy = 36.0 ksi Flange Bracing Top Bottom Yes Yes Pre DL1 Pre DL2 LL1 LL2 0.000 0.000 0.053 0.053 SHEAR: Max V (kips) = 6.24 fv (ksi) = 2.62 Fv = 14.40 MOMENTS: Span Cond Moment kip-ft Center Max + 27.2 Controlling 27.2 REACTIONS (kips): DL reaction Max + LL reaction Max + total reaction DEFLECTIONS: Dead load (in) at Live load (in) at Total load (in) at @ Lb Cb Tension Flange Comp Flange ft ft fb Fb fb Fb 4.5 0.0 1.00 21.91 24.00 21.91 24.00 4.5 0.0 1.00 21.91 24.00 --- --- Left Right 2.40 1.11 3.84 1.76 6.24 2.87 7.28 ft = -0.149 L/D = 1285 7.28 ft = -0.239 L/D = 804 7.28 ft = -0.388 L/D = 495 [PROPERTY ADDRESS:3 ALCULATION FOR P a 37 z, 68 s I�R„a'IPA,- G�iti Si.� — 7 3, Wbroe.,s L S 7 COST FJC -UaE 0N,L,Y /3� �9 TYPE OF ROOM. ETC ALTERATIONS 091 BATH ILLL BED ROOM 3 CERTIFICATE OF OCCUPANCY COMPUTER ROOM DECK OPEN - DECK WITH ROOF DEMOLITION DEN DINING ROOM FAMILY ROOM FIREPLACE FOUNDATION ONLY GARAGE NO. OF BAYS 1 33G'' GREAT ROOM KITCHEN LAUNDRY ROOM LAUNDRY ROOM LIVING ROOM MUD ROOM -- OFFICE - PORCH CLOSED PORCH OPEN REROOFING SHED SUN ROOM HEATED SUN ROOM UNHEATED SWIMMING POOL ABOVE GROU D SWIMMING POOL INGROUND WINDOW REPLACEMENT' s- n . [ ••wDN1CN D[M[y ' � oftgI Old King's Highway Regional Historic District Committee Y R MO 1TH in the Town of Yarmouth for a TOWN CLERK CERTIFICATE OF APPROPRIATENESS MID JUL 10 MI 9-- 32 Application is hereby made in triplicate, for the issuance of a Certificate of Approp � r� of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as�ow and on plans, drawings or photographs accompanying this application for. CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction : ❑ New Building ❑ Addition Rp Alteration Indicate type of buikling::Z House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting existing sign 4. Stnutiae: ❑ Fence ❑ wail ❑ Flagpole ❑ Other TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK M BP 1 `>L{'t 1�'ASSESSORS MAP NO. 13�- OWNER _e���QR`P�1� "w1 n yr ASSESSORS LOT NO.� HOME ADDRESS 3GI Be —It P 4 `t-t t - U I QSK-,d_JTELEPHONE Nodo f&() � AGENT OR CONTRACTOR ` & r `' TELEPHONE NO SD8 :;?7S-D3ys ADDRESS 2o6Y 3fo (n (J11 rrM rlt IV-h OA ✓-i- _ >�qX So S 37So3a� USE ATTACHED SHEET IN PACKET FOR ABUTTING OWNERS DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars orwork to be done including materials to be used. In case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). Space line for Committee use only. for Committee use only Received by OKIiC Date 6 -1(v - 6.3 This Certificate is Check aY%,5'?_ ((�SnC�Cw ''01,fi;;lTTff {� Signcd2?LYILC.� ��l�C�� 1 � a O)hyler-Contractor-Agent Date / 1Q APPROVED ❑ MPOI T—A T. / If Certificate is approved, approval is subject to the 10 day appeal period �/ provided in the Act. DISAPPROVED ❑ Please retum to: Yarmouth OKHC District Committee Yarmouth To%%m Hall, 1146 Route 28, S. Yarmouth, MA 026&1 �. _A r SPECIFICATION SKEET (YARMOUTH OKHC) ._Please fill out the form in its entirety providing Vp1gr,jd(ipA where necessary. INDICATE LANDSCAPING, EXTERIOR LIGHTING & EI ECjlRn4lll-TE$ O MNS FOR NEW HOUSES n- l V r' NAME OF FOUNDATION (Is' MAX. EXPOSED): W WALK WAY: b)dEes1011t? STEPS (INDICATE BRICK/CEMENT/OTHER): W004 SIDING TYPE: W k-& Q Qtetft ' .5('un-v. o COLOR: +k( 4 [npL CHIMNEY (INDICATE BRICK/STUCCO/WOODFACED) .e,p'�ft lqC� COLOR: ZU ROOF MATERIAL: 1 O PITCH 012 .) COLOR: bl (J" 1cl< tj MAX. E rch i • sevt •�� WINDOWS ( S REQUIRED) -INDICATE SIZES IF NOT LISTED ON ELEVATIONS: kieLuiszn DOORS (INDICATE SIZES AND STYLE IF NOT LISTED ON ELEVATIONS): PD uooe Vck ll-e y 3'Ox6 S' ev 8 `X 6 y� i TRIM: (ALL WINDOWS & DOORS TRIMMED WITUCk .`{ Lxs) MATERIAL OF TRIM (VINYL, ALUMINUM) SffbYFERS (WOOD/VINYL) (PANELED/LOUVERED) GUTTERS (WOOD/41UMINU GARAGE DOORS: SIZE & STYLE: T & A 9 " LtAlt'"cl ST9 IDS: (INDICATE SIZES IF NOT LISTED ON ELVATIONS) COLOR: �Vp-Y-g r-2e-n COLOR A tn6 k-et w h � +- COLOR: COLOR: C►-c(�Lr') COLOR X (a-Ska W111'4Z COLOR SKYLIGHTS: TYPE/SIZE: Vt lux 30'8 n 38 a u'vl tg 100 m COLOR: qq-:�/ X o/arium Evergreen FENGING-(MAX.-HEIGHT 6'): STYLE: COLOR: J (SHOW LAYOUT & RUNNING FOOTAGE ON SITE PLAN) - Hawthorne Yellow AI L: (P.T. OR FIELDSTONE —CONCRETE INAPPROPRIATE) Alaska White (SHOW LAYOUT & RUNNING FOOTAGE ON SITE PLAN) SIGNS: (indicate size, style, colors) SIGN POST: (indicate size, style, color) ADDITIONAL INFORMATION: COLOR: COLOR: REV. 6/99 3 Pta34 MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.0 CITY• Hyannis SPATE : Massachusetts HM: 5973 CONSIRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 1-4-1980 DATE OF PLANS: 6/12/03 TITLE: Coppleman Energy Calculations PR(1TE1C.T INFORMATION: Ross & Susan Ccppleman Residence 39 Belle of the West Road Yarmouth Port Massachusetts COMPANY INFORMATION James N Basler Builder Permit COMPLIANCE: PASSES Required UA = 861 Your Hone = 728 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U Value ik? ----------------------------------------------------------------------------- CEILINGS 2585 38.0 0.0 7E WATTS: Wood Frame, 16" O.C. 4729 22.0 0.5 27C GLAZIM: Windows or Doors 745 0.350 261 GLAZING: Skylights 28 0.460 11 DOORS 50 0.600 3C FLOORS: Over Unconditioned Space 1088 19.0 52 FLOORS: Over Unconditioned Space 847 35.0 24 COMPLIANCE SI'AIEMENI': The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the pernat application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code The heating load for this b�il�g, 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 131Q and J4.4.A Date � O FILE Copp Proposal rage No. of nti Pages � •a oNt� 57 WHITE'S PATH ore SOUTH YARMOUTH, MASS. 02664 t+ HEATING & COOLING, M (508) 398-6901 P1re Service PROPOSAL SUBMITTEDTO James N. Basler PHONE DATE 375-0345 April 25, 2001 STREET P.O. Box 366 JOB NAME Coppleman CITY, STATE end ZIP CODE Yutmouthport, MA 02675 JOB LOCATIO 398 Belie ofdw Nest Rd., Yarutouthport ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for Warm air heating system as follows: FURNACE: Install Lennox model 032V5-100 upflow, high efficiency, two -stage, gas -tired furnace rated at lUU;UUOBtu liighiu ut aiid`67 UUO Btu tow iA AFUE-nWitig is'93.0%--Unit-.equtpped witli'D"_ a ()Pl'Ui _`_ —" _--ultutunir�cl.steel pr_iruaty and stbiuless steel secondary !leaf exchanger aeiubly, two -sty valve, hit surface ignition, ECbs variable -speed blower, draft inducer, and all operating controls. CONDINSER: Install Lennox model HS29-060, 5 ton unit, complete w/ rubber mounted compressor, vertical -discltarge-outdoorfaa atge--IJ' shaped condensercoil, weatherresistmA-cabinet,-aud all- operating-contruis: ~— Couipressor guaranteed by Lennox for 10 years and all other parts for 5 years. Couneet to evaporator coil �v/ copper reingernrd piping.�Insulate vapor line wid Aiinaflez ii�;ultiEtoti Uuif'to biz set oii`aolid preca�f pud COOLING COIL: Install Lennox model C23-51165 evaporator coil above furnace. Cooling capacity equals _ ---58,000-Btu:-S:&Ea-equala-10 00,lnstall condensata.pump beside unit.-Install.draiu piping.fi-out coil -to. pump and frout pump to disposal point. ZONE CONTROL SYSTEM: Install Trol-A-Temp (3) zone control systeur including TZ-rl control panel` electric zone dampers, thermostats, ZMS seusor, and static by-pass damper. DU('f SYSTEM: Fabricate and install a three zone galvanized steel perimeter type duct system using _._rzetmtgula<�tntmkliras w/ round runoutsto outlets.-Runouts-fue-sizedaccording to room requirements-&-twe--- equipped %v/ balancing dampers. Install 24 supplies & 6 returns We propost hereby to furnish material and labor — complete In accordance with above specifications, for the sum of: Twent Thousand Six Hundred Twenty Seven and no/100 -----------•- dollars ($ $20,627.00 Payment to be made as follows: 101,,4 widt order, 20eto after roughing,301/6 upon arrival ofequipment, 30016 after installation, balance on completion. Payment is due within 15 days after billing. All material is guaranteed to be as specified. AN work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications Authorized involving extra costs wig be executed cdy upon written orders, and will become an extra Signature charge over and above the estimate. Ad agreements contingent upon strikes, accidents Alex ]�rie`VillituR.v or delays beyond our control. owner to tarty fire. tomado Note: This be and other necessary insurance. proposal may Our workers are fully covered by Workman's Compensation Insurance, withdrawn by us if not accepted within 30 days. Arreptaure of proposal— The above prices, specifications and conditions are Satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature To Reorder. 600-226-6= or nabs cam '5peri irattam Page No. of Pages DUC'r.INSULATION: Rectangular supply ducts in basement to be wrapped with 1,13" vinyl faced fiberglass ' btaplad and taped in position. Supply plenum, return airdrop and bay capping to be lined with'h" acoustic msulatiou, glued and pinned in position. Round runouts in basement to be flexible ducts with 1" filizrglass -- REGISTERS & GRILLS: Install Lima Series 40 Deluxe floor ditrusers & IU0141 ceiling tvgisters with Series - 35 floor return grills. CAS PIPING: Install gas piping from inter to furnace, water heater & range including all necessary permits. .__VENTIN.G:.Install intake and exhaustpiping.froiu furnace to sidewall termtivation.ldLusingP.VC-pipe..................... OPTIONS: Install Skuttle model 2001 now thru, humidifier, add ---------------------------- S295.00 IiistalfAlielaire'ruodb12400 extended media; high eflicibucy filter, add-== Install Lennox "Elite 13", high efficiency condenser as follows in lieu ufHS29-060, add---- 5658.UU . _ . ...... t'ONDENSER: Iustall Lennox model H.S26-060, 5 ton unit, complete With rubber mounted compressor, ---keriical discharge outdoor feu, large-".'U". shapedcondenser coil, weather resistant cabinet, -and all operating-_ controls. Compressor guaranteed by Lennox for 10 years and all other pans for 5 years. Connect to ---evaporator-coil with copper refHgorant piping. Insulate vaporlinewith -tVuiatlex insulation: Unit to ba set ou---- solid precast pad. Cooling capacity is 57,000 Btu w/ a S.E.E.R. rating of 12.40. NOTES: Line voltage wiritrg is NOT included. Low voltage wiring must be provided frout point to point by �ollfers, but final couneetions will be provided by us. __.t,'uitiug.ofsupply:mdre-turu.oudlats.is-included,wovingstuds aud.hzadiug.ofiisNQTincludQd ._ _.._....... --GUARANTEE: System -guaranteed to heat all roouls to 70° F, at 0° F. outsida mud coot all rooms to -7Y F. at ... . - 9W F. outside, provided a constant thermostat setting is maintained. Workman hip guaranteed for one year - from''data'ofirrstallatiou All parts except as noted above carry manufacturer's one-year guarantee. All service labor except for regular maintenance will be provided free of charge for one year from date of installation. SOUTH SHORE HEATING THIS PAGE BECOMES PART OF AND IN CON F MANCE WITH PROPOSAL FOR: & COOLING, INC. Job Name/No. Accepted by Date O 0 3 (f11TW.6) Submitted Date Accepted by Date IM Tub) (ldTMlS) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, (MEC), 527 CMR 12.00 (OFFICE }JSE 9NLZ r = TOWN OF YARMOUTH B�'�-E_. l��-4 ta L,J L ! Fee ur L OCT 2 5 2004 J ' PERMIT NO. q^ OS -' 39b I (PLEASE PRINT IN INK OR TYPE A1.4 &FORMgT10N)j Date:. To the Inspector of Wires: By this application the:u_ndersigped gives notice of his or her work described b Location (Street Owner or Tenant Owner's 'C 0 �e A to perform the electrical Telephone No. Is this permit in conjunction with a building permit? 91'�'es ❑No (Check Appropriate Box) Purpose of Building;Vj4pi P , V2j `X), LAUVJM2�_Utility Authorization No. Existing Service Amps 1 0 / 2 Its OverheadQ Undgrd 03/ No. of Meter_ New Service Amps / Volts Overhead❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed electrical RecessedNo. of Z us d o. of Total Transformers KVA No. of Lb6tiniz Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Aboven-mergency SwimmingPool md. ❑ md. 11 Ughung Batte Units No. of Receptacle Outlets No. of Oil Bumers FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. ot Detection an InitiatingDevices No. of Ranges No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Heat ms Totals: um rTons — — — — — No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Muni Local ❑ cipal Other Connection No. of Dryers ry Heating Appliances KW g pp Security Systems: No. of Devices or Equipvalcnt No. of Water Heaters KW No. of No. of Signs Ballasts Data Wiring No. of Devices or uivalent No. H dromassa a Bathtubs y g No. of Motors Total HP Telecommunications Wiring: No. of Devices or uivalent Attach additional detatt it 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 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 e n p alties of perjury, a the information on this application is true and comple 11 ^� FIRM N ec C_ LIC. NO. i Licensee. (I (1-F, joe-YILCO Signature LIC.11p (If applicAbll enter "exem t' in he license number line.) Bus. Tel. No.. � Address: C3� 1pk1� .�'� �A po T. fYl fit � �� Alt. Tel. No.: a 6 —!ttlogG OWNER'S INSURANCE WAIVER: I am awl-4that the Lic nsee 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 Q owner's agent.0 Owner/Agent Signature Telephone [Rev.041001 CommonweaA of V� lassac/rrteells Official Usc Only 1JeParinutrl o�.}ire �ervicu Permit No. Ce- 0 Q— — [O 0 b Occupancy and Fee Checked / BOARD OF FIRE PREVENTION REGULATIONS Rev. 11/99] leave blank 40" APPLICATION FOR PERMIT TO PERFORM ELECTRIC ��LVa/OmK��� `Y All work to be performed in accordance with the Mmachuscits Electrical Code (MEC), 527 ChIR its 160�-3/)%—% II II (PLEASE PRINT IN INK OR TYPE ALL INFORM.I7I0N) Datc:_ ' , 2004 City or'1'own of: To the Inspector of Wiri 13utLD.NG Dr:Pr. By this application the undersigned gi s noticeofhis or her intention to perform the electrical work deil�ed below. Location (Street S Number) r3 9 Qe //e r:� �Ke LAA-,tyc /zs. Owner or Tenant (h/)p/e, Telephone No. Owner's Address Is this permit in conjunction with a buil Jine permil° Yes 00"' No ❑ (Check Appropriate Box) Purpose of Building %�'Se Utility Authorizaliuu No. . Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Overhead ❑ Undgrd ❑ Ovcrbcad ❑ Undgrd ❑ No. of nAlcters No. of Meters. Completion ofthe follu,ving table may be u"aivcd by the losnector of Wires. No. of Recessed Fixtures No. of Ccil: Susp. (Paddle) Faus No. of Total Transformers KVA No. of Lighting Outlets No. of Ilot Tubs Ceneralors KVA No. of Lighting Fixtures Above lit- Swimming Pool rid. ❑ rnd. ❑ o.o nrergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS of Zones No. No. of Snitches No. of Gas Burners o. o Detection an Inilialino Devices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers eat• tn'P um er ors No. of Self-Cntained Det ction✓Ale ting Devices No. of Dishwashers S acdArea Heating KW P g Local ❑ 'NluntctP?❑ Other Connection No. of Dryers Y Healing Appliances ICW Security ysevice No. of Devices or Equivalent o. of Water Heaters KW o. o r o• o Signs Ballasts Dala Wiring: No. of Devices or Equivalent No. Hvdromassaae Bathtubs b No. of Alolors Total Ill' Telecommunications Wiring: No. of Devices or E uivale OTHER: dttac/t aaamonat oetar q oesrrea, or as required by rile mspeetor o/ trues. 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 ❑ BOND [IOTI IER [I(Specify:) ;S'Cr`1r/s ri/rlr �.tS .fir, � 5S °S (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with bIEC Rule 10, and upon completion. I certify, under the pains awl penalties of perjury, that the infunttatiort on this application is true and complele. F110I NAME: • sv.d s;:IAr .41,r4/t-+'r•r -../:- ,r. _ LIC.NO.: / 3. Licensee: 1phr?k Signatures LIC.N0.:� (If applicable, enter ••e.rempt " in the license number line.) ll us. Tel. No. f' Address: AR f 2-h 12tr"n-�• �f4R�vw��� Alt. Tel. No.: OWNER'S INSURANCE WA! ER: I am a. c 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 onc) ❑ owner ❑ owner's agent. Owner/A^cn1 PjiRdIIT FEL: v Signalurc 'Telephone No. ssts�`- ,l;�,�3' 0% APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, (MEC), 527 CMR 12.00 TOWN 0FlUf MO MAY 2 5 2004 (OFFICE USE ONLY) ay Fee: $ S :o I gst PERMIT 00 (PLEASE PRINT IN INK OR TYPEALL INPORMATfGAr�= Date: t') ( 1 'T_ 10 t To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. , 1 Location (Street & Number) 3 -p1 �` \ e A _1 ye t Owner or Tenant O �' S CO L L N Telephone No. Owner's Address Is this permit in conjunction with a building permit? &Yes QNo (Check Appropriate Box) Purpose of Building HAVX Utility Authorization No. Existing Service O Amps 2-0 / ZIts Overhead[] Undgrd [' No. of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No. of Meters Number of Feeders and Location and Nature of Proposed electrical Work: Completion of the following table may be waived by the Inspector of Wires o. Recessed �� s ddl an o. o Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures 1 O Above n- Swimming Pool md. ❑ md. ❑ o. o Emergency Lighting Battery Units No. of Receptacle Outlets 50 No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches ZO No. of Gas Bumers o. ot Detection an Initiating Devices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers eat Pump Totals: um r — ons — K — No. of Sclf-Contained Detection/Alertin Devices No. of Dishwashers l Space/Arca Heating KW Local ❑ Ckin to p'on P TlC� c B No. of D ers ry Heating Appliances KW g PP Security Systems No. of Device m v lent No. of Water Heaters KW No. of No. of Signs Ballasts Data Wiringg: No. of Dev]cc or utvalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunicati No. of Devic ns Wirin n 'G DEPT. t1iv�len� 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 p 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 th mut issuing office. � CHECK ONE: INSURANCE � BOND ❑ OTHERC] (Specify:) (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) dWork to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. _ & certify, under,t(tetp;ins and penalties pf perjury[, that the information on this application is true and comp e. FIRM cc%L9 004Z (fib&n ,1 D Signatures\ (If applicable, enter "excrupt" in, the license number line l /�, y� 4r1r1rPSS� t7L.P L S C_.{ P 21�'l a V IQ±11 `I 1 „ 1'i R does not ha a the liabi I hereby waive this requirement. I am the (check one) owner ❑ 'S INSU CE WAIVER: I am aware that the Licensee Owner/Agent Signature _ [Rev. 63/00] LIC. NO. `�LIC. NO. `� (S Bus. Tel. No.:S� '3 `t Alt. Tel. No.: rl lit ' owner's agent. ❑ Telephone No. y insurance coverage normally required by law. By my signature JAMES N. BASLER * BUILDER * Custom Homes since 1972 (508)375.0345 Box 366 Yarmouth Port Massachusetts 02675 Mass. Construction Supervisor License # 012929 Mass. Home Improvement Contractor Reg. #102128 October 21, 2003 •6 Yarmouth Old King's Highway Historic District Committee Yarmouth Town Hall Route 28 SO Yarmouth MA 02664 Dear Committee Members: 7/1 -Bed-e b /' tf_ -c L Jest 2oacA On behalf of my clients Ross and Susan Coppelman, I am requesting a change in the approved plan to allow an additional skylight in the rear of the house per our discussion at the meeting of October 8, 2003. The Coppelmans have agreed to forego the three skylights they were considering in the front elevation. New copies of the elevations are included showing the change. Thank you for your consideration: James N. Basler Ijb cc. Ross and Susan YgRA'O��PROi'f0 3 D O�frrl0 'r,;;ll jEf G�� LOTS /7 & 52 TOTAL UPLAND: 18176 t S.F. TOTAL WETLAND: 3735 * S.F. TOTAL AREA: 21911 t S.F. W *7 't�Ge WF*6 WF+ D M N� 0 s COiyCR fTf I HEREBY CERTIFY THAT THE DWELLING DEPICTED ON THIS PLAN WAS LOCATED ON THE GROUND BY SURVEY ON AUG. 26. 2003 AND EXISTS AS SHOWN AS OF THE DATE OF LOCATION. THIS PLAN IS FOR PLOT PLAN PURPOSES ONLY AND NOT FOR RECORDING. DEED DESCRIPTIONS OR ESTABLISHING PROPERTY LINES. THIS PLAN IS VOID IF NOT STAMPED AND SIGNED IN RED. N , 86'57'20.0'E 91.72' �'. m Nco f OF WF*4 N N i _'6�� WF*2 _ WF*3 w WF*1 c) ci to o �o �OA�r `iw�l m 0 ti 4 Q O 039 ! 0p p0 1 N � o W N 0 P � V w /?0.00 h w DV AU 2 7 2003 y By .u' PLOT PLAN �'ii�� ifJ. S"� r ` s cr<<:';' YARdl0M. AlA. SCALE: I'-40' AUG. 27. 2003 8�Z7�,z. EAGLE SURVEYING, INC 9 Mut• •A . ram utnyert. uA. o26ss �,/ (DOD) iN2-6171 (OW) 432-0.saa 0 20 40 80 PROJECT NO. 03-045 DATE _ Q6 ZZ41,X YARMOUTH AmEj"1 ' CLERK 1(02 JUN 13 Al9 9: 1. "Gv« To riory o-f fyatrr� !s F� CEo,oQ S011 0 .STjlMaP Dmw FlLo*„ G Fr To -SFi , is NFf ,7-11 FRo„r r'ds� . F FE.rcE nivT 2. �Xi ?:�l P �3F_ yi,✓y FCn.T d7� HrkJE �03- OvrR /� W�h►Da,! 0� /1/G/li F2o�+;' of f/ours Wrc� l3E �FL6T�0 3. �'UI`'2G/LF_6�/ SNRygf. .?b d'CRQ<.tJ DF //o r� C'r.OPBshRO SE���u,(' on1 F2irT K /ji✓O �Qlf!rE 4. I agree to the above conditions - APPROVED YAR1,10UTh CW 111EE Or-�HRU SPECIFICATy"eTU-,Wrmouth OKHC) Please fill out the form i1T0W[\ %QLr[BKprovidiug color chips where necessary. INDICATE LANDSCAPING, EXTERIOR LIGHTING & ELECTRIC METER ON SITE PLANS FOR NEW HOUSES. M JUN I3 IJi 9- S7 // PROPERTY ADDRESS: 39 Bell of the West, YarEI Ert b�_D FOUNDATION (18" MAX. EXPOSED): 10" ONCRE OTHER DRIVEWAY: WALKWAY: Brick STEPS (INDICATE BRICK/CEMENT/OTHER): - SIDING TYPE & MATERIAL: White Cedar Shingles — 5" Exp. COLOR: Pre -Stained Cape Cod Gray CHIMNEY: (INDICATE BRICK/STUCCO/WOODFACED) Existing to Remain COLOR: ROOF MATERIAL: PITCH: (71/2MIN.) ± 7:12 (match existing) COLOR: Certainteed . MAX. EXP. "Georgetown Gray" WINDOWS: (GRILLES REQUIRED) —INDICATE SIZES IF NOT LISTED ON ELEVATION : 2/2 Grilles (True Divided Lites) DOORS (INDICATE SIZES AND STYLE IF NOT LISTED ON ELEVATIONS): TRIM: (ALL WINDOWS & DOORS TRIMMED 1X4 / 1X5) 1 x 5 MATERIAL OF TRIM: (WOOD NYL, ALUMINUM) Red Cedar SHUTTERS: (WOOD GUTTERS: (WOOD/ALUMINUM) Aluminum GARAGE DOORS: SIZE & STYLE:- 91_x 71_ Vert.1 x 6 STORM WINDOWS & DOORS: (INDICATE SIZES IF NOT LISTED ON ELEVATIONS.) SKYLIGHTS: TYPE / SIZE: Venting (30" x 38") DECK: SIZE & MATERIAL _ _ N/A FENCING (MAX. HEIGHT 61): STYLE: (SHOW LAYOUT & RUNNING FOOTAGE ON SITE PLAN.) COLOR: Benjamin Moore 2059-20(attached) COLOR: White COLOR: White COLOR: COLOR: Cape Cod Gray COLOR: .. APPROVED YARMDUT11CO".114ITTEE COLOR: Dark Bronze OK11RD Frame COLOR: COLOR: Grey Stain RETAINING WALL: (P.T. OR FIELDSTONE —CONCRETE INAPPROPRIATE) Rebuild Existing Stone Wall (SHOW LAYOUT & RUNNING FOOTAGE ON SITE PLAN.) SIGNS: (indicate size, style, colors) SIGN POST: indicate size, style, colors) ADDITIONAL INFORMATION: COLOR COLOR REV. 12/01 BSC GRoup 'Craig A. Field, PIS Manager of Surveying 657 Main Street, Unit 6, Route 28 West Yarmouth, MA oz673 Phone: Sob-778-8919 Fax:' 508- 78-8966 u ror� BUILDING T O W N' O F YA R M O U T H ELECTRICAL GAS 1146 ROUTE 28 SOUTH tiARMOUTH MASSACHUSETTS 02664 Telephone 1508) 398.2231 PLUMBING SIGNS BUILDINGDEPARTMENT August 1, 1996 Mel and Alex Schierman 39 Belle of the West Yarmouth Port, MA 02675 SUBJECT: Notice of Old Ring's Highway Commission (ORHC) Violation As owners of the property at 39 Belle of the West, Yarmouth Port, Massachusetts, Map 118/Lot P17, you are hereby notified to remedy. the condition named below within ten days of the receipt of this notice (Sundays and legal holidays excepted) or show cause why you should not be required -to do so: ORHRDC - Sections 6 and 8 Chap. 40, Acts of 1973, as amended. Erection of stockade fence without prior approval of Certificate of Appropriateness by OKHRDC. If at the expiration of time allowed, this condition has not been remedied and no cause aforesaid be shown, such further action will be taken, as the law requires. Any objection or inquiry in reference to this notice should be filed before the expiration of time allowed for abatement of the nuisance. BY ORDER OF THE BUILDING DEPARTMENT & OLD RING'S HIGHWAY COMMITTEE. Inspector Fo est White Address al communications to: MAIL: P 362 074 803 Town of Yarmouth Building Department (Attn: ORHC) 1146 Route 28 South Yarmouth, MA 02664 C% Pnnlea an Pecyuea Pam P� APPLICATION FOR PERMIT TO DO PLUMBING TOWN OF YARMOUTH (OFFICE USE ONLY) -I By �InN n� Znt� Fee:$ LPERMIT NO. OZ EUILMNG DEFT w- Date /0 Building - • I Owner's 'GOss (�Pncl,- MCi'— AT Location-39 e Name f I ' Type of ccupancy [.enl l 2 New ❑ Renovation ❑ ReplacementZ Plans Submitted Yes ❑ No ❑ i z N U W V�i Y Q F4- z O Z O ? y 2 a O V O M W uJ a u) H V N y N a O CAL6 6 a W y � zzQ i Q 3 0 J= O 0: J U. Ind z' a O z an z Lu o w FE N 0 0 4 3 0: m 0 SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Installing Company Name Address Check One: Ll Corp. aF6FG ❑ Partnership vi ttoy I ► IN ❑ Firm/Company 5 Business Telepho O9 E -466& Name of Licensed Plumber �l r;. N C ^ INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yes X 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 Owneror 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 ❑ 499� nature of Licensed Plumber )16ao License NN ber Type: MasterZ Journeyman 0 MI13c3A/CHUSE I I a UNIFORM APPUCA71ON FOR PERM City/Town: MA. Date: [, 1 Building Location:_Owners Name: GType of Occupanry: Commercial ❑ Educational ❑ IndusMal ❑ New: ❑ Alteration: ❑ Renovation: ❑ Replacement:(d Permid, 1,171 1 — Institutional ❑ Residential ❑ Plans Submitted: Yes ❑ No ❑ z� t $ ° m0 �8 to a U. a�S 83 8 t c o F r, s s o IL a >> , oc o 0 Installing Company Name: _ 1/ .,,I Business Tel: 600 -rT f- 455 G Fax: 4 State: 'rrr Check One Only Vcorporatlon ❑ Partimr ship ❑ FInn/Company :aruncate 06 ? I have a current liability Insurance policy or Its substantial aqulvalant which meets the requlrensnte of MOL Ch.142 Y No ❑ If you have checked �, plea" Indicate the type of coverage by checking the appropriate box below. A liability Insurance polity IVOther type of indemnity ❑ Bond ❑ OWNER'3 INSURANCE WAIVER: I am aware that the licensee does not haw the Insurance coverage required by Chapter 142 of the Massachusetts Oenenl Laws, and that my signature on this Permit application verve• this requlnmerrt Check One Only Signature of Owner or Owners Aasni Owner ❑ Agent ❑ accursft to tie bat of Krawisd - , - -' - "�•"'••�•�" rear• ssomiaw (w enured) r.y,rdir,p Mla aPplleatlon are erw and eompllanee with all Pertinent and that am Punbiny work and Installations Psrlcnrnsd undw the psnng Issued for this a proNsbn of the Ma.s"hueo t. Stet. Pkw"V Code and Chaptw 142 of O.neral taws PWkatlan wig be In By • r w W� Plumber Tideas Fitter Master CltyfTcwn Joumeyms APPROVED (OFFICE U3a ONLY) LP Installs signature of Licensed PlumberlOas Fit Ucense Number. ��6a� APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, (MEC), 527 CMR 12.00 TOWN OF YARMOUTH (OFFICE USE ONLY) By Fee: PERMIT NO. (PLEASE PRINT IN INK ORWAINFORMATION)Date: To the Inspector of Wires: By th"ion the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) J 1 n�&G \ N°L 0') 'Y r Z- JCS' j \ \�-!J Owner or Tenant C.l Q QJ e- la A A3 Telephone No. Owner's Is this permit in conjunction with a building permit? O'Yes 0No Purpose of Building4it(L. �prr'�_ e. ��t (l tility Existing Service3QP— Amps 10 / Its Overhead[/ New Service 20-0 Amps \q-0 / 2-qO Volts Overhead❑ Number of Feeders and Location and Nature of Proposed electrical LCe Lh A*hle- -Fo (Check Appropriate Box) Authorization No. Undgrd t❑ No. of Meter_ Undgrd I No. of Meters_ CR GUY? le may ITe waived bythe No. of Recessed Fixtures o it - d o, of Total Transformers KVA No. of Liphting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Above n- SwimmingPool md. ❑ md. ❑ No. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Bumers FIRE ALARMS No. of Zones No. of Switches Z► No. of Gas Burners o. o and electron Initiating Devices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers eat mp Totals: um r ons _I — — — No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW ipal Local ❑ MunicConnection ❑ Other No. of Dryers Heating Appliances KW Secutity Systems: No. of Devices or Equipvalent No. of Water Heaters KW No. of No. of Signs Ballasts Data Whing: No. of Devices or Equivalent No. H dromassa a Bathtubs y g No. of Motors Total HP Telecommunications Wiring: No. of Devices or uivalent �— M, Attach additional detail if desired, or as requirg r rF��jts INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may be issued less the 1 proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certi r that such force, and has exhibited proof of same to a permit issuing office. S E P CHECK ONE: INSURANCE 0 BONDO OTHER (Specify: 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 p s and penalties of p 1yry that the information on this application is true and comple FIRM NAME: 1 CALM l: l-l: -,T-�Z Lt LIC. NO. � � L Licensee:�Q-6 C- v5 A L % <IA , 'gnature ~ o ` LIC. NO. (If applicable, enj�r "exempt" in the license number lin us. Tel. No.: Q$ 6 697 Address A/ 1J C S�] KI _j�1)1� �6)[t. Tel. No.: ,SCE Z? (, �3 OWNER'S II� CE WAIVER: I am aw that the Licensee 4)es not`have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) owner owner's agent. Owner/Agent Signature Telephone No. [Rev. 04100] Commonwea& of cc///addac"Hj 2.parGnen1 o�Jire Serviced OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. L:5--1 I -- 9? Occupancy and Fee Checked [Rev.1/07] leave blank :)N FOR PERMIT TO PERFORM ELECTRICAL WORK to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12. (PLEASE PRINT iN INK OR TYPE ALL INFORMATION) Date: City or Town of: V%f P lY1Lp342Z _ To the Inspector of Wire By this application the undersign6�ives notice of his or her intention to perform the electrical work described below. Location (Street & Number) S7 - �fCLL, p� /lf�Z W J� t1 f cre Owner or Tenant 4 JS !/ e OY�/�� �O7► Telephone No. e Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate x) Purpose of Building Utility Authorization No. Existing Service Amps • / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: W� f� Cn �— H ti�� Completion ofthe followine table may be waived by the Inspector of Wires. C� timated Value of Electrical Work: No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans o. n Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Above n- Swimming Pool rnd. ❑ rnd. ❑ o. o mergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. o Detection an initiatin Devices No. of Ranges No. of Air Cond. Total ons . No. of Alerting Devices No. of Waste Disposers caTotal um er ona Detection/Alerting Self-Contained No. of Dishwashers Space/Area Heating KW Local,] on lion akl Other No. of Dryers Heating Appliances Key ec r� L t orIV �� uivalent o. o Water Heaters KW o. o o Signs ata n . No. of Devices or E uivaglent No. Hydromassage Bathtubs No. of Motors TelecommunicationsNo. of Devices oE uivalent OTHER: Attach additional detail tI desired, or as required by the inspector of Wires. (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The the certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. HECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I rtify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: LiC. NO.: Licensee: —To,(f �r v i��L'Z-0, Signature v Lip. (lfopplicable, enter "exempt" in the license number line.) Bus. Tel. No.S'e8 -- %%l Address: Alt. Tel. No.: f '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. .�caner/Agent PEMIT FEE. S ignaturo Telephone No. 7l2=15 % SlipGen- Portal Hone Town of Yarmouth Template [Building Dept] Slipshect Identifier [sg33880] Document Category Building Permits Map -Block Number 132.9.1 Street Number 0039 Street Name BELLE OF THE WEST RD Department Building Parcel ID 16178 Backfile Batch Scan No Document? Additional Naming Info Index Operator Operator, Yarmscan Date - Time 2015-07-20 - 14:10 httpJAaser6che121SIipGerV 1/1