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Home My WebLink AboutBuilding PermitsJ TO N OF YARMOUTH Building Department 'BUILDING . , • - - . - „ _ (508) 398- a 261 PERMITNO _B-03.7,9_. ERMIT,_ ISSUE DATE - 2/28/03 PROPOSED U --. APPLICANT ,RICHMosEMENTELLITR •C-P WEATHER CARD ADDRESS :24Marion Street - PERMITTO ; New Construction .....---•••......••--.--.... ............ AT (LOCATION) 00054ASPINZONING DISTRICT R-25 SUBDIVISION MAP LOT BLOCK 1025.85 BUILDING IS TO BE USE GROUP R-4 LOT SIZE CONST TYPE 5-8 CONTR'S O new construction: 3 bedrooms, I diningroom,1 fartulyrron, I fireplace, 1 two bay garage, 1 kitchen, REMARKS 1 laundryman, I livingroon,1 open porch, 2 storage areas, 2.5 baths as per plans dated 01J31103. LICENSE CONTR'S NAME AREA (SO FT) EST COST ($ $300,000.00 PERMIT FEE ($) $995.00 OWNE RICHARD SEMENTEW TR ADDRESS 124MarionStreet L BUILDING DEPT BY Certificate Issue Date �,A S' OC---/ _ �-. CERITIFCATE:of.00CUPANCY;, Departmental Approval for Certificate of Occupancy and Compliarice t Inspector Date Permit Number Approved By Remarks BUILDING / PLUMBING/GA ELECTRICAL 0:1 OTHER OTHER Q'Q-lI 63"/1 CPi )C Toil 5eb4e To be Idled In by earn wtswn wicateo nereon upon wMeum a rts Tom utspecoon. \ TON OF YARMOUTH Building Department } _ (508) 3984a t BUILDING / = PERMIT NO B-03 719 _ : � ~ ISSUE DATE nn T �. • ?I?8/03 PROPOSED U r E R �•!-I I I •. APPLICANT 'RICHARD .... • _ • setiiaiTFiiITR WEATHER CARD ADDRESS ;24 Marim Street ... - - - PERMIT TO ; New Consh icrm AT (LOCATI ... .._ �` +�.. RUING DISTRICT R-25 SUBDIVISION MAP LOT BLOCK 025.85 ' BUILDING IS TO BE LOT SIZE USE GROUP R-4 a CONSTTYPE 5.8 CONTRS new ooMULCtion: 3 bedrooms. 1 duringmon l familyrrorn 1 fln3place 1 two LICENSE E REMARKS 1 latmdryroom 1 rMrVoarn, l open porch, 2 storage areas, 2.5 baths as PL daW 1 kitchen, I�r pis dated 01/31/03. CONTFrS NAME AREA (SO FT) : EST COST ($ 5300.000.00 . PERMR FEE (3) 3995.00 OWNE RICHARD SEMENTEW TR ADDRESS 24 Marlon Street BUILDING DEPT BY Certificate Issue Date Departmental Approval for Certificate of Occupancy and Corripliaiie Inspector Date Permit Number Approved By I Remarks BUILDING r PLUMBING/GA / b B �` 6stT/orj (,P,q�,✓L ELECTRICAL � p � - •� � _ - n OTHER I I • • OTHER lt�-1 �'/O,�4 63'/ be tiled in by each drlslcn Wicated hereon upm =roetion of its final Of�n (be Ode Permit =' Fee f Pertain egtirca [. uxm om isar dine. BUILDING PERMIT APPLICATION TOWN OF YARMOUTH Yarmouth Building Department - 1146 Route 28 0S South Yarmouth, MA 02664 (508) 398-2231 Ext. 261 CONSTRUCTION ADDRESS: OWNER: TEL p CONTRACTOR: UO3 , NAME (Residential ❑ Commercial Est Cost of Construction S Sn2O[1- 0 �' Home Improvement Contractor Lic. M la 00 Construction Supervisor Lic. a &,o S 7 Workman's Compensation Insurance: (check one) U 1 am the homeommerK I am the sole proprietor U I have Worker's Compensation Insurance Insurance Company Name: Worker's Comp. Policy# WORK TO BE PERFORMED ❑ Tent (Fire Retardant Certificate attached) Duration - Wood Stove G Siding: p of Squares 0 Replacement windows: H I] Replacement door: A kiRe-roof: X of Squares—c1 kStripping old shingles* 'The delvis will be disposed ofat: . \1 4 f-f () going over ' layer of existing roof Shed I declare tinder pertalties of perjury that the statements herein contained are true and correct to the best of my knowledge and belief. I understand that any false answer(s) will be just purr denial or revocati my Ice dLprosecution under kt.0.1- Ch. 269. Section 1. Applicant's Signature Owner Signature (or .approved By: ___ Building Zoning Distric I Iistorical District: U Yes U fNo Water Rfsource Protection District: Yam_. U No. Date: 9n �—nn-0 e). A AD Date: Flood Plain Zone: U Yes No Within I It of Wetlands: U Yes I( No 301 The Commonwealth of Massachusetts Department of Industrial Accidents c Office of lnvestlgations 1W 600 Washington Street L� Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractor3/EiecMcians/Plumbers Name Address: #: Sofi 3 PS G'isr Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees (hill and/or part-time). • have hired the sub -contractors 2.am a sole proprietor or partner- 0�hip listed on the attached sheet 7. ❑ Remodeling and have no employees These subcontractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' insurance.t 9. Building addition [No workers' comp. insurance required.] comp. 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their I I. El Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t C. 152, § 1(4), and we have no 13.❑ Other employees. [No workers' comp. insurance required.l *Any applicant tat checks box # 1 trust also fill out the section below showing their workcri' compensation policy information. t Homeowners who submit this affidavit indicating they am doing all work and then hire outside eontracton mot submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the subcontractors and sate whether or not those entities have employees. If the subcontractors have employees, they moat provide their workers' cone. policy number. I am an employer that Isproviding workers' compensation Insurance for my employees Below Is the polity and f o6 site Information. Insurance Company Name: Policy # or Self -ins. Lic. #: Expiration Date:, Job Site Addre : City/Statemp: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of NIGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of I do AQZby cerdfj(unde a fns an�vaaldes of perjury that the Information provided above Is true and correct use City or Town: area, or town offlciaL Permit/License #. ^Os - L ng Authority (circle one): ard of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector her ici Person: Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employdrs to provide workers' compensation for their erttployeep. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hilre, express or implied, oral or written." 4 An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the Issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the Insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Setf-insured companies should enter their self-insurance license number on the appropriate line. City or Town Otflclals Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. in addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. When: a home owner or citizen is obtaining a license or pcmtit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit The Office of Investigations would lace to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Departmeni's address. telephone and fax number: The Common% ealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, NIA 02111 Tel. # 617-7274900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 - - � - - Rc%tiscd t t-2_-0 - - -w�w.mass.gotr! ta- -- ----- ---- _- -- - -- ---- _ - -- --. -. . � Board of Building Regolado sand Standards HOME IMPROVEMENT CONTRACTOR Registration; 160021 Expiration: 6/17/2010 Tr# 269731 Type: MA JOS . R. PALINO CO. JOSEPH PALINO ` 9 DUNES VIEW RD. 'DENNIS, MA 02638 Administrator J' j• - Vl'llal tiiicilt OI ruuoc aaicti .9Board oi8uildipr Regulations and Standards:' Construction Supervisor License ,. • License: CS 11059 Restricted to: 00 •JOSEPH R PALINO 9 DUNES VIEW RD DENNIS, MA 02638 lk -�—a'�jG` Expiration: 311212010 Commissioner Ti#: 2W59 0 HIGH _ N/F POINT BETTY L. LECLAIR EL.=10.8 ASSESSORS MAP 25 S81-00' PARCEL 84 X N/F RICHARD SEMENTEW TR. ASSESSORS MAP 25 PARCEL 85 15,414±S.F. 1.9' K• O �06 3.V o cJ NEW • FOUNDATION a� 1.5' TOF=14.3 0 5' 1 U. ') 1"14R28 del 21.0' 6 00 N I� VEIN ZONE LOCAS SHOWN ONHE SUCTURE ISCFlM COMMUNITYIPANEL 50015 0006 D EFFECTIVE DATE: 7/2/92 N/F S74'06'54"E 109.61 DAVID SEMENTELLI ASSESSORS MAP 25 I HEREBY CERTIFY TO THE BEST OF MY PROFESSIONAL KNOWLEDGE. INFORMATION AND BELJEF THAT THE LOT CORNERS. DIMENSIONS AND SETBACKS TO THE STRUCTURE AS DETERMINED BY INSTRUMENT SURVEY AND AS SHOWN ON THIS PLAN ARE CRAIG-A. FIELD. PLS DA FOR THE BSC GROUP. INC. w PREPARED FOR: JENNIFER SEMENTELU THE BSC GROUP, INC 657 MAIN STREET WEST YARMOUTH MA. RAIG CERTIFIED SCALE.1'e20' PLOT PLAN #54 DATE 3/28/03 ,VNo.38O39 ASPINET ROAD BSC# 4-8491.0( YARMOUTH MASSACHUSETTS SHEET 1 OF 1 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 Expires December31, 2005 ` 1H OCT b 8 2004 ELEVATION CERTIFICATE Read the Instructions on pages 1-7. _....., .. naOT I SECTION A- PROPERTY OWNER INFORMATION I ForinsurarimCartperyuse: BUI DINGOWNER'SNAME._J Policy Number Th -b t Roa—c teal Trust- Mr. Richard Sementelli, Trustee BUILDING STREETADDRESS 0nctuding Apt, Unit, Suite, and(or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number . 54 Aspiinet Road CITY STATE ZIP CODE South Yarmouth MA 02664 Assessors Map 25, parcel 85. Deed book 11623, page 327 Residential LATTTUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE GPS (Type):_ ( #r-#tF-##JW or ##.tf# #' ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other._ SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFP COtvitvAINRY NAME & COM tX91TY NUMBER 62 COUNTY NAME B3. STATE Yamnulh Bwlsttle MA B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATIONS) NUIVEER 65 SUFFDC B6. FIRMPJDDC DATE EFFECTtRRElASED DATE B& FLOOD ZONE(S) (Laie AD, use depth of flooding) 2500150006 B 7= 7= A-12 110 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ❑ FIRM ® Co nm rnity Determined ❑ Other (Desrnbe):— B11. Indicate the elevation datum used for the BFE in RY ® NGVD 1929 ❑ NAVD 1988 ❑ other (Desanbe): _ B12 Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ®No Designation Date_ SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Binding elevations are based on: ❑ Construction Drawings• ❑ Building Under Construction* ® Firdsthed ConsbLdon •A new Elevation Certificate w0 be required when construction of the bnldng is complete. C2 Building Diagram Number 2 (Select the building dagram most similar to the bundng for which this certificate is being completed -see pages 6 and 7. If no diagram accurately represents the bnldng, provide a sketch or pholograph.) C3. Elevations - Zones Al AW, AE, AR A (with BFE), VE, VI430, V (with BFE), AR, ARIA, ARIAS, ARIA1,A30, ARIAH, AR/AD Complete Items C3.-a4 below aocordng to the building dagram specified in Item C2 State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document Bile datum conversion. Datum NGVD Conversio iCorments Town Of Yarmouth. Monument Elevation reference mark used TOY-8 Does the elevation reference mark used appear on the FIRM? ❑ Yes ®No o a) Top of bottom floor (including basement or enclosure) 10. 3 ft(m) - 01 o b) Top d red higher floor 15.4 ft(m) v' d o c) Bottom of lowest horn wtai structural member (V zones only) n . a S(m) o d) Attached garage (top of slab) 13. 6 LM E i �~ « o e) Lowest elevation d machinery ardor equipment u v Ilv. t{00� servicing tine bnldng (Desahbe in a Comments area) 13.3 ft(m) E a �� o t) Lowest adacent (finished) grade (LAG) 13.3 ft(m) d . o g) Highest adacent (finished) grade (HAG) _ 13. 6 ft(m) Los o h) No. of permanent openings (hood vents) within 1 ft above adjacent grade 1 : � o i) Total area of an permanent openings (flood vents) in C3h2,5Msq. in. (sq. an) / o Sl p SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the Information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that env false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME CRAIG A. FIELD LICENSE NUMBER 3BM9 TITLE LAND SURVEYOR COMPANY NAME THE BSC GROUP, INC ADDRESS CITY STATE ZJPCODE 657 MAIN STREET WESTYARMOLITH MA 02673 SIG DATE TELEPHONE �� !dr �� , 0� low W8.778-8919 FEMA Forfrn 81-31, January 2003 See reverse side for continuation. Replaces all previous editions 10/08/2004 11:30 5087788966 BSC GROUP PAGE 02 IMPORTANT.14In these spaces, COPY the corresponding iftima6on from Section A Farfnsi,rarusi arp[rhyt>sr: ;;;:.: BUILDINGMEET AWRESSpncW vApL,Unt,SukWdorOW.No.)ORP.O.ROUTEMIDBOXNO. PdgiNumber 54 t Road So.Yarrcuo STATE aPCODE UgW7NAiCMrr1W NA 02664 x SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Ccpy bo'h sides of iris Elevation Calk& for(1) cormtsty cMdaf, (2) insurarw a9mVMmDany, and P) building oww. COMMENTS Lowest Floor ele-Mon of 10.3 is of 10M grand. Lowest a jaxnt grade is above tie base ilood Elevation of 10 Flood vent provided Is one 127 opening of 60" X 47 with Moe and Bosley LM.ed with breakdf khsMon. SECTION E- BUILDING ELEVATION INFORMATION (SURVEY NOT here FcrZme AO and Zane A (twi t'W SFE), compete Iterra Et through E4. If the Elevation Cerlicate is intended tar use as supporting indorrmaton fora LOMA or L.OMRF, Se6on C must be competed E1. Building Diagram Number_(Select the bu1rirg diagram most sim9ar to to bundng fbrwhidh this certkarte is being 6 artd 7. t rn diagram a urately represerds the building, provide a sketch or pWograph.) E2. The top of the bottom foot (vhdudrg basement or enclosure) of the building Is _ f (rn) _h.(on) ❑ above or ❑ below (dm* one) the Hjwsl a4acent grade. (Use natural grade, IfavaTlade). E3. For Building; aagrams 6.8 with openings (see page 7), the red Nghei toor or elevated floor (elavatim b) of the building is _tt(m) _ln.(cm) above to highest a4a cent grade. Compete Items C3h and CW on front of tam, E4. The top of tie platform dmadrinery aillor equipmert servicing tie bul3,,ng is _ tt(m) _in.(am) ❑ above or ❑ below (check me) the Nghest adlacerg grade. (Use natural grade, tf available). ES. ForZone AO a* If no food depth M1Mbel is avalable, is tie fop of tie bottom floor eievaled in amonlahca With the mmmuritys toodpialn management Minorco? ❑ Yes O No O Unknown. The bat ductal must oertify Ihis irdmaa5m in Sec4m G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner orownefs autaimd representative who completes Seddms A. 8, C (items Mh and C31 only), and E forZohe A (without a FEMA4sued or commi nity- Issued VP orZone AO must sign here. The afdemerds kr Sec+Jms Aft C, and Eare =radio the bestofMkno *oge PROPERTY OWNE}YS OR OWNER'S AUNORIZED REPRESENTATNE'S NAME CRAIG A HELD me tooat of fat who is authorized by law or ordinance b administer the corrrhuntys foodpaln management ordinance an complete Sedtom A, B, C (or E), and G of M Elevetion Catfimle. Complete the applicable item(s) and sign below. G1. O The information in serum C was taken from other dooumerdation that has been signed and embossed by a licensed surveyor, engirheer, aarditetwtm is affix ted by state Or bal law b cff%Y dim k1birmatim. (Indicate the source aid date of the elevation dad In the C rtner is area below.) G2. ❑ A Coarm fhlty official competed Sector E for a bhulclng booked in Zone A ( 7,houl a FEMA4ssued or corrmu*4ssued BFE) or Zone AD. G3. ❑ The totiOwln i Wormaticn (Iferrs G4•G9) Is provided for con a, y Aoodpain main purposes G7. This Pam-4 has been issued for. ❑ New Co skthdlm ❑ Substantial krpnovement G8. I7eva9an Of as-buni lowest foe. (Including basement) of the building It Datum: G9. SFE or(n Zone AO) deptt of flooding at the bllldmg ate is: R(m) R(Datum: LOCAL OFFICIALS NAME .TITLE COMMUNITY NAME TELEPIiCWE SIGNATURE DATE COMMENTS Check here If EMA Form 8131. January2003 atfadhments all previous I/ TOWN OF YARMOUTH Building Department BUILDING • ,(k8) 398-2231 ext.261 PERMIT NO B-03:719 _ PERMII •. ISSUE DATE :, 2/28/03 _ _ : PROPOSED USE ; APPLICANT RICHARD SEMENTEW TR - - - - - - B WEATHER CARD ADDRESS '.24 Marian Street PERMIT TO , New Construction ; AT (LOCATION) M)54ASPINET RD ZONING DISTRICT R-25 SUBDIVISION MAP LOT BLOCK 1025.85 BUILDING IS TO BE USE GROUP R-4 LOT SIZE CONST TYPE 5-B CONTR'S LICENSE O new construction: 3 bedrooms, I diningroom, I famlyrrom, 1 f replaos, I two bay garage, I kitchen, REMARKS 1 laundryroom, i Ilvingrocm, l open porch, 2 storage areas, 2.5 baths as per plans dated 01/31/03. CONTR'S NAME AREA (SO FT) EST COST ($ $300,000.00 PERMIT FEE OWNE RICHARD SEMENTEW TR ADDRESS 124 Marion Street BUILDING DEPT BY INSPECTION RECORD FIELD COP Date • Note Progress - Corrections and Remark Inspector --2/-03 3/,v3 dr. Diu -Z 7 -d 3 solo49 ©.E , ir-S fAr► a�isftil�Jt✓7iinTi iii�a�___ � i • , " J ' aka `G �r ONE & TWO FAMILY ONLY - BUILDING PERMIT. APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING Town oPY.trmouth Building; Department ] 146 Route 28 - Yarmouth, MA 026644492 Tel: (508) 30-2231 x261 - Fax: (508) 398-2365 2.1 Owner of Record: ��.�:�, � SQ�,ri, fie, ti, . a� Y�ngt�•,�n S�•,'�k Name (grint) N� ei1 i Mailing Address Sig ature Telephone 2.2 Authorized Agent: D Name (print) 2 2 Mailing Address Signature ele Section 3-Constru—darySe' '' 3.1 Licensed Construction Supervi or. r 1'12 Not Applicable License Number Address �t \ _ Expiration Date ig ure ^ Telephone 3.2 Registered Home CmproVernent�:Contractor: Company Name Not Applicable ❑ ddress License Number Expiration Date nature Telephone �ei;`t1o'"ii"r4 W�eisCoEn ertsatio¢`('n"surahc'�'k' i.� avit•(hfi�;<.��',��fs'L"'Z6`j!; � Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure ' to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes .......... No .......... Sc�ttMOenp't3frop'sedyflrlcp�caC,Ye3 New construction 21 1 No. of Bedrooms No. of Bathrooms Existing Bldg. ❑ Hepalr(s) ❑ Alterations ❑ Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify: Brief Description of Proposed Work: r ' Check Below- Conservation -Commission Fling (d applicable) ❑ Old Kngs Highway & Historical Commission approval (if applicable) Soit�.�c �m�r�on�a"L�"�tj•r, a ,= �'Gam�I�tj�li , , _ ; . as owner of the subject property hereby authorize'' G(Ve.\ Qwo\Rul to act on my behalf, in all matters relative to work authorized by this building -permit application. Signailure of Crwner Date SeLKfon 76wtteti7`tithonz en :.ecfarat,o I, `'� �� `' "' °� - r �^► �`f I , as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print name •��Rmcnn�.9..1v Signa a of-Owner/Agent A WB Date TOWN OF YARMOUTH BUILDING- DEPARTMENT CONSTRUCTI%N_yUPERVISOR FORM PLEASEPDT Arr. Job Location:. l �S i� O Numbi r Slicil Owner of Property: X e i Construction Supe or. Name Address: rna�,w� S Licensed Designee: (If other than Supervisor) Name W1 No. License No. . - Phone No. 2.15 Responsibility of.each license holder. 2.15.1 The license holder shall be fully and completely responsible' fo al] work for which he is supers isin;. He shall be responsible for seeing that all work is done pursuant to the state building code and the drawi ngs as approved by the building official. 2.15J The license holder shall be responsible to supervise the construction, reconstruction, alteration. repair, removal or demolition involving the structural elements of building and structures tinlypursuant to the state building code and all other. applicable laws of the commonwealth, even though he, the license Bolder, is not*the permit holder but only a subcontractgr or contractor to the permit holder. ' 2.15.3 The license holder shall immediately notify the building official in writing of the discoten•of ant violations which are covered by the building permit. 2.15.4 Anylicenseewho shall willfullyviolate subsections 2.15.1, 2.15.2 or2.15.3 oranyothersection 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 supenzse those persons engaged in conreconstruction. struction, reconstction. alteration, repair, removal of demolition as regulated by section 109.1.1 of the code and these piles and regulations. In the event thatsuch licensee is no longersupervisingsaid persons, the work shall immediately cease until a successor license holder is substituted on the records of the btilding department. r 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: have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.152 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 152 of the Mass. General Laws, and that my signature on this permit application waives this requirement. i The Commonwealth ofMassachusetts Department of Industrial Accidents elAceoll"affpstlsss 600 Washington Street Boston, Mass. 02111 —� Workers' Compensation Insurance Affidavit Applicant information: PTessePRi1V7`Ttd.'►ak+ name: ,1( gyy wll\ location_ XI am a homeowner performing alb work myself. am a sole proprietor and have no one working in any capacity 1 am an employer pro%iding workers' compensation for my employees working on this job. address: yO6 WPg9t. (Zs V ! TA!1 , ga-rk .S%A eL (Dr) p. city. J&rtt 0 1 f YV� -1 phone #o /� I O I— 1R1 )3-A 6U insuraneeCo. �G�CON(� 'S-►nSVraV�� Cm_ polieva 0 1 am a sole proprietor. general contractor, or homeowner (circle one) and have hired the contractors listed below %%ho have the following workers' compensation polices: company name: address city: phone a: valicx a insurance co. company name: address, city - phone d! two. �w www ww - ��tlW Y Failure to secure coverage as required under Section 25A of MGL IS2 an Ind to the imposition of criminal penalties of aline up to 111r400.00 madlor one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that ■ copy of this statement may be forwarded to the Office of Investigations of the DU for coverage verification. ! t do hereby certify under the pains and penalties ojperjury that the information provided above is true and correct, Signatu,Q (/i Q Date Print name cyc YYl?YN3"2 I 11 Phone a X7 _g bc- door' oMcial use only do not w rite in this area to be completed by city or town oftieial eiry or town: YnxrlOVT$ _ permitnicense a Mudding Department OLicensing Board O check irimmediate response is required 261 OSelectmen's Ogee OHealth Department (508) 398-2231 ext. contact person: phoneN:_ nOther Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their entplo%ees. As quoted from the "law", an employee is defined as every person in the service of another under any . contract of hire, express or implied, oral or written. An emploter is defined as an individual. partnership, association, corporation or other legal entity; or.any t%> o or more of the forecoin_ engaged in a joint enterprise. and including the legal representative's -of a deceased employer. or the receiver or trustee of an individual , partnership. association or other legal entity, employing emplo}•ees: However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the d%�elling house of another who employs persons to do maintenance , construction orIrepair 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 152 section 25 also Mates that every state of local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance kith the insurance coverage required. Additionall%. neither the commonwealth nor am-- of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha%e been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy. please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the.Department by -mail or FAX unless other arrangements have been made. The Office oflnvestigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address, telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents office of lavestl0nt1®as 600 Washington Street Boston, Ma. 02111 fax 4: (617) 727-7749 phone #: (617) 7274900 eat. 406, 409 or 375 f O� Y'v4 r O� y c- i PLEASE PRINT: DATE: i JOB LOCATION: T®Vff Of YARMOUTH BUILDING D + PARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 260 NAME `IIONMOWNER" Qava\C9,J( NAME PRESENT MAILING ADDRESS HOMEOWNER LICENSE EXEWnON HOME ADDRESS SECTION OF TOWN =Slat tQ1,l • ; 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 g nervisor. (State Building Code Section 108.3.5.1) Definition of Homeowner: Person(s) who owns a parcel ofland 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 persoawho 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 budding official, that he / she shall be responsible for all such work* performed under the building permit. (Section 1083.5.1) The undersigned `homeowner' assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. • i 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 SIGMA APPROVAL OF BUILDING OFFICIAL INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent, which meets the requirements ofMGL Ch.142. Yes- No ❑ t If you have c ecked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy q� Other type of indemnity Bond ❑ OWNER' S INSURANCE WAIVER I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. • Check one: Si at;re of Owner or Owner's Agent Owner 09,, Agent 0 TOWN O F YA R BbLDDC [ MOUTH ELICrrAL C y 1I46ROUTE28 'SOUTHYARMOUTH MA.SSACHiISgl-1S02664-4451' am � ►i.anweM�4a '� Telephone (508) 39�-2231, Ext. 261 Fax (508) 398.2365 PLU1iBOfG SIGH • 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 resultting from the proposed work/demolition to be conducted at SA -fM��' , nnwrl . (AD. 1MO17 workAdd in is tb be disposed of at the following location: �— Said disposal site shall be a Iicensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Signature ofApplicant Date Permit nni No. . TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, NIA 02664 508-398-2 xt. 261 LOT INQUIRY FORM (used for zoning purposes f� Assessors' Map No. z Lot No. g 5 Street Address ! Aftyw+ kcmoyw mc�,& )q Endorsement Date of Subdivision Plan and Type (if applicable) Total Land Area (sq. ft.) Name of Current Owner rW\ vS� YY1q,0i0y) Telephone No. \ W-V-1ry11 Y 1 rrl u6N bS' Inquirer's Name (if different from owner) Telephone No. Inquirer's Mailing Address Building Intent `3%0 Cftt-P \D(2r%-bY) Adjoining Lot Numbers ViNco Mom , WS 76,77, By signing this application I assert my understanding that the purpose of this inquiry is to determine whether the aforementioned lot(s) qualifies for protection afforded certain heretofore -undeveloped land and that to the best of my knowledge this lot(s) has never previously been byy' �tt u�orryy�-� f Signature of Applicanl✓}^ri_'�I .. Date of Inquiry _ DECISION (for office use only) Does not conform to the applicable provisions of M.G.L. Chapter 40A, Section 6, Definitive Plan Exemption and/of the applicable zoning bylaw, as per the information provided on this date. Conforms to the applicable provisions of M.G.L. Chapter 40A, Section 6, and/or Section 1043.4, Pam of the zoning bylaw, as per the information provided on this date. Comments: Protected pursuant to the applicable provisions of M.G.L. Chapter 40A, Section 6, Definitive Plan Exemption Application is incomplete. Comments:_ Adequate road access must be preserrL A determination of adequate access shall be ma U 'I P ng Board pursuant to M.G.L. Chapter 41 prior to the issuance of a building pemv it 1A u 4 y Shall satisfy Title v requirements. (See Health Dept.) F B 2003 Shall satisfy Conservation regulations, if applicable. By — _V Shall satisfy the 4 gs Highway Regional Historic District Commission (if applicable) Investigator's Signature A Date Rev. 8/02 5. 86 AP 021 LOT N5 ACCTC06 LOCH . SPINET RD PLAN NO� _ -:SELLING - vwrvcn ACCOUNT _ a i �c DATE PRICE NO Book/Doc_= Page/Certlb 4A bob, 77 w Y 6 ACC T 025. 84 AP 021. LOT N3 3% PLAN NO.l444 LO 00048 A�NET RD f F 0�. = fa SELLING . t ACCOUNI 4 a I I �c ncr... >. DATE :=%,PRICE Book/Doc _. Page/Cert ' w t, — p - WD to 66 e�A:E n T56 i AC # 25. 79 MAP 021 LOT LO 00 7 SE IEW AVE Plan = Z y .2;Z _ PROBATZ :'-CERT • ..ram " 03 - -� ,.. < ......: ___ , :: °�'�.�3.7. 38 . ;- - _ -U - h. l _ C _ _ _ _ +�i♦t.E 1 L�. PROPERTY ADDRESS; ►LCULATION FOR PERMIT COST TYPE OF 3g ,� ADDITION /?1 ALTERATI pad 360 ONS BATH fva BED ROOM $, yo CERTIFICATE OF COMPUTER ROO ��•oo DECK OPEN DECK WITH ROC ;1025•, 60 DEMOLITION DEN If G< CO DINING ROOM--- - - 7 < FAMILY RO OM FIREPLACE k OUNDATION ONLY GARAGE NO. OF BAYS Z `/ EAT ROOM (LAUNDRY ROOM LAUNDRY ROOM 4z: MUD ROOM 1OFFICE PORCH OPEN REROOFING SHED STORAGE AREA SUN ROOM HEATED SUN ROOM UNHEATED SWIMMING POOL ABOVE SWIMMING POOL INGROi WINDOW REPLACEMENT o REScheck Compliance Certificate Massachusetts Energy Code REScheckSoftware Version 3.5 Release 1 Data filename: CAProgram Files%Check\REScheckVt3343.rck TITLE: New Custom Home CITY: South Yarmouth STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: I or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 01/20/03 D DATE OF PLANS: 08/23/2002 PROJECT INFORMATION: 54 Aspinet Road C � cl, South Yarmouth, Ma. 02664 Q� D COMPANY INFORMATION: Jennifer Sementelli 24 Marion Street 0� Newton, Ma. 02465 NOTES: MaCheck by Cape Cod Insulation INC. 4 3343 COMPLIANCE: Passes Maximum UA = 475 Your Home UA = 416 12.4% Better Than Code (UA) Permit Number Checked By/Date Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Cathedral Ceiling (no attic) 512 30.0 0.0 17 Ceiling 2: Flat Ceiling or Scissor Truss 942 38.0 0.0 28 Wall 1: Wood Frame, 16" o.c. 2624 13.0 0.0 180 Window 1: Wood Frame:Double Pane with Low-E 282 0.340 96 Door I: Glass 70 0.300 21 Door 2: Glass 20 0.260 5 Door 3: Solid 40 0.360 14 Door 4: Solid 20 0.400 8 Floor 1: All -Wood Joist/Truss:Over Unconditioned Space 1420 30.0 0.0 47 Boiler 1: Other (Except Gas -Fired Steam), 872 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and "other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheckVersion 3.5 Release 1 (formerly MECchec� and to comply with the mandatory requirements listed in the REScheckInspection Checklist. 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 Date REScheck Inspection Checklist Massachusetts Energy Code REScheciSoftware Version 3.5 Release l DATE: 01/20/03 TITLE: New Custom Home Bldg. Dept. Use l ] Ceilings: 1. Ceiling 1: Cathedral Ceiling (no attic), R-30.0 cavity insulation Comments: 2. Ceiling 2: Flat Ceiling or Scissor Truss, R-38.0 cavity insulation Comments: Above -Grade Walls: 1. Wall]: Wood Frame, 16" o.c., R-13.0 cavity insulation Comments: Windows: 1. Window 1: Wood Frame:Double Pane with Low-E, U-factor: 0.340 For windows without labeled U-factors, describe features: # Panes Frame Type Thermal Break?[ ] Yes [ ] No Comments: Doors: 1. Door 1: Glass, U-factor: 0.300 Comments: 2. Door 2: Glass, U-factor: 0.260 Comments: 3. Door 3: Solid, U-factor. 0.360 Comments: 4. Door 4: Solid, U-factor: 0.400 Comments: Floors: 1. Floor 1: All -Wood Joist/Truss:Over Unconditioned Space, R-30.0 cavity insulation Comments: Heating and Cooling Equipment: 1. Boiler 1: Other (Except Gas -Fired Steam), 87.2 AFUE or higher Make and Model Number Air Leakage: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 clin (0.944 Us) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 Ibs/ft2 pressure difference and shall be labeled. Vapor Retarder - Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined [ j Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ) Insulation R-values, glazing U-factors, and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] I All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted [ j 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 Heating and Cooling 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. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/offheater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ) HVAC piping conveying fluids above 120 T or chilled fluids below 55 T must be insulated to the levels in Table 2. Table l: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non -Circulating Runouts Circulating Mains and Runouts Temperature (F) Up to 1" Up to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 OS 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2. Minimum Insulation Thickness for][VACPipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range( 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) 1' . ; �, �' 55� ��1 l ' Commonwealth of Massachusetts Official Use Only Department of F(rtes Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTLATIONS ev. 11/99j leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the hiassachuscus Electtial Code (MEC). 527 Chin 12.00 - (PLEASE PRINTININKORMEALL LWORAMTIOA9 Date: K —(1 —03 � City or Town of: YP i24Y)aAP To the Inspector of 6Vires: t v `1I this application the tmderiigned gives notice of his or her intention to perform the electrical work described below. 4=1 (Street & Number) 5t{ HJ—I INS ROAD (il3 EK`r VARS^')Ch3Th ) or Tenant 's Address Telephone No. (& 1? �-Q 6 5 7005 '~ 'K this permit In conjunction with a building permit? T� Yes � No ❑ (Check AppropriateBox)) rpose of Building SJ r(�I�IILS J y��jjY�111ityAuthorirrtion No. 13O J xisting Service Amps / Volts ' Overhead ElUndgrd ❑ No. of Dieters ew Service a gg;� Amps t2O�olts Overhead ❑ Undgrdo No. of Dieters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: LO ITLF; S 1 rAM ILA( 171',.Ts1-L.tNG.• �Z 1.46at\ Pa. , IAV.A.G.. ►PHOtAbS-t CA11 LE t.2MA t.lt.P,u-s (, bQ140SEIRMIC$ Cmmnletinn nfthe fallnwinv iahle may be xniwtl by the /nmPrfnr of Mrae No. of Recessed Fixtures No of Ceil�usp. (Paddle) Fans 9 o• o Mt al Transformers ICVA No. of Lighting Outlets 22:No. of Hot Tubs I Generators KVA No. of Lighting Fixtures Swimming Pool rAiboved. ❑ n- d. ❑ o. o cy rg mg -OK BatteryUnits No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches Q No. of Gas Burners oZ o. o Detection an Initiatine Devices No. of Ranges + No. of Air Cond. ;L Tonal 7 No. of Alerting Devices No. of Waste Disposers P O Heat ump Totals: Number Tons o. ofSelf-Contained ( 1 Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW p g Local untcipa ❑ Other Connection No. of Dryers I Heating Appliances 0 KW Security Systems: Sec No. of Devices or E uivalent A o. of Water I{�V Heaters O o' o ,A. Ballasts Signs i`I Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors T/ .-A Total HP a ecommunications firing: �} No. of Devices or E uivalent O OTHER: 6 GAfV 3C/`iGKC Attach additional detail tJdesired, or as required by thelnapector of Wires. 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 ❑ OTHER ❑ (Specify:) Estimated Value of Electrical Work ( I M �Y' (When required by municipal policy.) (Expiration Date) Work to Start: 1 - I I - 03 Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties ofpedury, that the information on this application is true and complete FIRM NAME: LIC. NO.: Licensee:t�7t`iL-tELR.SrtCi U�1R>;" r7fZ, Signatu LIC. NO.: 6030-E- (/fapplicnbh rnter "esempt"tn the;,ha emarrberline.) us. Tel. No.: t 7 46 S719 Address: 4 6 t J t�$(11tTes iZ�. N WT 6� t 01A O XLMS AIL TeL No.: 6 t'1—b? 1—?,Z20 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. B my signature beow, I he waive this requirement. I am the (check one) ® owner ❑ owner's a ent. Owner/Agent 7_6 PERMITFEE: $ Sigtlature Telephone No. Receipt p r APPLICATION FOR ELECTRIC WORK PERMIT (DO NOT FILL OUT THIS FOLD) NO. �� SERIAL ST.& NO. OWNER ELECTRICIAN PERMIT ISSUED REPORT OF'INSPECTION OF.WIRES F COMMONWEALTH OF MASSACHUSETTS OF ELECTRICIANS AS A ;REG J u ljtMsj�bECTRICI WALTER 'R ,STEWART JR 46 WILTSHIRE RD '"' h; -NEWTON MA 02458-1355 -;,A030o E '07/31iO4 372939 �- 'i ❑ - •L rid _�fVs •_1�' ":� -.. :., ,+ of • TOWN OF YARMOUTH Building Department Town Hall Yarmouth. MA 02664 (508) 398-2231 ext261 BBUILDING PERMI<�; APPLICATION RECEIP Temp Permit No.: T-03-325 Applicant Name: David & Jennifer Sementellis Location: 00054 ASPINET RD Owner's Name: RICHARD SEMENTELLI TR Owner's Addres 24 Marion Street Newton MA 02465 Owner's Telephone: (617) 965-7005 (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $50.00 Payment Type: Check ChkNo.: 0 Net Owed: ($50.00) Application Date: 1122/03 Issue Date: Expiration Date Comments: new construction: S. ZONING APPROVED c;2— �C —vi 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. /' f 3 A) 7,> Date Printed: 1123/03 ,~OWN OF YARMOUTH �♦ �� BUILDING DEPARTMENT BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET Building Site Location: The Building Department will be responsible for assisting the applicable departments. No: ---�Lot No: Fc5' by dispatching your plans and or application to the following RESIDENTIAL AND/OR COMMERCIAL BURRING WATER DEPARTMENT: Determines Compliance of water Availability and or existing location. ENGINEERING DEPARTMENT: Determines Compliance for Parking and Drainage. CONSERVATION COMMISSION: Determiners Compliance to Wetlands Acts; Le, 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; Le., Requirements For Septage Disposal and other Public Health Activities. FIRE DEPARTMENT: Determines Compliance to State and Town Requirements for Personal Safety, Property Protection; Le:., Smoke Detectors, Sprinkler Systems, Eta REVIEWED BY: I. WATER DEPARTMENT: 2. N/A 3. CONSERVATION: DATE: N/A 4. HEALTH DEPARTMENT. DATE: N/A: INDUSTRIAL AND/OR COMMERCIAL PERMTrS S. WIRING INSPECTOR: DATE: N/A 6. PLUMBING INSPECTOR: DATE: N/A: 7. FIRE DEPARTMENT: DATE: N/A. - COMMENTS: O L R RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE: rropS WI Whfta)PY-BW1dM6DcPL- PmkcPy-W1ftrDepL - Yd10WC0Py- DqL - PkkCWy- 6 Goidrmod-FrteDepuCaasewtion rstructure may be constructed on Lots 3 through 12, inclusive; witn a full basement Four (4) foot crawl spaces are permissible. we11;--for-roof runoff ' (2) tp11'pzvposed`dwellings:will utilize dry �.. -_.�= (3) The Subdivision, will be designed and c ofta series of aisrzvnof f-within-the-S - 'v-SiOn Parcels by means swales and stone -filled trenches. _ .... (4) The stone-filleclltrenches necessary to contain inrain,Offrunoff teen fe the Subdivision parcels are to be constructed feasible. of"fifteen feet ` from the fear lot line where technically feasible.' valves are required on all septic systems. (5.) . Check _• (5) A condition will be endorsed'an the plan stating. 'No dwelling or u�t;on_any lot without first securingo fran the -- - :.shall be - sal Wor!<s Construction permit required for • �,` ' : ` ; `' ` - Health IX tment, the bispo -the insteMion of a subsurface serage system.' ' TOWN OF YARMOUTH BUILDING DEPARTMENT PLAN REVIEW & BUILDING PERMIT APPLICATION REVIEW NOTES ADDRESS: J� " Map / Lot: Date of Initial Review: /� 2/' 03 Odwi: Approval Date: Inspector. Zoning Denial ffapplica!Ae): Section 10432, Para Cfange, Extension or Alteration (P g. nonconforming) The Proposed requires a Special Permit from the Zatimg Board of Appeals. Other Building Code Denial (if applicable) Rcv.11-01 TOWN OF YARMOUTH BUILDING DEPARTMENT BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET Building Site Location: Sid C44.ki� /t (W � Map No: Lot No: Y The Building Department will be responsible for assisting the ap liM t by dispatching your plans and or application to the following applicable departments. RESIDENTIAL AND/OR COMMERCIAL BUILDING WATER DEPARTMENT: Determines Compliance of Water Availability and or existing location. ENGWEERING DEPARTMENT: Determines Compliance for Parking and Drainage. CONSERVATION COMMISSION: Determines Compliance to Wetlands Acts; i.e., If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. FIRE DEPARTMENT: Determines Compliance to State and Town Requirements for Personal Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Etc. REVIEWED BY: 1. WATER DEPARTMENT: DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A 4. HEALTH DEPARTMENT DATE: N/A: INDUSTRIAL AND/OR COMMERCIAL PERMITS S. WIRING INSPECTOR DATE: N/A: 6. PLUMBING INSPECTOR: N/A: 7. FIRE DEPARTMENT: DATE: N/A: COMMENTS: RECEIPT OF COPY. PLEASE NOTE SIGNATURE OF APPLICANT: DATE: White copy -BuWmg Dept - Pick Dopy - Water Dept - Yellow Copy - Haft Dept. - Pink Copy - Engin=mg DeM - Goldcmod - F7 t DeM Conwratim TOWN OF YARMOUTH /i BUILDING DEPARTMENT BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET Building Site Location: Proposed Improvement-Q Address: applicable departments. e No: a.S Lot No: 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: 4. HEALTH DEPART INDUSTRIAL AND/OR COMMERCIAL PERMITS 3. WIRING INSPECTOR: DATE: N/A: 6. PLUMBING INSPECTOR DATE: N/A: 7. FIRE DEPARTMENT: DATE: N/A: PLEASE NOTE COMMENTS. .' / ram/ C'rrr-�G��.�c� •"7�i "�,�D��e7r'� �.�/OTC l�A°l�Zii7�/� RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE: Whit copy -Building Dept - Finkoopy -WatcrDgL - YenowCopy-Haft Dept. = Pink Copy -EnBmermgDept - Goldenrod -FireDeptKm+cvation ��•Yqo �� TOWN OF YARMOUri BUILDING DEPARTMENT 0 14 f er$-. BUILDING PERMIT APPLICATION DEPARTME TRANSMITTAL SHEET Building Site Location: a L4� Ma Proposed lmprovement.a g,44) Address: No: a Lot No: The Building Department will be responsible for assisting the applic/0'by dispatching your plans and or application to the following applicable departments. RESIDENTIAL AND/OR COMMERCIAL BUTLDTNG WATER DEPARTMENT: ENGINEERING DEPARTMENT: CONSERVATION COMMISSION: HEALTH DEPARTMENT: FIRE DEPARTMENT: REVIEWED BY: Determines Compliance of Water Availability and or existing location. Determines Compliance for Parking and Drainage. Determines Compliance to Wetlands Acts; i.e, If Lot(s) Border any Type'of Wetlands, Stearns, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc Determines Compliance to State and Town Regulations; i.e., Requirements For Scptage Disposal and other Public Health Activities. Determines Compliance to State and Town Requirements for Personal Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Etc. ....................................................................................................... 1, WATER DEPARTMENT: DATE:k.2 7-.43N/A: 2. ENGINEERING DEPARTMENT: DATE: N/Ak- 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT- DATE: N/A. - INDUSTRIAL AND/OR COMMERCIAL PERMITS S. WIRING INSPECTOR:- DATE: N/A.- 6. PLUMBING INSPECTOR.-- DATE: N/A.- 7, FIRE DEPARTMENT: DATE: JA7VC�" _ ZLlIg4 COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT. DATE: TOWN OF YARMOUTH WATER DEPARTMENT 99 Buck Island Road 'West Yarmouth, MA 02673 Telephone: (508) 771-7921 • Fax: (508) 771-7998 Date of Issue : Jan 24, 2003 Letter of Water Availability 1. Single Family Dwelling X 2. Duplex Family Dwelling 3. Condominium Dwelling 4. Commercial / Industrial 5. Other (Specify) Reference; Massachusetts General Laws Chapter 40, Section 54 To : Town of Yarmouth Building Inspector Please be advised that the Town of Yarmouth Public water supply is available to service lot/parcel(s) 85 Street 54 ASPINET RD as shown on Assessors sheet/map # 25 Issuance of this Letter of Availability is subject to the following provisions/restrictions. (1) The property owner agrees to comply with all Federal, State, and Local Laws, Rules and Regulations as they pertain to the use of the Public water Supply. (2) The Yarmouth Water Department shall have exclusive rights as to the size, number, type and location of all water service lines, fire service lines or.appurtenant items connected to the water distribution system. (3) The Yarmouth Water Department reserves the right to require, at the property owners expense, the installation of water mains and appurtenant items to meet water demand requisites within any structure relevant to this Letter of Availability. (4) This Letter of Availability will expire 180 days from the date of issue. I have read and understand the provisions/r trictions of this Letter of Water Availability. Owiier (Sign) Reference DAVID & JENNIFER SEMENTELLI 24 MARION STREET NEWTON, MA 02465 Yarmouth Water Department TOWN- OF YARMOUTH 1146 ROUTE 28 SOU.TH YARMOLUH MAS,SACHUSETrs 026644451 Telephone (508) 398-2231, Eat. 241 ' — Fax (50R) 398-2365 BOARD OF HEALTH NOTIFICAnON OF VIOLATIONS of Town of Yarmouth'�OmMw=of B (2=tcr 108 t, yr• : en ._ / :viepyU 'S� l a- 31 dtzr-f Richard Sementelli, Tr Lot 4, 54 Aspinet Rd Rlty 21 Julia Road Needham, MA 02192 C{.{j�GfZ,am cam` You are here notified that a Lpt- by this department has become aware of�fact that property own 1d you and located at the above captioned location is in violation of the Occupancy of Buildings By - Law, Chapter 108, for reasons of non -registration as a rental/lease property within the Town of Yarmouth. You are further advised that the enclosed arplication(s) must be completed and returned to the Health Department office with the requiredb30 per unit fee(s) upon receipt of this notice. Fail= to comply will result in Board of Health enforcement measures under authority of the Town of Yarmouth By -Law, Chapter 108, and in accordance with Massachusetts general laws. Any questions may be directed to the Housing Inspector at (508) 398-2231, Monday -Friday 8:30-4:30. lh JUL' UL 2 7 2004 D� -INSPECTION OF UNIT REQUIRED �� Printed on �C O� y. •3 Gam' i Inspection Date: te TOWN OF YARMOUTH . r n "I py BUILDING DEPART �tL `$ V 1146 Route 28, South Yarmouth, M 0 Telephone 508-398-2231 ext. 260 Fax 50 36 3 G y BUILDING DEPARTMENT mot — NOTICE OF VIOLATION February 14, 2004 Inspection Type: Building Permit B-03-719 Property Address: 54 Aspinet Rd. W. Y. Name: Richard Sememtelli Tr. % W Q Telephone: - Mailing Address: 24 Marion Street City / Town: Newton State: MA Zip Code: 02456 An inspection of the above captioned property was conducted by Inspector Kenneth Bates during which the following VIOLATIONS were observed: 9. Failure to obtain a Certificate of Occupancy —Re: 780 CMR, Chapter 1, Section 120.1. 2. Failure to comply with the Flood Resistant Construction provisions. Based on the elevation certificate received July 21, 2004, the area below grade is below the base flood elevation of 10.0 as proposed. — Re: 780 CMR, Chapter 31, Section 3107 — Flood Resistant Construction. 3. Failure to comply with the Planning Board subdivision conditions for water run -off —Re: 780 CMR, Chapter 1, Section 113.2 — Compliance with code and M.G.L., Chapter 41, Section 810 & 81Q. 4. Failure to have a rental certificate from the Board of Health. You are hereby notified to comply with these provisions within ten (10) days. Failure to do so may result in the interruption of the water service and/or appropriate legal action. The State Building Code, Chapter 1, Section 118.4 provides for up to a $1000 a day fine. Finally, please be advised that failure to comply with these code provisions could have a serious effect on your homeowner's and your flood insurance coverages. Signed: Inspector Copy to: Health Dept Fire Dept TI-em 1• • r / , TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 Telephone 508-398-2231 ext. 260 Fax 508-398-0836 I op BURMING DEPARTMENT 4/0 NOTICE 01: VIOLATION Inspection Date: February 14, 2004 Property Address: 54 Aspinet Rd. W. Y. Name: Richard Sememtelli Tr. Mailing Address: 24 Marion Street City / Town: Newton Inspection Type: BuHding Permit B-03-719 Telephone: State: MA Zip Code: 02456 An inspection of the above captioned property was conducted by Inspector Kenneth Bates during ;'ich the following VIOLATIONS were observed: 1. Failure to obtain a Certificate of Occupancy — Re: 780 CMR, Chapter 1, Section 120.1. 2. Failure to comply with the Flood Resistant Construction provisions. Based on the elevation certificate received July 21, 2004, the area below grade is below the base flood elevation of /10.0 as proposed. — Re: 780 CMR, Chapter 31, Section 3107 — Flood Resistant Construction. 3. Fai ure to comply with the Planning Board subdivision conditions for water nm-off—Re: 780 CMR, Chapter 1, Section 113.2 — Compliance with code and M.G.L., Chapter 41, Section 810 & 81Q. 4. Failure to have a rental certificate from the Board of Health. You are hereby notified to comply with these provisions within ten (10) days. Failure to do so may result in the interruption of the water service and/or appropriate legal action. The State Building Code, Chapter 1, Section 118.4 provides for up to a $1000 a day fine. Finally, please be advised that failure to comply with these code provisions could have a serious effect on your homeowner's and your flood insurance coverages. Signed: C. ✓� hopectw Copy to: Health Dept. Fire Dept. x.00..orvid.om 00P)W7 'R FEDERAL EMERGENCY MANAGEMENT AGENCY M 0.D: (JU(3067-0077 ,:► NATIONAL FLOOD INSURANCE FROG III) jWIEXplrV"L3 s tuber 31, 2005 ' ' • ELEVATION CERTIFICATE I I , Important: Read the InsUcti uons on a es JUL-2 1004 U( SECTION A- PROPERTY OWNER INFORMATION_ ...�... -nT `^"W'lU3e:rs BUILDING OWNER'S NAME By Porcl Number _ The Lot 4 54 As inet Road Realty Trust - Mr. Richard Sementelli, Trustee BUILDING STREET ADDRESS (Inducting Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AN EXNO. Company NAIC Number_ 54 Aspinet Road CITY STATE 21P CODE South YamvxM MA 02664 PROPERTY DESCRIPTION (Lot and Bbck Numbers, Tax Parcel N r, Legal Descri etc.) Assessors Map 25, parcel 85. Deed book 11623. page 327 BUILDING USE (e.g.. Residential, Non residential, Addition , etc Use a area, B necessary.) rnenI5 Residential LATITUDE&ONGITUDE (OPTIONAL) HORIZONT L DATUM: SOURCE GPS (f ):_ ( ##Pr or O#AWAY#°) ❑ NAD 1927 3 NAD 1 ❑ USGS d Map ❑ Ohe._ SECTION B - FLOOD MS IRANCO RATE MAP (FI 0 B1. NFIP COM ARM NAME a COMMUNITY NUMBER B2 Bar�TATE Yartnafit MA / B4. MAP AND PANEL B7. FIRM PANEL fl4SE FLOOD ELEVATIONS) NUMBER B5.SUFFD( B6 FRMMDD(DATE EFF ECTNEiREWSEDDATE BB. FLOOD (lareAO.wediOdWrg) 2500150M B 7RA2 = :10� b W. rracm ue =ww ct olio base rr000 itievwon UbFE) cam a vase 000a Liu. l ❑ FIS Profile ❑ FIRM ® Comrrumtty Det ) B11. Indicate the eleitation datum used for the BFE in B9: ® NGVD 1968 (Desanbe):B12. Is the build located In a Coastal Barrier Resources S CBRS area aZ2NAVD Area OPT []Yes anion 2 SECTION C UILDIN ATION IN RMATION (S QUIfiED) C1. Building elevations are based an: ❑ Construction Drarvurgs ❑ Building Under '9 'A new Elevation Cerlificate vnll be mclu6ed when construction of the building is l v CZ Building Diagram the bukIM dagram most suntan b the bulling being d pages 6 and 7. If nod accurately represerds the building, provide a sketch or photograph) C3. Elevations —Zones Al AM, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AWA ARIA1-A30, ARi ARlAO Complete items C3.a1 bebw according b the bulking diagram spedfied in hem C2 State the datum used If datum is ddTerent from the datum used for the SFE in Sedon 8, convert the datum b that used for the WE Shay field measurements and datum conversion on. Use the space provhded or the Comments area of Section D or Section G, as appropriate, to document Cle datum conversion. Dalian GVGVD CarversWComments Town Of Yarmouth. Monument Elevation reference mark used TOYA Does the elevation reference mark used appear on RM7 ❑ Yes ® No o a) Top of bottom floor (including basement a enclosure) 3 ft(m) f '2 _ 4r o b)Top ofnedhigher fax 15.4ft(m) 1 �/ N tMOf�1d o c) Bottom of lowest horizontal structural member (V zmhes only) r. a o d) Attacihed garage (tap of slab) 13. 6 ft(m) w A �0 A. p o e) Lowest elevation of machinery anequipment ar FIELD servicing the building (Describe in a Comments area) 13.3 ft(m) E o t) Lowest ad)aoent (finished) grdde (t•%MG) LO -Ift(m) z' o g) Highest a4(ftsh4 grade (HAG) L3. §_ft(m) UA o h) Na of permanent openings (flood vends) Within 111. above a jacent grad o U) Total area of all permamerd openings (flood vents) in C3.h 2L20 sq. in. (sq cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation Information. I cer ify that the Information In Sections A, B, and C on this certificate represents my best efforts to Interpret the data avai7able. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code Section 1001 CERTIFIERS NAME CRAIG A FIELD LICENSE NUMBER 38039 TITLE LAND SURVEYOR COMPANY NAME THE BSC GROUP, INC ADDRESS CRY . STATE ZIPCDDE 657 MAIN STREET WEST YARMOUTH MA 02673 SiGN�A (r�.�' ..:0 �xla, a /,O! y y� TELEPHONE FEMA Form4l-3C1,iJanuary 2003 See reverse side for continuation. Replaces all previous editions Fa Irsieanoe Canp" Ilse: I'dPORT� f: Th these spaces, copy the corresponding information from Section A. BUM.f)W(3 s� RLU ADUiL55(4XWF8 Apt, khv. WW WK a Bpg. f4m) OR P.O. ROLULMO BOX NO. Poky Numbs - 54, fret Road CITY ♦ STATE ZIPCCUE CamparryNAlCNtmber SaYanwth MA 0M SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy bah sides of M Ete+ratim Certificate for (1) conw city otfidal, (2) kwarlm agentfmrrM, and (3) hMng oww. COMMENTS Lowest Floor elevation of 9.1 is of loose gravel. Lowest a jacent grade is above the base food Elevation of 10 Food vent provided a one large opening of 6(r X 4? with lattice and tiooaly fitted with breakoff lns labor Lowest utility Is heating * vent in crawl space, attached lo the first floor joists. ❑ Check here if attachments SECTION E- BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zane AO and Zone A (without BFE), complete items E1 t wxjh E4. If the Elevation Certificate Is herded for use as srpporfing hfunnatim for a LOMA or LOMR-F, Sectim C must be completed Ell. BuBdng Diagram Number_(Seled the buildng diagram most similar lo the building for which this certificate is being arrpieted—see pages 6 and 7. If no dagran aaxrately represents the buldrg, provide a sketch or photograph.) E2 The top d the baton Poor (uxiudng basement or endosure) of the buldng is _tl(m) _hn.(an) ❑ above or ❑ below (check one) the highest a4acent grade. (Use natural gam. If avalable). E3. For BuBdng Diagrams 68 with openings (seepage 7), the red hhigher floor or elevated flax (devation b) of the buldrg is _ R(m) _tn(an) above the highest 4-m nt grade. Cmplele dons C3h and C31 on but of form B. The top of the platform d machinery ad/or ecopmerf servicing l he buldng is _1L(m) h.(cn) ❑ above or [:]below (check ore) the highest adacent grade. (Use natural grade, If available). E5. Far Zone A0 oiy. If no flood depth number is available, is the lop of the bottom floor elevated in accordance with the axrrrurrhiJs floodplach management ordnaoe? ❑ Yes ❑ No ❑ Unknam. The loll official nest certify this hcmution in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The properly owner orav Ws art armed representative who completes Sector A, B, C (Items C3h and C31 only), and E forZoe A (without a FEMAissued or corrrn urity- loste BFE) orZoeAOnxstsign hem Thestahrnafs1nSediosA,QGWEaecaredfofhebestofmylnowfedga PROPERTY OWNERS OR OWNERSAUTHORIZED REPRESENTATIVES NAME CRAIGAFIELD LESS CITY, STATE ZIP CODE 657 MAIN STREET, ROUTE 28 -- WEST YARMOUTH MA mm anannrur1t(!5:4 C.C. 1 ...� .Zhwe4/ ZZIN oDATE �ta El Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is arEraized by law or ordinance Io administer to communiVs iloodplahn management ordnance can complete Sections A, B, C (or E), and G ofthis Elevation Certificate. Compete the applicable dem(s) and sign below. Gt. ❑ The b mnation in Section C was taken from other doarrhentabon that has been signed and embossed by a licensed surveyor, agmeer, or architect who is a t horized by state or loci law to ow* elevation infmnatiot (Indite the source and date of the elevation data to the Comments area below.) G2 ❑ A onrmxmdy olfidal competed Section E for a btrldng located In Zone A (without a FEMAassued or comnuityassued BFE) or Zane AD. G3. ❑ The foitvwing information (Items G4-G9) is provided far ccnnunily lloodplain management purposes. G7. This permit has been Issued for. ❑ New Corshic im ❑ Substantial Improvement G8. Elevation of as -bolt lowest flax (uxiuduhg basement) of the buldng Is: — ft(m) Datum: _ Gig. BFE or (n Zone AO) depth of footing at the bulking site Is: _ _ Nnl) Datum LOCAL OFFICIALS NAME TiTLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check here 9 attachments FEMA Form 81-31. January 2003 Replaces all previous editions i-9] visit our webalte at Certified Mail Provides: ■ A mailing receipt (OW&WW aooa swr'owc Witizi sd ■ Aunique Identifier for your manpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First -Class Mail® or Priority Mail& ■ Certified Mail Is not available for any class of international mail. in NO INSURANCE COVERAGE IS PROVIDED with Certified Man. For valuables, please consider insured or Registered Mall. ■ For an additional fee, a Retum Receipt may be requested to rovide proof of delivery. To obtain Retum Receipt service, please complete end attach a Return Receipt (PS Form 38111 to the article and add applicable postage to cover the fee. Endorse mailpleceReturn Receipt Requested'. To receive a fee waiver for a duplicate return receipt, a USPS® postmark on your Certified Mail receipt Is required ■ For an additional lee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpleos with the endorsement 'Restricted Delivery. ■ If a postmark on the Certified Man receipt is desired. otease present the ara- de at the post office for postmarking. If a postmark on the Certified Mail receipt Is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an Inquiry. Internet access to delivery Information is not available on mail addressed to APOs and FPOs. USPS - Track & Confirm Page 1 of 1 . ' UNITEDSTATES POSTAL SERV10Ee Ae Track & Confirm Current Status You entered 70031010 0003 0387 6999 Your item was delivered at 1:12 pm on July 26, 2004 In WEST NEWTON, MA 02465. ShipmentDvt > Notification Options ► Track & Confirm by email What is this? ca' Track & Confirm jEnter label number. I • Track & Confirm FAQs C POSTAL INSPECTORS site map contact us government services Preserving the Trust Copyright 01999.2002 USPS. All Rights Reserved. Terns of Use Privacy Pollcy hq://Amfrml.smi.usps.com/netdata-cgi/db2www/cbd 243.d2w/output 8n/2004 i Inspection Date: TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 Telephone 508-398-2231 ext. 260 Fax 508-398-083 BUELDING DEPARTMENT February 14, 2004 Inspection Type: Building Permit B-03-719 Property Address: *54 Aspmet Rd. W: Y: Name: Richard Sememtelli Tr. Mailing Address: 24 Marion Street City / Town: Newton State: MA Telephone: Zip Code: 02456 An inspection of the above captioned property was conducted by Inspector Kenneth Bates during which the following VIOLATIONS were observed: 1. Failure to obtain a Certificate of Occupancy —Re: 780 CMR, Chapter 1, Section 120.1. 2. Failure to comply with the Flood Resistant Construction provisions. Based on the elevation certificate received July 21, 2004, the area below grade is below the base flood elevation of 10.0 as proposed. — Re: 780 CMR, Chapter 31, Section 3107 — Flood Resistant Construction. 3. Failure to comply with the Planning Board subdivision conditions for waterrun-off—Re: 780 CMR, Chapter 1, Section 113.2 — Compliance with code and M.G.L., Chapter 41, Section 810 & 81Q. 4. Failure to have a rental certificate from the Board of Health. You are hereby notified to comply with these provisions within ten (10) days. Failure to do so may result in the iaterruption of the water service and/or appropriate legal action. The State Building Code, Chapter 1, Section 118.4 provides for up to a $1000 a day fine. Finally, please be advised that failure to comply with these code provisions could have a serious effect on your homeowner's and your flood insurance coverages. Signed: Copy to: Health Dept Fire Dept COpy 'A USPS - Track & Confirm Page 1 of 1 ��-- pLI�NT rM��tS�M�T�E/S�. POSTdLSEW Ee Track & Confirm Shipment Details You entered 70031010 0003 0387 6999 Your item was delivered at 1:12 pm on July 26, 2004 in WEST NEWTON, MA 02465. Here is what happened earlier. ■ ARRIVAL AT UNIT, July 24, 2004, 8:56 am, WEST NEWTON, MA 02465 Notification Options 0 Track & Confirm by email ®POSTAL INSPECTORS Preserving the Trust What is this? � Track & Confirm Enter label numberI-- - Track & Confirm FAQs C site map contact us government services Copyright 01999-2002 LISPS. All Rights Reserved. Terms of Use Privacy Policy hUP:Ittrkcnfrml.smi.usps.com/netdata-cgi/db2www/cbd 243.d2w/detail 8/3/2004 aIc��ad� MAR 2 0 003 D RE -INSPECTIONS y 6�/�� 1ST. RE -INSPECTION - $20.00 2ND RE -INSPECTION - $30.00 3RD RE -INSPECTION - $40.00 ALL OTTTER RE -INSPECTIONS - $40.00 DATE:3/ou U3 • DATE RECALL:-2�440 3 \ ISSUED TO: REASON FOR RE - INSPECTION: BUILDING DEPT.: /3 - 03 - f7i 9 OCCUPANCY PERMIT: PLUMBING PERMIT: GAS: ELECTRICAL: FIRE DEPARTMENT: � 1 ' MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) TH Mass. Cftyl Town Building AT., Location 29F�aNg7- Zagp- Date ,�P.P�� p�, —2069 Permit Owner's Name�N�iFE.P SFNE,YTfLLJ Type of Occupancy %�✓B��iN� New Eir Renovation ❑ Replacement ❑ FIXTURES Plans Submitted Yes ❑ No ❑ 1 9 (Print or Type) Installing Company Name - F 6f/,Ari <n1V Pr, r yT� Address ,Pfsr�nnnr �iee,,, F .��. yA.PMniira�_�GJA A7��y Tnk�39 Check One: ❑ Partnership ❑ Firm/Company Business Telephone ��_ f�- 79 9,P Name of Licensed Plumber or Gasfitter Certificate 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 Gas Code and Chapter 142 of the General laws. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. sworn. N O. IAteal 1 have it current liability insurance policy to include Completed operations coverage. By Title City/Town ' APPROVED (OFFICE use ONLY) Signature of Licensed Plumber Type of Plumbing License 7939 [Master ❑ Journeyman License Number BELOW FOR OFFICE USE ONLY FIHAL:INSPECTIONS SKETCHES PROGRESS INSPECTIONS ,. FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME A TYPE OF BUILDING LOCATION OF BUILDING PLUMBER - �.> PERMIT GRANTED a' DATE s•' rJy�j' • f i• PLUMBING INSPECTOR .r' t J . F MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) pit 7fit'MD /TH Mas . City, Town Building AT: Location $-V Ate/NET Algh Date & /L Z 2aD3 Permit # Owner's Name CNN/FE.P .A16,YTBGG/ Type of Occupancy: New I Renovation ❑ . Replacement ❑ qA�1-tans Submitted Yes ❑ No ❑ �o�nnos��000�000�� o�m�en�o�oc�nnnoo (Print or Type) -- Installing Company Name_ Check One: Certificate g P y p-.F. �11NSLnW �1vAfg,0r+ i►�Corp. �-2846193 Address S RE g2Do/V C(RCLE [:]Partnership YA4zm0 uT(} 1+ Oz66 y ❑ Firm/Company Business Telephone(50039 4-777 8 Name of Licensed Plumber or Gasfitter E. F- WwSLeW 1L I hereby certify that all of the details and information I have submitted (or entered) In above application are true and accurate to the t of my knowledge and slut all plumbing work and Installations performed under yermil (wed for this application will be In eompWnoo with neat provirious of the Massachusetts State Gs lode and mapter 142 of the General Laws. By TYPE LICENSE: Title Plumber Gasfitter Signature of Licensed City/Town: NMaster Plumber or Gasfitter APPROVED (OFFICE USE ONLY) Journeyman License Number BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME i TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR OASFITTER SLo I.A.� T + 44 LIC.Na MOrSTE2 bc. 4 '7939 PERMIT GRANTED DATE GASINSPECTOR PROGRESS INSPECTION TOWN OF YARMOUTH WATER. DEPARTMENT 99 Buck Island Road West Yarmouth, MA 02673 Telephone: (508) 771-7921 • Fax: (508) 771-7998 Date : July 28, 2003 Name : David Sementelli Legal Address : 24 Marion St. : Newton, MA 02465 Service Address : 54 Aspinet Rd. : S. Yarmouth, MA 02664 Assessor's Sheet # : 25 Certified Mail # : 7000 0600 0028 3346 5769 New Structure : x Existing Structure NOTICE Service # :, 14817 Lots) # : 85 This is to advise you that the Town of Yarmouth Water Department or their authorized agents have installed a new water service or rehabilitated an existing water service at the above service address. Materials used during this installation are electrically nonconductive. Town of Yarmouth Water Department regulations prohibit the use of this water service as a grounding device for your electrical service. It is recommended that you contact an electrical contractor to ensure that your electrical service grounding is in compliance with Massachusetts Electrical Code, CMR, S27-12.00 Article 250. A copy of this notice is being forwarded to the Town of Yarmouth Wiring Inspector. Dan Mills, Superintendent cc Wiring Inspector File Nl- ar coil Air Cleaner -T" RS f"1 .53. ^, to absorbs heat from inside your home and is turned into gas. The indoor blower moves the air over the coil, then circulates it through the ductwork and into the house. The refrigerant is then carried back to the outdoor coil, where the heat from inside the house is transferred to the outdoor coil. This process continues until the temperature indoors reaches the desired thermostat setting. AIR DISTRIBUTION AND TREATMENT i In central heating and cooling systems, the blower distributes cooled or warmed air throughout the house via the ductwork system. The air is then returned to the blower for filtration, ltreatment, re-heating/cooling and redistribution. ' ENGINEERED FOR QUALITY Committed to world class quality in design, manufacturing and testing, Amana is known for surpassing industry requirements for reliability, safety and performance. Our plant in Fayettevillejennessee, where Prestige remote air conditioners are built, was the first facility in the industry to earn the 150 9001 registration for quality management systems. Stringent quality standards and testing on every Prestige II air conditioner we Amana build ensure the highest level of performance. Q YR4 LLD EI TST We check every coil three times with electronic and pressure testing to detect leaks as small as one ounce in ten years. J` �r t: Heating &Air Condition/ng ' Prestige®II Re7ioteW10ondlit�oner 12+ SEER Seasonal Energy Efficiency Rating 10-Year Compressor/Coil Warranty 1: f J f; J� JJ. Comfort. Quality. Trust. 10 THE ULTIMATE ENERGY SAVER Save on energy bills for years to comel Amana Prestige® 11 high -efficiency air conditioners are engineered for maximum performance to give you more cooling 12 comfort for every energy dollar. And there are even more advantages to owning a Prestige 11. They're built to be quieter. More reliable. You get the added value of L11VU9F1L1U1 touches like vertical air discharge to protect your shrubs from hot air. And a- low profile design with neutri colors beautifully blend in with your home landscaping. I 'I�,ly +w you MAXIMUM EFFICIEMCY Prestige 11 air conditioners deliver an outstanding Seasonal rkro Energy Efficiency Ratio (SEER) of 12 —and some systems can achieve up to 13 SEER or higher for even greater savings when teamed with Amana high -efficiency coils or blowers. What happens when the high -efficiency compressor is combined with Amana's ultra K4f,ene ffT,IN,97-1 efficient condensing coil? Remarkable cooling power. And lower monthly cooling costs —thanks to features that allow for i SEE more efficient heat transfer and more cooling surface in less SEt space. And an 850 RPM 8-pole condenser fan motor adds even now that's a more efficiency. 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Support widths provide adequate Waring for products not listed. JOIST AND BEAM LIST Plot Unit 1 of Net M Length Product Qty Plies Qty JI 38' 11 7/8• TJI/Pro-350 joist / 1 / J2 36' 11 7/8• TJI/Pro-350 joist 1 1 1 J3 31' 11 7/81 TJI/Pro-350 joist 16 1 16 JI 31' 11 7/8• TJI/Pro-350 joist 2 2 6 J5 2/' 11 7/80 TJI/Pro-350 joist 5 1 5 J6 22' 11 7/80 TJI/Pre-350 joist 3 1 3 J7 20' 11 7/8• TJI/Pro-350 joist 3 1 3 J8 12' 11 7/8• TJI/Pro-350 joist 8 1 8 J9 6' 11 7184 TJI/Pro-350 joist 1 1 1 M1 26' 1 3/60 z 11 7/8. 1.9E Microllm LVL 1 3 3 . M2 20' 1 3//0 x 11 7/8' 1.9E Microllm LVL 3 1 3 M3 18' 1 3/60 x 11 7/8. 1.9E Microllm LVL 2 1 2 M6 Is, 1 3/6• x 11 7/8' 1.9E Micrellm LVL 1 3 3 M5 16' 1 3/I" x 11 718. 1.9E Micnllm LVL 1 I 1 M6 12' 1 3//• x 11 7/8. 1.9E Mic"llm LVL 1 2 2 M7 2' 1 3/60 x 11 7/8. 1.9E Microllm LVL 2 1 2 M8 16' 3 1/20 x 11 7/8. 2.0E Pontine PSL 1 1 1 I A complete TJ-Xpert framing plan includes the Trus Joist Builder's Guide or Pocket i 3• /2' 9 SYSTEM WARNINGS Warning: Stability of member requires quality workmanship (anchorage) to prevent uplift due to negative "action. Object: Drop Baas (57) Warning: Stability of member requires quality workmanship (anchorage) to pre�jnupl� du tonegativereaction. 3 WARNINGI - A skewed end bearing exists for joists and requires skewed end cuts. ACCESSORIES LIST A3 O 1.25• 25• 1 20' 2" 3' 3' J MM 111"MMINIE-11 PhMEN I 1 I CREATED By JOB CO 410TS Mid -Cape Home Canters ARENSTRUP /65 Route 136 GREG CAULEY PO Box 1118 Sn42TELLI RES. So. Dennis, Hk 02660 5/ ASPINET ED 500-398-6072 W YA101DUTH MA FAX: 500-398-4559 Plot Unit 1 of Net ID length Product Qty Plies Qty Pal 16' 1 1/1• x IS 7/8. 1.3E TimberStrand LSL 10 1 10 Ib 7' S 1/6• 11 7/8• TJI/Pro-350 Blocking Panels 1 I 1 ski 1' 1 11/16' 11 7/80 TJI/Pro-350 Blocking Panels 22 1 22 Rk2 9 11/16• 11 7/8• TJI/Pro-35G Blocking Peals 6 1 6 Shl /' z 8' 23/32•, 3/6• Panels (2/• Spanhating) m 16 1 66 0 RANGER LIST - Simpson Strong -Tie Company, Inc.* I Plot ID Qty Product Label Top Nails Face Nails Member Nails Notes HI 2 ITT3511.88 6-N10 2-N10 2-N10 R2 2 IT711.88XDepthl2 6-1110 2-110 2-N30 (1) Hanger Notes: (1) Indicates non -stocked hanger 4nTJXpert: LEVEL NOTES File Name: ARENSTRUP FILIDARE DESIGH.JOB level Name: FIRST FLOOR Plot Date: 1/17103 17:00 Design Date: 1/17/03 16:13 Drawing Seale: 1/V - 1' Job Status: Foundation..... Foundation FIRST FLOOR.... Plotted 1/17/03 16:13 SECOND FLOOR... Plotted 1/17/03 1/:55 ATTIC I=$.... Plotted 1/17/03 16:55 ROOF LOADS..... Plotted 1/17/03 14:53 NOTE: Leval design tines indicated above Provide assurance for proper level stacking. Upper levels oust have earlier design tins. Design Mathedology: AED Floor Area Loading In: 10 psf Lin Load - 12 psf Dead Load Maximus Joist Deflection: L/180 Live Load L/210 Total Load TJ-Pro Rating Information: Weighted Avenge: 45 Lowest Rating: 23 Highest Rating: 62 Clued a Nailed Decking is Required Direct Applied Ceiling is Not Required Floor Decking: 23/320, 3/40 Panels (210 Span Rating) Normal O.C. Spacing - 16•m Default Nall / Bees Width: 3.5•a Standard Blocking: Bkle TJ-Spert 5.16 (1680) A C6.16 D6.16 $6.16 P6.16 •Unless noted otherwise SYMBOL LEGEND J TJI Joist Type N Rectangular Product Type — Bearing Wall = Bass ® Column (CBO) H Banger Type L1 Ranger Symbol Pe Parallel Closurs Type Bk Blocking Type - Eb Extra Blocking (Lineal Ward length for panels different from the O.C. spacing) O Point Load — Line Load O Area Load ORetail Callout label (See Builder's Guide or Pocket Guide) Bearing Width Label 1'y Joist Layout Symbol 8 Level Warning Wall Baader / Bearing Width Warning 04aiPV1eFk*a FOR THE TJ-%PERT WARRANTY SEE BUILDER'S GUIDE OR POCKET GUIDE A complete TJ-Xpert framing plan includes the T2us Joist Builder's Guide or Pocket Guide ® TiAXpert, 69' . V 21' 11• - I 3 6, I'*61 7, 4--I 3' S 1 If" 1� -►If— 6' V—Owl-OU-7' 3 1/2"—►�' 6 1/�, SYSTEM WARNINGS Warning: Member exceeds thickness of a parallel support. - Cbjact: Flush Bess 2 WARNINGI - A skewed end bearing exists for joists and requires skewed and cuts. 6 JOIST AND REAM LIST Plot Unit 9 of Net ID Length Product Qty plies My M1 12' 1 3/9• x 9 1/2` 1.9E Microllm LVL 1 1 1 III 10'' 1 3/9• x 9 I/2. 1.99 Microllm LVL 1 1 I M3 6' 1 3/90 x 9 1/2. 1.9E Microllm LVL 1 1 1 MI IV 3 1/2• x 9 1/2` 2.02 Par&Um PSL I I I M5 8' S 1/9• x 11 7/8. 2.0E Parallm PSL 1 I I 0 REQUIRED REARING LENGTBS Bearing Warning 9 Label Length �— MS (29) 9.9• 02 M2 (95) 9.13- Headers not listed require 1.5• of bearing length. Support widths provide adequate bearing for products not listed. SYMBOL LECEND N Rectangular product Type Rearing Wall Bem PRO Beam By Others (SPO) O point Load Line Load O Area Load ODetail Callout Label (See Builder's Guide or Pocket Guide) n Slope Detail Symbol 8 Level Warning Wall Reader / Bearing Width Warning REQUIRID HEARING LENGTHS Bearing Warning 1 Label length �- M6 (31) 1.31- O M6 (31) 5.82• OM11 (2B) 3.66- IO M10 (2) 2.06• OS MID 421 1.82- O6 M8 (951 3.1• O7 M1 (98) 1.08• BO Ml (90) 6.11• 9O MS (98) 7.15- Headers not listed require 1.5• of bearing length. Support widths provide adequate bearing for products not listed. SYSTEM WARNINGS QS Warning: Member exceeds thickness of a parallel support. - Object: Flush Bern (20) QWarning: Stability of arbor requires quality workmanship (anchorage) to prevent uplift dum to negative reaction. - Object: Joist Ana (1871 Q3 Warning: Stability of A r requires quality workmanship (anchorage) to prevent uplift due to negative reaction. - Cbject: Joist Area (211) QI Warning: Stability of member requires quality workmanship (anchorage) to. prevent uplift due to negative reaction. - Object: Flush Bern (99) 5 WARNINGI - A skewed and bearing exists for joists and requires skewed and cuts. JOIST AND HEAR LIST Plot Unit 1 of Net ID length Product Qty Plies Qty J1 38' 11 7/8• TJI/Pro-350 joist 6 1 6 J2 21' 11 7/84 TJI/Pro-350 joist 1 2 8 J3 21' 11 7/8• TJI/Pro-350 joist 2 1 2 JI 20' 21 7/8• TJI/Pro-350 joist 3 1 3 J5 20' 11 7/8' TJI/Pro-350 joist 6 2 12 J6 18' 11 7/8' TJI/Pro-350 joist 9 1 9 J7 16' 11 7/8' TJI/Pro-350 joist 5 1 5 J8 11' 11 7/8• TJI/Pro-350 joist 7 1 7 J9 12' 11 7/8• TJI/Pro-350 joist 9 1 9 no 36' 11 7/8• TJI/Pro-550 joist 18 1 18 Jll 31' 11 7/80 TJI/Pro-550 joist 1 1 1 J12 21' 11 7/8• TJI/Pro-550 joist 1 1 1 J13 22' 11 7/80 TJI/Pro-550 joist 2 1 2 Ml 31' 1 3/1' x 11 7/8. 1.9E Microllm LVL 1 3 3 M2 20' 1 3/1• x 11 7/8. 1.9E Microllm LVL 1 1 1 M3 16' 1 3/10 x 11 7/8. 1.9E Microllm LVL 1 1 1 Ms 12' 1 3/10 x 11 7/8. 1.9E Microllm LVL I 1 1 M5 to- 1 3/1• z 11 7/8' 1.9E Microllm LVL 1 2 2 M6 8' 1 3/10 x 11 7/8. 1.9E Microllm LVL 2 1 2 M7 21' 3 1/2• x 11 7/8. 2.0E Parallax PSL 2 1 2 MB 1B' 3 1/2• z 11 7/8. 2.0E Parallax PSL 2 1 2 M9 20, 3 1/2- z 11 7/8. 2.0E Parallm PSL 1 1 1 M10 B' 3 1/2• z 11 7/8. 2.0E Parallax PSL 1 1 1 M11 30' 5 1/1• z 11 7/8. 2.0E Ptrallm PSL I 1 I M12 21' 7• x 11 7/9- 2.0E Parallax PSL I 1 I L A complete TJ-Xpert the Trus Joist Builder's Guide or Pocket Guide 4 66' 3 14 21, 6• - _ I. 42' 8 L 7 hrr mn- 1 J9 JH J7 J1 J7 J7 i J9 J1 J6 Fi � •' � B r 2 H1 H2"H2 1 O O ,25• M6 H2 IF 3 H/ At HI B7 kl 1H II II GH 6 -- - -' Jlo J11 3 I1111 I J13 J5 J5 JS I J3 J3 H6 H3 12• o.c. �{ 5 %IlI e6 3 1 , 52 Ji JB 4 CS � Rol C9 A3 Aml Idol _ A3 �� Cl 1.25• 1.25• IS 38' �I 1' 8 1/2" I-'*-7' 31/2•-►I 3' ,If-8' 1I 3' I-0-7' 31/2"-►I 4 12' 10 1/2• ►I i HANGER LIST - Simpson Strong -Tie Company, Im.0 Plot ID Qty Product Label Top Nails Face Nails Member Rails Notes 11 1 U3510/14 11-NIO 6-N10 (1)(2) R2 1 ITT3511.88 1-N30 2-N30 2410 23 9 ITT3511.88 1-1rio 2-N10 2-N30 HI 5 U3510-2 11-10d 6-20d (2) B5 1 U3510-2 11-NIO 6-N10 (2) B6 2 ITT11.88XDepthl2 1-N30 2-N30 2430 11) 97 1 ITT111.88 1-N10 2-NIO 2-N10 11) Hanger Notes•. (1) Indicates non-stockod hanger (2) Web-Stiftaners Required ACCESSORIES LIST Plot Unit / of Net ID length Product My Plies Qty Rm1 16' 1 1/1• z 11 7/8. 1.3E TimberStrand LSL 9 1 9 Pcl 18' 1 3/10 x 11 7/00 1.9E Microllm LVL 1 1 1 Wbl 8 5/81 10 x 2 5/160 Web Stiffeners 13 2 26 ID 6' 7 7/8• 11 7/8• TJI/Pro-350 Blocking Peals 1 1 1 Bkl 1' 5 1/164 11 7/8• TJI/Pro-350 Blocking Panels 2 1 2 Bk2 1' 2 3/16 11 7/8• TJI/Pro-350 Blocking Panels 2 1 2 Bk3 1' 1 11/16• 11 7/8• TJI/Pro-350 Blocking Panels 17 1 17 Sk1 11 3/88 11 7/8• TJI/Pro-350 Blocking Panels 5 1 5 Cb 1' 7 13/160 11 7/8• TJI/Pro-550 Blocking Panels 1 I 1 Shl 1' z 8' 23/32•, 3/1• Panels 1219 Span Rating) 65 1 65 4n TiAXpert. CREATID B! JOB COMMENTS Mid -Cape Home Centers 465 Roue 134 ARENSTRUP PO Box 111E GREG CAOLET so. Dennis, MA 02660 S""""-!T HIS. 509-398-6071 51 ASPIRES RD FAX: 508-398-4559 N YARMOUTH MR - LIM NOTES rile Name: A1E39TRUP FILLMORE DESIGN.JOB Level Name: SECQm FLOOR Plot Date: 1/17/03 16:54 Design Date: 1/17/03 14:55 Drawing Scale: 1/8• a 1' Job Status: Fou dation.....Foundation '-. FIRST FLOOR.... Ready to Plot 1/17/03 16:13 SECOND FLOOR... Plotted 2/17/03 11:SS ATTIC LOADS.... Plotted 1/17/03 14:55 ROOT LOADS..... Plotted 1/17/03 14:53 NOTF: level design times indicated above provide assurance for proper level stacking. Upper levels must haw earlier �. design times. m Design Methodology: AM Floor Area leading Is: 10 psf Live Load 12 psf Dead Load Maximum Joist Deflection: L/180 Live Load _ L/210 Total Load TJ-Pro Rating Information: -� Weighted Average: 16 Lowest Rating: 30 Highest Rating: 61 Glued A Wailed Decking is Required Direct Applied Coiling is Not Required Floor Decking: 23/32•, 3/1• Panels (21• Span Rating) Normal O.C. Spacing - 168m Default Wall / Bean Width: 3.5•• _ Standard Blocking: Bk3* -` TJ-Xpert 6.16 (1680) A A MIS D6.16 $6.16 P6.16 •unless noted otherwise-- - - SYMBOL LEGEND J TJI Joist Type M Rectangular Product Type Bearing Wall Bams H Hanger Type U Hanger Symbol Pc Parallel Closure Type Sk Blocking Type Eb Extra Blocking (Lineal board length for panels different from the O.C. spacing) O Point load Line Load Area load ODetail Calloot Label (See Builder's Guide or Pocket Quids) i-► Joist layout Symbol 8 Level Warning Wall Header / Bearing Width Warning TRUS JOIST FOR THE TJ-RPERT WARRANTY SEE BUILDER'S GUIDE OR POCKET GUIDE 721=15 SllpGen- Portal Hone Town of Yarmouth Template [Building Dept] ■ Slipsheet Identifier [sg33980] Document Category Building Permits Map -Block Number 025.85 Street Number 0054 Street Name ASPINET RD Department Building Parcel ID 2778 Backfile Batch Scan No Document? Additional Naming Info Index Operator Operator, Yarmscan Date - Time 2015-07-21 - 09:57 http:1naserllche1?/Sl1pGeN 1/1