HomeMy WebLinkAboutBLD-18-1927ONE & TWO FAMILY ONLY- BUILDING PERMFr
Town of Yarmouth Building Department
1146 Route 28, South Yarmouth, MA 02664-4.492
508-398-2231 ext 1261 Fax508-398-0836
*Fi�o
Massachusetts State BuildingCode, 780 CMR.BuildingPermit1lpplicatlon
To Construct,Repair, Renovate Or Demolish
a One- or T wo-Family Dwelling:-
This Section For Official Use Only
9b TU7
Building Pmmif Number. WLZ):-6
Date Applied:.
r DVILV��_-.l
Buildmg Official (PrmtName) 5igpaitue Date
SECTTON 1: SITE
INFORMATION
1.1 Property Address:
-
1.2 Assessors Map & PameI Numbers C_
'~ i/
ly ; -, Ce S-aLre.�
/3 Z 1
Map Number P el
1.1 a Is this an accepted street? yes no
1.3 Zoning Information•
2- �7a R
L4 Property Dimensions: I� 1
e s•.
3 0. s7 0
Zoe g District Proposed Use
Lot a (sq ft) Frontage _
T
1.5 Burldfng Setbacks (ft)
Front Yard
Side Yards
Res Yard
Req:med Provided
Required Provided
Required Provided
d
2- c:) /Z
ZO /,SO
1.6 Wat_r Supply: (2vL(3S, a 4o, i54)
1.7 Flood Zone Information:
LS Sewage Disposal System:
Public Mo" Private ❑
Zone- _ Outside Flood Zone?
Cheek ifyes3'"
Municipal ❑ on site disposal system
SECTYOP42: PROPEILTYOWNmSHIP1
2.1 Owner' ofR ord: n ,J �//++//�� �/
W#'il,-m. SM.LO eL...J OegJj //0'Act k" 7 Q✓ tnno0'f P6 en O
Name (Print) � City. SZIP
yS� IAI -,N1 -C✓ 7'iY-76`/y��II�S�,aw�V�c�lin•
No. and Street Telephone Email Address
SECTION 3: bESCR=014 OF PROPOSED WORK2. (check an that apply)
New Construction ❑
E3 i � Building V Owner -Occupied
.Repairs(s) Ttl Alteration(s) Ei Adii "on l9�
Demolition -
Accessory Bldg. ❑ Number of Units - i—
I Other ❑ Spcc y
Brief Description of Proposed Work:
C �4Lt /w' SL-.:, r.r ✓ ..y. v C :F.'4o ..[•e_
RG��,orl�l LCii��M ✓r uv�Oti¢�-hWDL.1)
SEC11ON:4,.FS'1 VfAMp c -.o �RUG#6 C. OSTS
Item(Lab
ted C _ l ,:. �: • - ;.':
EstimaCosts:
r '` = "O#ricial}�Tse Only'•` ,.
or and Materials
1. Building
S a I BmZdmgFe�mitFbc S :' indican 3iof�cise�
,� o a o
- ?yr_Z°�_k.`_;'':::'.'::`-`= :'•=E;
2. Electrical
.
S 1? 0 o a {3.ata1
3. Phrmbing
S O e 2. Cithdr Fees: S • �.: $� .. _ :.. "' r °= =
:.: _ ....•. s,: _ _,• +:4,=r`.cp �e;�-
5 rJ ist_� �. •:... _.. , __ ,.
.-tt '=u•rti'-ti:.-�.: t •.r ._r•r: ._�•. • {; ,
4. Mechanical (HVAGI
5. Mechanical (Fire
Suppression)
'� /1i ►i .' All.e`es:'•, _ �- _ ' i.- -_ �• -e-r �.
F�i�b�',-' = Q7.E'c..GAaivffif:�_�aSllAmoffi� '
S 00 d fl Pau Z7�z _ ' Q .T dingDalsicpDne:'•�
6. Total Project Cost:
SECTION 5: J�ONSTR-ULMON S ''CRS
5.1 Construction Supervisor License (CSL)
T e_ A M. ��k0
Name of CSI. Holder
No. end Street
City,Towo, State, 2J.V
LIS
6 /I
List CSL Type (see below)y —
T�pe Description
.—A /n...0 ir" LID to
WS
SF 5olidFudBusninB
D I Demolition
Tel one � 26 �•d t
5.2 ge;isteredHomeImprovementContractor(HIC) $%/ 9 uatiaaDate
/ S % / �o w►a� /9 M . 14K o HICRegistrationNumber Exp• 1
iiICCompanyNameorHICRegis=tName 4Se, CaS�• T
I" t J Ema11 address
4-
d Street �6✓� M'�9_ Cg'7f 77Y-?3L-LWZ
Tel ne
(To State, 7EP AVTT (M.G.L. c. 152. 5 25C(6))
SECTION 6: WOREM S' COMPENSATION INSURANCEdFF� Ovide
WOMI= Compensazim 1w raace affidavitmns[be completed and snbmtiedwiththis applic2lim Fai nre pr
Qs affidavit will result in the denial of the Is.sun= of the building Permit
Signed Affidavit Attached? Yes .......... ❑ No _
emc'TTON 7a: OWNERAUMORU' TZON,TO BE COMPLETE r
I. as Owaea of the subjectiropaty, hereby authorrze b this bmldiagpetmrtaPPh OII
to act oa behalf, is all matters to work a�hmized Y
ata
Pint er.sName pectronic Sigaatum)
SECEION?b:OWi R1ORAUTHOIU= AGENTDECLAItAaON
low,
gy entering my name be, I hereby attest trader the pains and p=Latim of gerJury that all of the information
contained in this application is tree and accurate to the best of my knowledge and understanding•
Date
s or Atdhorized Agent's Name (F;leCGDmc �igpanucl
' 1VVJ.ra:. wntractor
An Owner who obtains a building permh to do his(her own work or an owner who hires an trine
ovemcnt Contractor (HTC) Pr°gm), ,WE n°t have access to the arbitratien
(not re�,�red in the Home Impr oimi ia{oimation on the HIC program canbe found at
program or guaranty fundtmderMGl. c.142A Otherr
www.mass.�ovlocaInformation onthe Construction SUP
erviso'License canbe foumdatwww.rn�•eov�d�s
vide the info�ion b ebw:
2 Whin substantial work is pl�nad, Pro (mcbu inog�, edbasementlaiiic�decks Cr porch)
Total floor area (sq. ft-) 19 1 N Flabitable roam count
Gross living area (Sq. ft) —
Number ofbcdmoms O
lq=ber of f epb= Number of hanaths
Number of bathrooms __ — Naber of decks! porches /
Type of heating system (c s w u "` Enclosed r OPeIl
Type of cooling system .J L•d c'
3. TotalProiect Square Footage" may be substi=u for `Total Protect Cosr
T
+t • " The Cornmonwealth ofMassachusetYr
J Department D
•� . � ep o flndustrial,4ccidents
I Conb ess Street, Suite 100
Boston, MA 0211¢2017
www mass .bov1dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electridgm/Plumbem
TO BE FILED V C=THE PERMITTING AUTHORITY.
Applicant Information Please Print LeQthlo
Name (Business/07mizidon/Individuai): �J 4 -" a ,r A . li1 ; l a" o — -
Address: 3 8 l a! .�,4 e./ cS� •✓cr ,'f'
City/State/Zip: YC4rw,e �-((Pd,,-r-
Me you an employer? Check the appropriate box:
DJC
Phone #: -7 '7Y— g 3 6 — Pp,Z
"Fo"am a empleyer with 4 employers (fu0 and/or part timej•
i ❑ I am a sole proprietor tr Paitaership and have no employees working for me in
any eapachy. [No workers' comp. insurance required_]
3.Q I am a homeowner doing an work myself [No worken' comp• hsu=e requtrA] t
4.Q I em a hameowner and will be hiring contractors to conduct all work on my property. I will
ensure that an cora acmes eitt= have workrn' comPensadon insurance or are sole
pritprietnn with na employees.
50 am a gener el comhacmr and I have hired the sub-coutiactan lister on the attached sb=t
These sub-canitacam have employees and have wmi=s' comp. h==e-:
6.0 We are a corporation and its ofricers have exercised their right of exemption per MGL c
152. 11(4), end we have no employees, [No wmr =rs' comp, bsurance tequfred.]
;Airy applic2nithat cheC:kr b7,1 muse also 5ll outthe semion below showvig theirworkcs' compensation
t Homeowners wbo submit this
Type of project (required):
7. ❑ New construction
8. �emodelin;
9. [Demolition cLi .....7
10 [wilding addition
I I.�lectrical repairs or additions
12. �ninnbing reZa or additions
13.[g'Roof repairs
14. [] Other
policy infmmatioa
+ a>ndayst mdicazing they are doing an work and than hire outside cc=t actors must snhmit a new afadavit in & 51]Gh
–Coimacton that check this box must attached an additional sheet showing the Dame of the sub-eonhacmrs and state wbeysr or not those entities bave
employees' If the sub-azmaetan have employees, they must provide their wodrers' comp, policy number.
I mn o?z employer that is pravfn2n, workers' conTaumton insz a=ce for my employees Belaw ass the policy mud job site
ircformadom
Instaan:ce Company Name: -1,,;-A V e )e ✓ S
Policy # or Self -ins. Lie. #- e% 9'73 Expiration Date: O Z 201
Job Site Address: S/ W :., e✓ S4 City/State/Zip:C✓�
✓w, o11
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to see= c0ver2,0-e as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to sl,500.00
and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a
day a,'ainst the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
_ coverage verification.
I do hereby un
\\ der the pains andpenaldes of perjury that the information provided above is true and correct
Ct .
Offload use only. Do not write In this area, to be completed by city or town off1daL
City or Town: Permit/License#
Issuing Authority (circle one) :
I. Board of Health 2. Budding Department 3. Ctty/Tawn Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone;*:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. f
Pursuant to this statute, an employee is defined as --every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as -an individual, partnership, association, corporation or other legal entity, or any two or more
of the foregoing engaged in ajoint 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(q 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 bnildings in the commonwealth for any
applicantwho 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."
R .. ..,
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), addresses) and phone number(s) along with their certificates) of
insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employee 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 thatthis affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the afndavit. 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. Self-insr>red companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
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/cense applications in any given year, aced only submit one affidavit indicating cu=
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 beIlled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(Le. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit
The Department's address, telephone and fax number.
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street, Suite 100
Boston, MA 02114-2017
Tei. 4 617-727-4900 ext 7406 or 1-877-MASSAFE
Fax # 617-727-7749
Revised 02-23-15 vrww.mass.gov/die
TOWN OF YARMOUTH
BUILDING DEPARTMENT
1146 Route 28, South Yarmouth, MA 02664 508-398-2231 eat 1261
PLEASE PRINT:
DATE:
JOB LOCATION:
NAME
W;h ►moi �.I►1�1;
NAME
PRESENT 1 AII G ADDRESS
ADDRESS SECTION OF TOWN
PHONE WORK PHONE
CITY OR TOWN STATE ZIP CODE
The current exemption for `Homeowner' was extended to include owner— occupied dwellings of one or two units
and to allow such homeowners to engage an individual for hire who does not possess a license, provided that such
homeowner shall act as supervisor. (State Building Code Section 110
Definition of Homeowner.
Pecs on(s) who owns a parcel of land on which he / she resides or intends to reside, on which there is or is intended to
be, a one or two family attached or detached structure assessoryto such use and / or farm structures. A personwho
constructs more than one home in a two-year p czio d shall not be considered a homeowner, such "homeownee'shall
submit to the building official, on a form acceptable to the building official, that he / she shall be mMonsible for all
Such work performed under the building permit (Section 11085.1.3.1)
The undersigned `homeowner' assumes responsibility for compliance with the State Building Code and other
applicable codes, by-laws, rules and regulations.
The undersigned 'homeowner' certifies that he / she understands the Town of Yarmouth Building Department
minimum inspection procedures and requirements and* din he / she will comply with said procedures and
requirements -
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL
Ch.142. Yes No
If you have checked ,Yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy . Other type of indemnity Bond
OWNER'S INSURANCE WAIVER I am aware that the licensee does not havethe insurance covm-agre requiredby
Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement
Check one:
Signature of Owner or Owner's Agent Owner Agent
IN
F Y'2
I_ _ C
TOWN OF YARMOUTH
BUILDING DEPARTMENT
1146 Route 28, South Yarmouth, MA 02664
508-398-2231 ext 1261 Fax 508-398-0836
BUILDING DEPARTMENT
DEMOLITION DEBRIS DISPOSAL AFFIDAVIT
Pursuant to MGL. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.5,
I hereby certify that the debris resulting from the proposed work/demolitioA to be
conducted at S/ W ,'" -c✓ �S'�'✓�e•-� % �r�^^o J�'% l�(3 141&.
Work Address
Is to be disposed of at the following location: VOL V&4 . ou+ (� 1D o.,, p
.Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111, Section 150A.
a. L
gnatnre of Application Date
Permit No.
TOWN OF YARMOUTH -
rte. 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 RECEIVED
`- Telephone (508) 398-2231 Ext. 1292 -Fax (508) 39MB36
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEESEP 0 6 2017
APPLICATION FOR YARMOUTH
CERTIFICATE OF APPROPRIATENESS OLD KING'S HIGHWAY
Application is hereby made for Issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts of 1973 as
amended, for proposed work as described below & on plans, drawings, photographs, & other supplemental info accompanying this
application. PLEASE SUBMIT 6 COPIES OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION.
Check AII,Categories That Apply: Indicate type of Building: Commercial _1 Residential
1) Exterior Building Construction: _New Building `� Addition Alterations V'O'Reroof ✓Garage
_Shed _Solar Panels _Other: RECEIVED
2) Exterior Painting: _Siding _Shutters Doors Trim _Other:
3) Signs/Billboards: _ New Sign _ Change to Existing Sign SEP
2 EMT -
4) Miscellaneous Structures: _Fence Wall _Flagpole _Pool _Other: TOWN CLERK
Please type or print legibly: ' , I /- SOUTH YARM RMA
LU Address of proposed work: � _1 I h Te ✓ .S Map/Lot # �13A -72-
Owner(s): W • �/J- w wi /q. cS � Q Lt.; Phone #: Sa g- 77y' Al 6 y%
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: 5-1 W i ✓+ +e✓ S + P6"� Year built: % 96.7
Email: bill + S`+aw (2 V e O l i CIL - C 0yr Preferred notification method: Phone P Email
Agent1contractor. C i ILI I Ci. ✓1 C) / Phone #: 7 �7 y pre
Mailing Address: 3 $ Lo 7 Gi✓r-+ e J�'`+ ��� �� m 6 ''J—
Email: 4-ke, .! I vvir"C% C o+M C-4-Jtreferred notification method: Phone ✓ Email
Description of Proposed Work:o,,Jr/
C� q,✓ G W i w & --J / Q 3�R .�O.Li- It-
; / "cell ✓Oa -(C -I ✓iG fw,00t G�-.:.vc..'e� I JS �f' vJo�41 ll <<.% -f' 134�
Signed (Owner or agent):
Date: yO S moo I
> Owner/contractor/agent re that a permit is required from the Building Department. (Check other departments, also.)
> If application is approvedrtpproval is subject to a 10 -day appeal period required by the Act
> This certificate is good for one year from approval date or upon date of expiration of Building e f ev s r.
> Al new constriction will be subject to Inspection by OKH. OKH-approved plans MUST be a IA - �f� &ftn _ i pections.
Rcvd Date:
Amount_1/J
Ca CK /OS
Rcvd by. _6y
45 Days:
Approved
Reason for Denial:
Signed:
Date Signed:
Approved with
EP 25
HIGHWAY
W� WrA,01_0
1=16 1 APPLICATION #: 12-40 % 3
Massachusetts Department of Public Safety
Board of Building Regulations and Standards
License: CS -015M
Construction Supervisor
JAMES A MnMa-
38WNTERsT
YARMOUTH POAT MAI W
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Expiration:
Commissioner 1110512017
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TRAVELERSJft
WORKERS COMPENSATION
AND
EMPLOYERS LIABILITY POLICY
TYPE AR INFORMATION PAGE WC 00 00 01 ( A)
POLICY NUMBER: (CHUB -9973L40-3-17)
RENEWAL OF (GHU6-9973L40-3-16)
INSURER: THE TRAVELERS INDEMNITY COMPANY OF AMERICA
1
INSURED:
MILANO, JAMES A
38 WINTER STREET
YARMOUTH MA 02675
NCCI CO CODE: 13439
PRODUCER:
EASTERN.INS GROUP LLC
233 WEST CENTRAL ST
NATICK MA 01760
Insured is AN INDIVIDUAL
Other work places and Identification numbers are shown in the schedule(s) attached.
2. The policy period Is from 09-26-17 to 09-26-1 a 12:01 A.M. at the Insured's malling address.
3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers
Compensation Law of the state(s) listed here:
MA
B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in
hem 3.A. The limits of our liability under Part Two are:
Bodily Injury by Accident: s 100000 Each Accident
Bodily Injury by Disease: s 500000 Policy Limit
Bodily Injury by Disease: S 100000 Each Employee
C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, If any, listed here:
e
COVERAGE REPLACED BY ENDORSEMENT WC 20 03 066
D. This policy Includes these endorsements and schedules:
SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE
4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating
Plans. All required Information is subject to verification and change by audit to be made ANNUALLY.
DATE OF ISSUE: 09-06-17 WC
OFFICE: ORLANDO INDUS AFF 161
PRODUCER: EASTERN INS GROUP LLC
22MLW
ST ASSIGN: MA
TOWN OF YARMOUTH
HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: .rl LA J t n -Le✓ S
Proposed Improvement: Re plc-ce ur: Q of of
/t'. nl/. f-.,. .I'!)7) -AI I - IC Pn ✓P.-&A.l�s f) 1- iJ L -lC It .Ok-P
Address:
Tel. No.:
Date Filed:
**lfyou would like e-mail notification ofsign off, please provide a -/mail address: �
Owner Name: w ' ' ��-. 4 c� a - •�C (.het �J ; v� No 'f--fC�c, �
Owner Address: sg:�_c., -e--- Owner Tel. No.: So 8 -7L/(/-74Y7
RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
REVIEWED BY:
Please submit three (3) copies of plans, to include:
(1.) Site Plan showing existing buildings, water line location,
and septic system location;
(2.) Floor plan labeling ALL rooms within building
(all existing and proposed) —
Note: Floor plans not required for decks, sheds, ivindows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
PLEASE NOTE
.TE: 92.)Le It --'>
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TOWN OF YARMOUTH ZONING
BY—LAW
ZONE : R-40
SETBACKS
FRONT = JO'
SIDE 20'
REAR = 20'
PROPERTY LINES SHOWN HEREON
WERE COMPILED FROM AVAILABLE
PLANS OF RECORD AND VERIFIED
ON THE GROUND.
7HE DWELLING DEPICTED ON THIS
PLAN WAS LOCATED ON 7HE GROUND
BY SURVEY ON SEPT. 21, 2017 AND
EXISTS AS SHOWN AS OF THE DATE'
OF LOCATION.
THIS PLAN IS FOR PLOT PLAN
PURPOSES ONLY.
THIS PLAN IS VOID IF NOT
STAMPED AND SIGNED IN RED.
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TOWN OF YARMOUTH ZONING
BY—LAW
ZONE : R-40
SETBACKS
FRONT = JO'
SIDE 20'
REAR = 20'
PROPERTY LINES SHOWN HEREON
WERE COMPILED FROM AVAILABLE
PLANS OF RECORD AND VERIFIED
ON THE GROUND.
7HE DWELLING DEPICTED ON THIS
PLAN WAS LOCATED ON 7HE GROUND
BY SURVEY ON SEPT. 21, 2017 AND
EXISTS AS SHOWN AS OF THE DATE'
OF LOCATION.
THIS PLAN IS FOR PLOT PLAN
PURPOSES ONLY.
THIS PLAN IS VOID IF NOT
STAMPED AND SIGNED IN RED.
f
315.28,
1
Building
locations and
setbocks approx.
Exis t
Dwg.
01
Proposed
Portico
40'f
STREET ADDRESS. • 151 WINTER ST.
ASSESSORS MAP 132 PARCEL 72
OWNER: DAVID B. SWANSON
DEED REF.: BK. 10911 PG. 212
PLAN REF.: PL. BK. 212 PC 101
I CERTIFY THAT TO THE BEST OF MY PROFESSIONAL
KNOWLEDGE, INFORMA77ON AND BELIEF THE DWELLING
SHOWN HEREON CONFORMS TO 7HE HORIZONTAL SETBACKS
OF THE ZONING BY-LAW FOR THE TOWN OF YARMOUTH.
_11V81. ,
20 40
PLOT PLAN
)ROWING PROPOSED ADDITION
IN
YARMOUTH, MASS.
SCALE., 1`_-40' SEPT. 21, 2017
7ERRY A. WARNER, P.L.S.
22 LONG ROAD
HARWICH, MA. 02645
(508) 432-8309
80 PROJECT NO. 17-256
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315.28,
1
Building
locations and
setbocks approx.
Exis t
Dwg.
01
Proposed
Portico
40'f
STREET ADDRESS. • 151 WINTER ST.
ASSESSORS MAP 132 PARCEL 72
OWNER: DAVID B. SWANSON
DEED REF.: BK. 10911 PG. 212
PLAN REF.: PL. BK. 212 PC 101
I CERTIFY THAT TO THE BEST OF MY PROFESSIONAL
KNOWLEDGE, INFORMA77ON AND BELIEF THE DWELLING
SHOWN HEREON CONFORMS TO 7HE HORIZONTAL SETBACKS
OF THE ZONING BY-LAW FOR THE TOWN OF YARMOUTH.
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20 40
PLOT PLAN
)ROWING PROPOSED ADDITION
IN
YARMOUTH, MASS.
SCALE., 1`_-40' SEPT. 21, 2017
7ERRY A. WARNER, P.L.S.
22 LONG ROAD
HARWICH, MA. 02645
(508) 432-8309
80 PROJECT NO. 17-256
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TOWN CLERK SEP 2 5 2017
SOUTH YARMOUTH, MA YARMOUTH
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