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HomeMy WebLinkAboutBLD-19-003237 IPS • 4 . . • SHEDS LESS THAN 150 SQ. FT. SHALL i Once Use Only �, Oltstkiet FE PLACED A MINIMUM OF 30 FEET S {' , : O FROMs THE FRONT LOT LINE ANDA Pe""' 3 s.4, C MINIMUM OF 6 FEET FROM SIDES AND ;Amount3- :F Prat ' 4. kEAR LOT LINES. cg?' F Permit expires 180 days from issue date ea-1(1-am EXPRESS SHED PERMIT APPLICATI(I C E ' V E D TOWN OF YARMOUTH Yarmouth Building Department 1146 Route 28 1 NOV 20 2018 South Yarmouth,MA 02664 K /� // (508)398-2231 Ext. 1261 8 4 rf f NT CONSTRUCTION ADDRESS: � alllnt�U_tryI Drive" l.`. ASSESSOR'S INFORMATION: 1 I �M a -ap: 113 Parcel: 7 OWNER:GM and re br/y L I/Aren4 rob 500 aiu wpnr4 Drive. }9(rnaoull, LJ_mra a.3(02.9IcJ5 'NAME 1 PRESENT ADD TEL k CONTRACTOR: RIIe ' ikte Weal end Tfi4i)J N.1l Oxen Ovine Vii Harter 41, r17X1 NAME MAILING ADDRESS TEL M Ioesidential 0 Commercciall Est Cost of Construction S (js 033.00 Home Improvement Contractor Liu 0 13a935 Construction Supervisor Lia II 07 38[9 9 Workman's Compensation Insurance: (check one) ❑ I am the homeowner 0 II am the sole proprietor ,. Si have Worker's Compensation Insurancerr+ Insurance Company Name:men) Hth thili(t'& pici (1 Worker's Comp.Policy# rrG(Ong•qt 1N 57-30i b 4 lF13Urarlc Can�+n4 SHED INFORMATION / New ✓ Size L 1(0 z W 8 x N! Corner Lot:Yes_ No V Per Town of Yarmouth Zoning By-Law Sec 203.5 E: Side and rear setbacks for accessory buildings less than 150 square feet and single story, shall be 6 feet in all districts, but in no case built closer than 12 feet to any other building. Replace existing' _ \Size L x W 1 CH_ *The debris will be disposed of at .-51-5- clC_co S. c' tvIV tJI /1411- Location of Facility I declare under penalties of perjury , . a stateme , herein contained are true and correct to the best of my knowledge and belief. I understand that any false answer(s) will be just cause for denial or rev, : i. of I'1 ns and for prosecution under M.O.L Ch.268,Section I. I Q Applicant's Signature: . Date: I i �fJp, Owners Signature(or attachment) ,�' Date: ��7����i,/v Approved Br � �, Date: /:1t/ / Buildi'_ I i. . (or designee) E ADDRESS: / Zoning District: .1 Historical District:' 0 Yes ❑ No Flood Plain Zone: 0 Yes 0 No Water Resource Protection District: Within 100 ft.of Wetlands:10n ❑ Yes ❑ No ❑ Yes 0 No ***Note:Conservation review required if within 100 ft.of Wetlands 9/13 Pr. The Commonwealth of Massachusetts Department oflndustrialAccidents =AL 5 I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH TUE PERMITTING AUTHORITY. Applicant Information Benin Print Legibly Name(Business/Organization/Individual): i-k (van foss + Benin Cnrporafion • Address: nIsq Queen Anne Told City/State/Zip: 'iyGlroi('h t m,9 eigrot-15 Phone#: 5O8 ban 02000 Are you an employer?Check thee appropriate box: Type of project(required): 1TO am a employer with as employees(full and/orpartdime).e 7. [Q'New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in S. 0 Remodeling any capacity.[No workers'comp.insurance required.] 3. 1 em a homeowner doingall workmyself r 9. ❑Demolition ❑ [No workers'comp.insurance required.] 4.0 I ern a homeowner and will be hiring contractors to conduct all work on rm property. 1 win 10 0 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet 13.❑Roof repairs These sub-connactms have employees and have workers'comp.insurance? 6.0 We ere a corporation and its officers have exercised their rt 14.❑Other 152, 1(4),9and we have no employees.oyees, BM of exe mption ed. MGL c. p [No workers'comp.insurance required.] *Any applicant that checks box K I must also fill out the section below showing their workers'compensation policy information t Homeowners who submit this affidavit indicating they are doing ell work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site Information. Insurance Company Name:N'fl) -Hamm liGill)l laS Insixan!e. ()trypan Policy#or Self-ins.Lic.#: FC f!`C( -'4000957' el 018 f Expiration Date:` )u'ri e. cowl Job Site Address:45 CAW' YVmmd DYN{ City/State/Zip: laft1 �' ►Y}ft 02475 Attach a copy of the workers'codtpensation po' 'cy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL a. 152,§25A is a criminal violation punishable by a fine up to$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$250.00 a day against 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 certify under the/''ns '4 p t of perjury that the information provided above' trued correct Signature: 4 Date: I, (�2�� phone#: . SCTI•Mall • t • Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: t. • •. PINE HARBOR WOOD PRODUCTS It's all about the wood' 259 Queen Anne Road, Harwich MA 02645 326 Yarmouth Road, Hyannis MA 02601 508-430-2800 harwichoffice@pineharbor.com 508-771-5007 hyannis@pinehabor.com Owner's Authorization /c4nnf.1 -R; fl%m�rmo as owner of the property located at n &o//jr000dcaeiic- 1Mtmwpt et ( Property Address) authorize Pine Harbor Wood Products to act on my behalf in all matters relative to work authorized by this building permit applic. tion. Owner's Signature %,��� , �... f Date: 9/ao/ie • r. . • Front Elevation Left Elevation PINE HARBOR O WOOD PRODUCTS SCALE: 1/4' = 1-0' SCALE: 1/4' = 11-0' PINEHARBOR.COM 1-800-368-SHED 259 Queen Anne Road Harwich,MA 02645 • - 7/12 Pitch • p:(508)430-2800 r 1 1 \ f:(508)430-1115 1 rr l , / r , 1 , 1 11 , 1 11 1 , , I I , , I I I I I I 1 , , , . 1 , : i I barnsopineharbor.com ' ' ' ' ' ' ' ' ' ' ' t•Architectural Shingles' I ri ' ' ' ' ' ' ' ' ' ' ' ' ' Birchwood 1 1 1 1 , 1 , 1 , , , , 1 , , ' I I ENGINEER'S STAMP ' r 1 1 , 1 1 , , , 1 , , III 111.1 1 , , , , 1 1 , 1 ' r 1 , L 1 , ' 1 1 , , , I 1 , , , 1 1 , , 4 MINI PVC Trim 'raj 1111111 III III _ ■■■ _ o _ iii = III III _ iii III �II Primed Clapboard • • III III Board and Batten I' �I� r PROJECT: T 16'-0' X # 81-01' t 8' x 16' Quivett Cape CLIENT:• . • Robert Tarantino ADDRESS: Rear Elevation Right Elevation • 52 Collingwood Drive © Yarmouth Port. MA 02675 SCALE: 1/4' = 1'-0' • O SCALE: l/4' = 1'-0' • PHONE: 508-362-9165 , , , t , , , , 1 1 , , 1 r 1 , I E-MAIL: i ' • , , 1 1 1 , 1 1 1 l , 1 , 1 , 1 1 , , 1 1 1 1 1 1 1 1 1 L , 1 , 1 1 1 1 1 , 1 1 , 1 1 1 , , , , / 1 bgtino@verizon.net 11 1 1 1 1 1 , 1 1 1 1 1 1 ' 1 Architectural Shingles , 1 1 1 I 1 , 1 1 r 1 1 1 1 1 1 , ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' •Birchwood ADDRESS OF PROPOSED WORK: 1 1 , , 1 , , 1 1 1 1 1 1 1 1 , . , 1 / 1 /1 , , 1 1 1 , 1 I 1 1 , i IIr52 Collingwood Drive Yarmouth Port, MA 02675 REVISION DATE: ■ 9/25/18 • Board and Batten 1 111 • Board and Batten I' DRAWN BY: GB Scale: 1/4' = 1'-0' • Unless otherwise noted Page A.1 WAYS;DIG;SAFE PRIOR -TO -CONSTRUCTIO --UTILITY LOCATIONS SHOWN INCOMPLETE. • 64.77/ 64.76r �.o • N/F c° / CLANCY BENCH MARK--TOP & CENTER OF • 1• / t CONC. BOUND= 30.22 ASSIGNED • 2. d / 66.4_ ..00 3. / US 4. • 5. a / ,4 4g g0. f eiNj 6. / T 11000 o q 7. a \ 68:66 ` / 6'4.5: \ 8. / Berried �I _- 9 L/\ / Electric may .70.; :, / , • follow Telephone,' - 7 71.2 8X/6r / 75.10. . . ., , a 64.E � STON£ i - �f'p it 11. ti / o 9.0 _ I �'ARIUNG t 72 A 12. BENCH MARK-TOP, BACK, CE TER m o ,-1/1( ��'4. 13. SEPTIC TANK=70.34 ASSIG ED 24 71. ' / 7; u lV pAIEr /.. ... . { 9 14. r .z04 ORIV /. d ..... i c 77.0 t 6S 00 / co _`� i6�L•• 72.r1 7 5 3 0 W r NO GRAI 64.40W 2. ARE PF / rV "b 65. try "� , _ R O 1 O0 / O 78.n 0 • 69.17 .. - Z ""'000 ts:c ENCH MARK--N.W. CORNER OF / / 22 J� 3 �n 1_ r OTTOM STEP=72.31 ASSIGNED / �:gra-- O 76. o -\ % 61.29 / / �f (9 ' 7 ..1 h r / 64.7 71s. .. CD ' • ,.2 • 68.8 • ' 76.4 7 `•:kl- � 75.4 �6 64.09 ...... � - - .. OF 756 / • • 641 8.7 •...Ncp • 71hc1 73.9 • 75.5 • 0 ' (V N/F 6393 = WALDEN CORP • _ / 64.2 66.6 / TEl 1 L' " ?. I :. las , __ 0 ,,.6, CI 7,V _.><71541.1/4t;:::::::: ' 66.9 i `. " .sk..f::.. .` :{:>> -- 7L9 NC: r 3.70 - \\ 9'°eF }i.}:. o: .::. 3 LOT 16 ,�. _ �0 7 r' 6r X • 21 , 830± S. F. . x 67.5. 63.04 2 Rog .2 ga. 45 • 67 ri- 61,67:.1.35 • 65.3 Sh N/F ss KARRAS 9 il `� 61.99 b.9 �{P• 6 • t., A �6 . 64.E THIS PLAN IS A VALID COPY ONLY IF IT BE. 2 AN ORIGINAL RED STAMP AND SIGNATURE. LEGEND \s2 4, TH 1 . . TEST HOLE LOCATION, NUMBER X59.72 �ofIAs C .4k WATER LINEMARKINGS ' ca -E- UNDERGROUND ELECTRIC WIRES (IF SHOWN) CADILLAC ' 0 CADILLAC' -G GAS LINE MARKINGS # 1060 i Op #35779 7- 11'_ .5 xg,7 EXISTING & PROPOSED ELEVATIONS ('X' MARKS POINT) 4) 7, (-34/Gess o oe• l' @I;tic ,- i -6� EXISTING CONTOUR SgmITAck0, Sun�E� I„ -.1.,!: •,. -8PROPOSED CONTOUR 0 UTILITY POLE (IF SHOWN) C/ L fl - 1I I' ';1 ® EXISTING DRAINAGE CATCH BASIN I - x - FENCE (IF SHOWN, NOT ALL SHOWN) i I _' 0 TREE (IF SHOWN, NOT ALL SHOWN) HEALTH AGENT APPROVAL I -Di • 1 _ n. r I .4. . • • �1 • MCGRPOS-01 KDOYLE .ACORv' CERTIFICATE OF LIABILITY INSURANCE DATE 6/20D 8 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such p endorsement(s).NTp PRODUCER NFME•CT Rogers&Grey insurance Agency,Inc. Na Ext): I FAX No):(877)816-2156 434 Rte 134 WC.DRE • South Dennis,MA 02660 AOL ss•mail@rogersgray.eom INSURER(S)AFFORDING COVERAGE NAIC I • INSURER A:Travelers Indemnity Company of America 25666 INSUREDINSURER s,TraVeIeI'S indemnity Company 25658 McGrath Post&Beam Corp INSURER D:New Hampshire Employers Insurance Compan 13083 dba Pine Harbor Wood Products -- 259 Queen Anne Rd INSURER D• Harwich,MA 02645 INSURER E: I INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.________ INS) ADDLSUBR POLICY EFF POLICY EXP LTR_ TYPE OF INSURANCE INS() WVD POLICY NUMBER IMM/DD/YYYY) IMMIDDMIYY) LIMITS A X COMMERCIAL GENERAL LIABILITYIL_ 1,000,000 —1 CLAIMS-MADE I X I OCCUR. " 111460-0368B196•TIA•18 01/3112018 01/3112019 °PR MsEsiRENTEDs-�_�ra�._ 3 .___100,000 I MED EXP(Any aPerim) __ S 5,000 CM ' PERSONAL a ADV INJURY $ 1.000,000 GENLAGGREG—ATE LIMIT APPLIES PER: GENERAL AGGREGATE' $ 2,000,000 X POLICY! JEL¢T LOC I`PRODUCTS•COMP/OPAGG a 2,000,000 OTHER I I$ 1,000,000 B AUTOMOBILE LIABILITY COMBINED SINGLE _ LIP MrvdAPll } ANY AUTO BA-4487B686-18-SEL 0113112018 01131/2019 IrBODLYINJURY(Per person) 11•1.._..__.__ OWNEDUTS ONLY IX AUTOSSthsoBBODILY INJURY(Peramdentll¢_______._ X AUTOS ONLY I X j r OS ONLY 1 IPRerpeCiREenil GE_....4...—.—_—__._ I I I4 — UMBRELLA LIAB 1 i OCCUR I EACH OCCURRENCE I$ _ EXCESS LAB � CLAIMS-MADE 1 AGGREGATE OED I RETENTIONS--y --_ I s C !WORKERS COMPENSATION Ili( PER OTH- 1 I AND EMPLOYERS'LIABILITY Y N 1 IL•MT,RF.L�$_...Y !ANY PROPRIETOR REXECUnVE ECC-600�000957.2018A 07/082018 07/082019 E.L EACH ACCIDENT S - 100,000 'QFFICEWMoMNE)EXCLUDED? 11u NIA T4 100,000 Vye..dory In NN) • E.L.DISEASE•EA EMPLOYEE}__-. IX describe under I 500,000 "DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT I S 1 • DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddMonal Remarks Schedule,may be attached If more apace Is required) , CERTIFICATE HOLDER CANCELLATION ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Yarmouth THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept 1146 Main StRoute 28 South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) - ID 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD r .( :-.712,e - i o CO i s - of ✓/�aooac/uIQetr.�. s Office of Consumer Affairs and Business Regulation =WI 10 Park Plaza - Suite 5170 Boston, Massae setts 02116 I Home Improvement for Registration.. • i,, V` (Ca rranaerwmJRM atl momeenihtezatk 01}weearn GO Refxr1h=esar,eil lLs))trwitr MCGRATH POST & BEAM CO. --'�"�= OtoottflTMP3outdin PoteguintiunsundStnn:+enxks JAMES MCGRATH m 1= • Construction S rDervisor 1 & 2 Family 259 QUEEN ANNE RD. HARWICH, MA 02645. _ — F, .7,9“,,,,-„,.., • , 4 . ,'.. Limn,":�to urratuan .oc:13 R/ -,5:, so ' JAMES RMTR + INIP 5u.hv204 CRANVIEW RD I " t . .. —• ' ; BREWSTER MA 02631 '� FIr t. a ta». ...,:n.,,,,. t( r . 5 N yit w ti rano)tnIfiau:rrar • ,. �r c / f moi" 'f!1 muvi wea'��UA ?cSac/ueoei(6, ""' ..,-_•_ • . ` - Office of Consumer Affairs and Business" Regulation `• it 10 Park Plaza- Suite 5170 Boston, Maseachusetts 02116 Home Improveme f tractor Registration I� Type: Corporation i'r1-"7'—Pfd Registration: 132935 MCGRATH POST & BEAM CO. re. = ,'-1i •F -9`•- Expiration: 10/30/2018 259 Queen Anne Rd. ( ! =-`y` 9 \�i. Harwich, MA 02645 -,,It _.f h) lel G ;.;% ::i Update Address and return card. Mark reason for change. SCA/ 0 20M05n1 .._ m voenevwnae,o ,rte 0 Address 0 Renewal 0 Employment 0 Lost Card . C tdet/..8'l9a l.Arias Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Corporation before the expiration date. If found return to: Jteaistrat1o0 EAotration Office of Consumer Affairs and Business Regulation 132935 10/302020 1000 Washington Street•Suite 710 MCGRATH POST&SEAM CO. Boston,MA 02118 0/B/A PINE HARBOR WOOD PRODUCTS JAMES R.MCGRATH 2.CC:21 •— 259 QUEEN ANNE RD. C.� Not valid without signature HARWICH,MA 02645 Undersecretary a.-.-' r / I 11� <4n7 RECEIVED � , . TOWN OF YARMOUTH REGE1��Di . 02664-4451 ,,�"_ i: Telephone Telephonne(08)398-2231 Ext.1148 ROUTE 28,SOUTH YARMOUTH, 398-0836 OCT I O 21 iB NOV 14 2018 .vARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COM lag NGS HIGHWAY TOWN CLERK SOUTH YARMOUTH, MA APPLICATION FOR CERTIFICATE OF APPROPRIATENESS 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 4 copies OF SPEC SHEET(S),ELEVATIONS,PHOTOS,&SUPPLEMENTAL INFORMATION. Check All Categories That Apply: Indicate type of Building: Commercial ✓ Residential 1)Exterior Building Construction: f New Building Addition _Alterations _Reroof_Garage / ✓Shed _Solar Panels Other: 2)Exterior Painting: _Siding _Shutters _Doors _Trim _Other 3)Signs/Billboards: _New Sign _Change to Existing Sign 4) Miscellaneous Structures: _Fence _Wall _Flagpole Pool _Other. Please type or print legibly: /Word 4 Address of proposed work: `5,Q CoIItt Word_Drive Map/Lot# p43 - 1(2 Owner(s):(IAil AfYI l/t�yr7 TIM tMin n Phone#: SLY 7 CI 105 All applications mustsn e submitty owner or accompanied by letter from owner approving submittal of application. Mailing address: 53 ( Oiiit91t 3 i -Disk, Year built: 19 78 Email: [Jtt%no P Verizof.tit Preferred notification method: ✓ Phone Email Agent/contrractor, fne. j-JIgt it V'Jad Bo'IUCkk Phone#: snaA- an. 4800 Mailing Address: a5y ouern Annecia4r f-Jarwich,mn ozot11 Email: .JrMte pineharbor.Pn t l Preferred notification method: Phone ✓ Email Description of Proposed Work: eonj fora f3A/ 'col !female bufid/ng - 7�/2 pl ��•{, V Wit Shtnq/t stdrng — a o%ikel /Loral - Vinyl sliding door -12i 6/6 /v fly/ D.g. Lain clow! 0/P11/46 1�y/it/� Signed(Owner or agent): �/ Date: /v r > Ovner/contractodagent is aware that a pe rmW the Building Department.(Check other departments,also.) > If application is approved,approval 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 Permit,whichever date shall be later. > All new construction will be subject to Inspection by OKI-1,01(11-approved plans MUST be available on-site for framing 8 final inspections. to For Committee use only: ✓ Approved _Approved with_Modifications _Denied Rcvd Date: /010/R Reason for Denial; --. Amount cat Rcvd by: ✓1•// Signed: J ��; - ___t�/ ; 37 ;8 45 Days: !!e?�a/S .i/— 0_ aeli2 .tn�• I I rAtzlvlUUyH I • _ �� OLD Kmlr. c e H4V� Date Signed: /0,72_0/r� __ 0 1 APPLICATION#: 1 A ) 5 t• fik ..0 . c TOWN OF YARMOUTH F - .4 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE '6 1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664445 Telephone(508)398-2231 Ext1292 Fax(508)398-0836 ECE! sa STATEMENT OF UNDERSTANDING Nov 14 201E CHANGES TO AN OLD KING'S HIGHWAY APPROVED I'Nv CL YgRMOURH Mq As property owner/contractor/agent for construction at S'a Co//iv wood .1).1. Map/Lot / `13 . 7� C/A# - A S Q v Approval Date: //-13 J I certify that I understand the following requirements regarding any changes that may be required for this project: In accordance with paragraph 2(a) of section 1.03(General Procedures) of the OKH 972 CMR Rules and Regulations: Only minor changes maybe approved by the Committee without the filing of a new application and a new hearing. Minor changes include alterations that can be done without a detrimental Impact on the overall appearance of . the project such as altering a single window or door change or a minor change of colors. All minor changes by amendment will require the local Committee's or its designee's approval. All changes to previously OKH approved plans require notification to and approval from the local OKH Committee. Change requests must be submitted to the Committee in writing on the appropriate request form,which may be obtained from the OKH office. All change approvals must be obtained before Incorporating the change Into the project. If the change has been implemented prior to receipt of OKH approval, a Minor Change approval or Certificate of Appropriateness application for the revised plans is still required and will result in a doubled filing fee for the appropriate category of work. Failure to comply with the above statements will result in the Building Department issuing a stop-work order or delaying issuance of an Occupancy Permit or final inspection approval. I have read and understand the above statem-• . [Ai3PRovn- Date: (//3/2-613NOV I R Lii8 (Own:�. I"- e SHITH OLD KING'S IGHWgy Signed: GZ (Chairman, d King's Highway Committee) H:t0104 COMMI TEE'Applleagon Foma\Stetement of Understanding 2015.doce Updated 11/1015 • , GENERAL SPECIFICATION SHEET Project Address: t1 FOUNDATION: Material: Solt(1 Qnnrfete bicac Exposure(Not to exceed 18'): II 1:0 r CHIMNEY: Material/Color. M. li GUTTERS: Material/Color: Neil . p)rtfii{[cfiul a ROOF:Material: 1l3pwxff .. _•Y/*card (7/12 min) 7/la Height to Ridge: I I f/Z Color. Bile duirNYi SIDING: Material/Style: Fronnt:L t*card Sides/Rear: Board i -k}') COLOR CHIPS Color. Front: On I ray Sides/Rear: Maly&4I TRIM: All windows&doors to be trimmed with: lx 4 1x5 (Circle one.)L, Material: "Pvt.,. ,,, ^^ Color: W h r (t- DOORS: Qty: S Material: E le f Color: lAiii li-Q. RECEIVED Style/Size(if not listed/shown on elevations): 6 0 G 4 — 3//'C r n9 Nov 14 ?018 STORM DOORS:Qty: —Material: Color: rot/VN GARAGE DOORS:Qty:=OM1 at'I: Style: Colon 1, JOUTk?Ai:, ARCLERK O TH WINDOWS: Qty/side:: Front: 1 Left: 1- Right:_ Rear:_ Color: whrk, Manufacturer/Series: 14411/(5 was*,es Material: Vint/I , Grilles(Required): pattern(6/6,2/1,etc.) (W/(9 Grille Type:True Divided Lite: Snap-In: Between Glass:_ Permanently Applied: _Exterior _Interior STORM WINDOWS: Qty: Material: Color: SHUTTERS: Matt N'$1 Style: Paneled Louvered Color. SKYLIGHTS:Qty: N'Pi Fixed_ Vented Size Color: DECK: Size: NV-tI Decking Mat'i: Color: Railing Mall: Style: Color: WALLS/FENCES*(Max 6'height): Height Mat'I: Style: Color. (Show running footage&location on plot plan.) *Finished side of fence must face out from fenced in area. UTILITY METERS/HVAC UNITS: Location: Screening: / t} prj .. F_ LIGHTS: Qty: Style: Color: �►r '�' "' j , 71,3 r Location(s): fYANt lvUtH 1 LIGHT POSTS:Qty: Material: Color: I tit Ii KIN(`,.g HI JH(111Y Location(s): _--_._� Additional information: 2-General '1 8 _ /� APPLICATION#. U 5 con — l S _ L - \ �. !? _ p � Y B �.� �.�\ \ \C no N i 1` HT1 I� LI p j� L � � r e` m • h s Z .- ------- . :r ei3,os v vq @IQL,hl .g0M t, I 97 15. ' a 0 N303t1 = L> �_ s9 0 e L a' "L " A'M tiWSONkQIO.-" C. b m r t C.., ` -i,5J e 3w • w a /� A1N`OIKSfJNU' 010 \� / minowyeek 9,1 EP a I, ��.41 Is \ rte \ Ni U7 / Jy P e j. I� ! s !` - _ w � L / .�'/ \ . 3 / • 9 TOWN OF YARMOUTH ECEIIVED OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITT Gl�t� V OCT 102018 ABUTTERS'LIST YARMOUTH OLD KING'S HIGHWAY Fetter • Applicant's(Owner)Name: d tter f etcar 'AO / Property Address/Location: IIII C ?- Lata vvi woad Da_.yr Hearing Date: 11'/33/8 Notices must be sent to the Applicant and abutters(including owners of land on any public or private street or way)who's property directly abuts or is across the street from the Applicant.Please provide the Assessor's Tax Map and Lot numbers only.The OKH Office will send out notices using the addresses as they appear on the most recent applicable tax list. Note:Instructions for obtaining the abutters Map and Lot numbers can be found on the Old Kong's Highway Department page on the Town website:www varmouth.ma.us Map Number Lot Number 14.. Applicant Information: 143 Abutter Information: ,14 3 ,3 IL{3 86- 7 V-(3 7 1 143 (o7 RecovE.p i 43 52 Nov 942818 143 SI T . 143 -o Sourhy,�; FFh I i !i:i:i I a a;8 i G YFxNi�G1H t Application d: - A l n u time 3 143/ SW' / STOCKING JOHN C STOCRING CELESTEC Please use this signature 63 certify this OM of properties 2 CROMWELL DR directly abutting and across the street from the parcel located at YARMOUTH PORT,MA 016311516 52 Coll' egwood Or.,YamrOUth Port.MA 02675 143/ 51/ / / Assessors�Map11443,,Lot 72" CAMARA JUDITH A TR 'A'y^' "K""' '" TIE 3ACAMARA REV TRUST J Andy Medial°.Director of Assessing 43 COLDNGWOOD DR YARMOUTH PORT,MA 02635 113/ 52/ / / 1 CORSDVIIN X11 EI�,I CORSI NAM EC EQ; YARMOUTH PORT.MA 02675 OCT 36 24 13 MY 67/ / / YMrtINVVI/T TIEIGE ROGER P 'OLD HiNG'S MGMNAY TLLTGE CTIARYH A 53 COLUM iW000 DRIVE YARMOUTH PORT.MA 01675 MY TV / / LIMCY PAUL? CTANCY PATRICIA A v 62 M1SCOE RD WORCESTER.MA 01604 143/ 32/ I / TARANTpp GALLA IRS TARAMWO ROBERT/IRS 52 COLLMOW'OOD DR YAR/ROLM PORT,MA 02635 143/ 73/ / / ��^^qq N SIRCOM JOHN DIRS / 'Ar(� PY6 M 34 COLLGWOOD DR YARMOUTH PORT,MA 02635 1 ( OLD Y"hA" nH "t My 1AT/ / / KINGB H'GHy1'4V ( MCMAHON JOHNI MCMAHON ROSEMARY A 31 WALDEN WAY YARMOUTH PORT.MA 01635 RECEIVED • NOV )4 2818 Jamie McGrath Pine Harbor Wood Products Sit oYJU7Ky,614 • 259 Queen Anile Id. 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'4•4W-4.-0!--;,:- r.s':?.:rti;', . .1 ' •'? .-kli st;"414.tti . f:-Pe:1 ':/gfireefittg. . ilttit,.1-, .2.-v_ it .., 'li / .t --' 2.-,- - Front Elevation Left Elevation PINE HARBOR O n IWOOD IIAVCTS SCALE:VE= 7-0' SCALE: I/d'=I'-0' NNFNAReOR.COM 1-e00J6e-54160 SSs Dann A===load N=m.h,MA 02645 7/12 Pitch Er ISORI 4365000 RDON uamS • •� . . • • • • • lvCaNNAW J RwgpS M 41111111 l` _ F€I S ST a6MGw.tan . • • • ' ' WLINF5R35TAMY I .11114 111 111 "` , m 7 RECEIVE b! II 111 111 111111 OCT 10 gala .1111 I'I'I' ,,, 111111 ' TM MUoiH 111 111 '=mI ■ OLD KING'S HIGHWAY111 111 I I I I I IPO`f jAPIP IP 'IICT; 16'-0' } #---8•-0•_ t N,:: 1 A 81 x 16' 4wvett Cape OLD G'S HIGKIN V ArO;LH H HW 01717'SY ober[ Tarantino RECEIVED ADDRESS: ORear Elevation 3 Right Elevation SCALE:1/d-=I'-0' O SCALE:J/d'=I'-0' Nov 14?OI8 TOPHONE: G 508-362-9165 SOUTH YARMOUTH.MA . F.MAII: ,' a '-cx 5 lt izonrte: a •- . ' ' ' : E lr+ ADDRfSSOf PROYOSFO WORK1REVISIONDATE:• Lro�sr_v:Ca r1V Board and LW4nDRAWN Ss. . CB Scale VG=1-0' Ones otherwise noted 19-A7c5 Page Al A n'D1G;;SAFE PRIOR TO CON$TRUC11O --UTIUTY LOCATIONS SHO INCOMPLETE. 'S'' 1 e.7,/ • °61.771 'i.7,. N/F F .qG .6 ' 1 JT CLANCY CONCH MARK--TOP ASSIGNED OF Av.].. , LL Lc/ // ,u;, n CONC. BOUND 30.22 ASSIGNED f 10 l ,$ .� �/ 7{{BJO. v u // r IID OO' f n AMIkf t• / A� �/ Burned '` eaR�` \` // Electric may - --aj . yry+, / follow Telephone - rl•, +'.y i , ST �~" te)-I 1 F. 1M Q \ P DNP BENCH MARK- ,11 ~ 72 . r TOP, BACK,ASSIGNED R w o `` ��.d. I.. .7 BENCH SEPTIC TANK-70.34 A55CNED 'o ^ \ ).`n 1 V 1 PA / �'•'1 r X11 Di? 1 .T' 1 ®•00/ // ' a �: ` / : '1 /` 3 NO GF • i.a.mi / WSW E ! ARE CI _ p, o (:) ,/r317 4:u i NON MARK--N.W, CORNER OF /Pp.' , J� ; OTTOM SIEP.72.71 ASSIGNED ® ` / / y,u. A O ( 2 0 / � � �a V 2 9 / \\ e.1 / • a tA 4. • • n r 0q, 0/.. N-P .In^' ( r.•' /".i. �• ... / .,y N/F / ,-a2 / TM/ 0 if , ) �. WALDEN CORP /j n.{ O / CI \ma �c `‘.;::::::N., • 11 :( .�`v <:) . kph • *� Xiak ' j 'V• Ci:70 (I+: iJ • LOT 16, 4: . x 11 ,830±S.F. �. Nd A \, ' `116_,1 N/F . \ ryh1 . 004 } • s° °s KARRAS e , +,J \wd/ o 2 2 S ZI �I I` oSA. a zY •C rn C) 4. co < rn cm ro 5 n T HIS PLAN IS A VALID COPY ONLY IF IT E 1 AN ORIGINAL RED STAMP AND SIGNATURE J FGFND � ^—� 0 TH 1 TEST HOLE LOCATION, NUURERh` •597,1' r� {yrt y�q, _ i1/4-�'— WATER UNE MARKINGS �O I h 9` ei w ��1\'-E— UNDERGROUND ELECTRIC WIRES (IF SHOWN) 'zi -a p A ' 1�RR,- -G— GAS LINE MARKINGS i0 a - .=J o 1�.� CADILLAC I GV)ILUC < x o 111 M1009 � ,1051'/9� nl4, .55.` EXISTING & PROPOSED ELEVATIONS ('X' MARKS POINT c- 'J of _77 {Fq,4a, \(o'P IUS,°: i EXISTING CONTOUR y2 ,rn �G' �� +°P y .. ➢ UlO O 1�'� 'Ta NIlI.P1PP� ��YRVf { -8-- PROPOSED CONTOUR 2 "1 3 (6 0 UTILITY POLE (IF SHOWN) IK ]r =s o C' - I� 1 : �, m y,. ® EXISTING DRAINAGE CATCH BASIN _, y I r —•— FENCE (IF SHOWN, NOT ALL SHOWN) O 0 1'� © TREE (IF SHOWN, NOT ALL SHOWN) CT HEALTH AGENT APPROVAL . �l