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HomeMy WebLinkAboutBLD-23-001047 ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department 1146 Route 28,South Yarmouth,MA 02664-4492 r ` 508-398-2231 ext. 1261 Fax 508-398-0836 i` .. .. Massachusetts State Building Code,780 CMR �, �'.. Building Permit Application To Construct, Repair, Renovate Or Demolish �_. a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: p / • Il Date Applie �r\ S. 4rc Building Official(Print Name) Signature SECTION 1:SITE INFORMATION rgeroE f V E p LI Property Address: 1.2 Assessors Map&Parcel Numbers _�- 97 Pheasant Cove Circle,Yarmouth Port 149 45 t HAUG 2 4 2022 1.1a Is this an accepted street?yes no Map Number Parcel Number 1.3E120 ZoningInformation: 1.4 Property Dimensions: 6 UILDIN DEPARTMENT R40 16080 y Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards l Rear Yard Required I Provided Required Provided Required Provided 30 I 37.3 20 20 20 23 1.6 Water Supply: (M.G.L c.40,154) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public a Private 0 Zone: VE-AE Outside Flood Zone? Check if yesCi Municipal 0 On site disposal system [ SECTION 2: PROPERTY O WNERSFD P' 2.1 ora avoOwner'w of Record: New York,NY 10024 Name(Print) City,State,ZIP 100 W.80th Street 917-224-8727 windmillhousellc@gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 I Existing Building 0 I Owner-Occupied 0 I Repairs(s) 0 I Alteration(s) tf I Addition jli Demolition © I Accessory Bldg. 0 I Number of Units 1 Other 0 Specify: Brief Description ofPro ose Work2 window on rear of hort�e,add 3 small ll landings.Add 2 ddrrtiers to garageoor on front incorporatef lu eeAltw iiiteerim expand ba renovations remainthin existing footprint of house. Conservation and OKH approvals received. S-11-(-6v�e \O `t•Qri\ *\4-4x04 Y;As\'t_k. SECTION 4:ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: (Labor and Materials) Official Use Only I.Building $ 580,000 1. Building Permit Fee:$Indicate how fee is determined: 2.Electrical $ 51,000 ENStandard City/Town Application Fee 3.Plumbing $ 0 Total Project Cost3(Item 61)x multiplier x 32,000 2. Other Fees: S 1100.III) 4.Mechanical (HVAC) $ 60,000 List: e-44/4- /5-i) /7, 5.Mechanical (Fire Suppression) $ N/A Total All Fees:$ - Check No. Check Amount: Cash unt: 6.Total Project Cost: $ 725,000 0 Paid in Full itl Outstanding Balance Due 76,5 Li r6 to l 61,3 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) Richard Bryant 082435 Name of CSL Holder 6-5-24 License Number �—•-- 63 Cranberry Lane Expiration Date U List CSL Type(see below) No.and Street Brewster,MA 02631 Type Description City/Town,State,ZIP U I Unrestricted Buildin:s up to 35,000 Cu.ft.) 1111211.111 Restricted l&2 Family DwelIin• MEM Maw) RC Roofing Coverin: • WS Window and Sidin• NM Solid Fuel Burning Appliances Telephone I Insulation Email address D DemolitionS.Z Registered Home improvement Contractor(HTC) Cape Associates Inc. HICgf" oViVer 100110 6-8-24 HTC Registrant Name HIC Registration Number Expiration Da Date No.and treet rbryant@capeassociates.com Eastham,MA 02651 Ci /Town,State,ZIP 508-255-1770 Emai!address North Tele'hone SECTION 6:WORKERS'COMPENSATION INS Workers Compensation Insurance affidavit must be completed and lsubmCE dw h AFFIDAVIT(M.G.L.c.152.§ 25C(h7)this application. Failure to provide this affidavit will result in the denial of the Issuance of the building Signed Affidavit Attached? Yes .......... ..permit. SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize see attached to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. /� 5 Print Owner's or uthorized Agent's Name(Electronic Signature) 08-24-2022 Date T permit to An Owner who obtains a NOTES: building do his/her own work,or an owner who hires an unregistered (not registered in the Home Improvement Contractor program or guaranty find under M.G.L.c. 142A. (HTC)Program),will not have access to the arbitration actor www.mass.uov/ora Information on the Construction Supervisor License can be found at Other important information on the NIC 2. 'When substantial work is planned,provide the information below: Program can be found at Total floor areas . w.mass.eov/d s Gross ( q ') 3062 living area(sq.ft.)-7376"------------- Habitable t,) 1876 (including garage,finished basement/attics,decks or porch) Number of flrepiaces_1 e_xistin Habitable room count 12 Number of bathrooms Z— — Number of bedrooms Type of heating system G,s oa�rc_a alr Number ofdecks half/baths Type of cooling Number of decks/porches 1 2 system 3. "Total Project Square Footage" Enclosed OpenT—'"— may be substituted for"Total Project Cost" ��— Sears, Tim From: Sears, Tim Sent: Wednesday, August 31, 2022 9:17 AM To: Rich Bryant Subject: 97 Pheasant Cove Rich, I have reviewed your application for renovations and there are some items needed. �1. FEMA Elevation Certificate based on construction drawings 2. Plans stamped by Registered Design Professional Please submit these items for review. This email is considered a written denial of your permit application per Section 105.3.1 of the Massachusetts State Building Code. Section 105.3.2 states in part that "an application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing, unless such application has been pursued in good faith" You may appeal this denial to the Building Code Appeals Board in accordance with M.G.L. c. 143 §100,within 45 days of this notice. Timothy Sears CBO Deputy Building Commissioner Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsears@yarmouth.ma.us 1 N .0vYgk L u �" 4Co TOWN OF YARMOUTH ..Alt, HEALTH DEPART AUG 2 4 s 2022 o .. 1 'y DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET HEALTH DEPT To be completed by Applicant: Building Site Location: 97 Pheasant Cove Circle, Yarmouth Port Proposed Improvement: Addition/renovations to include two dormers - small landings. All renovations to remain within existing oo .rm o ome, - cept aril rngs- spp rove.. 9 ' I s - - -- •1 ' I :•rage to incorporate newtkitchen, two floor dormers. Applicant: Cape Associates Inc., Rich Bryant Tel. Na:: 508-362-9770 Address: PO Box 1858, No.Eastham,MA 02651 Date Filed: 8-24-22 **Ifyou would like e-mail notification of sign off please provide e-mail address: acarroll@capeassociates.com Owner Name: Nora Lavori Owner Address: 100 West 80th Street,New York,NY 10024 Owner Tel. No.: 917-224-8727 RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Require For Septage Disposal and other Public Health Activities. ments 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, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer ith fee. 41114 REVIEWED BY: _ ✓-�l/ DA - O �� TE. COMMENTS/C ,1' ASE NOTE OND IONS: cc. ( vi 3 Be (vOr -v . ----- A 7)G ce. 3 irir vvc,p,C 1- , r r Al c-c .gK.„,[/.....-dK 0VLt:cQ ,' a ho/ i �$ A Conservation Office Town of YarmouthO bdirienzoyarmouth.ma.us _ Conservation Commission MATTII M�3%a �.�RPoRAIC4 �+ Building Permit Sign-off Application TO BE FILLED OUT BY BUILDING PERMIT APPLICANT: Building Site Location: 97 Pheasant Cove Circle, Yarmouth Port Map# 149 Lot(s)# 45 Nora Lavori 8-24-22 Property Owner: Date filed: *Applicant: Cape Associates Inc. Applicant Address: P.O. Box 1858, N. Eastham, MA 02651 Email: rbryant@capeassociates.com 508-362-9770 Please note:by submitting this application,the applicant grants permission to the Conservation Office to enter the location to conduct a site visit(if needed). Proposed Project Description: Renovations to existing home as shown in plans. Additions remain within existing footprint of home. Add two dormers & three small exterior landings as shown ^��••� ^^�' „ Site Plan Title/Date: Plan of Land, 12-22-2021 TO BE FILLED OUT BY CONSERVATION ADMINISTRATOR: Does the proposed project require a permit? Refer to: SE83- r DOA permi Comments from Conservation Commissio :Approve, Conditionally Approved Rejected Conservation Commission Sign-off Signature: Date: 47 Lf (ZZ *TO APPLICANT: All work-related debris shall be taken offsite or disposed in a legal upland location. At the end of each day, the area shall be clean and no debris shall be in the Resource Area. If work is permitted under an Order of Conditions, please arrange a pre-construction site visit with the Conservation Administrator. At the time of site visit, the MassDEP File Number sign must be installed, along with the erosion control/work-limit line. A copy of the Order of Conditions must remain on-site during construction. Please refer to the Order of Conditions for further details. . •', 41.1;•:,.;.....iti.....,..,..4; 11, $. • z ..! 4,w icy t I `V ( Cl) ` I 0 .. U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30,2022 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner. SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: NORA LAVORI A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O.Route and Company NAIC Number: Box No. 97 PHEASANT COVE CIRCLE City State ZIP Code YARMOUTH PORT Massachusetts 02675 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) ASSESSORS MAP 149,PARCEL 45,TITLE IN DEED BOOK 33837,PAGE 242 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 41.7234 Long. -70.2254 Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 8 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 1527.00 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 8 c) Total net area of flood openings in A8.b 1600.00 sq in d) Engineered flood openings? ❑x Yes ❑ No A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes ❑ No SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name&Community Number B2.County Name B3. State YARMOUTH 250015 BARNSTABLE Massachusetts B4. Map/Panel B5.Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9.Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 25001C0576 J 07-16-2014 07-16-2014 AE 14 810. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 Q NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ❑x No Designation Date: "❑ CBRS ❑ OPA FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE Expiration Date: November 30,2022 IMPORTANT: In these spaces,copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 97 PHEASANT COVE CIRCLE City - State ZIP Code Company NAIC Number YARMOUTH PORT Massachusetts 02675 SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) CI. Building elevations are based on: ❑x Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations—Zones A1—A30,AE,AH,A(with BFE),VE,V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/A1—A30,AR/AH,AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters. Benchmark Utilized: GPS RECEIVER Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a)through h)below. ❑ NGVD 1929 0 NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 13.2 ❑x feet ❑ meters b) Top of the next higher floor 15.3 n feet n meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑ feet ❑meters d) Attached garage(top of slab) N/A ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 15.4 ❑x feet ❑ meters f) Lowest adjacent(finished)grade next to building(LAG) 12.5 0 feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 13.6 0 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 12.5 0 feet ❑ meters 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 certify that the information on this Certificate represents my bast efforts to interpret the data available. I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? Yes ❑No ❑Check here if attachments. Certifier's Name License Number KIERAN J. HEALY 48135 Title SURVEY MANAGER orarq�s�cy Company Name rJ• KIERAN ��`" BSC GROUP,INC " HEALY n Address \ O4al ,,J 349 ROUTE 28UNIT D City State ZIP Code -1 �`''ryr.LAt10 Prrrrerfil WEST YARMOUTH Massachusetts 02673 Signal ` ' Date Telephone Ext. 10-06-2022 (508)778-8919 4586 Cosy all pages this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner. Comments(including type of equipment and location, per C2(e),if applicable) THE EXISTING BASEMENT AREA IS TO BE FILLED TO MEET FEMA REQUIREMENTS AND THEREFORE NO LONGER A BASEMENT.THE UTILITIES IN THIS AREA ARE TO BE ELEVATED ABOVE THE FIRST FLOOR. THE GARAGE IS ALSO GOING TO BE FILLED IN-NO LONGER A GARGAE-AND THE AREA TO COMPLY WITH FEMA REGULATIONS. FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 2 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30,2022 IMPORTANT: In these spaces,copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number: 97 PHEASANT COVE CIRCLE City State ZIP Code Company NAIC Number YARMOUTH PORT Massachusetts 02675 SECTION E—BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A,B,and C. For Items El—E4, use natural grade,if available.Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a) Top of bottom floor(including basement, crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the HAG. b) Top of bottom floor(including basement, crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 1-2 of Instructions), the next higher floor(elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or ❑below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B,and E for Zone A(without a FEMA-issued or community-issued BFE)or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments. FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 3 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30,2022 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(Including Apt.,Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Policy Number: 97 PHEASANT COVE CIRCLE City State ZIP Code Company NAIC Number YARMOUTH PORT Massachusetts 02675 SECTION G—COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B,C(or E),and G of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G6—G10. In Puerto Rico only,enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer,or architect who is authorized by law to certify elevation information.(Indicate the source and date of the elevation data in the Comments area below.) G2 ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE) or Zone AO. 03. ❑ The following information(Items G4—G10)is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Orcupanry Issuer) G7. This permit has been issued for: ❑ Now Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor(including basement) of the building: ❑feet ❑ meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑ feet El meters Datum G10. Community's design flood elevation: 0 feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments(including type of equipment and location,per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30,2022 IMPORTANT: In these spaces,copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Policy Number: 97 PHEASANT COVE CIRCLE City State ZIP Code Company NAIC Number YARMOUTH PORT Massachusetts 02675 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken;"Front View"and"Rear View";and, if required,"Right Side View"and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Photo One Photo One Photo One Caption Clear Photo One Photo Two Photo Two Photo Two Caption —-- - Clear Photo Two FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ' ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30,2022 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 97 PHEASANT COVE CIRCLE City State ZIP Code Company NAIC Number YARMOUTH PORT Massachusetts 02675 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8. Photo Three Photo Three Photo Three Caption Clear Photo Three Photo Four Photo Four Photo Four Caption Clear Photo Four FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 6 of 6 Cape Associates, Inc CUSTOM BUILDERS EST. 1971 PROPERTY MANAGEMENT I SERVICES I PAINTING OWNERS AUTHORIZATION 97 Pheasant Cove Circle Acceptance of Proposal -1 have read ail popes of this document and accept tM prces.specification and condition stated. 1 understand that upon sprang this proposer becomes a banding contract. You are authorized to do the wort specified. Payment wit be made as outlined above. You,the Buyer,may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.Cancellation must be done in writing. DO NOT S THIS ONTRACT IF THERE ARE ANY BLANK SPACES. Sgnature2 CMOs( _ 2.0 Signature Date COMMITMENT II QUALITY INTEGRITY Cape Associates,Inc. • PO Box 1858 • North Eastham,MA 02651 • 508.255.1770 • www.CapeAssociates.com 203 Willow Street,Suite B • Yarmouthport,MA 02675 • 508.362.9770 782 Main Street • Chatham,MA 02633 • 508.945.1010 0 GComplianceenerated by REScheck-Web Software Certificate Project Lavori Residence Energy Code: 2018 IECC Location: Yarmouth Port, Massachusetts Construction Type: Single-family Project Type: Alteration Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 97 Pheasant Cove Circle Cape Associates, Inc. Yarmouth Port, MA 02675 Compliance: Passes using prescriptive requirements for alteration projects Slab-on-grade tradeoffs are no longer considered in the UA or performance compliance path in REScheck. Each slab-on-grade assembly in the specified climate zone must meet the minimum energy code insulation R-value and depth requirements. Envelope Assemblies Gross Area Cavity Cont. Prop. Req. Prop. Req. Assembly or R-Value R-Value U-Factor U-Factor UA UA Perimeter Roof Lines: Flat Ceiling or Scissor Truss 1,158 49.0 0.0 0.026 0.026 30 30 Wall: Wood Frame, 16" o.c. 2,280 21.0 0.0 0.057 0.060 104 110 Door: Solid Door(under 50%glazing) 40 0.300 0.300 12 12 Door 1: Glass Door(over 50%glazing) 40 0.300 0.300 12 12 Window:Vinyl Frame 369 0.300 0.300 111 111 Floor:All-Wood Joist/Truss 1,158 30.0 0.0 0.033 0.033 38 38 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 2018 IECC requirements in REScheck Version : REScheck-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Christian Barta-HERS Rater 8anaaC4 8/12/2022 Name-Title Signature Date Project Title: Lavori Residence Report date: 08/12/22 Data filename: Page 1 of 1 §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-22* ext.-1261 Fax 508-398-0836 Office of the Building Commissioner • BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Ch. 40, §54 and 780 CMR- Section 105.3.1. #4. I hereby certify that the debris resulting from the proposed work/demolition to be conducted at 97 Pheasant Cove Circle, Yarmouth Port Work Address Is to be disposed of oat the following location: Nauset Disposal, 3 Rayber Road,Orleans,MA Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. 8-24-22 Signature o Application Date Permit No. Comm.nwealth of Massachusetts 10) Division of Occupational Licensure Board of Building R utations and Standards tf Consort S�isor v CS-082435 r E$t ires:05l08l2024 RICHARD M�jRYANT , ;i t.Q 63 CRANBERRY LAME i BREWSTER V1A 026$7 ''�. Commissioner �',r���- f'. �';; 4. Commonwealth of Massachusetts jir z. Division of Professional Licensure Board of Building Regulations and Standards Cods$_ ri% rvis°r Cs-082435 RICHARD M tYA i{6s:05108/2022 63 CRANBERRY LA BREWSTER Ma 02661 Com nissioner d.G, fi, WcvniP_ea.„ The Official Websile of the Executive Office of EOHED the Divsion of ProfessIona!Licensure,and the Division of Standards Public Safety *a:1U Vass Gov-1.ome State Agenctes Mass. Licensee Details Demographic Information Full Name: RICHARD M BRYANT Owner Name: License Address Information City: Brewster — State: MA Zipcode- 02631 [country: United States License Information 'License No: CS-082435 License Type: Construction Supervisor 'Profession: Building Licenses Date of Last Renewal: 5/12/2022 Issue Date: 5/8/2010 Expiration Date: 5/8/2024 License Status: Active Today's Date: 6/1/2022 Secondary License Type: Doing Business As: 'Status Change Reason. License Renewal Prerequisite Information No Prerequisite Information No Available Documents close Window THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affa ` r Business Regulation 1000 Washingtt -Suite 710 Bostorh.-Massack:usetti= 118 Home Improa 1 '"e.:1 .--• eoistration _,_.. ..,., I_ Type: Corporation CAPE ASSOCIATES,INC. I. r t� e isiiation: 100110 PO BOX 1858 w Ei pitation: 06/08!2024 N.EASTHAM,MA 02651 ' f , Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affad8&Business Regulation Registration valid for individual use only before the HOME IMPROVE CONTRACTOR expiration date. If found return to: Ti1GPE... 4074 Office of Consumer Affairs and Business Regulation ReQlgttat[a 1000 Washington Street •Suite 710 '(Qui(}`s ,4 Boston,MA 02118 CAPE ASSOCIATES:AO i' ,� �t � MATTHEW H.COLE , dllifetill ' 345 MAS45 SASOIT RD `'`s ,.4,,,,,.4,,,,...e.,,,.4,,,,...e. 'i 3ASM,MA 02642 Undersecretary Not valid without signature The Commonwealth of Massachusetts A74%7 !, Department of Industrial Accidents _ �1= 1 Congress Street,Suite 100 —'111- Boston,MA 02114-2017 '` www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Cape Associates Address: PO BOX 1858 City/State/Zip: N. Eastham/MA/02651 Phone#: 508-255-1770 Are you an employer?Check the appropriate box: Type of project(required): 1'I am a employer with 120 employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ©Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.❑I am a homeowner doing all work myself. [No workers'comp.insurance required.]t 10 IN Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.El Roof repairs These sub-contractors have employees and have workers'comp.insurance.1 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Li 152,§1(4),and we have no employees. [No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all 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: New Hampshire Employers Insurance Company ECC6004000918-2022A#or Self-ins.Lic.#: Expiration Date:_1-1-2023 Job Site Address: 97 Pheasant Cove Circle City/State/Zip:Yarmouth Port,MA 02675 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 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 pains and penalties of perjury that the information provided above is true and correct. Signature: Ann Carroll Date: 2 `9? Phone#: 508-362-9770 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 5.Plumbing Inspector 6.Other Contact Person: Phone#: • ACORN CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 12/29/2021 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 POLICIES 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 WAIVED, 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 endorsement(s). PRODUCER CONTACT NAME: RogersGray, Inc.-Kingston Branch PHONE FAX 63 Smith Lane (AC,ADNo,Ext): 508-746-3311 (Ac,No):877-816-2156 Kingston MA 02364 ADDRESS: mail@rogersgray.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Arbella Protection Insurance Company,Inc. 41360 INSURED CAPEASS-01 INSURER B: New Hampshire Employers Insurance Company 11104 Cape Associates, Inc. P. O. Box 1858 INSURER C: North Eastham MA 02651 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:912481527 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. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY 8500066794 1/1/2022 1/1/2023 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $300,000 • • MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X JERT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 1020060911 1/1/2022 1/1/2023 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ A X UMBRELLA LIAB X OCCUR 4620089160 1/1/2022 1/1/2023 EACH OCCURRENCE $7,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $7,000,000 DED X RETENTION$f n nnn $ B WORKERS COMPENSATION ECC-600-4000918-2022A 1/1/2022 1/1/2023 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE - ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBEREXCLUDED? N/A $500,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space 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. Main Street 1146 Route 28 South Yarmouth MA 02664 AU ED REPRESENTATIVE USA 00001* ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ONE or TWO FAMILY- BULDING PERMIT APPLICATION REGULATORY APPROVALS NOTICE Address of Proposed Work: 97 Pheasant Cove Circle,Yarmouth Port Scope of Proposed Work: Interior renovations: remodel garage to incorporate new kitchen, expand rear bay window, add 2 dormers to 2nd floor on front of house, add three small landings . All renovations within existing footprint except landings. [Conservation&OKH approved.] Date: 8-23-22 Based on the scope of work described above,the applicant is required to obtain approval sign- offs from the following departments as checked-of below: X Health Dept.—508-398-2231 ext. 1241 X Conservation—508-398-2231 ext. 1288 (Approved&recorded) Water Dept.—99 Buck Island Road, 508-771-7921 X (Approved) Old Kings HWY. Hist. Comm. —508-398-22631 ext. 1292 pp ) Engineering Dept.—508-398-2231 ext. 1250 Fire Dept.—Kevin Huck/Scott Smith, 96 Old Main Street, SY Note: Please call Fire Department for an appointment. 508-398-2212 Other Appropriate plans and/or application shall be provided to each departments checked-off above. Each of these regulatory authorities has their own requirements outside the jurisdiction of the Building Department. All applicable approvals shall be obtained prior to submitting a building permit application to the Building Dept. Thank you for your cooperation. Receip A n ledgem t• Applic t ignature Date Rev.Jan. 2019 Sherman, Lisa From: RICHARD GEGENWARTH <r.gegenwarth@comcast.net> Sent: Thursday,August 4, 2022 9:52 AM To: Sherman, Lisa Subject: Re: 22-A025-A1 97 Pheasant Cove Circle Attention!:This email originates outside of the organization. Do not open attachments or click links unless you are sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure. Otherwise delete this email. Hopefully there won't be any further changes. I approve of these changes as of August 4, 2022. Richard On 08/04/2022 8:53 AM Sherman, Lisa<lsherman@yarmouth.ma.us>wrote: I RECEIVED Hi Richard, I Jd_u If 1,S (SIG i,',2 f III Here is the amendment to 22-A025 at 97 Pheasant Cove Circle that we discussed earlier this week. Attached please find the Minor Amendment form, the elevations that were approved in March, and the proposed new elevations. -----fifiVED Please let me know if you need any additional information. 'uui ,'u` ../a1�(rn.Ou;? ,,.j � _ t 11 t,iXsI ].•�.�4�.fir f l",,. Thanks Richard, Lisa Lisa Sherman Office Administrator =r ,_t TOWN OF YARMOUTH I I-1t Rol 11 28.S01 III l iR\I0l TH. )I.4.SS_'1CHCSE 1 IS 02264-1-441 T elephone(50t) 398-2231 Est. I292 I-ay (508) 398-0836 01.I) KING'S Ilt(.Illl:)5 1115[ORI( DISTRIC I CO\I\II1 FET: AMENDMENT FORM ("MINOR CHANGE REQUEST") A n?`r' la'1ce reques. .sbe _'.ii) ,`.e one year of L` e o g: a Kio'-o,a oats or ..`?,e t' .D-k . o:ag'ess Onlya minor cra` r:a: ` a.;3 O.ed oy _'s Co .-ittee- " o. a ,, a S i'_ r PLEASE TYPE OR PRINT LEGIBLY Or,g na Ap :c:io 22A025 o.ic ,la A.} March 14, 2022 Address o= proposed ,..,o,k 97 Pheasant Cove Cir owner(s): Nora Lavori pno,,, 917-224-8727 Lia--,G address 100 West 80th Street, New York Er.,a.i windmillhousellc@gmail.com Prefe,ren no'`�r, X ,s' �n r' rp�'� E ore Er..—,ac US Ma Agent Contractor: Tim Sawyer (Architect) Err a tim@catalystarchitects.com Pref,.rec 11(0!.;a:�,. .,> _ ,, Pse r!e D!e .)r0:))Srd cr - } &I a '.: a'x F,_ :)'3 s _1'nS i33 ne essa-f (See attached drawing sheets) •-AppROVED I RECEIVED AUG 0 4 NZ? ) AHMOU1H -rn nrl ,J O1-D KING'S.._-, 4C'-i-�k'�AY ig:::TI.'---.""..1° S:c,',edd (0..iner or Age-:t) Prs‹,....... Dote 8/4/2022 Annro.ed ay OKH D n e.i :)y OKH Ne`., C A ' k:Jired' v_ N ... ..... . ......... .. Reason for De.)a; S!g^ed OKH Cha•rinan e4'Iei ( Da-'.e 4(1J.7.2- AMENDMENT ,d2—A-)4)5- -A r, :,, , ::- Sherman, Lisa From: RICHARD GEGENWARTH <r.gegenwarth@comcastnet> RECEIVED Sent: Thursday,August 4,2022 9:52 AM To: Sherman, Lisa Re: Subject: sender22-A0a2n5d-yAo1u9k7nPohweatshaenctoCnotveentCiisrcslaefe Call the sender to verify ifAUGun0 4 2022 unsure reBUILDING DEPARTMENT . . By: -- Attention!:This email originates outside of the organization, Do not open attachments or c ick links unless you are sure this email is from a known Otherwise delete this email. Hopefully there won't be any further changes. I approve of these changes as of August 4, 2022. Richard On 08/04/2022 8:53 AM Sherman,Lisa<Isherman@yarmouth.ma.us>wrote: [-RECEIVE6- t Hi Richard, 2 ', 4 4 7,11/ 0€.0 Kt NG S fifGHWA Y 1 --- Here is the amendment to 22-A025 at 97 Pheasant Cove Circle that we discussed earlier this week. Attached please find the Minor Amendment form, the elevations that were approved in March, and the proposed new elevations. ........., 11 Please let me know if you need any additional information. ApPROVED , . , 9u)KiNG f41:1‘511, I Thanks Richard, Lisa Lisa Sherman Office Administrator � A-_ crow OF YARMOUTH ,, r. .�. .,:.,, „, -,-,i 1146 ROU II 28.SOL TII 1.tiRMOL'TFI,31ASS;1(I11 4.F:"1"ES()26644451 .' feleph€eater i;:))x)398-223I FAL 1292 Fax 1568)308.6836 ,: 01.I) EI1C;'S II GIIW`: S'HISTORIC DISTRICT C'OMMII"FTEF: AMENDMENT FORM ("MINOR CHANGE REQUEST") A r"s nor c ang.request must be s Jhrn hod k. thm one year of the o`yli'sat aporava .nate or .,'?.4o the x`,''-") n is 5:4. H ;)m ress. Only a minor cea a e r i s be aepro ed b' t-_e Co ro:t c Q '' t Yg { r `' � � - �' f7..a. . � t �' c� .... is r,.t,-a,cai=0".. PLEASE TYPE OR PRINT LEGIBLY 3r=g r$cz= Ap3 icaR rr 22A025 ori,na. A p . . Dat March 14. 2022 h 1£rx >,, ,;,, 97 Pheasant Cove Cir Owner(s): Nora Lavori ,:;_ , . : 917-224-8727 i'a:;hng aur res 100 West 80th Street, New York Err a:i windmillhouselic@gmaii.com Preferred " s„ sc , f.s3 metrod R- -'?e 3.3 DS, Ma.r Agent/Contractor: Tim Sawyer (Architect) Erna, tlm catalystarchitects.com Prefehred hotdat,an , , Please da,)c.nne uo nse . `.-%t' :et t and adacf, ,Jl.. s `3o!ns tus necessary) y (See attached drawing sheets) AUGPPROVED 0 4 2022.\ 1 REcEmED 1 , . I" F, YARMOUTHA r ou a . ._......... S nnctOvvrner or Agent? _._ _ e .___ __ Date 8/4/2022 17 Approved oy OK'rt Den od by OKH New C A .e .s,edl,r >e Ne Reason for Cenral Signed OKI-1 Charman .1. met 2I l Date 81 tlic?)- AMENDMENT = .?,r ( 5'—A1 I'.:.20'5 , . ..„ i . 0 .,' II"-- ' ' 1:1 , , . . .`,s' ";.I. ,,,,, — :tI =, : . ,. 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EiU{LDlNG DEPARTMENT r.., ----- — , a..uance 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 Buildin Construction: New Building 0 Addition 1. terations III Reroof t 'Garage I✓ Shed U Solar Panels Other: 2)Exterior Painting: ( (Siding Shutters 1 Doors ✓Jrrim _pother: ;, i 3)Signs/Billboards: n New i n Change to i ting Sign � `'� 4)Miscellaneous Structures: Fence Wall Flagpole ( (FoalOther m , ,4;- _ } ',.,..� Please type or print legibly: 97 Pheasant Cove Circle Ma /Lot# 149/45 Address of proposed work: Map /Lot Nora Lavori Phone#:917-224-8727 All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: 100 West 80th Street,New York Year(built: 1976 Email: windmillhouseilc@gmail.com Preferred notification method: U Phone 151 Email Agent/contractor: Tim Sawyer(Catalyst Architects) Phone#: 508-362-8382 Mailing Address: 203 Willow Street,Yarmouthport,MA 02675 Email: timi?catalystarchitects.com Preferred notification method: [1 Phone l Email Description of Proposed Work: New Dormers at 2nd floor, all new windows and exterior doors at main body of house, new relocated main entry with pergola, and new detached 60sf gardener's shed. No alterations proposed for existing windmill structure. t , +W rara ra• , ^°" "°"' " 2/1412022 Signed(Owner or agent): Timothy i SawyerR Date: OW;2Y�2.S@,lE 4{ffi3.i�5FC .. Owner/contractor/agent is aware that a permit is required from the Building Department,(Check other departments,also.) ➢ If application is approved,approval is subject to a 10-day appeal period required by the Act. r 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 OKH.OKH-approved plans MUST be available on-site for framing&final inspections. For Committee use only: Approved Approved with Modifications Denied Rcvd Date: -i, Rcvd Reason for Denial: Amount WV.00 1 Cash/CK#: 1 U'! 611_ Signed: 1 / I' _�.. Rcvd by: L.a S. i . fr/// 3�. 45 Days: * 41.A r } Date Signed: 3/1?/a.7 (t }-0‘4-0.104t4 -, .1 % 1 APPLICATION#: ;: i 5- • Nora Lavori Windmill House LLC -r4 100 West 80th Street New York, NY 10024 ; February 14, 2022 Good afternoon: I am the Owner of the home at 97 Pheasant Cove Circle, Yarmouthport, MA 02675. This will confirm that I have authorized Timothy R. Sawyer, Architect of Catalyst Architecture/Interiors Yarmouthport, MA to act as our agent in filing the application for the Certificate of Appropriateness with the Yarmouth Old Kings Highway Historic District in connection with proposed alterations to our home. Should you have any questions, please do not hesitate to contact me at 917.224.8727 or windmilthouselic@gmail.com. Thank you in advance for your consideration. Very truly yours, /444 Nora Lavori i i 0 4a � TOWN OF YARMOUTH x OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 1 146 ROUTE 28,SOUTH YARMOUTH.MASSACHUSETTS 02664-4451' Telephone(508)398-2231 Ext.1292 Fax(508)398-0836 STATEMENT OF UNDERSTANDING CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLAT ' As property owner/contractor/agent for construction at T{ Ore' ea►'i t ( ie: , Map/Lot 1(Ai) 4 5" C/A# (92-PCD,AS Approval Date: 300? 00? 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 may be 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 statements. may.. Date: 3// /?-2_ Signe (Owner/ ontracto gent) Signed: ..1C ' (Chairman, Old King's Highway Committee) i OKl3 COMMFTTEE'Apphcal'on Forns1S£alement of Undesslandfig 2015 docx Updated 122015 TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE ABUTTERS' LIST Applicant's (Owner) Name: Nora Laveri Property Address/Location: 97 Pheasant Cove Circle Hearing Date: March <,"1. P 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 King's Highway Department page on the Town website:www.yarmouth.ma.us Map Number Lot Number Applicant Information: 149 45 Abutter Information: Lit q q 21 I 4q (43 Application #: 3 8.2018 - TOWN OF YARMOUTH 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451 Telephone(508)398-2231 Ext.1292 Fax(508)3984)836 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE WAIVER OF 45-DAY DETERMINATION , The applicant/applicant's agent understands and agrees that due to the current declared National and State public health emergencies the determination of our Application for a Certificate of Appropriateness/Demolition/Exemption may not be made within 45 days of the filing of such application. The applicant agrees to extend the time frame within which a determination is to be made as required by the Old King's Highway Regional Historic District Act, SECTION 9-Meetings, Hearings, Time fir Making Determinations -As soon as convenient after such public hearing; but in any event within fort v7tive (45) days after the filing of application, or within such further time as the applicant shall allow in writing, the Committee shall make a determination on the application. Applicant understands that the review of this application will be scheduled as soon as the situation allows. Tim Sawyer (Catalyst Architects) Applicant/Agent Name (please print): Applicant/Agent signature: .d...74114hy.11..tarzt..,„ Timothy R SawyerMIgmcz=.„. Date:2/14/2022 Application #: 93-1\135- 3/2020 COUGHLIN STEVEN Please use this signature to certify this list of properties COUGHLIN.10 ANNE L directly abutting and across the street from the parcel located at: 102 PHEASANT COVE CIR YARMOUTH PORT,MA 02675-1024 97 Pheasant Cove Cir.,Yarmouth Port, MA 02675 Assessors Map 149, Lot 45 149/ 441 I / An.4 TOWN OF YARMOUTH Andy Mthado, E)irector of Assessing COMMUNITY PRESERVATION ACT 1146 ROUTE 28 February 25, 2022 SOUTH YARMOUTH,MA 02664 149/ 45/ / / WINDMILL HOUSE LLC 100 W 80TH ST NEW YORK,NY 10024 149/ 46! / I TOWN OF YARMOUTH 1146 ROUTE 28 SOUTH YARMOUTH,MA 02664 19:0) 149/ 43/ / / JOLIN DAVID W JOLIN SUZANNE P 16 TALBOT DR REHOBOTH,MA 02769 9,7 , P u . 5 E4 p? 4,4* , N.,,,,,,,, cog g 0 f P a, r- 8 a moil'rt e'V 1 g N. 4 Oir- N r , ' © r* � ,, r C) v P cn e r r g F. ,,,.., -- , -r .,,,,,,Nt.„ ,(0 a 1^' v'` l'... ,\\<,...." s ',i' !r e- yic r +, T ,r ta7 40.\ !" M Q,I. 3 Cr) r u _ Csir P C GENERAL SPECIFICATION SHEET Project Address: Existing Concrete - No changes ETR FOUNDATION: Material: Exposure(Not to exceed 18"): CHIMNEY: Material/Color: N/AGUTTERS: Material/Color:Aluminum I White Match Existing ROOF: Material: Architectural Asphalt Pitch(7/12 min)12112 8`5/12 Height to Ridge:22'-4" Color: White Cedar Shingles White Cedar Shingles SIDING: Material/Style: Front: Sides/Rear: COLOR CHIPS Color: Front: Natural Sides/Rear: Natural TRIM: All windows&doors to be trimmed with: lx 4 Cil (Circle one.) Material: Painted PVC Color: White 5(new) Clad wood Color: White DOORS: Qty: Material: Style/Size(if not listed/shown on elevations): See elevations STORM DOORS: Qty: N/A Material Color: GARAGE DOORS: Qty: WAMat'l: Style: Color: 1 WINDOWS: Qty/side::Front: 15 Left Right Rear 20 Color white Manufacturer/Series: Andersen 400 series Material: Vinyl clad Pattern(6/6,2/1,etc.) 4/1 & 6/1 Grilles(Required: Grille Type:True Divided Lite: LI Snap-In: Between Glass: EJ Permanently Applied: _ElExterior Anterior N/A STORM WINDOWS: Qty.. Material: Color: SHUTTERS: MarN/Al: Style:Paneled Louvered Color 1 - ' SKYLIGHTS:Qty:N/A Fixed Vented Size Color: DECK: Size:N/A Decking Mar I: Color Railing man N/A Style: Color: WALLS/FENCES*(Max 6'height): Height: N/A Marl: 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: Rear Screening: 7 LIGHTS: Qty: Style: Onion Color: Copper Location(s): At doors - See elevations LIGHT POSTS: Qty: ETR Material: Color: Location(s): Additional information: See attached specs and sample photo for proposed shed No alterations proposed for existing windmill structure. 2-General APPLICATION#: 12?-11A0-5 Estimate PINE A to OR Date Estimate# WOOD PRODUCTS 1/11/2022 326 Yarmouth Rd.I Hyannis,MA 02601 I 508.771.5007 Fax 508.771.7070 I byannis@pincharbor.com 259 Queen Anne Rd.I Harwich,MA 02645 1508.430.2800 I Fax 508.430.1115 Iinfo@pineliarbot.com 1.800.368,SHED 1 www.pineharbor.com Ship To Nora Lavori 97 Pheasant Cove Cir Yarmouthport,MA 02675 Install Date Customer Phone Customer Alt.Phone Rep Sold By 917-224-8727 917-224-8727 MC MC Qty Item Description Price Each Total 6 x 10 Cuttyhunk 6"x 10"Cuttyhunk 60 Architect Architect Shingles(per square foot of shed size) 5'Beaded Double... 5'Paneled Beaded Double Doors w/Sash-Primed CF Cedar Shingles Natural Cedar Shingles-F Cedar Shingles Natural Cedar Shingles-1W LG P.V.C.Ttirit Classic Series P.V.C.Trim Stone Crushed Stone Base Shed Installation Shed Installation Subtotal Sales Tax (6.25%) Total 6y w ' ''S '' °''''''' , ,, , , <.: , , : , , ., , ,,, --, #1.•,,'''•••',Z1.64:t• „ I �' • ,i: { s+ c ;,. g 888 IAti ( % ' '...''' 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