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HomeMy WebLinkAboutBLD-23-000494 ->a`Zc,'2ti GU//1 e 1n(Li / H1 e tevafi1nz Cr ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department o-- f r 1146 Route 28,South Yarmouth,MA 02664-44924. 508-398-2231 ext. 1261 Fax 508-398-0836 Massachusetts State Building Code,780 CMR o..,.e / Building Permit Application To Construct, Repair,Renovate Or Demolish a One-or Two-Family Dwelling RECEIVED This Secti n For Official Use Only Building Permit Number: (. Date Applied: J U L 2 7 2022 F'� 3t`�►jj S-16��� G grill n1N nEPARTMENT Building I ,cial(Print Name) Signature By Date ___ SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 73 50 Park Avenue 20 _ 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: single family home 16,676 +- Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required I Provided Required I Provided 30 feet 34 feet 2 inches 15 feet 26 '4" 35'5" 20' 1 85' +- 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public Private 0 one: utside Flood Zone? 0 On site disposal Municipal�heck if yes❑ system yi SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Ates Civitci Newton MA 02459 Name(Print) City,State,ZIP 475 Brookline Street 617-347-5359 Atescivitci@gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that a iji . ilLNew Construction 9I Existing Builling 0 Owner-Occupied Y I Repairs(s) 0 Alterati. (s ■l ,u i,' W Demolition of 1 Accessory Bldg. 0 Number of Units ` Other El Specify: 7 ��` Brief Description of Proposed Work2: construction of new home AUG 1 R0A4 Lvy3a 11, BUILDING DEPART6IENT SECTION 4: ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: Official Use Only (Labor and Materials) — 1.Building $ 1,030,000 1. Building Permit Fee:$aS)C)Indicate how fee is determined: 2.Electrical $ 45,000 Se Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 65,000 2. Other Fees: $ 47te n 4.Mechanical (HVAC) $ 35.000 List: £ ,L#023b 2 5.Mechanical (Fire $ a/a Total All Fees:$ ' Suppression) Check No. Check Amount: Cash oust: 6.Total Project Cost: $ 1,175,000 ❑Paid in Full I!!Outstanding Balance e: 1 g' 7 S' SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CSFA046341 10-18-2022 Frank Utano License Number Expiration Date Name of CSL Holder 68 West Avenue List CSL Type(see below) No.and Street Type Description Marion Ma 02738 U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP Zvi Masonry RC Roofing Covering • WS Window and Siding SF Solid Fuel Burning Appliances 617-448-6374 PineConeConstruction@gmail i -Insulation Telephone Email address D , Demolition 5.2 Registered Home Improvement Contractor(HIC) 1 1 1 '1 3 Christopher Utano (Pine Cone Construction, Inc.) HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 240 Wiswall Road PineConeConstruction@gmail.com No.and Street 617-448-9085 Email address Newton MA 02459 City/Town,State,ZIP Telephone SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT I.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes 6 No 0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Frank and Christopher Utano(Pine Cone Construction,Inc.) I,as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Ate4yCIA/UV/ 7-21-2022 Print Owner's Name(Electronic Signature) Date 0 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. Ate -CIA/UV' 7-21-2022 Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.cov/oca Information on the Construction Supervisor License can be found at www.mass.aov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) 3311 (including garage,finished basemei1t4attics,decks or porch) Gross living area(sq.ft.) 3311 Habitable room count Number of fireplaces 1 Number of bedrooms 4 Number of bathrooms 3 Number of half/baths U 2 Type of heating system natural as Number of decks/porches 2 Type of cooling system forced air Enclosed Open_ 3. "Total Project Square Footage"may be substituted for"Total Project Cost" ONE or TWO FAMILY— BULDING PERMIT APPLICATION REGULATORY APPROVALS NOTICE Address of Proposed Work: 50 Park Avenue Scope of Proposed Work: Build new home _ Date: 7-21-2022 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: Issued Health Dept.—508-398-2231 ext. 1241 attached Conservation—508-398-2231 ext. 1288 sent Water Dept.—99 Buck Island Road, 508-771-7921 attached --Old Kings HWY. Hist. Comm. —508-398-22631 ext. 1292 sent 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. Receipt Acknowledgement: Fra k.Uta vt, - Juv 21, 2022 Applicant's Signature Date Rev.Jan. 2019 in. Commonwealth of Massachusetts • ��fJ Division of Professional Licensure Board of Building Re ulations and Standards Constructio j &2 Family CSFA-046341 * pires: 10/19/2022 • FRANCESCt1T 23A OHIO Ai a I I``t► UNIT A �,. P � NEWTON UPP 20' it� ?� Commissioner dia,at If. 81647r0,4_ • • THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affai ane Business Regulation 1000 Washing -`_ -Suite 710 Bostor sachusetts=O?118 Home Im•ro tractor Registration wmisar Type: Corporation •tion: 177773 PINE CONE CONSTRUCTION,INC. TENNI= ilWrEE •lion: 02/02/2024 PO BOX 590640 WEIR I mom NEWTON,MA 02459 11 wc„ C w -- N". Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use onty before the HOME IMPROVEMENt CONTRACTOR expiration date. If found return to: TYPE:Corporation Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street •Suite 710 177773 02102/2024 Boston,MA 02118 PINE CONE CONSTRUCTION,INC.- CHRISTOPHER UTANd; 240 WISWALL ROAD 6a✓�.` ' NEWTON,MA 02459 Undersecretary Not valid without signature Sears, Tim From: Sears, Tim Sent: Thursday, August 4, 2022 10:58 AM To: 'pineconeconstruction@gmail.com' Cc: Hudson, Heidi; DiRienzo, Brittany; Lima, Amanda Subject: 50 Park Ave I have reviewed your application for new construction and there are some items needed. V Conservation sign off for new construction(transmittal submitted was for demolition only) 442 Engineering sign off 43. FEMA Elevation Certificate based on construction drawings N•14. HERS Certificate fr The plans submitted do not appear to show any detail of compliance with section R301.2.1.1 of the Mass Amendments 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 Property Address The Commonwealth of Massachusetts ill. Department of Industrial Accidents v•l*=1 1 Congress Street,Suite 100 -°I = Boston,MA 02114-2017 _ " www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. A licant Information Please Print Le 'bl Name(Business/Organization/Individual): tl(\Q Cec .. Co(151`(v.C.-hon Address-2)O)C 9 Ub -1Q City/State/Zip: 1\\•Qa, [\ PA U 3&15 Phone#: (p n . 9 bS•l 918 Are you an employer?Check the appropriate box: Type of project(required): 1. am a employer with b employees(full and/or part-time).* 7. NINew construction 2. I am a sole proprietor or partnership and have no employees working for me in 8. 0 Remodeling any capacity.[No workers'comp.insurance required.] 9. emolition 30 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 Building addition 4.0 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 MD 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.Ej Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.0 We arc a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Otller 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. ,� I Insurance Company Name:�S5(. lc RZA e1'11p 1.5 \ udLa ace- Policy#or Self-ins.Lic.#: ,k)(...,c. 1 Lgai-o9Ck lA Expiration Date: \ 1 oleo la a Job Site Address: 5 0/PDal< T 1 V Q-kel ue.- City/State/Zip: UV. y c.A.fmuLth 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 verific 'j n. I do hereby cnder the pains n enal es of perjury that the information provided above is true and correct. Signature: Date: 51 I g i lia Phone#: 11 ` 1 , 'i CI I Lt 0 — I 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/'I'own Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: A`ORD CERTIFICATE OF LIABILITY INSURANCE DATE 5IZ7IZOZZYY) 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 RogersGray, Inc.-Kingston Branch PHONE FAX 63 Smith Lane (ac. lac,No):877-816-2156 Kingston MA 02364 No.Extl: 508 746 3311 ADDRESS: mail@rogersgray.com INSURER(S)AFFORDING COVERAGE NAIC N INSURER A:Selective Insurance Company of South Carolina 19259 INSURED PINECON-01 INSURER B:Associated Employers Insurance Company 11104 Pine Cone Construction Inc P.O. Box 590640 INSURER C: Newton MA 02459 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1099390516 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP UNITS LTR INSD WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY S 2379196 1/21/2022 1/21/2023 EACH OCCURRENCE $1,000,000 DAMAGE TO CLAIMS-MADE X OCCUR PREMISES(EaENTED occurrence) $500,000 MED EXP(My one person) $15,000 PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X JE X LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) i $ A X UMBRELLA UAB X OCCUR S 2379196 1/21/2022 1/21/2023 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 _ DED RETENTION$ J $ B WORKERS COMPENSATION WCC5005011434-2021A 10/20/2021 10/20/2022 X 'Mum EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE N NIA E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under _DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Leased/Rented Equipment S 2379196 1/21/2022 1/21/2023 Limit 250,000 Leased/Rented Equipment Deductible 1,000 DESCRIPTION OF OPERATIONS/LOCATIONS I 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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Yarmouth 1146 Route 28 South Yarmouth MA 02664 fiORIZEDREPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 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 50 Park Avenue Work Address Is to be disposed of oat the following location: DelPrete Disposal Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. Frank LIta vu- July 21, 2022 Signature of Application Date Permit No. of�Y``IR ,,W i rQ TOWN OF YARMOUTH 0 I, BOARD OF APPEALS DECISION A co FILED WITH TOWN CLERK: PETITION NO: 4930 HEARING DATE: January 27, 2022 PETITIONER: Ates Civitci,Elizabeth Civitci and Scott Schumacher PROPERTY: 50 Park Avenue,West Yarmouth,MA Map 20,Parcel 73 Zoning District: R-25 Title: Book 32858,Page 286 MEMBERS PRESENT AND VOTING: Chairman Steven DeYoung,Sean Igoe,Dick Neitz, and Jay Fraprie Notice of the hearing has been given by sending notice thereof to the Petitioner and all those owners of property as required by law, and to the public by posting notice of the hearing and publishing in The Register,the hearing opened and held on the date stated above. The Petitioner seeks a Special Permit pursuant to Zoning Bylaw §104.3.2,in order to raze and replace a single family dwelling. The Property is located in the R25 Zoning District and is improved with a one and one half story single family structure having 4 bedrooms and 2 baths, and constructed in approximately 1910. The property also has a detached garage which is being retained. The property contains approximately 16,553 square feet, a portion of which is within 100 feet of an overgrown bog. A portion of the lot and the existing structure are located in Flood Zone 11 and X. The dwelling is situated 11.3 feet from the front boundary,but approximately 19 feet from the edge of pavement of Park Avenue. The property complies with both side yard and rear setbacks. The height of the existing structure is approximately 23 feet from the average grade at street,which is 6.5 feet,and lot coverage is 14.2%. The proposal is the remove the existing home, and to build a new single family home. The new structure will continue to comply with the side and rear setbacks. The front setback will change from its current 11.3 feet to 26.8 feet to the front porch, and then increase to the proposed height of 34.1 after the 30 foot setback. In addition, the lot is higher than the street and this berm provides additional security to the driving public. The Basement will be flood compliant and equipped with 12 flood vents, and only used for storage. Lot coverage will be reduced to 13.8%. The Conservation Commission has already approved this plan and issued an Order of Conditions on November 22, 2021. That Order includes a 600 square foot mitigation planting requirement, as shown on the plan. The Petitioner had previously applied to this Board for relief in order to raise the current dwelling on the same footprint,to address the flood zone issues, and to add another story to the property. Prior to hearing, and due to concerns about the structure's proximity to Park Avenue, the application was withdrawn without prejudice. No abutters expressed support or opposition to the project. The Board was in unanimous agreement that based on the proposed location of the new structure was an improvement over what was original proposed. They also agreed that the design of the house will be in keeping with this changing neighborhood, and that the location of the abutting environmental concerns were taken into consideration. The Board found that the raze and replacement of the structure would not be substantially more detrimental to the neighborhood, zoning district, or Town, than the existing non-conforming structure, and would not create any undue nuisance, hazard or congestion. Accordingly, a motion was made by Mr. Fraprie, seconded by Mr.Neitz, to grant the Special Permit, as requested. The members voted unanimously in favor of the motion. No permit shall issue until 20 days from the filing of this decision with the Town Clerk. Appeals from this decision shall be made pursuant to MGL c40A section 17 and must be filed within 20 days after filing of this notice/decision with the Town Clerk. Unless otherwise provided herein, the Special Permit shall lapse if a substantial use thereof has not begun within 24 months. (See bylaw §103.2.5, MGL c40A §9) Steven DeYoung, Chairman ' 1u = ( iadtt1r11 WATER DEPARTMENT l . L. i'4_„ 'i j it F =" yam.' RL Ii.DINC PERMIT APPI.IC"ATION FOR WATER DEPARTMENT SIGN OFF TR.1NSMI T'I'Al FORM tat R I)1\J SITE=. L O( A r ION 5t)Park Avenue West Yarmouth 1'Rt")I'OSI-I) 11 t)RK construction of single family home y I'r t it' 1\ I Ates Civitci,owner I Frank Utano,Pine Cone Construction as agent ADI)RI SS 475 Brookline Street Newton/240 Wiswall Road,Newton l 1-1.PHONE. 617-448-6374 R1-SII-)E-A I IAl ANt) OR t`()%1\IERt.'IAE. B1 t1_DING 11<ttcr I)eltat*tnct;t I)ctcrmntes Compliance of Water A%ailahilitr and or existing location Ii-ncitiecrini IN:parirncnt I)cterntincs t'ompliance liar I'arkmt and 1)rainage i ,,,ttet%tiikIn t'orttnt<sston I)ctrnnities t'ttntpltance tatWetlands Act. t e It Ions)border any t)pc tt$ wetlands. stream, ponds m ei s.ocean.bogs.Ito%S. marshland_I'rc IIc,tailt I)epartment I)ctvnnntcs('ontpliance tit State andtown Regulations. i c rcyuirements htr Scptagc I)isposal and other I'ultltt. Ilcatilt ;Actictte I <;'c Department I)ctennutes Compliance to State and I otctt Requirements lift E'crsonal Safety, I'ropert!. Protections, i c Snaokc Detectors. Sprinkler 5}ltcnis.etc July 26,2022 vi. virow Pt t)C:1 N�1' , G 1:1'rt'RC: I)-1TII; OF F1('F� t'SI.: (1)1 IM1~N Is ON PF I4MIT APPROVAL. OR DFN1 t1. ^-1otsxr .. .-Le-t 4: / f ..Sir e, v 41 A ri, ' is is ..5' . . Av t-re„ _------*-7/"-- IL-4Z 4-- i 4,4'r'' 4 6. , - RE VIEWED SV ER DIVISION(SIGNATURE) DATE. .--. .............,--, .7 . - , , ;) 9 . IPRO 3534 NAME CARL J. LILIEBERG STREET 50 Park .i.re. Lot # VILLAGE dent Yarmouth (Hyavais Park) SERVICE NO. ",',.'Z ilie> " 1- METER NO. telit*Fit"b -4-----/-3—94; cellar i i 1 i PORCH i \ 191 01' / 31 1 I 0" 2016" \ ,/ \ / \ / / \ , C-7.•'...** / 1 7/ 1 2516" 22 t .\\ t , 3110" Park Avenue . ?ole #13/9 1/ br. — ..y,1 f-.Q --- ,:,,..yA,,, TOWN OF YARMOUTH r HEALTH DEPARTMENT ice,-: PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant. Building Site Location: rr4 12 le iq Ye Proposed Improvement: N e ,_Ai _4--1 Pr e Applicant: P/>v 0 O'6 e._42 ,02,c/C'1Z2 Tel. No.: .C/7 `7 et C-6 v?cJ Address: o c.,e, z. �1(i ilk_ Rb - CN U u p., /-1,w Date Filed: 11 **/fyou would like e-mail notification of sign off, please provide e-mail address: Owner Name: l-$ C l U Mc Owner Address: 4.(-7 -----uyz_c(.) L) l 5 /11/4 wl Owner Tel. No.(/7-3 V?"5-33 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. 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 with fee. REVIEWED BY:cl 0ir.40 QDATE: /'� 7 - a PLEASE NOTE COMMENTS/CONDITIONS: L.Q .,.INFORMATI y c......-0041 :ca.,`via`a caai'c'. acn.'..411K. ,, lmt rtttMr+ec. xa. r.¢t J.. raga I 01"0�" wl..curt. I '.-,- ' MA.4tre*.wu cam;,A.•w...57 m... . OCUS MAP .e.5R5'!9H'a YM. JB +Hrt4 Mar MM. PRAM.. :Aa ott.... 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ES GP 4 } 1,' �, ..w R Mann i i. On 5/12/2022,on a motion by Mr. Kelley,seconded by Vice Chair Slama,the committee voted 4-0-1 to approve these minutes,with Mr. Duggan abstainin TOWN OF YARMOU H ;o y 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02 64-4451 ?2, Telephone(508)398-2231 Ext. 1292 Fax(508)398-0836 HISTORICAL COMMISSION MEETING MINUTES— Final Meeting Date: Friday,April 29, 2022 Meeting Time: 10:00 AM Meeting Place: Conference Room A Members Present: Chair Julie Mockabee,Vice Chair George Slama, Commissioners Melanie Barron and Robert Kelley Members Absent: Commissioner Jack Duggan, Alternate Sam Lawrence Staff: Lisa Sherman, YHC Administrator With a quorum present,Chair Julie Mockabee called the meeting to order at 10:00 AM. Demolition Request: 50 Park Ave. No one representing 50 Park Avenue was present. Mr. Kelley moved to approve the demolition of the structure, pushing it back from the road as proposed, and building the new house per the plans shared in the April 14 Yarmouth Historical Commission meeting. Ms. Barron seconded the motion, and the motion passed unanimously, 4- 0-0. Minutes Review Vice Chair Slama moved to approve the minutes of the March 10 YHC meeting and was seconded by Chair Mockabee. The motion passed unanimously, 4-0-0. Mr. Kelley moved to approve the minutes of the March 17 public hearing and was seconded by Ms. Barron. The motion passed unanimously, 4-0-0. Ms. Barron moved to approve the minutes of the April 7 site visit and meeting and was seconded by Vice Chair Slama. The motion passed unanimously, 4-0-0. Memorial Arch Update Vice Chair Slama noted the next step in getting the arch repaired is sending out Requests for Quotes, which needs to be done as soon as possible. The arch should be repaired prior to this fall and winter. Mr. Duggan and Vice Chair Slama are going to meet regarding the procurement and work on getting formal bids. Vice Chair Slama hopes to get together with Karen Greene and Svetlana to start the process since the CPA was approved two years ago. Taylor-Bray Farm Vice Chair Slama showed an artifact that was discovered at Taylor-Bray Farm when the barn was being excavated. Two foundations with fill in between them was found, On 5/12/2022,on a motion by Mr. Kelley,seconded by Vice Chair Slama,the committee voted 4-0-1 to approve these minutes,with Mr. Duggan abstaining and this artifact was buried between the stone foundations. It's a scissor-type item, and not sure if it's some sort of tool, part of a piece of farm equipment, a lock, etc. The excavators uncovered a 1910 date on the foundation, so an addition to the barn may have been built at that time. Vice Chair Slama is going to show the artifact to the staff at the Cape Cod Museum of Natural History to see if they know what it is. The excavation team saved a sill which seems to be from the 1820s. Mr. Duggan is going to get a dendrology test done on the oldest wall to help determine the date built. The sill is still solid and could be used to rebuild a column. Town Seal Update Since the town seal article passed at town meeting, Ms. Barron asked how we follow up with the town moderator, Ken Mudie. Mr. Mudie was listed as the head of the committee that will be formed to determine next steps with the town seal; Framingham had their moderator as the lead of their town seal committee. Vice Chair Slama has a meeting with Mr. Mudie on May 11 to start the process; Mr. Mudie is anxious to move forward. Ms. Barron pointed out that the moderator was given the authority to select the town seal committee. Mr. Kelley pointed out there wasn't an organized group who was opposed to the town seal committee, and the warrant was passed overwhelmingly, so dissenters might be discouraged, which will help the process. Vice Chair Slama said we tried to be open and work with the Board of Selectmen throughout so residents would be aware of progress on the town seal research as the process moved forward. Chris Vincent was very articulate in urging the residents to approve a town seal committee at town meeting. Afterwards, he pointed out to George that the knot on the current town seal is tied incorrectly. Vice Chair Slama is going to pull together a summary of the next steps, using Mashpee as an example. We can modify as needed, but Mashpee's town seal committee and process is a great starting point. Vice Chair Slama noted that the state seal committee has requested a third extension to review and provide recommendations for changes to the Massachusetts state seal. Vice Chair Slama requested a town seal update be added to the agenda for the next scheduled YHC meeting (May 12) since he will be meeting with Mr. Mudie the day before and will have some information to share. Adjournment Vice Chair Slama moved to adjourn and was seconded by Mr. Kelley. The motion passed unanimously, 4-0-0. The meeting was adjourned by Chair Mockabee at 10:28 AM. Submitted By: Li4aiSh rvnanti Lisa Sherman, YHC Administrator tt • n Town of Yarmouth t,osenravan orrice � '� kSira+�ttgir�rmouth ma.us �- - Conservation Commission - - Building Permit Sign-off Application r` ;;—_.,._ TO BE FILLED OUT BY BUILDING PERMIT AP ANTN `-- '' J 1 i '$wlding Site Location: 2 2 P 09 JL elJ -- 01212 7 Map# alp Lot(s)ale 1 w. a Property Ovmer/. .5 Q V fT2`1 Date filed `Aopbcant: .p t 0 et.. Q _-- es N$71 -J7Z r`---- Applicant Address: A4l3 t-sa ESt 'r-'- 1 T > IN ,r Email: f7 l jJ4.Cc?L IC , iJ /Q, trA 1 LTaleplorw: i /7 q 37 �U►1 ,,,..r V'nr Rr.ub,m l na his up xtiaa be c a. •r etc Coeur i all oaks M apM1 dK iocseos iu ue 1 o wN veil iruad.di. Proposed Project Description: PC:- M U L.i- l D+-.._ v,t-'" 1.4e v Gam' • Site Plan I itle/Date: 1 (0 t4 t -40.-v`- l U ef-&-te. it 1 51>i 1 TQ BE FILLED QUT BY CONSERVATION ADMINISTRATOR: Does the proposed project require a permit? Ire,4-1 Refer to-SE83- a.3& �• or DOA permit Comments from Conservation Commission: r,uproved Conditionally Approved Rejected ..t —690 S* c1 b.- 0 L t f It-444at Q.— .4µ.1(.4Q 13-e fe 4 `^ `�J eLt Ku) . '7 Gi_Ct44 $1.L t i uJ . Conservation Commission Sign-off Signature: .L Dam: (11 I LZ ' IQ APPLICANT: Al work-related debris shall be taken offsrte 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 MassOEP File Number sign must be installed, along with the erosion controllwork-limit tine. A copy of the Order of Conditions must remain on-site during construction. Please refer to the Order of Conditions for further details. On 5/12/2022,on a motion by Mr. Kelley,seconded by Vice Chair Slama,the committee voted 4-0-1 to approve these minutes,with Mr. Duggan abstaining °fY TOWN OF YARMOUTH y 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 112664-4451 Telephone(508)398-2231 Ext. 1292 Fax(508)398-0836 HISTORICAL COMMISSION MEETING MINUTES— Final Meeting Date: Friday,April 29, 2022 Meeting Time: 10:00 AM Meeting Place: Conference Room A Members Present: Chair Julie Mockabee,Vice Chair George Slama, Commissioners Melanie Barron and Robert Kelley Members Absent: Commissioner Jack Duggan, Alternate Sam Lawrence Staff: Lisa Sherman, YHC Administrator With a quorum present, Chair Julie Mockabee called the meeting to order at 10:00 AM. Demolition Request: 50 Park Ave. No one representing 50 Park Avenue was present. Mr. Kelley moved to approve the demolition of the structure, pushing it back from the road as proposed, and building the new house per the plans shared in the April 14 Yarmouth Historical Commission meeting. Ms. Barron seconded the motion, and the motion passed unanimously, 4- 0-0. Minutes Review Vice Chair Slama moved to approve the minutes of the March 10 YHC meeting and was seconded by Chair Mockabee. The motion passed unanimously, 4-0-0. Mr. Kelley moved to approve the minutes of the March 17 public hearing and was seconded by Ms. Barron. The motion passed unanimously, 4-0-0. Ms. Barron moved to approve the minutes of the April 7 site visit and meeting and was seconded by Vice Chair Slama. The motion passed unanimously, 4-0-0. Memorial Arch Update Vice Chair Slama noted the next step in getting the arch repaired is sending out Requests for Quotes, which needs to be done as soon as possible. The arch should be repaired prior to this fall and winter. Mr. Duggan and Vice Chair Slama are going to meet regarding the procurement and work on getting formal bids. Vice Chair Slama hopes to get together with Karen Greene and Svetlana to start the process since the CPA was approved two years ago. Taylor-Bray Farm Vice Chair Slama showed an artifact that was discovered at Taylor-Bray Farm when the barn was being excavated. Two foundations with fill in between them was found, On 5/12/2022,on a motion by Mr. Kelley,seconded by Vice Chair Slama,the committee voted 4-0-1 to approve these minutes,with Mr. Duggan abstaining and this artifact was buried between the stone foundations. It's a scissor-type item, and not sure if it's some sort of tool, part of a piece of farm equipment, a lock, etc. The excavators uncovered a 1910 date on the foundation, so an addition to the barn may have been built at that time. Vice Chair Slama is going to show the artifact to the staff at the Cape Cod Museum of Natural History to see if they know what it is. The excavation team saved a sill which seems to be from the 1820s. Mr. Duggan is going to get a dendrology test done on the oldest wall to help determine the date built. The sill is still solid and could be used to rebuild a column. Town Seal Update Since the town seal article passed at town meeting, Ms. Barron asked how we follow up with the town moderator, Ken Mudie. Mr. Mudie was listed as the head of the committee that will be formed to determine next steps with the town seal; Framingham had their moderator as the lead of their town seal committee. Vice Chair Slama has a meeting with Mr. Mudie on May 11 to start the process; Mr. Mudie is anxious to move forward. Ms. Barron pointed out that the moderator was given the authority to select the town seal committee. Mr. Kelley pointed out there wasn't an organized group who was opposed to the town seal committee, and the warrant was passed overwhelmingly, so dissenters might be discouraged, which will help the process. Vice Chair Slama said we tried to be open and work with the Board of Selectmen throughout so residents would be aware of progress on the town seal research as the process moved forward. Chris Vincent was very articulate in urging the residents to approve a town seal committee at town meeting. Afterwards, he pointed out to George that the knot on the current town seal is tied incorrectly. Vice Chair Slama is going to pull together a summary of the next steps, using Mashpee as an example. We can modify as needed, but Mashpee's town seal committee and process is a great starting point. Vice Chair Slama noted that the state seal committee has requested a third extension to review and provide recommendations for changes to the Massachusetts state seal. Vice Chair Slama requested a town seal update be added to the agenda for the next scheduled YHC meeting (May 12) since he will be meeting with Mr. Mudie the day before and will have some information to share. Adjournment Vice Chair Slama moved to adjourn and was seconded by Mr. Kelley. The motion passed unanimously, 4-0-0. The meeting was adjourned by Chair Mockabee at 10:28 AM. Submitted By: Li4a,Shorvw "., Lisa Sherman, YHC Administrator �oY Y�4o Town of Yarmouth Conservation office �^ `� kgrant[a�yarmouth.ma.us .a.YC� Conservation Commission Building Permit Sign-off Application TO BE FILLED OUT BY BUILDING PERMIT APPLICANT: Building Site Location: 50 Park Avenue, Yarmouth Map # 20 Lot(s)#73 Property Owner: Ates Civitci Date filed: 8/4/2022 `Applicant: Pine Cone Construction Applicant Address: PO BOX 590640, Newton MA 02459 Email: pineconeconstruction@gmail.com Telephone:617-4486374 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: Construction of New Single Family Residence Site Plan Title/Date:June 1 , 2022 '?t C1 A US L CAA() ley . C`UA-C 'I, I f L 1 TO BE FILLED OUT BY CONSERVATION ADMINISTRATOR: Does the proposed project require a permit?_ Refer to: SE83- 13°5 or DOA permit Comments from Conservation Commission: Approved (�nditionally Approved j Rejected Conservation Commission Sign-off Signature: kft( ' Date: "5 Z t 0 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. 1 _} Town of Yarmouth t.ortaerratutn tiTTIC:r } ` =i Conservation Commission `n "'lanallaeC ) r„ ,_. r Building Permit Sign-off Application .r.Q..14.1 ii,06/.4f! N,..Vi f3_1 i-,-,`-.I i LYLNG PEH mi r 4p4ii-A:ttai::-.2i'';::_--z, 4--, , v,,tv BJ,Iding Site LaatNan: iC 'e- ' ----- - AV--- Map# 2_Q ts)Lo 'l). ,�.— - l 11, -r Property I tt f t Date Filed__., Aopitcant Address fW 4 ie._4 4‘ gl) A. fit AZ Email: VI jt4,C,)t14 . 11..1 I1‘4 4-ktfoL 1eleplone: :/ /7 14f;`k4r3 CU r1 C Gi "tci a`+w FIN `ta,P`ns t tixs'tor'fie mot�t titl ari t a time t wren awn tekr to coo thc-AKabfl le cr i a+Qte v MI it waiMik Proposed Protect©escnption. Site CI.4`. 0-4 v..t. - - U. 1,.A tG If 4 sS 4t-I TO BE FILLED OUT BY CONSERVATION ADMINISTRATOR: Des the proposed project require a permit? Irk.O P,. __ 3- a' c S or DOA permit Comments from Conservation Commission:Approved Condit:ot►aily Approved Rejected - st.L • ? tee. . c , Conservation Commission Sign-off Signature; DSO: L z_ ..4...L.........ot APPLICANT. M work-related debris shall be taken offsite or disposed in a regal upland locatior At the end of each day, the area shal` be clean and no debris shall be in the Resource Area. If work is perm,tted under an Order of Conditions, please arrange a pre-construction site sit with the Conservation Administrator. At the time of site v.sit the MassDEP File Number sign must be installed. along with the erosion control/work-limit line A copy of the Order of Conditions must terrain on-site during construction, Please refer to the Order of Conditions for further detail. 0 m Home Energy Rating Certificate Rating Date: 2022-08-12 w Projected Report Registry ID: Q- Based on Plans Ekotrope ID: 5dYgM5e2 HERS® Index Score: Annual Savings Home: c_ Your home's HERS score is a relative 50 Park Ave 55 performance score.The lower the number, West Yarmouth, MA 02673 p the more energy efficient the home.To Builder:0 learn more, visit www.hersindex.com *Relative to an average U.S.home Chris Utano w v Your Home's Estimated Energy Use: This home meets or exceeds the 6. Use[MBtu] Annual Cost criteria of the following: Q Heating 46.6 S632 742. Cooling 0.5 S28 5 Hot Water 30.8 $47 * Lights/Appliances 24.5 $i 179 Service Charges S 131 o Generation (e.g.Solar) 0.0 $0 c Total: 102.5 $2,444 m p HERS Index Home Feature Summary: Rating Completed by: .0 Mo cnEnergy ,�+„ne Ty:>e: 5 .�.. 'amity detocnc�. 0 ,� Momodel: Ili), Rater: Bijan Khosraviani 3 Existing ,k0 Co ♦. RESNET ID: 9257410 ; Homes „o Co ro Floo .,117 ft2 Rating Company: A9 Green/Total Green Energy Solution 1 110 110 alum r of Bec roo 3 located in Lexington,Massachusetts Reference i Primaty ang teni: Furnace•Natural Gas•97 AFUE 781-778-7054 Home , 100 9e Pt imaryCooling tem: Air Conditioner•Electric•14 SEER Rating Provider: Energy Raters of Massachusetts IIII so Pr imaryo' eating: Residential Water Heater•Natural Gas•0.96 UEF 2 Woodlawn Street Amesbury,MA 01913 11111 70 Ho 3 ACH50 978-270-3911 ,..,•-..• NM 6 Ventilation: 62 CFM•12 Watts 40 `� akage to Outside: 50 CFM @ 25Pa(1.6/100 ft2) w Above Grade Walls: R-21 Na."~.„`aF, / �:� ao Ceiling: Vaulted Roof,R-49 f Zero Energy . Window Type: U-Value:0.25,SHGC:0.27 Home 0 Foundation Walls: N/A Bijan Khosraviani,Certified Energy Rater C,a;,r,,., `' ""t""�' AFramed Floor: R-30 Digitally signed:8/15/22 at 11:56 AM alt P.lot r0 Ekotrope RATER_Version3.2.4.969 P The Energy Rating Disclosure for this home is available from the Approved Rating Provider. This report does not constitute any warranty or guarantee. 0 TOWN OF YARMOUTH y 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451 MATTA M ES �' Telephone (508) 398-2231,Ext. 1250—Fax (308) 760-4830 • Engineering and Surveying Division Building Permit Review Residential and /or Commercial Buildings Name of Applicant: Ates Civitci, owner, Frank Utano, Pine Cone Construction agent Telephone or Email Address: 617-448-6374 or MikoUtano*aol.com Proposed Building Location: _50 Park Avenue Date Submitted: July 26,2022 Requirements for review: Please submit one (1) copy of plans, to include: 1. For Residential: Site Plan showing proposed and/or existing buildings, proposed contours with bench mark, water service location, and septic system location. For Commercial: Site Plan showing details required by the Zoning By-law and revisions required by Site Plan review, if any. Note: Site plans must be signed and stamped by a Licensed Professional Land Surveyor and Engineer or Sanitarian. 2. House or Building- Floor Plan(s) and Elevation Plan(s) 3. One (1) copy of application. Amanda ON ,M,:y Amenda lima nq Reviewed By: Lima Date 2022�zzo7 201127 05-041)Ct Date: 7/29/2022 PLEASE NOTE Comments/Conditions: Septic Plan only stamped by PLS. Keep stormwater on site during and post construction. Printed on Recycled Paper U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date:November 30,2022 g National Flood Insurance Program ELEVATION CERTIFICATE Important: Foilow 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: SCOTT SCHUMACHER A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Company NAIC Number: Box No. 50 PARK AVE City State ZIP Code WEST YARMOUTH Massachusetts 02673 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description, etc.) DEED BOOK 35284, PAGE 114, ASSESSORS MAP 20,PARCEL 73 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 41.6462 Long. -70.2675 _ Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A6. Attach at least 2 photographs of the building if the Cerificate 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) 1286.00 sq ft b) Number of permanent flood openings in the crawlsp ace or enclosure(s)within 1.0 foot above adjacent grade 7 c) Total net area of flood openings in A8.b 1400.00 sq in d) Engineered flood openings? ❑x Yes ❑ No A9. For a building with an attached garage: a) Square footage of attached garage 0.00 sq ft b) Number of permanent flood openings in the attachec garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0.00 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. F RM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO,use Base Flood Depth) Revised Date 25001 C0569 J 07-16-2014 07-16-2014 AE 11 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 89: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: �^ B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 x❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes 0 No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 1 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE _ Expiration Date:November 30,2022 dPORTANT: 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: 50 PARK AVE City State ZIP Code Company NAIC Number WEST YARMOUTH Massachusetts 02673 SECTION C—BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: (] 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. n NGVD 1929 1 NAVD 1988 El nthar/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) 9.5 ❑x feet ❑ meters b) Top of the next higher floor 13.0 ❑x feet ❑ 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 servicinc the building (Describe type of equipment and location in Comments) 13.0 x❑ feet ❑ meters f) Lowest adjacent(finished)grade next to building(LAG) 9.2 feet ❑ meters g) Highest adjacent(finished)grade next to building(HAS) 11.5 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support —_ 9.7 ❑x feet ❑ meters SECTION D—SURVEYOR,ENGINEER, OR ARCHITECT CERTIFICATION This certification is to he 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 best efforts to interpret the data available- I understand that any false statement may be 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? x❑Yes ❑No ❑Check here if attachments. Certifier's Name License Number KIERAN J. HEALY 48135 Title NP ,Ak14 SURVEY MANAGER �0a 1�N Company Name a, BSC GROUP,INC KIERAN J. �1 HEALY Address NO.48135 Q- 349 ROUTE 28, UNIT D r. h„„.` Q-01STf.PFOJ Aa~ City State ZIP Code /;.,s'n�;r;t L t.e'• �4k WEST YARMOUTH Massachusetts 02673 �I►rjT�('1� Signature` s Date Telephone Ext. //ff 08-09-2022 (508)778-8919 4586 r� Copy all pages oft s Elevatio ertificate 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) THIS FLOOD ELEVATION CERTIFICATE IS BASED ON THE DESIGN PLANS FOR THE PROPOSED DWELLING, FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 2 of 6