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HomeMy WebLinkAboutBLD-22-006079 ONE & TWO FAMILY ONLY-BUILDING PERMIT Town of Yarmouth Building Department co yku 1146 Route 28,South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 '11:._1!1/4%, 1 Massachusetts State Building Code,780 CM � ;'` R Building Permit App lication To Construct, Repair,Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only -RECEIVED Building Permit Number: 0-7?-W O7 Date APO I -,iN A(� 6-)6 - ),4-- [APR 2 12022 Building Official(PrintName) Signature Date SECTION 1:SITE INFORMATION BUILDING DEPARTMENTBy ___ 1.1 Proper, Address: �; 1.2 Assessors Map&Parcel Numbers s`�� 1 a O Ho M 6 c S Dr- \ - Parcel Number lh I.1 a Is this an accepted street?yes Map Number no 1-, 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Rear Yard Front Yard Side Yards Required Provided Required Provided Required Provided e4 1.6 Water Supply:(M.G.L c.40,454) 1.7 Flood Zone Information: 1.8 Sewage Disposal a e System: Zone: Outside Flood Zone? Municipal 0 On site disposal system Cl Public❑ Private 0 • Check if yes0 2: PROPERTY OWNERSHIP` 2.1 Owner'of Record: Aa�,,, - }t,.,I ,C'� M P` ����t✓/V � �(..M�n(�G� City,State,ZIP Name(Print)ac) `}'o M` E R. Noo.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK (check all that a+ i New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) Cl 1 o I',111840M1 ' • • a Demolition 0Accessory Bldg.❑ Number of Units Other 0 Spec --.-----•-----^-- Brief Qescription of Proposed ork2: Tl U� ,1,0 >,7 yi' ,•,, No > , 7 NG I -e0 ESTIMATED 4:P TED CONSTRUCTION COSTS. / Way Estimated Costs: Official Use Only .bor and Materials) Indicate how fee is determined: l. Building Permit Fee:S ,IL 1.Building1101111111111111111 'lb Standard City/Town Application Fee 2.Electrical 0 Total Project Costa'(Itte�em 66)x multiplier_____x — 2. Other Fees: $_ : �.1 t 3.Plumbing List: 4.Mechanical (HVAC) 5.Mechanical (Fire Total All Fees:$ Ch Amount: S .,ression Check No. Check Amount:______. / 61g?G Outstanding Balance Due: �I C -- 6.Total Project Cost $�;'�.' : �..) ❑Paid in Full SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C S._ 1 1 0 2 s I o.-/ /a VQ�, ('. 1 t zA R( \ 1 T License Number Expiration Date Name of CSL Holder 1 uo ''2 ` ._L S List CSL Type(see below) +V' No.and Street Type Description Re U �6 AA t,;-1S l,1 is U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town, R Restricted 1&2 Family Dwelling �' `n,State,ZIP M Masonry RC Roofing Covering • WS Window and Siding (� SF Solid Fuel Burning Appliances (�f a` _(l t I '('�-0 i 1 A fi pok y.)k ter(, I Insulation Telephone Email address 11-So vita- D Demolition 55.2 Registered Home Impr vement Contractor(HIC)."�'�i� . c-Of" � 6-0 L Sjuc3 Jam) HIC Registration Number Expiration Data HIC Comparty Name or HIC Registrant Name \„r c 1Of) .1\d . Lf,1 s`-t' P'o,E-65 ,OrA(,PAa,rJ-ktel)-Sc 1A-lk At C- Gdln Etrt1/476-WeiviA()As 1 (in- SGt rU { Email address City/Town,State,ZIP I Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.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 ti No ❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERIVIIT I,as Owner of the subject property,hereby authorize E 2 be (R ,,i 5. to act on my behalf,in all matters relative to work authorized by this building permit application. 'DUc'Z.k (v -L/ VOiJP'LO vN1 ,2/® 1d- . Print Owner's Name(Electronic Signature) Date • SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,li ereby attest under the pains and penalties of perjury that all of the information contained in this application is Prue an., accurate to the best of my knowledge and understanding. l _ �� Iaa Ca Print Owner's or Authorized 's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor J (not registered in the Home Improvement Contractor(HIC)Program),will mt.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.gov/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.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) . Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-223 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 'I ( iO `i CC C) R.\- Work Address Is to be disposed of oat the following location: Said disp l site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, 50A. kM I Qa,i.) I aa Signs e f Application Date . Permit No. • • t � 8 F M` 4� t2Z t Division of Professic.tal Licensure Board of Building Regulateons and Standards Cortsrt it .rvisor CS-110851 icp+res.t}7I22t2O JORGE MAR INS 2 100 FRANKUl9 S -,: REVERE MA G2151 ^ammissioner '' {.' �';, __4c� The Commonwealth of Massachusetts �, h f/ Department oflndustrialAccidents z 1 Congress Street,Suite 100 . =1y1 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): 6 G 0,, , !\/ e/� ��,J �� toc ICJ Address: I UC City/State/Zip:R E V ea.t M Pc oc-1 5{ Phone#: 6 14 c ,a r Are you an employer?Cheek the appropriate box: Type of project(required): l.�l am a employer with 1 employees(full and/or part-time).* 7. Q New construction 2Q I am a sole proprietor or partnership and have no employees working for me in 8. Q Remodeling any capacity.[No workers'comp.insurance required.] 3. I am a homeowner doingall work myself r 9. ❑Demolition ❑ Y [No workers'comp.insurance required.] 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 ❑ Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.Q Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.t 13.0 Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per?vIGL c. 14.0 Other 152,§I(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. tContractors 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: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: la 0 krUM6("C.S G City/State(Zip: fPaMVUk\r. V.irt34, MPS Attach a copy of the workers'compensation policy declaration page(showing the policy nn(mber 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 rc zder ze pains and penalties of perjury that the information provided above is true and correct. Signature: Date: 0 Lt/ (Ai; Phone#: - 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): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: AlLiccoicei:or DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 04/21/2022 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 be endorsed. If SUBROGATIONIS 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: HUCKLEBERRY INSURANCE SVCS LLC PHONE (855)255-4825 FAX (347)909-2881 57550172 (A/C,No,Ext): (A/C,No): 800 N HIGH STREET E-MAIL ADDRESS: COLUMBUS OH 43215 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Hartford Casualty Insurance Company 29424 INSURED INSURER B: GEORGE'S PAINTING&CONSTRUCTION, INC INSURER C: 100 FRANKLIN ST REVERE MA 02151-1028 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD IMM/DD/YYYY) IMM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) MED EXP(Any one person) PERSONAL&ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY PRO- LOC PRODUCTS-COMP/OP AGG JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _ (Ea accident) ANY AUTO BODILY INJURY(Per person) ALL OWNED SCHEDULED BODILY INJURY(Per accident) AUTOS AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS AUTOS (Per accident) _ UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS- AGGREGATE MADE DED RETENTION$ WORKERS COMPENSATION x PER 0TH- AND EMPLOYERS'LIABILITY STATUTE ER ANY Y/N E.L.EACH ACCIDENT $100,000 A PROPRIETOR/PARTNER/EXECUTIVE — N/A 57WECANIPOL 09/01/2021 09/01/2022 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $100,000 (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION town of Yarmouth SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1146 Massachusetts 28 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED Yarmouth MA 02664 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Pedro Andrade Construction Independent Contractor Service Agreement 02/18/2022 Rev.04/02/2022 Pedro Andrade's Construction (617)839-1753 pvalgueiro@comcast.net 38 Hampshire Road HIC#184113 This AGREEMENT is made BETWEEN the Contractor and Client: Doreen DelMonaco 120 Homers Dock Rd. Yarmouthport, MA For the following Project: Estimate for the proposed services, includes labor and material only. During the construction Phase,the contractor shall perform the following tasks: Construction 1: • Services will be provided per the plans provided to Pedro Construction from the Owner. • All Material will be provided by Pedro Construction • Apply spray foam insulation • Install new framing per the plans • Install windows and doors • Install shingles to outside wall • Install outside window and door trim • All outside work will be finished work • Contractor provides 10 years warrant for the job.The contractor shall be responsibility for the identification,discovery, presence, handling, removal,or disposal of, or exposure of persons to, hazardous materials in any form at the project site. • The Contractor understands that any delays should be discussed with the Client. • The Contractor agrees to provide insurance policy that will cover the material, equipment, • Orri, C106,- 0Li / Pedro Andrade Construction Independent Contractor Service Agreement subcontractors,and workers. • Contractor shall follow the architectural plans provided by the architect,any changes shall be discussed with architect and owner. • Any additional work shall be discussed with owner and contractor for additional fees. • This Agreement shall be governed by the law of the location of the project. PAYMENTS AND COMPENSATION TO THE CONTRACTOR The Client shall compensate the Contractor as follows: Description: First Payment: Second Payment: Third Payment: Construction 1 66,507.00 $77,591.50 $77,591.50 Total: $221,690.00 I agree to have Pedro Andrade's Construction Inc.to perform the work as described above. Our services are backed with ten-year guarantee of quality on all work that has been completed and for which payment has been made.All the above work is to be completed in professional manner. Contractor / 4`�'" �= Date6-4 // w' +20,e Clien )cQ \� Date Looking forward to work with you. Thank you, Pedro Andrade's construction ° y n TOWN OF YARMOUTH 1146 ROUTE 28,SOUTH YARMOUTH,MA 02664-4451NOV 9 21 Telephone(508)398-2231 Ext. 1292-Fax(508)398-0836 YFtii ri(J i t h OLD KING'S HIGHWAY HISTORIC DISTRICT �:*. 1,, u• = A APPLICATION FOR CERTIFICATE OF APPROPRIATENESS Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts of 1973 as amended,for proposed work as described below&on plans,drawings,photographs,&other supplemental info accompanying this application. PLEASE SUBMIT 4 Copies OF SPEC SHEET(S),ELEVATIONS PHOTOS,&SUPPLEMENTAL INFORMATION. Check All Categories That ADD' : Indicate type of Building: Commercial Residential 1)Exterior Bui{din Construction: INew Building .1 J.Addition Iterations Rero liShed Solar Panels 'Other: ,e 2)Exterior Painting: Siding Shutters t l Doors LIJrrim Other: r.', . 3)Signs/Billboards: i New Sin Change to Ex. ting Sign (�" 2i l 4)Miscellaneous Structures: Fence Wall Flagpole Pool t 2 Other: , Please type or print legibly: Address of proposed work: 120 Homers Dock Road Map/Lot# 149/61 Owner(s): Doreen & Giovanni DelMonaco 508 942 4640 All applications must be submitted by owner or accompanied by letter from owner poa n: approving submittal of application. Mailing address: 244 Washington St. Bldg. #1-105 N. Easton, Ma.02356 1972 Year built: Email: doreendel@yahoo.com n Preferred notification method: t__ l Phone t i Email Agent/contractor: Bill Daniels Phone#: 508 9587132 Mailing Address: 11 Still Brook Rd South Yarmouth, Ma. 02664 Email: danie15011@comcast.net Preferred notification method: LI Phone Description of Proposed Work: Email Complete new roof frame, changing pitch to 10/12 with shed dormeres on front and back. Garage addition, new front porch to mud room and new roof over exisitng front door. All new windows and doors. Signed(Owner or agent): Date: 11/23/21 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. v 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: +v'°` Approved Approved with Modifications g Denied Rcvd Date: � ` Reason for Denial; Amount •14/t /` Signed: Rcvd by: L.�. r V 45 Days: -.r ` • /.+tll!a J / . - / .Date Signed: /vsovo , APPLICATION#: 1 ,,„ ?A Sears, Tim From: Sears, Tim Sent: Monday, May 2, 2022 3:11 PM To: 'professionalpainter775@hotmail.corn' Cc: Slack, Christine;Water Department Subject: 120 Homers Dock Jorge, I have reviewed your application for the addition/renovations and there are some items needed. TY Health Department sign off Ceater department sign off rtified plot plan stamped by a land surveyor showing setbacks to proposed addition 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 fora 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 50 -3 -223.1 Ext. 1259 mailto:tsears@varmouth.ma.us 1 r - . o` � TOWN OF YARMOUTH ;' :- ° HEALTH DEPARTMENT P 4., ,,,,ir k 0u,s_ sv ?�t'• PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant: u Building Site Location: 1. -° +; r ( {. ---�- ,- k y D= /(,) i. t L, (/r, Pp/ Proposed Improvement: i(�)�} ( 3,1 ,_.. 16 a=' .- ', 3,' i rJJr . : ! [ O ) „',1, ' i i�}�"� -i--4 �'�. ' i 'p ri ` " `In r ' be c i rr '�r_ ,,.,,. Applicant:1,Of o -F1 ' i M (-) ,( 0 Tel. No.: A 0 ` 3 �r ,^ �t. ! L Addre§s <t .�,..,, „, �� T �` > � t Date Filed: -2 2.- **I you would like a-mail notification o o , leaseprovide e-mail address: ' ' (?F') Cx" �: ( c'. ;,i{.‘ **Iff sign .I.�P C � Owner Name 1 ,`3t r ( ..-I -.?40 i\ \. 1�t13()6k,/ C} 4 ). '- \.\o(Y '--c jC `<... 1LI I , t?,i")G L. Owner Address: , - ��U��,}-;tflwner Tel. No.: -i/f.,L-�"4"1 !P ��„� 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; . �` ►t ` (2.) Floor plan labeling ALL rooms within building MAY '4 i ?A ^ (all existing and proposed) — Note: Floor plans not required for decks,sheds, windows, roofing; H -Thi DEPT. (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: DATE: c /C:14)\ PLEASE NOTE COMMENT / ONDITIONS: :nc..., c ,,‘Li (--- .1-- c74\ ---" " -S I-)") ::;' c_ i C..)CA---LA I / '.- f c' (V`t R s?-' (` /c,c.-1 F_ - - I - ,-e..-1 -t try ( v, 1C(_, ( t Vic'.L�vc_KAA 1 TOWN OF YARMODUTt l " ` WATER DEPARTMENT ` , 9c.) Buck Island Roan! 'raft `y 14, 1l'Nct Yarmouth,, 1A f}2f�7 t telephone: (508) 771-7921 • lax: (508t 771-7998 BUILDING PERMIT APPLICATION FOR WATER DEPARTMENT SIGN OFF TRANSMITTAL FORM BUILDING SITE LOCATION: 1 T-4 bOcK. 144, Th 1904 PROPOSED WORK:eePO 9 a. APPLICANT: , , . I flank( 0...,_,.,..,... ... ADDRESS: t �F n '11LPHONE: ,,,ri ___ , G), _ ,t,,,,,, 0_ 60 _ , , tion, RESIDENTIAL AND OR COMMERCIAL BUILDINGD,_�t a :a4 Water Department: Determines Compliance of Water Availability and or existing location Engineering Department Determines Compliance for Parking and Drainage Conservation Commission: Determines Compliance to Wetlands Act: i.e. If lot(s)border any type of wetlands.streams,ponds,rivers,ocean, bogs,boys.marshland, ETC.. I Icalth Department: Determines Compliance to State and Town Regulations, i.e. requirements for Septage Disposal and other Public Health Actvitess Fire Department: Determines Compliance to State and Town Requirements for Personal Safety, Property Protections, i.e.Smoke Detectors,Sprinkler Systems,etc APPI, CANT SIGNATU E DATE OFFICE USE: COMMENTS ON PERMIT APPROVAL OR DENI.1I, RFVIE��' BY WATER DID' / 7 02 DIVISION(SIGNATURE) DATE tit i . 1 1 TOWN OF YARMOUTH tory :>.: ,- ,,,,,,,,:,:•,.4 ,,,.., 1146 ROUTE 28,SOUTH YARMOUTH,MA 02664-4451 1 Telephone(508)398-2231 Ext. 1292-Fax(508)398-0836 OLD KING'S HIGHWAY HISTORIC DISTRICT cMMEEJ APPLICATION FOR CERTIFICATE OF APPROPRIATENESS Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts of 1973 as amended,for proposed work as described below&on plans,drawings,photographs,&other supplemental info accompanying this application. PLEASE SUBMIT 4 Copies OF SPEC SHEET(S),ELEVATIONS PHOTOS,&SUPPLEMENTAL INFORMATION, Check All Categories That Apra : Indicate type of Building: Commercial Residential 1)Exterior Building Construction: !New Building El Addition Iterations I Rero -FiGaragb Shed Li Solar Panels I I Other: 2)Exterior Painting: FISiding Shutters 1.1 Doors —Trim 1I IF-10ther: , f , 3)Signs/Billboards: fi New i n Change to i ting Sign I ' 4)Miscellaneous Structures: Fence Wall Flagpole El Pool Other: i Please type or print legibly: Address of proposed work: 120 Homers Dock Road Map/Lot# 149/61 owner(s): Doreen & Giovanni DelMonaco Phone#:508 942 4640 All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: 244 Washington St.Bldg.#1-105 N. Easton,Ma. 02356 Year built: 1972 Email: doreendel©yahoo.com Preferred notification method: E] Phone k Email Agent/contractor: Bill Daniels Phone#: 508 9587132 Mailing Address: i 1 Still Brook Rd South Yarmouth, Ma. 02664 Email: daniels011©comcastnet Preferred notification method: Phone v., Email Description of Proposed Work: Complete new roof frame, changing pitch to 10/12 with shed dormeres on front and back. Garage addition, new front porch to mud room and new roof over exisitng front door. All new windows and doors. Signed(Owner or agent): Date: i 1/23/21 ,- 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- ,- 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: VilApproved Approved with Modifications Denied Rcvd Date: lii )44,31 Reason for Denial Amount :(4) CashiCK 1 Signed: Revd by: L. 5 t 45 Days: , - + 1 Date Signed: /ice/Z.2- ' 1 I ,..??-Alit/" ' APPLICATION#: . TOWN OF YARMOUTH . OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 1146 ROUTE 28.SOUTH YARMOUTH. MASSACHUSETTS 02664-445I Telephone(508)398-223I Ext.I292 Fax(508)398-0836 STATEMENT OF UNDERSTANDING CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLAN As property owner/contractor/agent for construction at 130 40,106 kx 1: P. Map/Lot d LI k /61 C/A # } -A0C — Approval Date: 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(Generat 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, nge approval or Certificate of Appropriateness application for the revised plans is stillrequired 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. it imiji I have read and understand the above statements. Date: Signed: {Owner/ContractorlAgent} Signed: (Chairman, Old King's Highway Committee) H:iOKH COMMTTEE\Appttootton Fornas'Stalement a'UndestarOng 2015,doc, Updated 12/2015 GENERAL SPECIFICATION SHEET Project Address: /A" 4M 07--g Y)ceir FOUNDATION: Material:Material: Concrete Exposure(Not to exceed 18"): '8' Brick/Red Aluminum/White Material/Color: GUTTERS: Material/Color: Asphalt Shingles 10/12 ROOF: Material: Pitch(7/12 min) Height to Ridge:22.5a ft Color: Georgetown Gray SIDING: Material/Style: Front: W C SinglesSides/Rear: W C ShinglesCOLOR CHIPS Color Front: 14644"--1....4Vii"'ivusle. Sides/Rear: Naisms- L.-1 5 tivitav Yi Airey 60 TRIM: All windows&doors to be trimmed with: Ix 4 1x5 (Circle one.) Material: PVC Color: White _ _ 'a'4 lad t DOORS: Qty: Material: Fiberglass/c ' CRVE Color -":' ' ' ‘1°611 31-0"x61-8" Style/Size(if not listed/shown on elevations): 1, 3 Alum. White STORM DOORS: Qty: Material: Color: GARAGE DOORS:Qty: 1 man: Fiberglass Style: Panel Color: White See°ley See elev See elev WINDOWS: Qty/side::Front: Left: Right: Rear: Color: White i ---- Manufacturer/Series: Andersen Material: Clad 4/4 Grilles(Required: Pattern(6/6,2/1,etc.) Grille Type:True Divided Lite: ' Snap-In: 151 Between Glass:ri Permanently Applied: FlExterior ritnterior AN I ' STORM WINDOWS: Qty: 10 Clad white Material: Color: .... SHILTTERS: Mail: SKYLIGHTS:Qty:N/AFixed Vented Size Color: 1 FX5' Composite Natural DECK: Size: Decking Mal: Color: Railing Mat'l:N/a Style: Color: WALLS/FENCES*(Max 6'height): Height: NA Mat'l: 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: Left side Screening: Shrubs LIGHTS: Qty: Style: Onion Color: White Location(s): front & rear doors LIGHT POSTS: Qty: Material: Color: Location(s): Additional information: 2-General APPLICATION#: . Olio 4- )0 CY p E . I JAN 0 t • r:jr.._ i 1 . TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICTiCOMMITTEE r /04,1 oviOu ABUTTERS' LIST QLLS filf1HVI/2„L Applicant's (Owner) Name: Doreen & Giovanni DelMonaco Property Address/Location: 120 Homers Dock Rd 7,1 oil wm Ilk lit 0/313_ Hearing Date: 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.maus Map Number Lot Number Applicant Information: 149 61 Abutter Information: 410 ,11.7 149 28 149 29 ijjjjj 149 59 149 60 62 149 149 63 Application #: - 8.2018 3 . , / , ' „, u-) le, * .4 89 i p a; / vt ,,,,... i 6-'7 -,,,,,,,,,,., firl-B ;Iti ua oi In '-,,, .3. a; 4 it 9 1 c.)° NN g .' 418 g ...." 4,'', -,,,, , 1.•' '-`e-`-'8 ;St ni* 13 / / 7 1,.../- "I.: ., *a ,t- to v ' RFrtFjvFn \ .. \ 40 ---- -„.„,,,,,, cr; ------ ,,;., *,:,,a:i --- ''''f''-•:'-‘:' ,..1.w...t..t i , 0 8 r4 Ct 4c. (..) - 1,,,, -, •/- ,„.- f ,,. t g E 0 ,.., I 0 ., 0 a; r"..', tNi . a; ,(...4. ,..4. , ,,- , , (NI ta> ai oi ,..,..,r. / ikt ill/ r''''',. 1- ... .- / / --,,, .1 n li - tsi 40 lf / / r 0:i• (74 c:. c+4 (1) „AD .e- E co Z gi ..... i FREDERICKS DERRY G Please use this signature to certify this list of properties TRS i FREDERICKS F DIANE TRS directly abutting and across the street from the parcel located at: V 110 HOMERS DOCK RD YARMOUTH PORT,MA 02675 120 Homers Dock Rd- Yarmouth Port, MA 02675 Assessors Map 149, Lot 61 149/ 63/ I I KNIGHT WILLIAM M KNIGHT LEDA L I 4,147114..e.iezeh- Andy Miachado, Director of Assessing 9 LOCH RANNOCH WAY December 20, 2021 YARMOUTH PORT,MA 02676 i149/ 69/ / / DOVVNEY MARY C 840 BRONX RIVER RD BRONXVILLE,NY 10708-7070 -1 1491 61/ I / THE JOAN M SHOSTAK FAMILY REALTY ' C/0 DELMONACO DOREEN 120 HOMERS DOCK RD YARMOUTH PORT,MA 02675-1010 f PPRowir„: 1 149/ 60/ / / DEVINE JOHN C 'il,—.)47; DEVINE MAUREEN J 50 CERDAN AVE , ' .Rf-ii= WEST ROXBURY,MA 02132 , :,•,,,Lf,2,KiNn c_',,,,, , i149/ 281 / REYNOLDS TARA 30 HIGH MEADOW CR EAST LONGMEADOW,MA 01028 (fs‘.2,A. \f‘' 1 149/ 29/ / 1 \\P MARTIN JOSEPH M MARTIN LINDA L 125 HOMERS DOCK RD YARMOUTH PORT,MA 02675 ,--- . . .•• : •, ,e.---:• .. *.' ?:•Colt.:,1,- .• , . 4,4:• ',. - ,, 7.:::IN''. 1 , . ....., „...„,„. . •:,' .'‘' ,... :',:k.'•* ' -'t ''''' „..,4:. . . ..,„..„pe .„... ......,..... •----:,.:Z.:., .0' •" ii, ,...Q i k•. ,,,''..40041441 —4,"'"'" ,•,':/,,. 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