Untitled - .
OA 0) 01)7)/1-Y 4ottir - i-i-z=1-i-i7c-
,,,� ONE & TWO FAMILY ONLY- BUILDING PERMIT
RECEIVED Town of Yarmouth Building Department
1146 Route 28, South Yarmouth,MA 02664-4492
it 4N1
508-398-2231 ext. 1261 Fax 508-398-0836
JUL 01 2022 Massachusetts State Building Code, 780 CMR e
Buil ing Permit Application To Construct,Repair, Renovate Or Demolish
BUILDING DEPARTMENT a One-or Two-Family Dwelling
By: —
1 -
This Section For Official Use Only
Building Permit Number: 13(�--( 7 13 Date Applied:
11r,. SRAC S `)N--(1i'44.
Building Official(Print Name) Sign re Date
SECTION 1:SITE INFOR1MATION
•
1.1 Pro`peer tblress 1.2 Assessorsi Map&Parcel Numbers
Li
1.1 a Is this an accepted street?yes ✓ no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
.2s5-66 l IC, . 18
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
3() 88. s-8 moo ' . o .5" ,.20 ' /.2o '
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 11 Private 0 Zone; k(C� Outside Flood Zgrte? Municipal 0 On site disposal system 2/
�T� Check if yes2'
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record: A A �' O
1pNN Pk LoW �I Dv►dvv._ 1v1 si
Name(Print) I City,State,ZIP
34 5-t-rA�4,a( h4+11 �,, nd �1_3 575.11/7 ckonn.4.1ownec.(QConi.Ck-s4 . ►Y4
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) /�
New Construction d Existing Building I Owner-Occupied Repairs(s) 0 Alteration(s) 121 Addition C�3'
' Demolition /Accessory Bldg. 0 Number of Units I Other Cl Specify:
Brief Description of Proposed Work2:
try{h 0 L fse—
i 1 t C(Lv i b t.J r1 1 )1>‘-'
Ar-ddt+;w. ( , t s "5 act O1/C c�4
P � SF-
SECTION 4:ESTIMATED CONSTRUC ION COSTS.
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ ''0 , a 0 0 1. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $ I d 0 tii
Standard City/Town Application Fee
0 Total Project Cost (Item 61 x multiplier x
3.Plumbing $ —, to 2. Other Fees: $ 'l)'VU C-4(
4.Mechanical (HVAC) $ 10 0 0 List:
5.Mechanical (Fire $
Suppression) Total All Fees:$ %CI)
Check No. Check Amount: Cash t: Or) ,��
6.Total Project Cost: I $ 8� 00 0 0 Paid in Full Outstanding Balance ue: c77 r
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor Lriense(CSL)
License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.)
City/Town,State,ZIP R Restricted 1&2 Family Dwelling
M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Company Name or HIC Registrant Name
HIC Registration Number Expiration Date
No. and Street Email address
City/Town, State,ZIP 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 ❑ No ❑
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
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
JB sntering o11.y name • low,I h,reby attest under the pains and penalties of perjury that all of the information
co'tamed in i is app,cation is I 'e and acc . e to the best of my knowledge and understanding.
1r An 7
Print er's or Authorized Agent's N. lectronic 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
(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.gov/oca Information on the Construction Supervisor License can be found at www.mass.nov/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"
• The Commonwealth of Massachusetts
Cs a—.
_vim= L Department of Industrial Accidents
*;� 1 E 11Congress Street, Suite 100
=tf= Boston, MA 02114-2017
„ www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PI um bers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): 2)00.0 N a Lowb..,`) ( t)G Yt %t
I d /—I 4-c G,
Address: ea 4 LiI -( e_
City/State/Zip:kfu v ie'vc ,44 d,- b2�
�� Phone #: Lft3 S'-i-Sd-I/ �-
Are you an employer?Check the appropriate box:
Type of project(required):
I.❑I am a employer with employees(full and/or part-time).*
7. iew construction
2.0 I am a sole proprietor or partnership and have no employees working for me in
ca aci 8. ❑ Remodeling
an •
y p ty.INo workers'comp. insurance required.] (�
3.�I am a homeowner doing all work myself. [No workers'comp. insurance required.]t (i►051) 9. �° ''emOlitton " h+
f^
4. 1 am a homeowner and will be hiring contractors to conduct all work on my property. I will
10 LJ 'wilding addition
j"�ensure that all contractors either have workers'compensation insurance or are sole 11.2Electrical 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.
These sub-contractors have employees and have workers'comp. insurance.t 13.❑Roof repairs
6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14•❑Other
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.
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: City/State/Zip:
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 at
may be forwarded to the Office of Investigations of the DIA for insurance
coverage verlii ial
I do hereby e rfy tn. ' ' rains and.•nalties of perjury that the information provided above is true and correct.
Sisnature: 'NM" Date: k d if .4o a- Z
Phone: Lf, 6-15-off-I ( ?--
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#:
TOWN OF YARMOUTH
of ( BUILDING DEPARTMENT
Tc'` 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DATE:
JOB LOCATION .'' N 6 ,Z`f lti)ita+ ( L Yit,•a.cnc1 E tr
NAME STREET ADDRESS SECTION OF TOWN
"HOMEOWNER" oN J �a� ("O``'rJ `9 tf 13 5-7-3-.2li}
NAME HOWIE PHONE WORK PHONE
PRESET MAILING ADQRESS -2 it t L,k N
0.vwuv Yoe- a- I
•
CITY OR TOWN STATE ZIP CODE
The current exemption for `Homeowner' was extended to include owner-occupied dwellings of one or two units
and to allow such homeowners to engage an individual for hire who does not possess a license,provided that such
homeowner shall act as supervisor. (State Building Code Section 110 R5.1.3.1)
Definition of Homeowner:
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is or is intended to
be, a one or two family attached or detached structure assessory to such use and/or farm structures. A person who
constructs more than one home in a two-year period shall not be considered a homeowner;such"homeowner"shall
submit to the building official, on a form acceptable to the building official,that he/she shall be responsible for all
such work performed under the building permit. (Section 110 R5.1.3.1)
The undersigned 'homeowner' assumes responsibility for compliance with the State Building Code and other
applicable codes, by-laws, rules and regulations.
The undersigned 'homeowner' certifies that he / she understands the Town of Yarmouth Building Department
minimum inspection procedures a requiremen d that he / she will comply with said procedures and
requirements.
HOMEOWNER"S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL
Ch.142. Yes No
If you have checked ves, please indicate the type coverage by checking the appropriate box.
A liability insurance policy Other type of indemnity Bond
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner Agent
h:homeownrlicexemp
9 'Y4R TOWN OF YARMOUTH
yid fit; C BUILDING DEPARTMENT
O `� ' - y 1146 Route 28, South Yarmouth,MA 02664
� 4'..1-;,,;,,gi 508-398-2231 ext. 1261 Fax 508-398-0836
BUILDING DEPARTMENT
DEMOLITION DEBRIS DISPOSAL AFFIDAVIT
Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.5,
I hereby certify that the debris resulting from the proposed work/demolition to be I
conducted at ) ,r f L o
Work Address
Is to be disposed of at the following location: I�/ �urc 1 Yc:rs r S rl4'`'
Said disposal 'te shall be a licensed solid waste facility as defined by M.G.L.
aster 11 - ion 150A.
ignature of Applirti.n Date
Permit No.
- WO' ..
ivEn
LOT B9 Oilfl' (l 9 2022
25,566 SQ. FT. ±
0.59 ACRES ± }
679.76 PERIMETER oLL)K1NG'S iiiGH41rA �
/
N 86'58'53" W 213.44'
/f =111.36 ----- 11 - \
414,78t
} 8.05116.51
0 O — O --�11 01.81' 20.00' v 49.02' =118,6s
r w
106 0 30.00' ( e r - --
z
=110.441' r =11�.25
W J =112.62 %0 a L// % '119.6 I
' ( v { i
,,:,
ic ) Aa 9 / 88.58' rve: — =1119.41 �;
/ ��' --I20.0• '--
t4 :" E=1ia 1> L E — E — 1 ,
a /
=113.83 of
24_ i 15A23 0 1 =117.6+4
7i ' < it-"°8- �1 DRIV W Y 3-11 I 4� � 70.95' 120.80
LC8(FND) 20.00' .e
ll
MA,G(S BUILDING SETBACK LINE_
�ET), . 20.50'
-- 115 91 DH(FND)
=116.15 =120.2:
N 87'53'12" W 150.61 ' - 87.84' _ =120.84
BENCHMARK I S 87'52'00" E
ELEV.=107.55'(ASSUMED) PROPOSED ADDITION
CERTIFIED PLOT PLAN
OF LAND IN YARMOUTH PORT, MASSACHUSETTS
AS PREPARED FOR DONNA LOWNEY
THIS PROPERTY FALLS IN FLOOD ZONE "X" AS SHOWN
ON MAP NO. 25001C0559J DATED JULY 16, 2014
TO:DONNA LOWNEY PLAN REFERENCE: '
_ __,
ON THE BASIS OF MY KNOWLEDGE AND LCP 18112-Cz�+OFti
INFORMATION, I FIND, THAT AS A RESULT OF (LOT 89) ,mat PAUL t.
A SURVEY MADE ON THE GROUND TO THE `
NORMAL STANDARD OF CARE OF LOCUS ADDRESS:
: Sv+
24 WHARF LANE -
� '
PROFESSIONAL LAND SURVEYORS PRACTICING YARMOUTH PORT • aT
IN THE COMMONWEALTH OF MASSACHUSETTS, Ess�°
THE LOCATION OF THE DWELLING IS AS 40StJRit:"
SHOWN HEREO SCALE:1 '=40'
�`' DATE DRAWN: PAUL E. SWE1✓"1bER
p1�2$�' / Cam„ , OCT. 30, 2021 PROFESSIONAL
HOXN146URVEYOR
DATE PROFESSIONAL LAND SURVEYOR FEB. 28, 2022 DENNISPORT, MA 02639
FILE: 2818-00 (508)737-7560
.
JUL 01 2022 RECEIVED I
LOT B9 .9
25,566 SQ. FT. ± HEALTH DEPT. 'VW 1 02�'
r
0.59 ACRES ± ntiiviUU I I-,
679.76 PERIMETER __Q .p KING_ S N +,, .,
_i
N 86'58'53" W 213.44'
fi / :11136
0 0 21.81' 2_0.0C)' 8.�' 1&:5i �_ 49.02 _ .ili.69
- ._._ - it
• ,...a A R 106: 0 30.00
' aria .11125
.110.441" % it Le 0
�t r .112.62 I % 1119.6" •c •
l/it"
W 88.58 /�j /o' ..
xi19.41 I 6,,
t !•() 'E.110.1� E E _ I lr - ZO.Ot
� ' �? x113.83 \ tr '
-24_ 115A23 o r 17120
�i I Li it70.95'_ L_J; euiLc�iNc
/'LCB(FND) 20.00' SETBACK LINE
\ 20.50
���=g-�.b�a-��4 y 11591 DH(FND) .116.15
tea___ _.._ .120.2:
N 87 3'12" W 10.61' I
87.84' _ ...Y_l_ .12o.84
-MA.G(sEr) —
BENCHMARK I. S 87'52'00" E
ELEV.=107.55' PROPOSED ADDITION
(ASSUMED)
CERTIFIED PLOT PLAN
OF LAND IN YARMOUTH PORT, MASSACHUSETTS
AS PREPARED FOR DONNA LOWNEY
THIS PROPERTY FALLS IN FLOOD ZONE "X" AS SHOWN
ON MAP NO. 25001C0559J DATED JULY 16, 2014
T0:DONNA LOWNEY PLAN REFERENCE:LCP
ON THE BASIS OF MY KNOWLEDGE AND LCP 18112-CAN°f
1
lif
INFORMATION, I FIND, THAT AS A RESULT OF (LOT B9) gory' PAUL . ill"'
SURVEY MADE ON THE GROUND TO THE `
NORMAL STANDARD OF CARE OF LOCUS ADDRESS: SNI `��
PROFESSIONAL LAND SURVEYORS PRACTICING 24 WHARF LANE 4'Ai' •
YARMOUTH PORT
IN THE COMMONWEALTH OF MASSACHUSETTS, �Esm°r
THE LOCATION OF THE DWELLING IS AS ,yosuRv�"o
SHOWN HEREO SCALE:1"=40'
1 ` DATE DRAWN: PAUL E. SWEETSER
tali tgj C: --___ OCT. 30, 2021 PROFESSIONAL LAND SURVEYOR
FEB. 28, 2022P.O. BOX 1146
DATE PROFESSIONAL LAND S RVEYOR DENNISPORT, MA 02639
FILE: 2818-00 (508)737-7560 .
Kf
as
r
• C. WEI
SEP 2 I 2022
lAhiVik.10
- . TOW' N OF YARN1OL 1' 11
Y it''
OLD KINGS Hl64VVAY •:-.'i I 14o Kin It 28,SDI TII 1 ‘12.1101 TII.NI%SS V.III SE! Is 021,61 4451
':•,- .. -..,"... ...) Telephone(508)398.2231 Ext. 1292 Fa%(508)308-0834
01 D KING'S HIGIIM >1.'HISTORIC DISTRIC I CONINIITTEE
AMENDMENT FORM
("MINOR CHANGE REQUEST")
A minor change request must be Submitted with:n one year of the original approval date or while the work is still ?'1
progress Only a minor change may be approved by. the Committee without the filing of a new application
PLEASE TYPE OR PRINT LEGIBLY
Onginal Apo)cation P ?<9 -A 00X4, Original Approval Date :"_-"e _ii
Address of pr000sed worK
Owner(s): 1 V ft 0,1 es... Lo).4.)1•-+ V Po hne:1 (ii..35-?..5-
Marling aadres, S A.OA..C.-.
— -—---
Email deiiiik 1 OL.011 e Q COM(4,S1.AAA Preferred notification methonl__PhoneX_Email US Mail
Agent/Contractor: Phone.t• _ ..
Erna. ,_ Preferred notification method Phone Erna!
Please describe proposed changes(and attach plans photos(as necessary)
Cka.K clo,cac ,0 6.I", cit..a.,,, _ /-, ,,i-_,,s. _3pf,_,_c-.e.____201,_kby_e,,,_
il fit.•n,-it. 1 ,514- Adel< 4,0k? -to 1-1 iv;4_ "14 0 Lesfret,
--1--r. s A j „IL 4....-i -Lis ch.-, 4.4'f...4.4.1441] C.4./l {1 6.L. r efri 4 tdt di
— ---._ - -
4
.-- - — - _-
-- ----- - -- -- - -.. - --
Signed(0wrer or Agent) Date /Ll /a 0-1-..1.
Approved by OKH Denied by OKH Nes&Atequiract,—---Yes No
, nil li• VT: ,
r r - ' ' 1 Reason for Denial
'6EP 2.1 2022
1
Ailki`,OU IH c
1 OLD KINVS Hitai-oivAN'j---
S gned OKH Chairman Arihtri &Ma IJ Dale_c_l_i_12/1_, - il
AMENDMENT# g; !
ii 2315
ir.,
Sherman, Lisa
From: RICHARD GEGENWARTH <rgegenwarth@comcast.net>
Sent: Wednesday, September 21, 2022 3:32 PM
To: Sherman, Lisa
Subject: Re: 22-A0026-A1 24 Wharf Lane
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.
Fine, that would be good.
I approve.
Richard
On 09/21/2022 3:04 PM Sherman, Lisa<Isherman@yarmouth.ma.us>wrote:
Hi Richard,
This is the amendment we emailed about earlier today. The resident would like
to change the plans to have the garage below grade. I verified with her that no
trees will be removed as part of the project.
Please let me know if you need any additional information.
Thanks Richard,
Lisa `)Cl 1 02?
YARM9u.
( OLD KINGS HIGHWAY
Lisa Sherman
Office Administrator
Old Kings Highway Committee/Yarmouth Historical Commission
Town of Yarmouth
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•
tie TOWN OF YARMOUTH
344, ` WATER DEPARTMENT
. s� 99 Buck island Road
.w.,,A,zzestro West Yarmouth, MA()2671
Telephone (5O81 771.7921 • Far: (SflBl 771-7998
BUILDING PERMIT APPLICATION FOR
WATER DEPARTMENT SIGN OFF
TRANSMITTAL FORM
BUILDING SITE LOCATION: 24 Wharf one
PROPOSED WORK2 car. garage th_small houseion
APPLICANT: Donna Lowney
ADDRESS: 24 Wharf Lane
ELPHONE: 413 575-2117
RESIDENTIAL AND ;OR C'OMMLRCIAI BUILDING
Water Department: Determines Compliance of Water AN atlability and or existing location
Engineering Department: Determines Compliance for Parking and Drainage
Conservation Commission: Determines Compliance to Wetlands; et: i.e If lot(s)border any type of
wetlands. streams,ponds,risers,ocean, bogs, boys. marshland, ETC...
IIcalth Department: Determines Compliance to State and Town Regulations,
requirements for Septage Disposal and other Public I iealth Actis ites
Fire Department: Determines Compliance to State and Town Requirements for Personal
Safely, Property Protections, i.e. Smoke Detectors, Sprinkler Syslems,etc
(-7
yy�
6/25/2022
APPL SIGNATURE w.. DATE
OFFICE USE: COMMENTS ON PERMIT APPROVAI.OR DENIAL
gPgrj/.
REVIEWED BY WATER DIVISION(SIGNATURE) DATE
Sears, Tim
From: Sears, Tim
Sent: Friday, July 15, 2022 10:12 AM
To: DONNA LOWNEY
Subject: 24 Wharf Ln
Donna,
I have reviewed your application for the addition and there are some items needed.
1. 110mph checklist or stamped plans showing compliance with section R301.2.1.1 of the State Building Code
2. Specs on any beams
3. 2"d floor plan
4. Framing plans for bedroom addition area
5. Heat detector required in garage not shown on plan
6. Access to 2nd level garage storage with framing details �)r kc - \')-Z'C;t.,;-
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 CB°
Deputy Building Commissioner
Town of Yarmouth
508-398-2231 Ext. 1259
mailto:tsears@yarmouth.ma.us
ON iN\s__N, i 1c) Ni ).;c.A 'c )c'--)
Sears, Tim
From: Sears, Tim
Sent: Monday, October 17, 2022 2:46 PM
To: DONNA LOWNEY
Subject: 24 Wharf Ln
Donna,
I have reviewed your application and you will need to go back and get Health Department sign off.The addition of a
bedroom also requires that the smoke/co/heat detectgrs be brought up to code in the entire structure.
Thank you l/
Timothy Sears CBO
Deputy Building Commissioner
Town of Yarmouth
508-398-2231 Ext. 1259
mailto:tsears@varmouth.ma.us
I.
RECEIVED
CtT 4 1
vAHlvtuU 4-. .� TOWN OF YARMO UTH
i uW KING'S itartiVi 1116 ROUTE 28.sot i n%.ARMOt"TH.MASS:%CHI.SETTS 02664-.44 I
Tekpbone 15081398-2231 Est.1292 Fa 1508)398-0836
OE.D KING'S NIGI11% 1 HISTORIC DISTRICT COM\IITTEF
AMENDMENT FORM
("MINOR CHANGE REQUEST")
A minor change request must be submitted wain one year of the original approval date or white the wort,is st31'
progress. Only a minor change may be approved by the Committee without the filing of a new appiicat!on
PLEASE TYPE OR PRINT LEGIBLY
Or.exnal Apo(cation a 1180c Original Approval Date f ` `a Q `1`
Address of proposed worn kRr L rt
Owner(s): o n hrk Lo+a y.
phone �3ss a! __
Mae?rna address 54-*+ --
En,ae1 Q Oq+l 41 Ovine Q Com cc.si ,v�--4 preferred r
eferred notification ion method I Phone _.Ema,i ._._US Mais
Agent'Contractor: Phone
Erna:' _.._ Preferred notification method Phone Erna,
Please describe proposed changefsl and attach plans'photas(as necessary)
t.,, vt CI tor SC... 40 stow 014.A. - L-4 �+�„ 3p C._ A 8 _
E 1 M.i pn i-It f{ i + t, a 4 el t 7j,0,/ ` ,0 +u St,. .._._..."It 0
`-tf QtS /Ad t&C..e.t_4 i-o cb-t vGwK4 44,+ �t '3G.,, f' ov 4
Signed(Owner or Agent{ _._Date 41.xl
VApprosred by OKH _ - _ _Dented by OKH _._ No
Reason for Denial APPROVED
SEP 21 2eZ2 I
a A MOU H
t C7E,._,fl tft�a`
S gned OKH Chairman 5ee A ri Gd 0141z I f Dale qj.?//c?•
t
l AO U2 _-A I
1MFNDMENT«
112115
� E
f: , TOWN OF YARMOUTH
1146 ROUTE 28,SOUTH YARMOUTH,MA 02664-4451
Telephone(508)398-2231 Ext. 1292—Fax(508)398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COM ITT , E I V E D
APPLICATION FOR
CERTIFICATE OF APPROPRIATENESS 1 MAR 15 2022
Application is hereby made for issuance of a Certificate of'Appropriateness under Section 6 of Chapter �i R(13!,,�sstj ' "'
amended,for proposed work as described below&on plans,drawings,photographs,&other supplemental in gpcompanymg fhis
application. PLEASE SUBMIT 4 copies OF SPEC SHEET(S),ELEVATIONS PHOTOS,&SUPPLEMENT
Check All Categories That Appl : Indicate type of Building: Commercial /2 Residential
1)Exterior Buildin Construction: New Building .E V Addition Iterations Reroof RI Garage
.,,Shed Solar Panels Other:
2)Exterior Painting: riSiding F Shutters n Doors CTrim Other:
3)Signs/Billboards: [1 New ' n Change to Existing Sign 4)Miscellaneous Structures: (�Fence Wall Flagpole I (Pool Other:
Please type or print legibly: l
Address of proposed work: CX)Li 1 Cti'c LA nt;_ Map/Lot# GI/ / y •
Owner(s): 1.,,)Or'fQ A (--°t-il NI Phone#: ct(3 5 5 1/ 7
All applications must be submitt d by wner or accompanied by letter from owner approving submittal of application.
Mailing address: . i�v L(.4-�e_ \f ✓wt c. I-(, Po r- 1- Year built: 1 q..r...2.
Email: Ci O 'tin c:. I 0 Wk.) E J 0. CO 'tC a.%4. nL 1 Preferred notification method: Ell Phone ® Email
Agent/contractor: Phone#:
Mailing Address: n
Email: Preferred notification method: Phone (�..J Email
Description of Proposed Work:
Vo v ,..c CIA"-d A c1 ct i 4 ,or, a c va -- C k r � 41-r 4- C/VN- 'S A- sv 4 a.-e
Signed(Owner or agent): •--- Date: t D
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.
i- 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 toinspection by OKH.OKH-approved plans MUST be available on-site for framing&final inspections.
For Committee use only: V' Approved Approved with Modifications Denied
Rcvd Date: ?I 2?J 2402 Reason for Denial:
Amount "1,,O11('�/L+
"Cash/CK#: ! ,0 5
Signed: /. / '
Rcvd by: 1.4 5'
45 Days: _
i '
Date Signed:`57I 4/.2 c `Z -- - m,•C(s.--
1
APPLICATION#: (r;2)_A 0d `6
}°�.Y TOWN OF YARMOUTH
°, ,,: OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE4
1 146 ROUTE 28,SOUTH YARMOUTH, MASSACHUSETTS 02664-445I
telephone(508)398-2231 Ext.1292 Fax(508)398-0816
STATEMENT OF UNDERSTANDING
CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLAN
As property owner/contractor/agent for construction at 99 (; ,
Map/Lot l'3-1 iql C/A # 2 -✓ 'O Approval Date: otiii?)
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 statement( /
Date: `/54 .7Gt 2 Si ned: �, _}.)...„ ‘,A____,,,--,
- -..._V—
(Owner/Contractor/Agent)
Signed: , A e-'. , ,,,-
(Chairman, Ole King's Highway Committee)
1- OKH C.OMM€-TEE=Applica€ion FormslSlatement of Understanding 2015.docx
Updated 12`2015
TOWN OF YARMOUTH
1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451
Telephone(508)398-2231 Ext. 1292 Fax(508)398.-0836 rAft „
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
2 2 02)
WAIVER OF 45-DAY DETERMINATION ow
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 for Making Determinations
"As soon as convenient after such public hearing; but in any event within forty-five (4.1) 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.
Applicant/Agent Name (pleas print • ...—r)ofmr,..1
Applicant/Agent signature: Date: ..)-/444 /.16.01--D-
Application 4: a?''711-419/V/PF
312020
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: Donna Downey
Property Address/Location: Wharf Lane
Hearing Date: 1//j YV=21-
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: 121 47
Abutter Information: 121 46
121 53 V
121 49 V
121 35
Application #: 2 `P
8.2018
121/ 48/ ! / Please use this certify to signaturethis list of properties
BALBONI BRIANNA g
SCHMIDT CASEY directly abetting and across the street from the parcel located at.
84 ROUTE 6A,
YARMOUTH PORT,MA 02675 24 Wharf Ln.,Yarmouth Port, MA 02675
Assessors Map 121, Lot 47
121/ 49! / / _��? 7
VILLAGE INN CAPE COD LLC Andy M chado, Director of Assessing
92 ROUTE 6A
YARMOUTH PORT,MA 02675 February 25, 2022
121/ 35/ / /
FORAN JOHN P
FORAN PAMELA E
P 0 BOX 606
YARMOUTH PORT,MA 02675
121/ 46/ I I
PAINTER MARION HOMER TRS
MARION HOMER PAINTER TRST OF 201
30 WHARF LN
YARMOUTH PORT,MA 02675
/1 'V
if\121/ 47/ I /
LOWNEY DONNA
34 STAFFORD HOLLOW RD
MONSON,MA 01057
121/ 53/ / /
HOPKINS NANCY M
21 VESPER LN
YARMOUTH PORT,MA 02675
121/ 60! i tH
GEORGE THOMAS N
GEORGE ALICE M
17 THACHER SHORE RD ' ARMOu i
YARMOUTH PORT MA 02675-1125 OLD KING'S IGHV
2/22/22,12:48 PM
24 Wharf Land
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111
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: Donna Lowney
Property Address/Location: 24 Wharf Lane
Hearing Date: " if/
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: 121 47
Abutter Information: 1 121 46
121 53 V
121 49 Lf
121 35
dal Mfg
Application #: -AV b
8.2018 3
iihm-;e:E90y202.--r, ,
0
LOT 89
25,566 SQ. FT. ±
0.59 ACRES ±
679.76 PERIMETER „..0d)KING'S IKIGHvV4K
"
..--— 213.44'-r--7 --
-- ---__
I N 86'58'53 W/ 4111.36 ---- -,...
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$ .._.. .____ 87.8047.15 2110.2 /
t /4120.84
BENCHMARK I
i S 87'52'00" I
Et EV.=107.55'
,S,
, (ASSUMED) PROPOSED ADDITION
CERTIFIED PLOT PLAN
OF LAND IN YARMOUTH PORT, MASSACHUSETTS
AS PREPARED FOR DONNA LOWNEY
THIS PROPERTY FALLS IN FLOOD ZONE "X" AS SHOWN
ON MAP NO. 25001C0559J DATED JULY 16, 2014
PLAN REFERENCE: A
TO:DONNA LOWNEY
LCP 18112—C --- - . ,
-4,1t OF/4416.,,:',.,
ON THE BASIS OF MY KNOWLEDGE AND 14 e,
Ak:,---- 01,,
(LOT 139) oz. PAUL c•
INFORMATION, I FIND, THAT AS A RESULT OF -,
A SURVEY MADE ON THE GROUND TO THE ,
LOCUS ADDRESS: g S SE
NORMAL STANDARD OF CARE OF , ,
24 WHARF LANE
PROFESSIONAL LAND SURVEYORS PRACTICING 45 •
i'''' .
YARMOUTH PORT 4 IN THE COMMONWEALTH OF MASSACHUSETTS, 'E$sx° dt.,
THE LOCATION OF THE DWELLING IS AS 44't)su Rgt'k
SHOWN HERE0i SCALE:1"--=40'
DATE DRAWN: PAUL E. SWEETSER
PROFESSIONAL LAND SURVEYOR
6241Za iZZe "*" C-e-Si><6. . OCT. 30, 2021
P.O. BOX 1146
DATE PROFESSIONAL LAND SURVEYOR FEB. 28, 2022 DENNISPORT, MA 02639
FILE: 2818-00 (508)737-7560
.AD4.1"
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GENERAL SPECIFICATIONS SHEET
Project Address:- 24 Wharf Lane, Yarmouth Port
FOUNDATION; Material: Concrete slab for garage floor, concrete "crawl space"for house
extension.
Chimney: Material/Color—N/A Gutters: Material/Color: Aluminum/White
ROOF; material/Style: GAF timberline Natural Shadow Charcoal Algae Resistant
Architectural Shingles(Asphalt) pitch (7/12 min)9112 Height to Ridge: 17' 11 3/8" Color:
charcoal
SIDING: Material/Style-all exterior walls with natural cedar shakes.
TRIM: All windows and doors to be trimmed with 1x5 nominal (actual 41/2) pvc trim such as
but not limited to AZTEK. Smooth side out. WHITE
DOORS: Qty: 1 Material: Steel, 15 lite exterior double door-72" PHOTO ATTACHED
STORM DOORS n/a
GARAGE DOORS: Qty 2 classic collection CLOPAY insulated white with plain windows.
PHOTO ATTACHED
WINDOWS: manufacturer : Anderson 400 series, wood interior with snap in grilles. If
unavailable: Simontin vinyl with white grilles in between the glass.
WINDOWS: Qty/side-All first floor windows will have original grille pattern of 8/12,
second floor grille pattern as original of 8/8. All windows exterior will be white.
STORM WINDOWS-na
SHUTTERS; there are no shutters as illustrated in plans submitted.
SKYLIGHTS; n/a
DECK; n/a
WALLS/FENCES; n/a LIGHT POSTS: n/a
UTILITY METERS/HVACS-electric from pole to house will be underground.
LIGHTS: Qty; 4-2 black lantern style wall mounted lights on garage, 2-black barn type
wall mounted lights on back of garage. PHOTOS ATTACHED
-I -L;'
1
Project Address: 24 Wharf Lane, Yarmouth Port
Additional information:
There is a mature rhododendron on the side of the house that will be transplanted on the
property during the spring to improve chances for survival.
Due to the pandemic there is a shortage of building material and/or a long turn-around time. All
materials listed will be replaced with visually identical items, should these listed be not
available or should the cost rise exorbitantly.
2
tt)84..1480011W ItatieoreoileGva.ttrateaeltt
641'
721 15.-Lite Steel RH Exterior Doable Door
w/Bliii
ro
FEB 2 2 Z022.
Oi KING'g HICH%VAY
Classic 01)Itactiort 8 ft x7 ft 18 4 fl-stakta Eraelktore trattiated leihrte Garage
Doer with Plain VVirtelowc
ao lir-
II 1111:1111r-', I II
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25,566 SQ. FT. ±
re
0.59 ACRES ± 4 LAI 2 2 2.13 /
679.76 PERIMETER
_121 'VG S
/ N 86'58'53" W 213.44'
--- - -I 7,,,,.__________ _ - --,,
/ I . 011.36 iiSillT- ------ --- -- -- --,.,
1 8,05116.51 . ira69
21.81' 20.00' or 49.02'
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--- -
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--- - 4
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115.91
N 87'53'12" W 150.61'
BUILDING sETBACK-L.WE.j.
DH(FNO) .116.15 .120.2 I
87.84 _—_, 12:8.4
BENCHMARK S 8752'00" E
ELEV.=107.55'
(ASSUMED)
, ,,
CERTIFIED PLOT PLAN
OF LAND IN YARMOUTH PORT, MASSACHUSETTS
AS PREPARED FOR DONNA LOWNEY
THIS PROPERTY FALLS IN FLOOD ZONE "X" AS SHOWN
ilk Atis4t,
ON MAP NO. 25001C0559J DATED JULY 16, 2014
...--- --
PLAN REFERENCE: , OF
TO:DONNA LOWNEY LCP 18112-C '04-
ikk
ON THE BASIS OF MY KNOWLEDGE AND cl PAUL Q.1, . .
1 E. .
INFORMATION, I FIND, THAT AS A RESULT OF (LOT B9)
(ti
A SURVEY MADE ON THE GROUND TO THE SWE, SE
No. ; ; ..,
NORMAL STANDARD OF CARE OF LOCUS ADDRESS:
PROFESSIONAL LAND SURVEYORS PRACTICING 24 WHARF LANE 0
YARMOUTH PORT ESS‘IN THE THE COMMONWEALTH OF MASSACHUSETTS, 4 NtisuRlt:
THE LOCATION OF THE DWELLING IS AS
SHOWN HEREON. SCALE:
- •
'
PAUL E. SWEETSER
DATE DRAWN:
- (. OCT. 30, 2021 PROMSIONAL LAND SURVEYOR
P.O. BOX 1148
DATE PROFESSIONAL LAND SURVEYOR DENNISPORT, MA 02639
FILE: 2818-00 (508)737-7580
..`,t.Y ,7 • TOWN OF YARMOUTH
:°; HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: ` ‘10 Zk�' �� fr,k
Proposed Improvement: a v & cirs_ J t'<L.) 4-( r re-( r\ 4 Nx
_ ct ig r't cU c 1 tom. c� r u j SPA C—e Ct S1 / 3 eel .,o c.A.A
/4, 12.z, c•-(4 (e1.4-1fr
Applicant: ►, ,� �. Tel. No.: 9( �
Address:- -4 l'tJ-a r �` "�`"e' Date Filed: I 1 J / ri(--2
**If you would-like e-mail notification of sign off please provide e-mail address: 0 Vt t.1 otvn -e LAC') ro lt,
Owner Name: ` ! LC w r�
Owner Address: Owner Tel. No.:
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: DATE: PI/ 42,
t
PLEASE NOTE
COMMENTS/CONDITIONS. ^�
TO / C` .:-i cf _ . E1 e &✓c, } , vC "bcf,�
(-t-e d-V a n - ape ma c'c I t'C I/V o ./ C(L>Cr �-�
TOWN OF YARMOUTH
° HEALTH DEPARTMENT
S
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant:
1
Building Site Location: � "'Lt v � C.
Proposed Improvement: ATr F4 c i 4 C r �-
Applicant:.)0n►1cc Loves r,,,s Tel. No.: q (3 7
Address: (`'�'�' °" Date Filed: 11 I �-n a�
*If you would like e-mail notification of sign off please provide e-mail address:
Owner Name: b�-.��,
Owner Address: Owner Tel. No.:
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:
i1) 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: f DATE:
1 PLEASE NOTE 7 -
COMMENTS/CONDITIONS:
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B9 ZONING CLASSIFICATION R40
LOT
25,566 SQ. FT. ± AREA REQUIRED EXISTING PROPOSED
0.59 ACRES ± 40,000 S.F. 25,566 S.F.t NO CHANGE
SETBACKS
FRONT 30' 88.58' NO CHANGE
SIDE(R) 20' 50.24' 26.32'
SIDE(L) 20' 8.05' NO CHANGE
REAR 20' 49.02' NO CHANGE
COVERAGE ALLOWED EXISTING PROPOSED
BUILDING 25% 6.12% 10.08%
__ N 86'S8'53" W 213.44'
�I l f '
/ x111.36 1 x -
8.05'116.
x' 0 9 — O —��1 21.81' 20.00' • 49.02' " 1�$,69
- „
/,, _
,4 1 os.�,0 30.00' KA;
�1 i3'.2s z
x11o.44& xW ' x112.62 /% (119.6 OW' l I r':
88.58' `°� xi19.41ti K �_ /YE/ Jul
`� (Z :n E 110.1 .� E E —
/__�_ --20.0 I --
. 2 ' r • x113.83 11523 !„il \ 1r-8�
'' 0.30' _
.11 of I
.117.614 .
2 a 71 DRIVEWAY � �� 13 I �70.95Jol'. �LJ 120 8151k
I\ LCB(FND) 20,00' 2' BUILDING SETBACK LINE
-_-__- , _-= . 11591 DH FND t
�. _ ....'. --I
( ) 116.15 x 120.2 i
N 87'53'12" W 150.61 '
87.84' _ ; ----.1 20.84
LMAG(SET) S 87'S2'00" E
BENCHMARK PROPOSED ADDITION
ELEV.=107.55' PROPOSED COVERED PORCH
(ASSUMED) PROPOSED PATIO
CERTIFIED PLOT PLAN
OF LAND IN YARMOUTH PORT, MASSACHUSETTS
AS PREPARED FOR DONNA LOWNEY
THIS PROPERTY FALLS IN FLOOD ZONE "X" AS SHOWN
ON MAP NO. 25001C0559J DATED JULY 16, 2014
PLAN REFERENCE:
TO:DONNA LOWNEY LCP 18112-C OF 144.tro
ON THE BASIS OF MY KNOWLEDGE AND
INFORMATION, I FIND, THAT AS A RESULT OF (LOT B9) 4 PAUL '
A SURVEY MADE ON THE GROUND TO THE LOCUS ADDRESS: 6� E.FR
NORMAL STANDARD OF CARE OFI -� • -_ `�`-
PROFESSIONAL LAND SURVEYORS PRACTICING 24 WHARF LANE �• ,3YARMOUTH PORT
IN THE COMMONWEALTH OF MASSACHUSETTS, IC ~
THE LOCATION OF THE DWELLING IS AS • �o�'-,"
SHOWN HEREON. SCALE:1"=40 °StriR-
DATE DRAWN: PAUL E. SWEETSER
JO 2g 26a2L44 OCT. 12, 2022 PROFESSIONAL
BOX LAND SURVEYOR
1146
D E PROFESSIONAL LAND SURVEYOR DENNISPORT, MA 02639
FILE: 2818-00 (508)737-7560