BLD-23-000013 � �� .fir
�
ONE & TWO FAMILY ONLY- BUILDING PERMIT
RE Town of Yarmouth� � V � � Building Department _
1146 Route 28, South Yarmouth,MA 02664-4492
Z�22 508-398-2231 ext. 1261 Fax 508-398-0836 ` �.,,
Massachusetts State BuildingCode, `780 CMR
Bull zn1r Permit Application To Construct,Repair, Renovate Or Demolish
BUILDING DEPARTMENT a One-or Two Family Dwelling
By.._
This Section For Official Use Only
Building Permit Number: f3C713 Date Applied:
Ar
1r. SQAc ,�
Building Official(Print Name)
Signature Date
SECTION 1:SITE INFORMATION
•
1.1 Property Address:
� ,, �,L 1.2 Ass;s Map&Parcel Numbers
1.1a Is this an accepted street?yes ,� no Map Number
Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use 2s .51, G I 1‘, 1 8
Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards
Rear Yard
Required Provided Required 9 Provided Required Provided
0 89. s-8 �A ,
1.6 Water Supply: ...10 `� -2 a " j o2 0
pp y: (M.G.L c.40,§54) 1.7 Flood Zone Information:
Public Zone: 1•S Sewage Disposal System:
Private❑ �( Outside Flood Z e?
/" Check if yes Municipal 0 On site disposal system
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Name Print
�� 5 (�� /� �•( tI6W r � City,State,LIP
No.and Street
}y1 �I3 J�7S—o1//7 �or�nwlOw�t l/�
p :v�C S# • he
Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 4 Existing Building Owner-Occupied P� Repairs(s) 0 Alteration(s) E Addition e
Demolition c, Accessory Bldg. 0 Number of Units
Brief Description of Proposed Work': Other ❑ Specify:
RIM_ ' h I
OL
v V . ' 1
SECTION 4:ESTIMATED CONSTRUC ION COSTS
Estimated Costs:
(Labor and Materials) Official Use Only
1.Building
$ TO a 0 0 1. Building Permit Fee:$ . Indicate how fee is determined:
$ Standard City/Town Application Fee
3.PIumbing $ 0 Total Project Costa(Item 6 x multi lies
. Other Fees: $ C
0.0U K x
1EMENZMII $ List:
5.Mechanical (Fire )ics
' 0
Su.pression) $ Total All Fees: $ -
,,A) c$
6.Total Project Cost: $ Check No. Check Amount:
84, 00 Cash :..unt: \ j
0 Paid in Full �Outstanding Balance sue: 2
o� 44 TOWN OF YARMOUTH
o(. - BUILDING DEPARTMENT
w� MATTACMECfE' O� 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DATE:
Yet v‘44._ Litt, r-
JOB LOCATION o�'�`"` La W PJ(r cf u C
NAME STREET ADDRESS SECTION OF TOWN
::HOMEOWNER" J)6N N Lo .� of(3
NAME HOWPHONE WORK PHONE
PRESET MAILING AD)RESS —2 Li�u�, L e_
cuew 4 4 L Vora
CITY OR TOWN STA'l'E 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 fotni acceptable to the building official, that he/she shall be responsible for all
such work perfonllued 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 yes, 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
.°l' YaR TOWN OF YARMOUTH
, ':�� C' •
BUILDING DEPARTMENT
:N M�` =i�-� y 1146 Route 28,South Yarmouth,MA 02664
% ."-5 47...,�''`�6( 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
conducted at ,1 ti 64 LA n-
Work Address
Is to be disposed of at the following location: Yarn �&Ps /.- S- m 4 .-,
Said disposal 'te shall be a licensed solid waste facility as defined by M.G.L.
aster 11 - ion 150A.
kaiiimA,
(o 1:4'y .100-a_
ignature of Appli ;,n
Date
Permit No.
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LOT 139
, , , f:25,566 SQ. FT. ±
0.59 ACRES ±
679.76 PERIMETER
N 86.'58'53" W 213.44'
/ t — —
___. ..
— ,...
xi i 1.36 i 115,4 T----1-- -— . ------- - --.....
i • T , 8.05116,51 11,8.69
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20,00, 20.50'ILL.'...__ 11591 0H(rND) t 16.15
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-MA G(SET)
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N 8T53'12" W 150.61' (f.)
.120,2. /I
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I 87,84-* ...;„.7.3.i120.84
S 87*52'00" E
BENCHMARK
1
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
4,,,,.1,,,,, F.04,
PLAN REFERENCE:
TO:DONNA LOWNEY
LCP 18112-C
ON THE BASIS OF MY KNOWLEDGE AND
PA V,
INFORMATION, I FIND, THAT AS A RESULT OF
(LOT 89) ct
4 UL
A SURVEY MADE ON THE GROUND TO THE
•
NORMAL STANDARD OF CARE OF LOCUS ADDRESS:
24 WHARF
PROFESSIONAL LAND SURVEYORS PRACTICING LANE
YAROUTH P
IN THE COMMONWEALTH OF MASSACHUSETTS M ORT
,
' East°
THE LOCATION OF THE DWELLING IS AS
' *0 ste
ov
SCALE:1"=40
3 ' -..
SHOWN HEREO c PAUL K SWEETSER
S.-- DA7E DRAWN: SURVEYOR
P.O. BOX 1146
— — --- — --- ---
DATE PROFESSIONAL LAND RVEYOR FEB. 28, 2022
DENNLSPORT, MA 02639
FILE: 2818-00
(508)737-7560
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
Name of CSL Holder License Number Expiration a e
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 Sidin•
SF Solid Fuel Burning Appliances
Telephone I I Insulation
Email address D ' Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Company Name or HIC Registrant Name HIC Registration Number Expiration a ee
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 ntering y name . low,I hereby attest under the pains and penalties of perjury that all of the information
co itjained in i is app cation is i e and acc . e to the best of my knowledge and .understanding
_ a
AlidurAimanwa 'I II .A.),
Print Owner's or Authorized Age /JO
nt'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.eov/oca Information on the Construction Supervisor License can be found at www.mass Qov/dos
2. When substantial work is planned;provide the information below:
Total floor area(sq.ft.)
Gross living area(sq.ft.) (including garage, finished basement/attics,decks or porch)
Number of fireplaces Habitable room count
Number of bathrooms Number of bedrooms
Type of heating system Number of half/baths
Type of cooling system Number of decks/porches
Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
9 - ; t \
IMMIIIM
" � '' The Commonwealth of Massachusetts
•
mil ai
►.�. Department ofIndustrialAccidents
s� 1-„Congress Street, Suite I00
j�
Boston, MA 02114-2017
�:'"'y www.mass.gov/dia
Workers Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
A hunt Information
Name (Business/Organization/Individual): �,v IN Please Print Le ibl
f wIv a 1 11
Address: �4 (h ar( LA-;"e...
City/State/Zip: l.—r ,,� ��. ?c bh one #
N(f� Phone : 274/3 S`7-S'a7-I/ =�
Are you an employer?Check the appropriate box:
LEII am a employer with employees(full and/or part-time).* Type of project(required):
7. eW construction
2❑I am a sole proprietor or partnership and have no employees working for me in
•
any capacity.[No workers'comp. insurance required.] 8. ❑ Remodeling 9. VDemolition — i 144"I3.A I am a homeowner doing all work myself. [No workers'comp. insurance required.]tM� oSr
4( 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 10 uilding addition
I I.Q'�Electrical repairs or additions
proprietors with no employees.
5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12.❑Plumbing repairs or additions
These sub-contractors have employees and have workers'comp. insurance.t 13.El Roof repairs
6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. ❑
152,§1(4),and we have no employees. [No workers'comp. insurance required.] 14' Other
*Any applicant that checks box T1 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. lithe 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 g or Self-ins.Lic.#:
Expiration Date;
Job Site Address:
Attach a copy of the workers' compensation policy declaration page(showing thetate/Zip: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 . .-this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage ver .k.
I do hereby .er ify uf.- -,ains and.`•nalties of perjury that the information provided above is true and correct.
Sitrnature: IliolOP
® Date: k d`74'/a.oa- .1..
Phone T: / j 6 2' 01 j l ?—
Official use only. Do not write in this area, to be completed by city or town official.
City or Town:
Issuing Authority(circle one): Permit/License r
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Ins ector
6. Other
P
Contact Person:
Phone#:
- - ---
. .
, RECFIVED 1
JUL 0 1 2022
LOT 89
'0 A R 0 9 2022
25,566 SQ. FT. ± HEALTH DEPT.
_OLD K'iN'''GThYSIL'HUIG"H'v%,_____HA y.
0.59 ACRES ±
679.76 PERIMETER
N 8658'53" W 213.44'
.- -
1.....,..r-T-.7
/
.111.36 ._,...-....,
1 5.116. 1
fi Zo state 0r-Tr 21.81' 20.00' .pr 49.02'
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106.,030.00, ,
mili7.25
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r:e77 2041111 VS
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.117.64
f. , ,. °;•24........ ...„1 h*.t I 1
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f L./ 1I
1 wk
----T" ----- 13 11
en
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1/11 LCB(FND)
2°*°°' 20.50'
-1--7-'-- ---- -- . _ _ _ _ 115 91 DH(FND) 8i.i.141,6.15 1202
i
N 87'53'12" W 150.61'
MA G(SET)
S 8 75200" E
BENCHMARK .
I '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, 201 4
PLAN REFERENCE:
2_,....
TO:DONNA LOWNEY
,
LCP 18112-C 2-sjaltk OF , •
ON THE BASIS OF MY KNOWLEDGE AND
INFORMATION, I FIND, THAT AS A RESULT OF (LOT B9)
Ot, A SURVEY MADE ON THE GROUND TO THE •
- switja-lb,
&:0: 1 NORMAL STANDARD OF CARE OF LOCUS ADDRESS:
23,
PROFESSIONAL LAND SURVEYORS PRACTICING 24 WHARF LANE iilp‘,,..:...
or
21, IN THE COMMONWEALTH OF MASSACHUSETTS,
0,3,2t YARMOUTH PORT iLf 7 0+
" ESSt
THE LOCATION OF THE DWELLING IS AS
*0 SURIVI*
SHOWN HEREO . SCALE:1"=4O'
,,23
DATE PAUL g SWEE1'SER
,
PROFESSIONAL LAND SURVEYOR
Z.... _ ‹... OCT. 30DRAWN:, 2021
_
P.O. BOX 1146
DATE PROFESSIONAL LAND RVEYOR FEB. 28, 2022 DENNISPORT, MA 02639
FILE: 2818-00 508 737-7560
ez,,
' .
C.
C rIVE D
',::.% -
a TOWN OF YARMOUTH
1 ,(4.12,KING 8,jj,k1' f4t- Ce ""`
ROL a 28,SOL III\A10101 TO.NI%SS ttCIILSE I IS 02664-4451
ltlephone Mgt...198-2231 Ext.1292 I a x 1508(348.0836
OLD KING'S liI( NY HISTORIC DISTRIC I CONIMITTEL
AMENDMENT FORM
("MINOR CHANGE REQUEST")
A minor change request mast be sJCfnitted wittvn one year of the original approval date or while the work is stil in
progress Only a minor change may be approved/.. , the Committee without the filing of a new application
PLEASE TYPE OR PRINT LEGIBLY
Original Adel cation# ,..?2ALVAirs! Dogma!Approval Dale
Address of DrODCYsed w ,, 7211 LO k.CtY-
Owner(s): 1.1 oft r‘ci.
Phone 4 ri/3 ,s-
Man p aCldfeSS Set,
Ernaq cleon k I&vet ea Q(0414(44:1.r1/44-4_ Preferred notification methoo tPheneX Email US Mail
AgentiContractor: _ _
Erna,
3,Preferred notification method Phone Ernwt
Please tleacene tvoaosee changetst and arach plaqs ohotos(as necessaryt.
.5-14 Ad di 1,0„ 40
i( loe_ r cg
Signed(Owner or Agent)
VApprov ed by OKH Denied by NH Isleif'„LAHrequkrad2,-----Yes V No
i .it 11, 1° 1 1.
Reason for Denial i •
, •
PP 2 I /OK'
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:
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}p '�'A TOWN OF VARMCuTi1
4 WATER DEPARTMENT
99 Buck Island Road
o _ W 5t Ytrumut#�, MA()2(7#
Telephone: IS()t3l 771.792 i • Fax: ( U8) 771..7TM
BUILDING PERMIT APPLICATION FOR
WATER DEPARTMENT SIGN OFF
TRANSMITTAL FORM
BUILDING SITE LOCATION: 24 VAVharfLane.._
{
PROPOSED WORK Cal'°:-gaCage_ d+!1#h—Sn1al j house-extension
APPLICANT. Donna Lowrie
y
ADDRESS: 24 Wharf Lane
. ...................
...........
"IELPHONE: 413 575-2117 ,
RESIDENTIAL. AND/OR COMMERCIAL BUILDING
Water Department: Determines Compliance of Water Availability and or existing location
Enuineering Department: Determines Compliance for Parking and Drainage
Conservation Commission: Determines Compliance to Wetlands Act: i.e If lots)border any type of
wetlands. streams,ponds,rivers,ocean, bogs, boys,marshland, ETC,..
I Iealth Department: Determines Compliance to State and Town Regulations, i.e.
requirements for Septage Disposal and other Public health Activites
Fire Department: Determines Compliance to State and Town Requirements for Personal
Safety, Property Protections,i.e. Smoke Detectors,Sprinkler Systems,etc
6/25/2022
APPL % SIGNATURE
DATE
OFFICE USE: COMMENTS ON PERMIT APPROVAL OR DENIAL.
412/
REVIEWED BY WATER DIVISION(SIGNATURE) � `ATE
DATE
tO
•
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
I 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 2"d level garage storage with framing details S �� IA lV
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:tsearsPyarmouth.ma.us
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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 detectprs be brought up to code in the entire structure.
Thank you �/
Timothy Sears CBO
Deputy Building Commissioner
Town of Yarmouth
508-398-2231 Ext. 1259
mailto:tsearsPvarmouth.ma.us
1
; .... _ .
,L,,
TOWN OF YARMOUTH
. ._ ,,,„ ,,, .. ., . . . .
, oLL, KINGS Hip,Iwirfiv, 9 t t-46 BOt It 28.SOT TIT 1 iikti01.T11.114,SS%CM SETTS 42644-4,1,1
Telephone 1508)398-2231 Eli.1292 Fe%1508)3984836
OLD KING'S HIGTIM AN HISTORIC DISTRICT CONINTITTEI
AMENDMENT FORM
( MINOR CHANGE REQUEST")
A mtnor change request rn be submItted vathm one year of the original approval date or white the work ts EP-7
progress Only a minor change may be eZprOved by the Committee without the Nov of a new apolicattort
PLEASE TYPE OR PRINT LEGIBLY
_
Otomal ApoLcatton= _., 12...-J100,14! _ Orynal Approval Date _1 I i iit a-64
Address of proPosed WON " t.,431‘.4v•
_
--4.
Owner(s): ..,...,b It ther%A,. Lott-II,'ey idhonc,41, 1 913 s-?S. .2 i 1 ,_ _
Maemo address 54..str,,e.....
I
Err all cteetet4 I euir.e-s, ( Coat,rut,-4 Preferred nonfication method X,Phonek Email US Mat' I
AgentrContractor.
Phonn-
Ema
Preferred notthcattort method _ Phone Erna!
I
Please descnoe proposed&angels I and attach Oartsohotos(as necessary)
.514, 44i ob.?
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i 1
allisw- -------.,
Sved t Owner or Agent) Date
.,.„..____1......
_ VAPProved by OKH . .._...._Dented by OKH New_rdit re/Wad? Yes _ No
1 1140,
Reason for Dental ! APril0II
(.. cr 2 I 2022 i-
I--+
17 AAMOU1
Soiled OKH Chairman .*19 AttrY..d eille I I Date _11.2/1 _.
1
49?_me% sAl
it It zlis
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
0 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, AROVE:
S[P21 ?022'
Lisa
vARkdou "
KING'SHGHwAv
Lisa Sherman
Office Administrator
Old Kings Highway Committee/Yarmouth Historical Commission
Town of Yarmouth
"12., AtOdb-0/4(
5-7-K>, TOWN OF YARMOUTH
L. 1146 ROUTE 28,SOUTH YARMOUTH, MA 02664-4451
2 - , , 17 Telephone(508)398-2231 Ext.1292-Fax(508)398-0836
;1:.,:., -
F.. ..... __
, N ‘1:;)1.3k.R KING'S HIGHWAY HISTORIC DISTRICT COM MT- , E1VED
Lo'f,r6lwJ-af-il-',,yj
APPLICATION FOR ,
CERTIFICATE OF APPROPRIATENESS i LMAR 15 2022
Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Chapter tv
clst FAPIRtd-n- , NT
amended,for proposed work as described below&on plans,drawings,photographs,&other supplemental in accompanying __
application, PLEASE SUBMIT 4 copies OF SPEC SHEET(S),ELEVATIONS PHOTOS,&SUPPLEMENT . ---
Check AU Categories That Ariel : Indicate type of Building: Commercial Residential
1)Exterior Buil fi 'n Construction: New Building N Addition Iterations II Reroof RI Garage Shed Solar Panels
tgj
Other:
2)Exterior Painting: {—biding Shutters El Doors Trim 00ther:
3)Signs/Billboards: El New E ' n l Change torgOting Sign
4)Miscellaneous Structures: Fence Wall LJ Flagpole ri Pool jlOther:
Please type or print legibly:
Address of proposed work: 02'4 1,-)11-ar f La"e- Map/Lot it L / I 411"
Owner(s): bor4eU A 1---°4-'°6•1 '''/w Phone#: Ct( .3 5-7 5-a i i 7-
All applications must be submittAd by ner or accompanied by letter from owner approving submittal of application.
Mailing address: 6211 1,00141.44, 4' Lc4-41,.e.„ \I av wi c v L L., (90 e 1-- Year built: lc/
Email: CI 0 art 41 0 U-1 Ai 9 0,..CO riA(44.rt4...3 Preferred notification method: 0 Phone CO Email
Agent/contractor Phone#:
Mailing Address:
Email: Preferred notification method: RI Phone El Email
Description of Proposed Work:
I-1 A i 1 i o in 6 C .C-4. ,t- -4-t) (2,-k.1 LA
Aaci,4,,),, , c ..„„ ... _ C k.r
Signed(Owner or agent): ,,,,- )'--- Date:
.fr Owner/contractor/agent is aware that a permit is required from the Building Department.(Check other departments,also.)
fr If application is approved,approval is subject to a 10-day appeal period required by the Act.
fr This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later.
fr All new construction will be subject to inspection by OKH.OKH-approved plans MUST be available on-site for framing&final inspections.
For Committee use only: /Approved Approved with Modifications Denied
Rcvd Date: 1 2E4 24'2 Reason for Denial:
Amount Lit),a,.)
, -
RcCash/by:CK#: Li(SO C.
Signed:
vd I..fri °
45 Days: 1 '
Date Signed: 11 /)c. -Z' g„„„ . ( -
1
APPLICATION it: g?--A 00/12
•
TOWN OF YARMOUTH
d
°. ,f,V OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
1146 ROUTE 28.SOUTH YARMOUTH, MASSACHUSETTS 026M 4451
Telephone(508)398-2231 F t.1292 Fax(508)398-0836
STATEMENT OF UNDERSTANDING
CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLAN
As property owner/contractor/agent for construction at `Li tA1 :c L }., ,
Map/Lot 1'3.1 /141 C/A # 3?-✓ OVA ti, Approval Date: 34)
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: / '20 22--.. Signed:
(Owner/Contractor/Agent)
Signed: !-c` k/` .:4 •"'
(Chairman,C d King's Highway Committee)
II i0K 1 COMM'TTEE Appdication Ferms4Statement of Understanding 201S.docx
Updated 1212015
Y•
TOWN OF YARMOUTH
1146 ROUTE 28,SOUTH'YARMOUTH,MASSACHUSETTS 02664-4451 -
Telephone(508)398-2231 Ext. 1292 Fax(508)398-0836
e r
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
WAIVER OF 45-DAY DETERMINATION
The applicant/applicant's agent understands and agrees that due to the current declared
National and State public health emergencies the determination of our Application for a
Certificate of Appropriateness/Demolition/Exemption may not be made within 45 days of the
filing of such application.
The applicant agrees to extend the time frame within which a determination is to be made as
required by the Old King's Highway Regional Historic District Act.
SECTION 9-Meetings, hearings, Time for Making Determinations
"As soon as convenient after such public hearing; but in any event within fOrtv-five (4.5) days
alter the tiling 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 -
ApplicantiAgent signature: Date: d-
Application 4:
312020
BALBONI BRIANNA Please use this signature to certify this list of properties
SCHMIDT CASEY directly abutting and across the street from the parcel located at:
84 ROUTE 6A
YARMOUTH PORT,MA 02676 24 Wharf Ln.,Yarmouth Port, MA 02675
Assessors Map 121, Lot 47
121/ 49/ / I AizzWae_1(teteZ,
VILLAGE INN CAPE COD LLC Andy Wechado, 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/ 461 /
PAINTER MARION HOMER TRS
MARION HOMER PAINTER TRST OF 201 e• YAP?
30 WHARF LN
1 /
YARMOUTH PORT,MA 02675 C
ivv-bk\i`
121! 47/ I /
LOWNEY DONNA
34 STAFFORD HOLLOW RD
MONSON,MA 01057
121/ 53/ / /
HOPKINS NANCY M
21 VESPER LN
YARMOUTH PORT,MA 02675
PPVFP
121/ 60/ / /
GEORGE THOMAS N - 4
GEORGE ALICE M
17 THACHER SHORE RD 14,1
YARMOUTH PORT,MA 02675-1126 L KIN( ,,PC,HV;AY
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TOWN.OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST - • 0
Applicant's (Owner)Name: Donna Lowney
Property Address/Location: 24 Wharf Lane
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.ma.us
Map Number Lot Number
Applicant Information: 121 47
Abutter Information: 121 46
121 53 V
121 49
121 35
35
6,0
I?) g
Application#7. 2) -ertAt
3 8.2018
FI f
LOT B9 ?
25,566 SQ. FT. ±
0.59 ACRES ±
679.76 PERIMETER M_ . "2 ,.
,...-. N 86°58'5 t
xlit.36 1� i . . '116. -,..
_ 1 - Q --- Q 21.81 .40.0 r , .69
/i/
.1117.25
.110'441 ,112.62 ;off 11 LF .4.0 1 2
to tAi i i /..., ,di
119.E.
ifig,..r*; :§4.:_L) I' i l 88.58'
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".....- 13.11
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'[ ILCS(�ND} 2C,Ct ' y20 5Q' I t�I 1t C ETI t i.I?
.116.15
"° - 115 91 OH(END)
N 8T53'1 W 150.61' — t a..e- 87.84' . -',•12t1.84
MAG( T} i
BENCHMARK S 67'52'00"
ELEV.=1O7.55' 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 DULY 16, 2014
TO:DONNA LOWNEY PLAN REFERENCE:
ON THE BASIS OF MY KNOWLEDGE AND LCP 18112--C ,� �
INFORMATION, I FIND, THAT AS A RESULT OF (LOT 89) L
A SURVEY MADE ON THE GROUND TO THE LOCUS ADDRESS: ga , � �K NORMAL STANDARD OF CARE OF ),
PROFESSIONAL LAND SURVEYORS PRACTICING 24 WHARF LANE # ,�
ir
IN THE COMMONWEALTH OF MASSACHUSETTS, YARMOUTH PORT c0 0+
THE LOCATION OF THE DWELLING IS AS k past �tn
SHOWN HEREO► SCALE:1"=4Q' N.
DATE DRAWN: PAUL E. SWEETSER
62
: ' OCT. 30, 2021 PROFESSIONAL LAND SURVEYOR
DATE PROFESSIONAL LAND SURVEYOR 11
FEB. 28, 2022 DENNISPORT, MA4D2639
FILE: 2818-00 (508)737-7560
4
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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)9/12 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 lx5 nominal(actual 4 Mt)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&IL 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
—At?
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
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tY teaeesru Alit tower0**4*Ow Lines wrBWt 4
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72"15-Ute Sled RH Extoller Deobks Door
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ameor colezNim 8 ft x 7 tt.1114&MikaY n losiolledWilheG0800
Door*Oh PkMWks
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mi if L.14.,96106.1E, L....,...1 ...M..1
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El , 1 I
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LOT 89
25,566 SQ, FT. ±
0.59 ACRES ±
679.76 PERIMETER
I ,,, - - N 8658'53" W 213.44'
r*Z-7 I /T---------:c3--6 --- I/ . t fiw. -11169
.11 . ----.
8.0 . x -
21.81' 20.00' re 49.02' 1 1
1445,119....-;0-* " I
I
1106. 0 30.9QL.1 ' x 1 f'/*25
rt.rtaft it(0,06/
re- 4.41 j9 i2.° 0
,
i 1 w'ri .112.62
1 O. . fr Jo" t
'1.19.,e c,4
Li 4. 44
1 4# , 11 '-'.:.--..--*
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, -:* 11 --1,!';' .-j19.41 c.T.
ro 0 i t 88.58'
--i20 00 —
.113.8311 i 1/511
i 1 115.23 / .117.64
_ 70.95' i I -
i DRIVEWAY 24'
-44°8-76- L'-' 4). 'Hot t
L'...1 ii20.86
1 ', 0)
I 'I-SsITZt.—.,.._ _4 BUILDING SETBACK LINE to
ik Lce(FND) 20.00'
116.08
115.91 DHCFND) .116.15 .120.2 /1
--_
— -- --- — 87:64' '-_----- 121184
N 87.53'12" W 150.61'
MAC(SET)
S 87'52'00" E
BENCHMARK
ELEV.=107.55'
$ (ASSUMED)
S,
OF LAND .
CERTIFIEDyARm PLOT PLAN
IN OUTH 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: ,,b1,."-itk oF •,
TO:DONNA LOWNEY LCP 18112-C
ON THE BASIS OF MY KNOWLEDGE AND INFORMA (LOT 89)TION, I FIND, THAT AS A RESULT OF ir PAEU.1 ikk..„.„:0... , •
0
A SURVEY MADE ON THE GROUND TO THE SWE
NORMAL STANDARD OF CARE OF LOCUS ADDRESS: No. • ..„
Ai& 0
PROFESSIONAL LAND SURVEYORS PRACTICING 24 WHARF LANEYARMOUTFI PORT ,
IMP v Ess‘ Aci IN THE COMMONWEALTH OF MASSACHUSETTS, * iva swot
THE LOCATION OF THE DWELLING IS AS
SHOWN HEREON. SCALE:1"=401
DATE DRAWN:
OCT, 30, 2021 PAUL E. SWEI.MER
PROMSSIONAL LAND SURVEYOR
P.O. BOX 1148
DATE PROFESSIONAL LAND SURVEYORDFIFAITSPORT, MA 02839
FILE: 2818-00 (508)737-7580
ON:ft : TOWN OF YARMOUTH
Nei,.
.° HEALTH DEPARTMENT
5 ,r_
o
k PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant:
J
Building Site Location: �Zsi�' _ Kk -
Proposed Improvement:. �-- C) <i- c,�K �- re{ i e-,
}`\11=0, e_ C,kv,r� ," CA 6c c 4 t t.. 4 ( V /.,,, Sci)6 c ,--- on ce sic- ./ ,3 arc i,-'cp c..,-i.
... -0 r\fl'_ o 1 Tel. No.: L-4( R 5 .) 1 (
Applicant: �— , _.. �, ,"
Address:-4 l 1 .a,- '; ...-..r,-,e.. \l Date Filed: 11 i / i(-•0 a....
**if you would like e-mail notification of sign off please provide e-mail address: a 0 h vi eLA ow+'t l_ (CAA (t S- • -4
Owner Name: ` — )t''`w`� L o w r-1 �-
"-'z
• 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: i DATE: tali /12,
` J
PLEASE NOTE
COMMENTS/CONDITION --� ;� I
L u- � f c v- c{ t ,....‘ .� he cl VG } . a bC�su'
0c._ , fr• ;=-7()c, / ( .4✓oc-� - c ,-r.c f (t) y4,r&eir✓ c(C<r7' - c-re
• -
.0N--•Y4.,,, TOWN OF YARMOUTH
446, HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
. c...
To he completed by Applicant:
Building Site Location: c Li IA) il ct v f
Proposed Improvement: .1 et,..,..0 e.., A-T-T-Rci4 c Cl ( b-Ck. CC-.
—2: 7 8 N4- Act(A)A,.,-, 40 e -,- sl, „..e..-
Applicar;2)Ovvt,v-, Lou Lpt. Tel No.: q (3 ,51-.5—.) If 7
Address: ": 44 (IL) 11-4A r -C ( /--- - ,e_ \tt-t-0.----A-, Po,- --L Date Filed: II ' I
"If you would like e-mail notification of sign off please provide e-mail address:
.---_,
Owner Name: Db+-.1,‘,.,
Owner Address: 0- ("' Owner Tel. No.:
RESIDENTIAL AND/OR COMMERCIAL BUILDING
1....
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:
*11) 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: d\---), r DATE: , -- / ----I-2—7
PLEASE NOTE
COMMENTS/CONDITIONS:
LOT 89 ZONING CLASSIFICATION R40
AREA REQUIRED EXISTING PROPOSED
25,566 SQ. FT.
0.59 ACRES ± 40,000 S.F.
SETBACKS 25,566 S.F.t NO CHANGE
FRONT 30'
SIDE(R)RONT20' 88.58' NO CHANGE
50.24'
SIDE(L) 20' 26.32'
REAR 20' 8.05' NO CHANGE
49.02' NO CHANGE
COVERAGE ALLOWED EXISTING
BUILDING 25% PROPOSED
�-T, — N 86'58'53" 6.12%' 10.08%
r W 213.44
�-/ �''
.111.36 1
._.,._____ `as i 8.05me21.81 20. 0' S.69, ' _ O --11 C 0j
� 1 as o A l W/4:
..�. _1 . x1I' 5112.62 CA
r ,119.62' •
/ 88.58' I
iCea� P
CC) E — — ra �/ �a� x19.41 cf.:,
�J (}l
x11o.1E E — E — .__�//_ 1l1 --20,041-- =
r1 i s 2`�_ , xi 13.&3 WI �'* 1 1,
•0 30 11%23 _ a
.: 7 1 DRIVEWAY 13.1- 11 rI 170.95' .117.6142ci.�ui
t LCB(FND) 20.00' '' BUILDING SETBACK rn
L -,L
UNE `"
� = _, T5x91 } x116.15 r
DH(FND
N 87°53'12" — 1 x12C7 2r ,
MAG(SEl) W 150.61 - 87.84 -%i2o.84
.45
BENCHMARK PROPOSED ADDITION S 87'S2'C}0" _
ELEV.=107.55'
(ASSUMED) PROPOSED COVERED PORCH
PROPOSED PATIO
CERTIFIED PLOT PLAN
OF LAND IN YARMOUTH PORT, MASSACHUSETTS
AS PREPARED FOR DONNA LO WNE Y
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-C -
INFORMATION, I FIND, THAT AS A RESULT OF (LOT B9) r; �P UL
A SURVEY MADE ON THE GROUND TO THE Lo E
NORMAL STANDARD OF CARE OF LOCUS ADDRESS: ET ER
PROFESSIONAL LAND SURVEYORS PRACTICING
24 WHARF LANE �`>"r
IN THE COMMONWEALTH OF MASSACHUSETTS, YARMOUTH PORT No
THE LOCATION OF THE DWELLING IS AS ~
SHOWN HEREON. `°�
SCALE:1"_ 1 , ,04
40 Su�z�F.
((V DATE DRAWN: PAUL E SWEETSER
J 2022., \� �w OCT. 12 PROFESSIONAL LAND
D E PROFESSIONAL LAND SURVEYOR 2022 SURVEYOR
P.O. BOX 1146
FILE: 2818-00 DENNISPORT, MA 02639
(508)737-7560