Loading...
HomeMy WebLinkAboutBLDR-23-9997 permit ONE & TWO FAMILY ONLY-BUILDING PERMIT Town of Yarmouth Building Department 1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-39$-0$36 /4—....-,.,S. Massachusetts State Building Code,780 CMR Building PermitAPp lication To Construct, Repair, Renovate Or Demolish ; ;;- a One-or Two-Family Dwelling C \VI`�3 —C\C\CO This Section For Official Use Only Building Permit Number: _BID-Z3?W - DateAppli ''./ 6-c- d-3 CEIVFD Building Official(Print Name) Signature ApRDg 2023 SECTION 1:SITE INFORMATION . 1.1 Proper dress: \ ` 1.2 Assessors Map&Parcel NumbersBUILDING DEPARTMENT to N0j V\ NktOtC C \-n - 122 3 , - 1.1 a Is this an accepted street?yes v no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 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 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system CI Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of R cord: ' N r ctnc)ri c ,e LA N e(Print) City,State,ZIP 3 CIO(VY/00tk kill- No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building❑ Owner-Occupied 0 I Repairs(s) 0 Alteration(s) 0 Addition, Demolition ❑ Accessory Bldg.❑ Number of Units Other 0 Specify: Brief fescri lion of Proposed Work2: t r m -1,14- o c`C.1-, "cm,---5 i C, 4c i -S' SECTION 4:ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: Official Use Only (Labor and Materials) I.Building $ ,b, 00 1. Building Permit Fee:$Si.;0 .Indicate how fee is determined: til,Standard City/Town Application Fee 2.Electrical $ COO 0 ' 0 Total Project Cost3(Ite )x multiplier x 3.Plumbing $ 2. Other Fees: $ (06.0 4.Mechanical (HVAC) $ List: 1:009-- 5.Mechanical (Fire $ Total All Fees:$ :::: oject sion) co Check No. Check Amount: Cash t: y Cost: $ 45 -()®O 0 Paid in Full AOutstanding Balance e:kV() Y�JL SECTIONS: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) l l(�5LI�S o5123 zq fc.0 t O (l O License Number Expi tion to diAuf of CSL Holder jeX)>Cr 3 Ft List CSL Type(see below) No.and Street Type Description \\UV vor.l✓, ®. p U}'/Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted l&2 Family Dwelling City/Town,State,ZIP Moray RC Roofing Covering WS Window and Siding 4 '/ i� OC�Z�`N � I SF Solid Fuel Burning Appliances — b ymi .C.Otn�► , I Insulation Telephone Email address D Demolition Registered Home Improyement Contractor(HIC) l C(U3 G 8 D t ZS 001/151f UC IDIn VAC HIC Registration Number Expiration Date Compan•Name or HIC Regis t Name C� 'Xr,?C ?,r�i 1AaOWC" OCcA2OIn66 mCl Lc011,‘ No.and Street 1 -Z(6128(� Email address -1� City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(N.I.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes No .LI . SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLE FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize lAQ \v1 to act on my behalf,in all matte, ,tve to work authorized by this building permit application. Print Owner's Name(Electro`^ ignature) /vim, V ate • SECTION 7b:OWNER;OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and a ate to est of my knowledge and understanding. p Zd 23 Print Owner or Authorized Agent's a(Electronic Signature) ate NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.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" 5.QC - � _ '.\ The Commonwealth of Massachusetts r?w *w,— I Department of IndustrialAccidents g. wino 1 Congress Street, Suite 100 _ VALE_ Boston,MA 02114-2017 �=., www.mass.gov/dirt .r Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): OKTA 2 0cloy1 31 I-y oG t-l O vi ylc_ Address O `. 0 3 t`"- City/State/Zip: etfu.)l_G Al H. 14 b 2 61,5 Phone #: '-4 4 - 2 le, l 2 SO 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. ❑New construction ? I am a sole proprietor or partnership and have no employees working for me in 8. ''•emodeling any capacity.[No workers'comp.insurance required.] 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. Demolition 10 0 Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.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. 13.0 Roof repairs These sub-contractors have employees and have workers'comp.insurance.1 6.0 We are a corporation and its officers have exercised their right of exemption per NIGL c. 14. Other 152,§I(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box ff I 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: \A 1 L 1V55O e.. Policy#or Self-ins.Lie.#: /O.3082 Expiration Date: j 1 03 23 Job Site Address: I A,�i(4 ter\ 1�, e In . City/State/Zip:` Oirno M 4- 0766 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration dat1e). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalti perjury that the information provided above is true and correct. Signature: Date: D g ) 2Phone#: % a- 4 /2o Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License f 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 1146 Route 28, South Yarmouth, MA 02664 508-398-22* ext.4261 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 18 0 .ScAekcil t �-'^ Work Address following location: Zoc occ� erne' Is to be disposed of oat the foil g ©5�,� . c f w:L1� Pks,P Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. 6 Z � 41eofApiat(0n ate Permit No. Aco dF CERTIFICATE OF LIABILITY INSURANCE DATE00 D I W10N23 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 INSURERIS).AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. IMPORTANT,If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LW AL I NAME JIM HINDMAN Schlegel A Schlegel Ins Broker ,.EE+i 508-7714381 jFM es) 508-7714663 34 Main Street ADDRESS. schlegelinsuranceeveNEonnet __, West Yarmouth.MA 02573 I. ,._. 1NSURERISFRFFORDING COVERAGE NAIL e **SURER A NGM INSURANCE 14788 INSURED i Ik_SURER o PENNSVLVANA MFR ASSOC OCAZO CONSTRUCTION INC �r�-MsuRER c PROGRESSIVE PX 319 r--- MSURFR I HARWICH,MA 02645 INSURER F INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER' :H:515'0 CERT'.FY THAT 1'..-g,aOi.ICIES Of IVS;IRANCF IllE.",HE,.UA HA\,E liti ET,5SUEC 1'1'HE NSURED NAKED ABOVE FOR THE POLICY PFR'CN) 'N('I-'.ATA' t0-A'T.S'AµC'T. AVYR=).{ID:kg-`iT SFRkk(>RC:ONni T1714.7K AI("C;ONTRACT CR OTHER JOCUME'AT MTN RESPECT TO A l CI THIS 1LR ICI::A'L 1,AY 5_'.C_.;,',.C1R,- P"C .,'"%`t1E RAI C:.A-FCH0[C -13''HE C_1C.ES aE SHILLS-HEREIN,S SL5-E,:T TO 4,.1 THE TLRI1S E[,J.SIGNS ANJ.JNC'"t a .il StrS.11 1 ,1 SS,O'.VH VA ALE EEEV RFDUCE0 Rs'AAIT C,AIMS AMR BURR —..--•.'..._—" POLICY Dr ) Aj lWn4.—. 1l TP TYPE OF INSURANCE MSG WVO POLICY NUMRER 7tMMOCRH,VV), BOINVYHH1 ..._ I X COMMERCIAL GENERA:JABILITY 2.cfi00,000 'ERE li l f S S 000,000 t--'—' r 10,000 I MPT7221H '�AI 04/05/23 0005l24 I.PPP;r11,n ,A N I R, `f 2,000,000 A•Af s tF Er.�.RAL ,a urF 5 4,000,000 r n:A, I s 2,000.000 r i { -THEE ._._.._-_-_ --.-_.__. __.__._____._. --1 i AUTOMOBILE LIABILITY w 5 1.000,000 t __; I;E '1. M1T7221H 02120123 02/20124 I v uIL'Nil .,v..e 1 H— ,ram r NCF. P(.[EfY� SAE ,A S ' .-.._ I:AI.... .RRE N:.E .,3 UMBRELLA LABI .. c_—{ I 1 4 rR-'i}it 1 EaCEI OAS — -)- -- !WORNERS COMPENSATIO IMESEMPLOYERS LJWI I,Y 100,000 AM ovw 1ve°"'I .,L N.a, 11t03122 11/03/23 r--Lc' _OPEN' s g ,cF.isc 1.Eear--1:.-.AIX I X_I TM,SS0828 j p,,E_ E L tHP-...,,E S —.._ 100,000 M Nt.ry NNI - 1 t' - -- tl•ki="v i Istn E F -Y..a I ) _ 500.000 1 1 - _„____ —__.__.__, .-__.R _ _.__ . DESCRIPTION OF OPERATIONS LOCATIONS,',EAGLES,ACORD III AdM4ws R.msna SaAewN.may IN mac/NON HRH ywce N mavIHNH CORPORATE OFFICERS HAVE ELECTED TO BE COVERED UNDER THEIR WORKERS COMPENSATION POLICY INSURANCE COVERAGE IS LIMITED TO THE TERMS.CONDITIONS,EXCLUSIONS,OTHER LIMITATIONS AND ENDORSEMENTS OF THE POLICY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. JAMES AND USA DWVER 123 AREYS LANE AUTNORDIO NTAnvE ORLEANS MA 02653 6.11988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(201603) The ACORD name and logo are registered marks of ACORD of ' . .. 0 -• . .. : vl - lo ts. ',..°,!. •0,.. 1,11 , ')i. x11 — 'A .g., '''.• ' 1 0 ea 17 r . I,' , , -, 1 ,1-:4L'','. - ,-.; ,i.:, .... '..... i -- „ ..,',' 'i 4 ,,e. :,,,,, „ a ,--- . -i'-' it `'. (3 7, 4. o° tai o— Cif F ...„ ,.0 ,..) • 00-.4 t? 0 33-I 33 o m=u AN cncD O o z mD � m7 cn = 2-00 D0 o0 >00 Q mEy c c ' 3302o Ncna o -� x c , 1 ECZ =GJ 8 i mma;° D 2R Cf 0 xio 2 N C 01 J .0 0 c 0 g • -i W.N z C t 0 = •(-5 --1 N O t$ m I O ITl 0 �, 0 -"' 0 ro a 3 _LC) 0 3 N cD 0 0 2. w room 0 0o3 z < ?CD < o � � � o iCC 0_ x x 0 p 1 4• '*,,1,',,,,... ay. 0r"� iiiiiiilk L W jy Z \y a30 0 , - = z0"% (� 'i1 o �\ N7 to w o _a Co ..6. (7 . coD o � D 3 CmC- a it ..1 0 W -NI CO C C 1' \ glace C p pip 't C1 33 co. ��o5 2 m • 0 (/) Cet ow as o 0 (0 Rl 3 3 o n o " = C —I 0 co - XI a o-63 w� co N8. coo 0 C 3 N O o- 0 xi C 3 7 n N t a 5/1/23, 10:43 AM Mail-Sears,Tim-Outlook 18 North Sandyside Sears, Tim <tsears@yarmouth.ma.us> Mon 5/1/2023 10:43 AM To: braulio brito <ingbrauliobrito@gmail.com> Braulio, I have reviewed your application and there are some items needed. Health Dept. sign off 2. Plans need to be printed in 1/4" scale size frj C nrf 6C / S 3.The plans have another contractor's name on them. pit car 7tC7 Please submit updated plans 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 CB0 Deputy Building Commissioner Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsears1yarmouth.ma.us https://outlook.office.com/mail/sentitems/id/AAQkADE3MDQ5NWZmLTkOYzItNDIwNi 1 iMDQxLWNkMGQyNmE4NzE5NAAQAFMQumDn%2BBxlmNta... 1/1 TOWN OF YARMOUTH o`:'Y., •kJ. As'o WATER DEPARTMENT �,tl� £� E> c� iw �tE.>h:� � � W 1 Y rrio,a,I, MA 0`6=T ielvphoriv ['H(lt',3 :'/ 7( Far: 008i r r I-'998 BUILDING PERMIT APPLICATION FOR WATER DEPARTMENT SIGN OFF TRANSMITTAL FORM BUILDING SITE LOCATION. 18 N Sandysde Ln Yarmouth Port_...._.._.._....._. PROPOSED WORK: Bump out front of master bedroom approximately 6 feet APPLICANT: Mark Link rria -iej i+rt 5,5. e ,. ,,,„ „„, ADDRESS: 18 N Sandyside Ln Yarmouth Port TE LPUONE: 978-460-5518 RESIDENTIAL AND FOR COMMERCIAL BUILDING 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 lots}border any type of wetlands,streams,ponds,rivers,ocean,bogs,boys,marshland,ETC.,. Health Department: Determines Compliance to State and Town Regulations, i.e. requirements for Septage Disposal and other Public Health Activites Fire Iepartment: Determines Compliance to State and Town Requirements for Personal Safety,Property Protections,i.e. Smoke Detectors,Sprinkler Systems,etc Na4A April 12, 2023 APPLICANT SIGNATURE DATE OFFICE USE:COMMENTS ON PERMIT APPROVAL OR DENIAL Al f -tc ez'r" wA-r Li c f , . iti (. 1 /7~ Gail/ Al cA6 ii, /3c AL la c4-7 9 a.r c cv 'r-J --1 Sge—ecJ zr' 5441A, y/7- Zo23 REVIEVG°E BY WATER DIVISION(SIGNATURE) DATE LU I` Q I a€i 1 ..o ~ 2 gi � . t �y rt to} a µ 87 �z y Bt. ,Y Yd ;' 11 -4, 7, a X 41 s #j Y 1 o- # 4 gi� a N ' `. k!gft s'a ,,,,,,, Fi `,. /,'v tie t1 3Y Rify,, \ 33 44�, , .a ei C '. '' rvW hQRTIi s."'") = h N 84 j ONE or TWO FAMILY— BULDING PERMIT APPLICATION REGULATORY APPROVALS NOTICE Address of Proposed Work: C� No41,/ CxY1 icJ 1-V1 Scope of Proposed Work: C c,Dc„n\- A- rnccste'1 \OeCiroom 1414 rorr of fe \oos . �c Canc. � fey 6c5.e- Date: ®/ Based on the scope of work described above, the applicant is required to obtain approval sign- offs from the following departments as checked-of below: " \ Health Dept.—508-398-2231 ext. 1241 Conservation —508-398-2231 ext. 1288 Water Dept. —99 Buck Island Road, 508-771-7921 Old Kings HWY. Hist. Comm. —508-398-22631 ext. 1292 Engineering Dept.—508-398-2231 ext. 1250 Fire Dept.— Kevin Huck/Scott Smith, 96 Old Main Street, SY Note: Please call Fire Department for an appointment. 508-398-2212 Other Appropriate plans and/or application shall be provided to each departments checked-off above. Each of these regulatory authorities has their own requirements outside the jurisdiction of the Building Department. All applicable approvals shall be obtained prior to submitting a building permit application to the Building Dept. Thank you for your cooperation. Rece' d eme O A icant's Signat a Date Rev.Jan. 2019 rdry", 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 COMMITTEE 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 Apply: Indicate type of Building: Commercial //'• Residential 1) Exterior Building Construction: New Building b./. Addition _Alterations Reroof Garage Shed Solar Panels Other: 2) Exterior Painting: Siding Shutters Doors ✓Trim Other: 3) Signs/Billboards: New Sign Change to Existing Sign 4) Miscellaneous Structures: Fence Wall Flagpole Pool Other: Please type or print legibly: Address of proposed work: I g 14 • a n.e j L. d• -- 4 n• Map/Lot#Q t •Z. t -3 Owner(s): ..1 �.- .- k a,tvl T'ta t' , �.'-k Phone#: ?I' "ci�'� • �t All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: t'' N. ce< A a.-I s %c c ZA• Year built: i fr Email: t ka c K l ��' SS5- a eaO • G•r- Preferred notification method: Phone 0 E/ mail Agent/contractor:0C 424-•x� ‘+" Phone#: fog •2,9 4.- 3 } iid Mailing Address: P.a• pe,)t 3 kq }'-�,�.c W t e"1 w�i Email: C e-Saar" �."f c� `� W QS 1-+,.'�+^� . tee'•Preferred notification method: Phone Email Description of4` Proposed Work: gh e A Ac? _ -o Siker 'be. r Geea� t r `i�t 1 C•wAl b 1 " e \ • r_ er'%s�t`�,� •,, t��,���.c` e_\ t a.sc agent): /� _. G , j Signed(Owner or Date: �,C� 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: Approved Approved with Modifications Denied Rcvd Date: 3/I303 Reason for Denial: Amount L/() U :::# Signed:5 45 Days: f Date Signed: . 1 APPLICATION*. 2-3 ' C •uo! !ppe wooapaq aa�seu� aq� olluauniad lou sueld aqp. Jo seam aqn alaiap paldwaue aneq I •uomppe wooapaq aalsew Jo} Ienoadde Supiaas MMuo am am 'awn. sRqp. �d •uomppe wowuns e pue uoiljppe wooapaq .,alsew e :awoq Jno suo!upe onnq pau!eluoD 'paaedaad A,Ieu!Siao se 'ueid axis pue suetd u2isap aql :al.oN .01.Y4 4,„, TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-4451 Telephone(508)398-2231 Ext.1292 Fax(508)398-0836 STATEMENT OF UNDERSTANDING CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLAN As property owner/contractor/agent for construction at I ' MA4 s` cij)1c La•e— , Map/Lot (MO C/A# Acv"10 Approval Date:(' tic) (12c2 I certify that I understand the following requirements regarding any changes that may be required for this project: In accordance with paragraph 2(a) of section 1.03(General Procedures) of the OKH 972 CMR Rules and Regulations: Only minor changes may be approved by the Committee without the filing of a new application and a new hearing. Minor changes include alterations that can be done without a detrimental impact on the overall appearance of the project such as altering a single window or door change or a minor change of colors. All minor changes by amendment will require the local Committee's or its designee's approval. All changes to previously OKH approved plans require notification to and approval from the local OKH Committee. Change requests must be submitted to the Committee in writing on the appropriate request form, which may be obtained from the OKH office. All change approvals must be obtained before incorporating the change into the project. If the change has been implemented prior to receipt of OKH approval, a Minor Change approval or Certificate of Appropriateness application for the revised plans is still required and will result in a doubled filing fee for the appropriate category of work. Failure to comply with the above statements will result in the Building Department issuing a stop work order or delaying issuance of an Occupancy Permit or final inspection approval. I have read and understand the above statements. Date: (9V (U am) Signed: 14 n r/Contractor/ ent) Signed: t (, g � 114 111411t, (Chairman, Old King's Hi. • ay Committee) H:tOKH COMMITTEE1Application Forms\Statement of Understanding 2015.docx Updated 12/2015 GENERAL SPECIFICATION SHEET Project Address: 1 '' 14. S.,itcWs tAA.,. in. FOUNDATION: Material: ..•/1 t.r e---+"E_ Exposure (Not to exceed 18"): I.d CHIMNEY: Material/Color: GUTTERS: Material/Color: A 1...,-••kJM-14.4.0k. c 0! S 1,•^ss 1 e- Pitch (7/12 min) `'1 z" + ` ROOF: Material: Height to Ridge: 1•1, I Color: Pe wi"er vy Cs..o ca elr.S}.'�`�{ o e.P. SIDING: Material/Style: Front: Ce.I.•.r A.,t,e, Sides/Rear: r $14..ks'e. COLOR CRIPS Color: Front: t ja,1C to t t. Sides/Rear: a.1C0 re-‘ TRIM: All windows& doors to be trimmed with: 103 1x5 (Circle one.) Material: 7 S VCetIP& Color: DOORS: Qty: Material: Color: 7i,, F ','Tii, Style/Size(if not listed/shown on elevations): STORM DOORS: Qty: Material: Color: GARAGE DOORS: Qty: Mat'l: Style: Color: WINDOWS: Qty/side:: Front: 2" Left: Right: Rear: Color: wh :4e- Manufacturer/Series: A rticcse n / 1 HIV 24"l`r Material: wmeoel Grilles (Requiredj: Pattern(6/6,2/1,etc.) 4/4Grille Type: True Divided Lite: Snap-In: ✓ Between Glass: Permanently Applied: Exterior Interior STORM WINDOWS: Qty: Material: Color: SHUTTERS: Mat'l: Style: Paneled Louvered Color: SKYLIGHTS: Qty: Fixed Vented Size Color: DECK: Size: Decking Mat'l: Color: Railing Mat'l: Style: Color: WALLS/FENCES* (Max 6'height): Height: Mat'I: Style: Color: (Show running footage& location on plot plan.) *Finished side of fence must face out from fenci4d-n,,m -- UTILITY METERS/HVAC UNITS: Location: Screening: LIGHTS: Qty: Style: Color: Location(s): LIGHT POSTS: Qty: Material: Color: Location(s): Additional information: 4d1Y-s: AM W`QRk s s A•tC.. t4 /h 2-General 2 1 0' t a�ec.q s.a-rc 4 A . W I' ":A...5 APPLICATION#:23r/30 Telephone(508)398-2231 Ext. 1292 Fax(508)398-0836 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 45-DAY TIMEFRAME WAIVER Application #: 25 40 3 u Project Address: I 0 sq. s. Le.k. Zr‘ Application Received Date: 3/ / 3) 23 45 Day Decision Deadline: I/We, the undersigned owner, contractor, or agent, do hereby waive the 45-day timeframe for a determination on our application for a Certificate of Appropriateness/Demolition/Exemption by the Old King's Highway Historic District Committee for the following project: G Date: 3 /2. Signed: tj-7 wner ( q7% Owner Contractor/Agent TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 2023 MEETING SCHEDULE . , Ao0 TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE ABUTTERS' LIST Applicant's (Owner) Name: •.r `,I. 4., a nA ti Z Property Address/Location: IS" NI �'t-\`%(. iAc-- n Hearing Date: 4 14 23 Notices must be sent to the applicant and abutters (including owners of land on any public or private street or way) whose property directly abuts or is across the street from the applicant. 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,y_armouth.ma.us Map Number Lot Number Applicant Information: 1 2.2. 1.3 lu',51 Abutter Information: 1 2.2, 1 x.q C ✓ 1( °'35'V 1, 2.. 2.. 12..fe V !N351 4 12L L /-,7 ✓ 1t.y15' - _ i Z 2 _ l t- / 14ti°1 1 L 3 15" V ►'i3 _ 1?, ___Ial1t ? 1455C _____ 1?3, t?rl G'3 100 r351 Application #: ; 3 A°30 8.2018 3 ii t° 7� TOWN OF YARMOUTH ' y 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451 k rff 122/ 129/ C2/ / Please use this signature to certify this list of properties CLARK CHARLES 139 ROUTE 6A UNIT 2 directly abutting and across the street from the parcel located at: YARMOUTH PORT,MA 02675-1713 18 North Sandyside Ln., Yarmouth Port, MA 02675 Assessors Map 122, Lot 130 122! 128/ / / DAVID STEVEN Andy Machado, Director of Assessing KHAEWKHUM KRYZ C March ROUTE 6A, 27, 2023 YARMOUTH PORT,MA 02675 113/ 15/ / / KNAUER DAVID G TR KNAUER MARY JUDITH TR 30 NORTH SANDYSIDE LN YARMOUTH PORT,MA 02675 122/ 130/ / 1 nr LINK JUDITH A 18 NORTH SANDYSIDE LN YARMOUTH PORT,MA 02675 L i t 514 1u 122/ 1! I / KNAPIK GLENN TRS KNAPIK MONETTE TRS 19 NORTH SANDYSIDE LN YARMOUTH PORT,MA 02675 122! 125/ / / WATANABE YUJI WATANABE ALDA M 157 ROUTE 6A YARMOUTH PORT,MA 02675-1713 122/ 127/ / / TATIBOUET JANE B TRS 2929PONIMOIRD �C� l �.� HONOLULU,HI 96815 1' "Z' ,e 122/ 129/ C1/ I CLARK JON 101 TURNER AVE ENCINITAS,CA 92024 122/ 129! C3/ ! CLARK GORDON III 141 ROUTE 6A UNIT 3 YARMOUTH PORT,MA 02675.1713 33-A1)30 ..,... -... yr.. 1 , ' : ...-. ,' 1. •t , ry : 4- . '' - . _ i i - , •)(Y,.,I...,„ -, . 4 - • ,,;.... ;•,,, ;- z r4'- rv40. r.:. S . .., 11#16 . , . ' , • .:. -4 . rs1 i , , 1 1..... I' • ,.41". :11 ; f`..1 • - 1 . . r4 : :„,„...• : 4.4 hi)," m .1:".' ,': it* '--7 : • N 4.17,1 i',.' ' .a ' ''' ' r r . - 474 :4 . ' r• - N • . ' 1"•-- . . . M, m . ...-1 „, .. r4 a , r4 . .. %-!i• r4 I ' - " - ': tV•I'ift i. ; filri". 1 r4 N , r er ry r..1 N I 4.4 v-4 . Fs! v a) .3Ai kil : 4.4 C .41C (13 .. 11 r , N ' 0 t r ' 03 ..; a) AigaNnov , , • 2 1:1 ...... i , , . CO g ' , >I ! i. a • , ,. ,r LI..1 !. r C ti III i , . Cla 111. 0 WM ...4 , rsi t1 .-4 ri 0 ,.. is ii/M , , ....4 , ....1 OD , lar ,r- r . I . 4 4.4 , CC' `I Cr; IS I _ N eel ,.., IV 111...4 .., 1 Le i 1 spa ' 4-4 I.,. .. ..... . r4 .. r i..woe OM r•si 4 M i th r.i piiiii. °II 4.4 UMW , i r4 NORT I-I 5,Pk!„ DYSIDE LANE 'Is9 4)4/ I . 41/4.r/.11.) N t r4 N ..., hi SO hi ' rt . N r r4 -.-3 r4 ' 3...V C CI CO r ,,,,,, ..., ....... , C4i g From: Mark link marklink555@yahoo corn g Subject: House Date: March 6,2023 at 2:05 PM To: mark link marklink555@yahoo-corn M 144 -• x,a.wasrame+ Sent from my iPhone V /fSi` o ga-V-i.e :„. -, - - -- - - , ..., • - , .----r-t-,7:,,,t,_) • -4. •-. -,-: c 4'rr: i---- --• -' , ',''"--..„,. ''-?' '''.,., - ' ''N —3 '1,: .-- :-''1,,7,,•-:-./r), '. i . , ' ,,,,p,,„,, rrL7 , , . ,,,,, ,\ , \ r 1' \ < n ---- rr i \.. N ,..... , ',› ' I : ,-,'''' // / 1 '71522. - / / , .,..... t ,... . , j .. - ^i 1 i .,.. .•.., ",..1....— :: ..... „-----. ,...., - . -........„ , V - ....__, , .. .• ,-.,....: , r: ,-___,,,„-------- - ' . : .- . , -';',Tig 5,:-• :', ..... , ., — ,,.., ;_-; — gg!, : 1.--.:5:' ",;:.......:17.-7 ,...i'T." 1..-ii;;;f- ' - ' ‘f )•,., .....--: > ,-,-7,,, -;,,;,',..,i'-:.,,„,,,,r,- n=-5., - t„,-,:-..f. x -f,,...5..,:-,..1.7.7,'„,,-.f,-...•*- . . - ,.. ,.... fal ,, .- '' -- 7,„.„....-, ‘,3.,- ;• , - , m = C 7- Crf2j .ii',' '''-- , - •. ' a 71__--_.2 - ' t ,.. ,-. .17 ,- ..k'.i 1 m ;; -- 1 _ ..,. - ; < ' > ,..., , .. . . ; . . ,,,; ,* ,1 :., 400 SERIES TILT-WASH DOUBLE-HUNG WINDOWS OUR MOST POPULAR DOUBLE-HUNG WINDOW Providing a classic blend of engineering and craftsmanship along with energy efficiency, the 400 Series tilt-wash double-hung window is our best-selling window. Classic Styling Long-Lasting, Weathertight The thinner profile on these a PerformanceY windows is the perfect balance of ii ' Our Perma-Shield®exterior modern and traditional design. cladding protects the unit and offers low maintenance. Dual-layer weatherstripping helps seal out Interior Options dust, wind and water. Choose from unfinished stain-grade Pine or three low-maintenance prefinished interior options. , (4-Z ' WATCH �' .1- This product available with Pine White Dark Bronze Black Stormwatch® protection, including t ' impact resistant glass. Tilt-In Feature Easily tilt your sash in to clean your Consider Bay & Bow Windows windows from inside your home. Bay and bow window combinations '` x are available for this product. Narroline®Window '' Conversion Kit _ i t If your home has Andersen® ` --- Narroline®windows that were made < after 1967, our quick conversion kit „R 4 i can easily turn them into convenient, x s tilt-wash double-hung windows. Designed for Every Application CI I)Y.tid{ yH v f Available for easy replacement, insert For new construction or remodeling *u:_ windows are built to help save you time projects, full-frame windows are and money with minimal disruption to available. These offer the maximumbilk. i your home. Available in three sill angle visible glass area and are a good option (tl ht fit. when wanting to change the size or CUSTOM SIZES options for a weathe g shape of the existing window opening. Available for both insert and full-frame windows. 1 t i i 8 'See the limited warranty for details. to TOWN OF YARMOUTH ` `4. OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE - 1146 ROUTE 28,SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 Telephone(508)398-2231 Ext.1292 Fax(508)398-0836 STATEMENT OF UNDERSTANDING CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLAN As property owner/contractor/agent for construction at [1( Pi* Siv, sio1e_. Lt' € , Map/Lot ( J 3 C/A# a 'Ap31J Approval Date:( 110 .?.C2 5 I certify that I understand the following requirements regarding any changes that may be required for this project: In accordance with paragraph 2(a) of section 1.03(General Procedures) of the OKH 972 CMR Rules and Regulations: Only minor changes may be approved by the Committee without the filing of a new application and a new hearing. Minor changes include alterations that can be done without a detrimental impact on the overall appearance of the project such as altering a single window or door change or a minor change of colors. All minor changes by amendment will require the local Committee's or its designee's approval. All changes to previously OKH approved plans require notification to and approval from the local OKH Committee. Change requests must be submitted to the Committee in writing on the appropriate request form,which may be obtained from the OKH office. All change approvals must be obtained before incorporating the change into the project. If the change has been implemented prior to receipt of OKH approval, a Minor Change approval or Certificate of Appropriateness application for the revised plans is still required and will result in a doubled filing fee for the appropriate category of work. Failure to comply with the above statements will result in the Building Department issuing a stop-work order or delaying issuance of an Occupancy Permit or final inspection approval. I have read and understand the above statements. Date: lv Signed: ))ii. n r/Contractor/ ent) Signed: (Q.:(7): (Chairman, Old King's Hi• • ay Committee) H:1OKH COMMITTEEIApptication Forms1Statement of Understanding 2015.dacx Updated 1212015 GENERAL SPECIFICATION SHEET Project Address: 1 ' NI • S-,*A/s tom•-- I/\• FOUNDATION: Material: 6•/1 Lt'r.'}'e. Exposure (Not to exceed 18"): b CHIMNEY: Material/Color: GUTTERS: Material/Color: .k 1 ter^.,.J4--1 J ie ROOF: Material: S h, Pitch (7/12 min) "1 ,�" Height to Ridge: A. V I Color: Pe wter w C.s.... - as e e,,or, `r C v,„07si SIDING: Material/Style: Front: Ce..A?>or. .4.,ns1d> Sides/Rear: r s1A.,..5'Ng. COLOR CFtIPS Color: Front: 140a co J Sides/Rear: wtA ca Tr-. TRIM: All windows&doors to be trimmed with: 10 1x5 (Circle one.) Material: ? 5 y1/`co& Color: DOORS: Qty: Material: Color: It, _ 4 Style/Size(if not listed/shown on elevations): STORM DOORS: Qty: Material: Color: GARAGE DOORS: Qty: Mat'l: Style: Color: WINDOWS: Qty/side:: Front: Z_ Left: Right: Rear: Color: vtirh *' Manufacturer/Series: A ,tccse r / 1 NV 2 Vr" Material: v><e+ocl Grilles(Required: Pattern(6/6,2/1,etc.) 14 Grille Type:True Divided Lite: Snap-In: Between Glass: Permanently Applied: Exterior Interior STORM WINDOWS: Qty: Material: Color: SHUTTERS: Mat'l: Style: Paneled Louvered Color: SKYLIGHTS: Qty: Fixed Vented Size Color: DECK: Size: Decking Mat'I: Color: Railing Mat'I: Style: Color: WALLS/FENCES* (Max 6'height): Height: Mat'l: Style: Color: (Show running footage&location on plot plan.) *Finished side of fence must face out from fenciad�r^i 4 ,, UTILITY METERS/HVAC UNITS: Location: Screening: LIGHTS: Qty: Style: Color: Location(s): LIGHT POSTS: Qty: Material: Color: Location(s): Additional information: • 6 flu \ \•acNV.. S S 6"te' W IA 2-General rM3D far s. ' `�` gy 4 et� W 1 APPLICATION#:X Telephone(508)398-2231 Ext. 1292 Fax(508)398-0836 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 45-DAY TIMEFRAME WAIVER Application #: a3 _A r Project Address: 7 e ,•, R Application Received Date: 3/ / 3) 23 45 Day Decision Deadline: 1/We, the undersigned owner, contractor, or agent, do hereby waive the 45-day timeframe for a determination on our application for a Certificate of Appropriateness/Demolition/Exemption by the Old King's Highway Historic District Committee for the following project: Date: ,4 /3 Signed: ,11 owner Owner Contractor/Agent TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 2023 MEETING SCHEDULE v 17 AO° TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE ABUTTERS' LIST Applicant's (Owner) Name: � ,_` ..tL< a r,A Property Address/Location: I V �'�f �� Hearing Date: Notices must be sent to the applicant and abutters (including owners of land on any public or private street or way) whose property directly abuts or is across the street from the applicant. 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: i 2.2- 13 Abutter Information: 2y6t G I j bo'35""U t z, 2— i 2-.' V 19351 I z2.. 1 1-, ✓ 14901 1L3 1c V P-f3 12a- la t 546' 17J, 'Ri G,3 1OQ "351 Application #: AD30 3 8.2018 .'°17.N TOWN OF YARMOUTH 0 q. 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451 c 122/ 129/ C2/ / Please use this signature to certify this list of properties CLARK CHARLES 139 ROUTE 6A UNIT 2 directly abutting and across the street from the parcel located at: YARMOUTH PORT,MA 02675-1713 18 North Sandyside Ln., Yarmouth Port, MA 02675 Assessors Map 122, Lot 130 122/ 128/ / / 'R DAVID STEVEN Andy Machado, Director of Assessing KHAEWKHUM KRYZ C 143 ROUTE 6A, March 27, 2023 YARMOUTH PORT,MA 02675 113/ 15/ / ! KNAUER DAVID G TR KNAUER MARY JUDITH TR 30 NORTH SANDYSIDE LN YARMOUTH PORT,MA 02675 122! 130! / I Kr* LINK JUDITH A 18 NORTH SANDYSIDE LN YARMOUTH PORT ,MA 02675 122/ 1/ / ! KNAPIK GLENN TRS KNAPIK MONETTE TRS 19 NORTH SANDYSIDE LN YARMOUTH PORT,MA 02675 122/ 125! I / WATANABE YUJI WATANABE ALDA M 157 ROUTE 6A YARMOUTH PORT,MA 02675-1713 122/ 127/ / / TATIBOUET JANE B TRS 2929 PONI MOI RD 313'1 ` 7J HONOLULU,HI 96815 1' '2;'.Q 122/ 129/ Cl! / CLARK JON 101 TURNER AVE ENCINITAS,CA 92024 122/ 129/ C3! / CLARK GORDON III 141 ROUTE 6A UNIT 3 YARMOUTH PORT,MA 02675-1713 3- 30 ....r il Nil ei co , •,' ',tr) I , A.. f 17-iii/4 n5' • M o, ,,• 0 .... • ' I rj : •-4 : ,. ; -.r, .... ; r.., - -.• , , .. '•'',...'.- ',, . :-:. , CV •-1 . JR' ' N ' , i, .,,-.1 // ,,, `-' -" N ' - ., ,,.. ,' (NI? tr• : AP , th •••• , , - - . ' -- 0 ) ' ••••4 r4 .., ; I .11 i 417. 1 r , ....•- i > li i ••••1: . ' ,... , . .....,:. , ili.rei 1 , , . eNir16.47 II. . ••••4 ir IN /,..4 . mo.,4 le " I I •-i ; , T-4 ,i - ,._ _ ..,..4 a) .... e.4 1 Lf1 C I i t ins , si ,. , •c..1 cti ...V eV , N ...4 , OD , . ,e4 i 41* •UOA/114 , . n C * ' , . co C I 0 Irill vi ilt ,, eL 1 1 iel t (1) ....7 ' n - 4-4 1 0 i i , re; 1 El NI .. gr4 MI Z C° M , ..... .. , . .—......I I 1116 1 , 1011 , %0 v...1 <el CO ve..4 ......._.............._.\ ko m 1 i Mt •••I 1.11 11,i Rti-er/ llivit ...-1 Pi a 1 C•4 /,,-4 N-4 ook. x 0 .,.1 . en , M . INI • eq . NO SAN, DYSIDE LANE .4441> dr„,.... , ,,,,,•,..., , MIS N N , N , . r•J . .....1, f ......4 r .. ..) ...W 2 1 a ..,„ „..„.. , • .. . , .,C., z... ..._ ,..„- (.7-, From: Mark link marklink555@yahoo corn * Subject: House Date: March 6,2023 at 2 05 PM To: mark link marklink555@yahoo corn ..„ •,, iii, .‘. . ., ,--, 41 . • , , . _. . * t til . 4 .,,i. . t ''t! '''.:::i:;.:.1':*.':* 'A '''' - - ' ''''-.4'--f.'4,1'f.-. * ? . . .. . . . .. ., -,- .. E----- i Li 3; _ , _ 1 , . . ..4 ..._ , . :,... __ _... .•,.„... Sent from my iPhone 0/6 Note: The design plans and site plan, as originally prepared, contained two additions to our home; a master bedroom addition and a sunroom addition. At this time, we are only seeking approval for the master bedroom addition. I have attempted to delete the areas of the plans that are not pertinent to the master bedroom addition. 93 lv3C _ r r aX = '- • _ .0 I r z ! /f `h� / i y r r r r 1 - U F; � � C / .... v r s C = _ z C _ X -T; r, (-) (W'.€ , I `: :-, -'1•11,- 41.1?" .,, .,_'J - ,. " • -' _. ":3' "7, , ,. ,-:" -",,i'• 7.,7, -4 ' 7 '' j ,• =a::• 1 • • ' '•'-- ET,:i'--7 - - .,- •••••-i,• - •.• -.- -. •- ,..,...; -,- -, r'''';': '•••" ,•, 1-..• .,- , c -, .- -=--- / / ••-- • ' •-1.• . 0 • _, ,[ -; 0 t , t ..• 1 t z I 1 i } . • ': II,' iii.,: :,.., • -.v ' Jr ,- . '-• ... • ,*.'. _ ' 7.' 1 . ' ., • ' '. :', 1 '0.` 7'I ' 44147. Alli 47 K ?...;.: > -.. - - - - _ vl 74; . . . 1 1 cA ,. C ril ,--, - :I —4 — •- z , , , \ --•/'''.1 r4 I \ ' _ .. . , — • . _ .... . LINK RESIDENCE 18 NORTH SANDYSIDE LN YARMOUTH PORT __.,. •••...j - McPtiec Associates I n4 -46 7. xY�yQy gNV L AG'-- v. ty . r i -,)fir. 2 w l 4 t Hg yY ilgi ka 1 ,4 CII S"S a AYt ` o\ ...- r ':-. '\:. E I $ :_i i ,,,:t .... c7._....i,,,, ., . , ,,. G\ , , ::.,,,F..,:.,-,-,..--,:;:..„-, -.3-r. o r o r �2 O NZ 400 SERIES TILT-WASH DOUBLE-HUNG WINDOWS OUR MOST POPULAR DOUBLE-HUNG WINDOW Providing a classic blend of engineering and craftsmanship along with energy efficiency,the 400 Series tilt-wash double-hung window is our best-selling window. Classic Styling Long-Lasting,* Weathertight The thinner profile on these y y Performance windows is the perfect balance of Our Perma-Shield®exterior modern and traditional design. cladding protects the unit and offers low maintenance. Dual-layer weatherstripping helps seal out Interior Options . dust, wind and water. Choose from unfinished stain-grade Pine or three low-maintenance r prefinished interior options. j no r .. III III SWATCH This product available with Pine White Dark Bronze Black Stormwatch® protection, including " � �° impact-resistant glass. Tilt-In Feature ' Easily tilt your sash in to clean your ` Consider Bay & Bow Windows windows from inside your home. .q br ; T Bay and bow window combinations A are available for this product. �, Narroline®Window ni jr] Conversion Kit _: .„ ;) !I,i ` If your home has Andersen® ��, ,( _ ' Narroline®windows that were made after 1967, our quick conversion kit - -..--._ __, • can easily turn them into convenient, , .----1. .°> - .. tilt-wash double-hung windows. ! I i ' i Designed for Every Application ,,, {,,,, ,, Available for easy replacement, insert For new construction or remodeling 1 OLD Ki .-i: i .. i windows are built to help save you time projects, full-frame windows are and money with minimal disruption to available. These offer the maximum your home. Available in three sill angle visible glass area and are a good option t options for a weathertight fit. when wanting to change the size or CUSTOM SIZES shape of the existing window opening. Available for both insert and full-frame windows. f 1 t , 1 8 'See the limited warranty for details. °f Yam} TOWN OF YARMOUTH ,,,. 1 . 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 "` ►: Telephone(508)398-2231 Ext. 1292-Fax(508)398-0836 OLD KIND'S HIGHWAY HISTORIC DISTRICT COMMITTEE 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 Apply: Indicate type of Building: Commercial rf Residential 1) Exterior Building Construction: New Building ✓` Addition Alterations Reroof Garage Shed Solar Panels Other: 2) Exterior Painting: Siding Shutters Doors ✓°Trim Other: 3) Signs/Billboards: New Sign Change to Existing Sign 4) Miscellaneous Structures: Fence Wall Flagpole Pool Other: Please type or print legibly: Address of proposed work: ) g • 54.nd j rs t. .4' irk• Map/Lot# t-4"2• t 3 Owner(s): A Phone#: 91,' 40•S-S-1e All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: I cif N. 5.4 A CV-I S tart '/• Year built: t 1. Email: ( \S �� C' �J et r►c)e6 • Go 1*-- Preferred notification method: Phone Email Agent/contractor:0 C*=4-••• 1C W 41 ° '"" Phone#: ,�f8 •2.9 4." 3 Mailing Address: P. g eoc 3 IS r�a.r w t c-V V\ A Email: C fa Zc.S ^A%'1 • ' referred notification method: Phone .7 Email Description of Proposed Work: l_ - t _ ex v oft. 'r1�_. t4/A-�Ste r 1\eAr e ' ^` - -\1c.. Ct-•+,1 ea "�,ye .1a,n$t. -jr* •�ta� c_ 1 '— P'X•s .^ 1�sr , Signed(Owner or agent): /ilc--�''" Date: ,'rrFGj • 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: Approved Approved with Modifications Denied Rcvd Date: 3 /3La3 Reason for Denial: Amount Uc'�fLO Cash/CK#: a_1 4- Rcvd by: L. 5. Signed: Q 45 Days: Va Date Signed: 1 APPLICATION-#: °'�� � �`' TOWN OF YARMOUTH t, t rar HEALTH DEPARTMENT << t PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Y Building Site Location: 1 V �' S4�� l' s.184- Z'• t 4r'a..eII or� Proposed Improvement: Sores o•.\ tc-.rZt 5 'cam a-P r,.4 cs- be..►-... -. 1 -/ G. -Rix- ..,... G+( ,a�� •1-"& r-A..- e- 6._\o S e Applicant: tAC r/ 'n Tel. No.: 91t 11Cn-5.S1 Address: 1 N • «•ti41t Ide: /,n a- t-� k V*rN , IA h 0 Z47.5 Date Filed: 41- 13. 13 "If you would like e-mail notification of sign off:please provide e-atoll address: TAG.,r--k 1,.nk�.CS- C yei.Aob• G©M Owner Name: t=\<- "- i v i Owner Address: 1 c.(NI ..^d'"1 s tet 4A 1A� "�t�^ o � Q Owner Tel. No,: t /9( •y6O• �/b 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: Ikpo (1.) Site Plan showing existing buildings, water line location, .4. ' kOo and septic system location; iyel (2.) Floor plan labeling ALL rooms within building ZTyO (all existing and proposed) — Aj, 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: 6 / S -,,,,U3 PLEASE NOTE COMMENTS/CONDITIONS: 0 1 O O iolottio4 x ,ern ii 1-1 yy . 9 til °-..• z -7,r_. \ �\•i- 4�1 n COO 4 z tt' O ed ' z 'Ti z 1 Clilrkl-7 il ,t ®. ® �- . it Ell 9 'S a i 0 O S ;� y at -'i 0 e� m m NO O 0. ,.,) „ ® rj cm o 4 , , ,......... ,, 1-3 ro ✓ r 1 O z 1 1 1 \ , > - n ' \ .I i \ , i 1 \ \ , , ,.s. , 6 1 , 64 it `!ham.; --7 X' Q - J WEI ,,y) I!! . i 1� 3 0-,0 aill' g ? ' �1 2 �� 4 �. A 4 4 4 R rig�. _ _ _ Fri „k Y� r , i - .:_,,s 21 i o E _ I �A4 Wig" € H - ueasr 1 0=� .w — U U ttt— I!7 , 3,0F,Z1 it-4 6. ___ _ 7. � z a o O t w rq._ 1_ w A Wo a oW o •\:1' i- 14r--.-st . a 11-1 6 I -v p 4, a c ' 7 0 n Z La .. y teo j `�'- � ' A u rc 8na� JY $ a C `Ii A 1, D so dp Z cnaa.. _n. £ 'p Up P O �Eg r 2 ;. na t A Ak/ i !,, IlaitZill q�7+ 1 v.bg tl, N iazs:ax !It" 3 t!!3 .514E gs Z _ N ter' t U- — _ f 61 i 'I 5 I al i 40 •X r -I i �� or --- \ � � � Valt ANDYS pR`I 1 H y nk AX .- i p�, r