BLD-90-352 •
I Pomo 0195/4 6741/2 a
:F YAR' .
.*o : P o TOWN OF ` • ' MOUTH me Eiligho
A . '.—
{• MATTACMEES J
'`°" '`6Ce Application for a P rmit to Build No. l'5-c2--)
0 6/12eD 'or' S
UPON FINAL APPROVAL MAP LOT
FEE MUST ACCOMPANY THIS APPLICATION. DATE _6 19 90
The undersigned hereby applies for a permit to build (O 7 90
according to the following specifications
1. Name of property owner �'ennc.�v Aar F2 �+ c-mcz,n Tel. 36o2. nen
Address lay Fr., r hoard L,c%.n ito yaein,l gfref
2.Name of Architect(if any) Tel.
a Name of builder 010OKIIG/y /4/Z Address Oh6rro/d arc el
4. License No. oat "0 Tel. 36? V9 V.2 ar'wj c./i (ort, ✓`*4 oa 61/4
5. Name of Mason Address
6. License No. Tel.
7. Construction address /aV Free hear ( hun' >Ane /i,e; me
Flood District
a Date of subdivision Approval plain zone Zone
9. Private dwelling ❑ Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family 0 7 aa,coo. am /Cfl, . 4ST 5/' Sia 4gc /
11. Commercial ❑r A 51 ) {o' 6"y /D'(,'' x /o . 1515`� l0 87 Kitchen
12. Other % 4l D/vor./ JB 9,47.1 Roll o Dining Rm.
–Nit LLWC Living Rm.
13. No. of stories
Bed Rm.
14. Foundation — Full 0 Half 0 Crawl f Slab 0 Bath
15. Materials — Wood Cement Pa Other 0 Deck
16.Type of heat — Oil 0 Gas g Electric 0 Other ❑ Closed porchFamily Rm. /
17. Garage — 1 ❑ 2 ❑ Sun room
18. Swimming pool - Size Garage
19. Storage shed — Size Shed
20. Stove — Wood 0 Coal 0 Alterations
21. Size of lot: No. of feet front No. of feet r ar No. of feet deep
413P/7/oN c.^as•Qfa.•.,lyRco111 19osf, sinre-5t area.
22. Size of building: No. of feet front No. f feet side No. of feet rear
23. Distance from nearest building: Front Ft.side Ft. side Rear
24. Distance back from line or street 110 ' From rear lot line 5S Side line Mo/ft 7 I
• /ter
LOT RELEASED BY Signature j �`r�..r
PLANNING BOARD Address 2_ 4---)44Vnn ` �Q'
Date t24 `
/ � / ��BBUiUII/LDING PERMIT APPLICATION SIGN OFF
APPLICANT: t«fdgg/A't,4o/reC _574al )R in BUILDING PERMIT #:
ADDRESS: /IY 'pee £oa.Cc/ 1a-✓7G TELE. NO. : 30 fl9/ DATE FILED:
BLDG. SITE LOCATION: tay trre4emrJ( igne MAP//: /d`7' LOT/1: ✓'
THE FOLLOWING INFORMATION OUTLINES THE PROCEDURAL STEPS REQUIRED TO OBTAIN A PERMIT TO BUILD,
ALTER, OR ADD TO A STRUCTURE WITHIN THE TOWN OF YARMOUTH. THE BUILDING DEPARTMENT WILL DETER-
MINE COMPLIANCE TO THE FOLLOWING (A) ZONING REQUIREMENTS (B) HISTORICAL DISTRICTS (C) FLOOD
PLAINS ZONING. THE BUILDING DEPARTMENT WILL BE RESPONSIBLE FOR ASSISTING THE APPLICANT THOUGH
THE FOLLOWING DEPARTMENTS:
RESIDENTIAL AND/OR COMMERCIAL BUILDING
WATER DEPARTMENT: DETERMINES COMPLIANCE OF WATER AVAILABILITY.
ENGINEERING DEPARTMENT: DETERMINES COMPLIANCE FOR PARKING AND DRAINAGE.
CONSERVATION COMMISSION: DETERMINES COMPLIANCE TO WETLANDS ACTS, I.E.: IF LOT(S) BORDER ANY
TYPE OF WETLANDS, STREAMS, PONDS, RIVERS, OCEANS, BOGS, BAYS, MARSH
LAND, ETC.
HEALTH DEPARTMENT: DETERMINES COMPLIANCE TO STATE AND TOWN REGULATIONS, I.E.: REQUIRE-
MENTS FOR SEPTAGE DISPOSAL AND OTHER PUBLIC HEALTH ACTIVITIES.
FIRE DEPARTMENT: DETERMINES COMPLIANCE TO STATE AND TOWN REQUIREMENTS FOR PERSONAL
SAFETY, PROPERTY PROTECTION, I.E. , SMOKE DETECTORS, SPRINKLER SYSTEMS
ETC.
THE FOLLOWING DEPARTMENTS MUST SIGN OFF, IN THE RESPECTIVE ORDER, PRIOR TO BUILDING INSPECTOR
ISSUING THE REQUIRED BUILDING PERMIT:
REVIEWED BY: by./ id:Ate gage/Z/-2.45r Q
1. WATER DEPARTMENTTf1TMEa . / e/ "U DATE: ‘, ...-7-50 N/A:
2. ENGINEERING DEP NT: / DATE: N/A:
3. CONSERVATION: DATE: _ / N/A:
4. HEALTH DEPARTMENT A2~ / DATE: 5;,(////
/ 47(7 N/A:
INDU TR AND/OR COMMERCIAL PERMITS
5. WIRING INSPECTOR: DATE: N/A:
6. PLUMBING INSPECTOR: DATE: N/A:
7. FIRE DEPARTMENT: DATE: N/A:
PLEASE NOTE
ALL STUMPS AND/OR BRUSH MUST BE DISPOSED OF AT AN APPROVED SITE. A SIGNED RECEIPT FROM THE
DISPOSAL SITE MUST BE SUBMITTED TO THE BUILDING DEPARTMENT PRIOR TO ISSUANCE OF THE BUILDING
PERMIT.
COMMENTS: WIRTA)e Old_ r+S2 )77sA) p/ ,,c4Z. Of Am/ca arm/? .
BC-bG 0 57-04-as-c % t to1,CR7-.3P bac-Li t-6 .Lm Pc.kf 5rzr.e.4-e-4-
OF Me ,-1/4,4-54-2- I rc. - .Zp Yes Th<. r din za- /in t-.r 72) Sc
Mr N, ft2 `F(2w IPn- re? Tivc&capze< Do-a,2 T tfcsvr€
a) zF ss,g z. 0.ry OF 5-7-a,�, G ,4,Y.rr ,D e€ C t,frnt xel�7)
To ,rn/ 7-14g 1.4 Ielnic- t ,L,4-77.�Z 1 7- ,°n-k tt .¢G s'�t
/r( Q,i//Lc? -rtutcn S& Z' * moon) .
�iir7 Ly 7o et �' VP o ' oo-7 ;
yip.,r '� ,�. . , . - fzfi' ,17-r Ccn,c'ecr'n' Ta /beet
8-7.11 .-N' ✓ T ro 2c. 7P.51-c€
(o i 4C7if rt W-o-v , >Tdre
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ISWS 041
,401
W
BLM/89
6/7/96
TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT: ( I �J��,�(y��
JOB LOCATION: tail F'pe�ja& Jar.P `l�6To" ✓" C� VILLAGE
NUMBER y�tt /3 / 5
OWNER OF PROPERTY: �y/'IP7IJ s/-Lt'�n�� NrAQ ff Prw�ctirl
CONSTRUCTION SUPERVISOR: J syph V, ukuvs n II h Oa6970 36d 99X2.
// NAME V�� ,y�A LICENSE NO. PHONE NO.
ADDRESS: a 4%/04/ S7JAe 2A le�/r.�/Ch 6/O�O /i�"/ ,424'%
LICENSED DESIGNEE:
(IF OTHER THAN SUPERVISOR) NAME LICENSE NO.
2.15 RESPONSIBILITY OF EACH LICENSE HOLDER:
2.15.1 THE LICENSE HOLDER SHALL BE FULLY AND COMPLETELY RESPONSIBLE FOR ALL WORK FOR WHICH HE
IS SUPERVISING. HE SHALL BE RESPONSIBLE FOR SEEING THAT ALL WORK IS DONE PURSUANT TO THE STATE
BUILDING CODE AND THE DRAWINGS AS APPROVED BY THE BUILDING OFFICIAL
2.15.2 THE LICENSE HOLDER SHALL BE RESPONSIBLE TO SUPERVISE THE CONSTRUCTION, RECONSTRUCTION,
ALTERATION, REPAIR, REMOVAL OR DEMOLITION INVOLVING THE STRUCTURAL ELEMENTS OF BUILDING
AND STRUCTURES ONLY PURSUANT TO THE STATE BUILDING CODE AND ALL OTHER APPLICABLE LAWS OF THE
COMMONWEALTH, EVEN THOUGH HE, THE LICENSE HOLDER, IS NOT THE PERMIT HOLDER BUT ONLY A SUB-
CONTRACTOR OR CONTRACTOR TO THE PERMIT HOLDER.
2.15.3 THE LICENSE HOLDER SHALL IMMEDIATELY NOTIFY THE BUILDING OFFICIAL IN WRITING OF THE
DISCOVERY OF ANY VIOLATIONS WHICH ARE COVERED BY THE BUILDING PERMIT.
2.15.4 ANY LICENSEE WHO SHALL WILLFULLY VIOLATE SUBSECTIONS 2.15.1, 2.15.2 OR 2.15.3 OR ANY
OTHER SECTION OF THESE RULES AND REGULATIONS AND ANY PROCEDURES, AS AMENDED, SHALL BE SUBJECT
TO REVOCATION OR SUSPENSION OF LICENSE BY THE BOARD.
2.16. ALL BUILDING PERMIT APPLICATIONS SHALL CONTAIN THE NAME, SIGNATURE AND LICENSE NUMBER OF
THE CONSTRUCTION SUPERVISOR WHO IS TO SUPERVISE THOSE PERSONS ENGAGED IN CONSTRUCTION, RECON-
STRUCTION, ALTERATION, REPAIR, REMOVAL OF DEMOLITION AS REGULATED BY SECTION 109.1.1 OF THE
CODE AND THESE RULES AND REGULATIONS. IN THE EVENT THAT SUCH LICENSEE IS NO LONGER SUPERVISING
SAID PERSONS, THE WORK SHALL IMMEDIATELY CEASE UNTIL A SUCCESSOR LICENSE HOLDER IS SUBSTITUTED
ON THE RECORDS OF THE BUILDING DEPARTMENT.
I HAVE READ AND UNDERSTAND MY RESPONSIBILITIES UNDER THE RULES AND REGULATIONS FOR LICENSING CON
STRUCTION SUPERVISORS IN ACCS: IANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTAN
THE CONSTRUCTION INSPECTI' PRI EDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING
OFFICIAL.
SIGNATURE: /� ,C
BUILDING OFFICIAL APPROVAL:
4
J. O'Loughlin, Inc.
2 HAROLD STREET HARWICHPORT, MASSACHUSETTS 02646
(508) 362-4942 (508) 432-5700
June 7, 1990
ENERGY ANALYSIS
Kenneth and Andrea StGermain
124 Freeboard Lane
Yarmouth Port , MA 02675
R . E. : Single Family Dwelling
AREA OF OPAQUE WALL 305. 45
AREA OF WINDOWS 68.75
AREA OF DOORS 17. 8
TOTAL AREA 392 . 00
U of wall Uw . 05
U of glass Un . 3
U of doors Ud . 45
UwAw + UnAn + UdAd ( . 05) (305. 45)+( . 3) ( 17. 8)+( . 45) (68. 75)
A 392
15.27 + 8 . 01 + 20 .63
392
43 .91
392
= . 11
FRONT ELEVATION
G.W.A.
CEILING ASSEMBLY
TOTAL R=
TOP SURFACE U= WINDOWS:
R=0.61
9" FIBERGLASS
7--INSULATION
/ R=30
V_-fl171/7/1MAn DAP nnnl -
ill \ \_SHEETROCR DOORS:
R= 0.45
i PP —BOTTOM SURFACE
r
R= 0.61 --
1/2"PLYWOOD �—INSIDE SURFACE WALL ASSEMBLY REAR ELEVATION
R= 0.62 R= 0.68 TOTAL R= G.W.A.
WOOD }" SHEETROCR U
SHINGLES R" 0.45
R= 0.87 4 WINDOWS:
•
OUTSIDE =3}" FIBERGLASS
SURFACE INSULATION
R= 0.17 / R=11
/
E =SURFACE RESISTANCE
R= 0.61
FLOOR ASSEMBLY
FINISH FLOOR TOTAL R= DOORS:
r R= 0.91 U=
6 -- "
} PLYWOOD RIGHT SIDE ELEVATION
Z SUBFLOOR
R= 0.62 G.W.A.
OUTSID VV�ti
SURFACE JrleAllAWlid
R= 0.17 — WINDOWS:
* —61" FIBERGLASS
�� INSULATION FOUNDATION
CONCRETE R= 19 WALL ASSEMBLY
FOUNDATIONDOORS:
WALL SURFACE RESISTANCE (may be used instead
R= 0.61 of floor insulation)
R= TOTAL R=
i LEFT SIDE ELEVATION
U=
1„ I ' G.W.A.
•
, I ..—INSIDE SURFACE
i R= 0.68
• 3/8" SHEETROCR WINDOWS:
v �`R= 0.32
. ~l" STYROFOAM
r r DOORS:
ti
NOTES: '
PERMANENTLY INSTALLED STORM
WINDOWS TO BE USED
GROSS WALL AREA=
WINDOW AREA= i
DOOR AREA=
I
Z FENESTRATION= 1
•
r Application to
✓`.. • ,*
•
• - Old King's Highway Regional Historic District Committee
tr In the Town of Yarmouth for a*. 3 57 sir
CERTIFICATE OF APPROPRIATENESS
Application is hereby made in triplicate,for the issuance of a Certificate of Appropriategess under Section 6 of Chapter470,
Acts and Resolves of Massachusetts,1973,for proposed work as described below andan plans,drawings"or photographs
accompanying this application for: r ••r-•.:
r'
CHECK CATEGORIES THAT APPLY: 1 '7
1. Exterior Building Construction: C New Building *Addition ❑Alteration
Indicate type of building:❑House D Garage ❑Commercial ❑Other 7)-z - -�
r„4,
2. Exterior Painting: ❑ 0
3.Signs or Billboards:❑New sign ❑Existing sign ❑Repainting existing sign �z a
4.Structure: ❑Fence ❑Wall ❑Flagpole ❑Other -
(Please read other side for explanation and requirements).
• TYPE OR PRINT LEGIBLY DATE '1/y A n
ADDRESS OF PROPOSED WORK 12.L1 e ..rASSESSORS MAP NO. 10C.
• OWNER Iw[t., 01'). + i�n.\r••c A`F C . r••,<t'tvl ASSESSORS LOT NO. 5
HOME ADDRESS 117 4 R"---re^ fin.," n • Yr.r•<.. 111t.,.,t'% TEL. NO. 3 (2 'j a 3 1
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
c
y 5'f.n.,� l r^', Z . ` of Al,QOL D 1 57,7/Tr ,/11.&/cg roe �r %1 Jj,y6
eis. ` ),, h. S'\[ (M I -t-0- \,�i �c.•f'�h,;.-� 1--11 1/t"
rk L(1 `s. tL kn..: Or 'yr,*
11,s l O
AGENT OR CONTRACTOR l,a ,, `�) L ••••• h ,t n•
nn \,v TEL. NO. 3' 6 49 �(-1
ADDRESS h N-\Gf ,?1A SA Finw,tc rLi . ?CYI ( t4 (-•
DETAILED DESCRIPTION OF PROPOSED WORK:Give all particulars of work to be done(see No.8.other side),including . •
materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and
proposed locations of new signs. (Attach additional sheet, if necessanh.
c'9/1/?t y /eOD��J ¢ c2 f96f .99,/)1,71,,e7
Signed
•w er-Contractor-Agent
Space below line for Committee use.
Received by H.D.C.
l q r
Date ,r1 �/� / aj
90 The Certific to is hereby /j�� `t 1 /} Date J 2 / �1
Time // .art ')f I
.ti'
•
By a
Approved ❑ IMPORTANT: If Certificate is approved.approval is subject to the 10 day appeal e`lo
provided in the Act. jD D RO`I ED
Disapproved ❑ Please return to: • Yarmouth Historic District Committee r r 1 ` VVV Q(�
Town Hail. 1146 Rt.28. South Yarmouth, Mass.02664✓`17190 f,Vd.
YARMOUTH COMMITTEE
OKHRHD
•
. 1
ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION • `
"r `` `- FOR A CERTIFICATE OF APPROPRIATENESS •
The four categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a
separate form).
1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a
building to be erected or altered including windows,doors,siding,roof,light etc..that will be visible from any public street.
way or public place.The following scale drawings are required in duplicate with application:two plot plans(if addition-show
existing buildings in outline),four sets of elevations.Also required are snap shots of existing buildings,where additions or
alterations are to be mace.No plot plan is required for addition or alteration which does not touch the ground.
2.EXTERIOR PAINTING:An application is required for any portion of a building,structure or sign to be painted that is visible
from a public street,way or public place.Color samples must be attacned to these applications.An application is not required
when repainting existing colors, changing to white,or using colors approved by the Town Historic District Committee.
3. SIGNS OR BILLBOARDS:An application is required for any sign or billboard to be erected within the District,with the
following exceptions:
a. Existing signs or billboards on November 27, 1974 shall have until November 27, 1977 to secure an approved
Certificate of Appropriateness.
b. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they
are removed within three days of the event.Certain temporary signs that the Committee feels does not detract from Y
the Act may be allowed with the prior permission of the Committee.
c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which they
are erected or displayed.
d. A single sign of not more than 1 square foot In area showing the name,occupation or address of the occupant of the
premises on which they are erected or displayed in a residential zone.
4.STRUCTURE:An application is required to build or alter any structure within the District which is defined by the Act as a
combination of materials other than a building,sign or billboard,but including stone walls,flagpoles,hedges,gates,fences.
etc.
GENERAL REQUIREMENTS
5.Work on projects requiring approval shall not be startea until the Certificate of Appropriateness has been filed with the
Town Clerk by the Committee.Approval is subject to the 10 day appeal period provided in the Act.
.a
6.No cnanges snail be mace from the original approved specifications without acvance approval of the Commission on an
amended application filed with the Committee.
7.A separate application must be filed with each project requiring a Certificate of Appropriateness.
8. Under heading of "Detailed Description of Proposed Work" give detailed data on such architectural features as:
foundation,chimney,siding,roofing,roof pitch,sash and doors,window and doorframes,trim,gutters-leaders,roofing and
paint color.
9.Unless application is complete and legible and all material required is supplied,application will not be accepted or acted
upon.
Copies of the Act establishing the Regional Historic District may be obtained at the Town Hall.
PLOT PLAN .
•
FOR LOT #
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool)
Well fa
I
I (lot. . . . . .1.-t,. .. . .ft. rear)
Abuttor's %/fit Abuttor'
Name n Name
Lot # ICN. Lot #
REAR YARD
Lf this is a • If this
:orner lot, 1ft. corner
write in name write
Df street. c r6 -6 name of
/0 -6 `' a other
Q • I o street. .
I (o v
h7
+' .
4 41
SIDE YARD SIDE YARD kIlo
*• HOUSE L 2 cle 71-_ FT/)
•
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$5:9j
SET`BACK
\ ..ft. -,
I
I
0
(lot ft. frontage)
\ /. (A f (/lie- r�/g 6 /fr 412/
\ /
\ / (NAME OF STREET) I •/ \ Information i
iir /
/ \ Supplieddby (((/
/
MARK NORTH POINT
t . _
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': 'MAY, - P12:04 : ',t: .
. Lac 3 -- - • 1RWH CLERK & 1REASUftE►t :Lot 4 .. -.. ': .. • .. . •
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OLD KING'S HIGHWAY REGIONAL HISTORIC DISTRICT COMMITTEE
•
. 35187
• SPECIFICATION SHEET
APPLICANT'S NAME k- h c* FOR: O.1,1'rt, ,,.
FOUNDATION: e Kce ` Com COLOR
•
SIDING: lu.,k Ve C.edcr 3I .J.I o 1 COLOR: nait'Jiv/
•CEMNE : Uri COLOR: (i e d / /
•
. ROOF MAER
TIAL: (�g e(� PITCH: aVL \2 COLOR: .y�10.I�Y egi/s i•
•
R vA 6104. n
9atcf�C r7N/i-'
WDIDOWS: Woo. ) {vt.y.rvtA SIZE: ,et- ltar -
N11e �l , ,ee p124,45
TRIM COLOR: /
\ o Vh..11ck Q stTe j •••• /�'e
DOORS: Z = W' c1 L f� COLOR: „Lye
61'o tee
e�
SdUs-Li.S: COLOR:
GT+�.: COLOR:
DECK: SIZE: COLOR:
GA3?GE DOORS:. , SIZE: COLOR:
•
STORM WINDOWS Si DOORS: COLOR:
SKYLIGHTS (FLAT ONLY) SIZE: COLOR: •
ADDITIONAL INFORMATION: •
DAl ,
YARMOUTH COMMITTEE
•
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