HomeMy WebLinkAboutOKH o1-Y TOWN OF YARMOUTH
;.! _ r y 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451
t� '/4• Telephone(508)398-2231 Ext. 1292 Fax(508)398-0836
\.. OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
AMENDMENT FORM
("MINOR CHANGE REQUEST")
A minor change request must be submitted within one year of the original approval date or while the work is still in
progress. Only a minor change may be approved by the Committee without the filing of a new application.
PLEASE TYPE OR PRINT LEGIBLY1 �] (� A�`[� C I /,��
Original Application#: ( 1 — My L-/ I '1 -if V l Z iginal Approval Date:-, 3J/ I i116 I I ")
Address of proposed work: 3 (Vs. -Roil 1A1.k, N((1(4 1.. y 0(I10 Oil Po r7 I A it, 02613
Owner(s): S \ `f ` IA
Phone#:
Mailing address: L3, hlI I R ct KJI• I�(J`" `ci IAA • 6 7 (p2j'
Email: �(� , I' ZZj @ h�a.I�• G nil PreferredPreferred notification method:�honeA/Email _US Mail
Agent/Contractor: S�Q.V Q,lik CAT / tkOit Yv ^ 'w Phone#: g0 If 2_' 13 c
Email: �y t , \'' �3 0 h VI �►I ( ( . C(/P)Preferred notification ethod: ?1 Phone A7 Email
Please describe proposed change(s)and attach plans/photos(as necessary):
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Signed (Owner or Agent) 2\1,fiwitDate / a2- i
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V Approved by OKH Denied by OKH New C/A required? Yes No
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Reason for Denial. �EC , u • ' APPROVED
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SOUTH YA RMOUTH; MA ✓ARMOUTH
I OLD KING'S HIGHWAY
Signed OKH Chairman �� t�wvs Date /1/Z-z 2 on'
AMENDMENT# /9- o9 -
11/2015
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.,T NBR CUSTOMER PO ENTERED DATE ORDERED ORDER TYPE
1135306 DOORS 10/9/2019 Quote Not Ordered Cash
STATUS SHIP VIA DELIVERY AREA
None Whse Pickup HYANNIS WAREHOUSE
CLERK JOB NAME COUPON
-Anne-Marie Arsenault OWN HOME DOORS
# DESCRIPTION QTY UNIT PRICE EXTENDED
.1000-1 Smooth-Star,Unit Size 37.625 x 82,RO 38.375 x 82.5 1 — $555. $555.00
S262 / \
Call Width=30,Call Height=68,Frame Width(Inches)=37.625,Frame
..
Height(Inches)=82 •
Standard
Overall Frame Width(Inches)=37.625.Overall Frame Height(Inches)=
82
Door Grille Options=White Contour In-Glass Grille I i
Hinge Direction(As Viewed From the Outside)=Hinge Left,In-Swing \
1 I i
Duraplast Composite Vinyl,6 9/16",Mill Composite Adjustable Sill ' ,
Bore Lockset& Deadbolt,Door Sleeve Type=Harvey Logo, Basic —37625- ---
-RO•38.375'
Brushed Nickel Hinges
High Wind/Coastal Region Zone=None \�
Room Location: None Assigned
LINE# DESCRIPTION QTY UNIT PRICE EXTENDED
12000-1 Smooth-Star Fire Doors,Unit Size 37.625 x 82,RO 38.375 x 82.5 1 $510.00 $510:00
SSF160
Call Width =30,Call Height=68,Frame Width(Inches)=37.625, Frame
Height(Inches)=82
Overall Frame Width(Inches)=37.625,Overall Frame Height(Inches)= • ! i j
82
Hinge Direction(As Viewed From the Outside)=Hinge Left, In-Swing 8
Primed,6 9/16",Mill Composite Adjustable Sill •
Bore Lockset Only,Backset Size=2 3/4,Door Sleeve Type=Harvey •
Logo.Brush Nickel Ball Bearing
Fire Ratin =20 Minute Ratin 3762s
g g -RO 38 375' —
Room Location: None Assigned
LINE# DESCRIPTION QTY UNIT PRICE EXTENDED
13000-1 Smooth-Star, Unit Size 37.625 x 82,RO 38.375 x 82.5 1 $610.00 $610.00
S108
Call Width=30,Call Height=68,Frame Width(Inches)=37.625,Frame •
lleight(Inches)= 82
Standard
Overall Frame Width(Inches)=37.625.Overall Frame Height(Inches)=
82 f
Door Grille Options= White Contour In-Glass Grille
, i
Hinge Direction(As Viewed From the Outside)=Hinge Left.In-Swing • 1
Duraplast Composite Vinyl,6 9/16",Mill Composite Adjustable Sill
Bore Lockset&Deadbolt, Door Sleeve'I e=Harve y Lo o,Basic -37625'
y P � g -RO-38 375" -
Brushed Nickel Hinges
High Wind/Coastal Region Zone=None
Room Location: None Assigned APPROVED
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T"C`r':'r �.-; K. YARMOUTH
SOUTH `T'Ai= MJU H. MA OLD KING'S HIGHWAY —
Last Update: 10/15/2019 11:09 AM Page 2 Of 3 Printed:10/15/2019 11:09 AM
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