20-A028 PENDINGIVED
TOWN OF YARMOUTH i �� E
�r 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292 -Fax (508) 398-0836 MAY 11 2020
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE;MOUTH
(-,� , viKie-C uif+t
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 a Residential
1) Exterior Building Construction
Shed _ Solar Panels
2) Exterior Painting: Siding
3) Signs/Billboards: New Sign
New Building Addition Alterations Reroof Garage
Other:
Shutters Doors _Trim Other: 72 M q'1 -<)x
Change to Existing Sign
4) Miscellaneous Structures: Fence Wall Flagpole Pool Other:
Please type or print legibly:
Address of proposed work: ///C c.�.� v LG�2 -S-7- Y,AtL #U., -r-4 X rrMap1Lot #
Owner(s): �a k A-$ 'T. %3w2 A A n a 4. . Phone #: Sa P - ,3 G -? - / i 5f :2,
All applications must be -Submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: '411 5 - ' ! r2 7-f P -,c 7- Year built:
Email: L L / Anl �J CpA4 c- . /04 -r -Preferred notification method: {'/Phone Email
A eRt/contractor: "U 41�1 � y� � p,� �l f� , Phone #: So -'S -
Mailing Address: / a / (. e:5.2,9 j
Email: Preferred notification method: Phone Email
Description of Proposed Work:
Z:�'1C I S % N `% r� P�'K�✓ (� oc� Gci Pa X-C
Signed (Owner or agent):
,,-1- 7-,
Date: Z � %
> Owner/contractorlagent 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:
Rcvd Date:
Amount L tfi
Cash/CK
Rovd by: Liv
45 Days: t Y; ued
Date Signed:
Approved
Reason for Denial_
Signed:
Approved with Modifications Denied
1 APPLICATION #: 2 0 A 0 2 8
GENERAL SPECIFICATION SHEET
Project Address:
FOUNDATION: Material: Nf �� %-�N �/' Exposure (Not to exceed 18" ):
CHIMNEY: Material/Color: ��/ GUTTERS: Material/Color:
ROOF: Material e!5 vy_ Pitch (7112 min) Height to Ridge:
SIDING: Material/Style: Front: Gam, ,u�, �� s f� Sides Rear: y
Color: Front: G2� y Sides/Rear: G 1—fg Y
TRIM: All windows & doors to be trimmed with: 1x 4 x5 (Circle one.)
Material We rj-d Color: 1-0{ , {�
DOORS: Qty: Material: Color:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: N Material:
GARAGE DOORS: Qty: a / Mat'I:
Color:
Style: Color:
WINDOWS: Qtvlside:: Front: Left: Right: ;?4—_. Rear: Color:
Manufacturer/Series: Material:
Grilles (Required): Pattern (616, 211, etc.) Grille Type: True Divided Lite:
Snap -In: Between Glass: Permanently Applied: Exterior Interior
Color: +� Z
COLOR CHIPS
RECEIVED
MAY 1 1 2020
YARMOUTH
KING'S HIG'-
STORM WINDOWS: Qty: / Material: G a-041 A cd wc- Color: z u 4, , 2
SHUTTERS: Mat'[: 1 Style: Paneled ? Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size _� Color:
DECK: Size: De king MatT Color:
Railing MatT Styl� Color:
WALLS/FENCES* (Max 6' h ight): Height: MatT
Style: Color:
(Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area.
UTILITY METERS/HVAC UNITS: Location: Screening:
LIGHTS: Qty: Style:
Location(s):
LIGHT POSTS: Qty:
Location(s):
Additional information:
rial:
Color:
Color:
2 -General O AO R
%
APPLICATION #: "
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