HomeMy WebLinkAboutUntitled 1,—. . s!A'- .
sw ~R°. TOWN OF YARMOUTH T! r - `
1r 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
RECEIVE .. _� Telephone(508)398-2231 Ext. 1292-Fax(508)398-0836 i`9
OLD KNG'S HIGHWAY HISTORIC DISTRICT COM ITTEE,1uw
NOV 1 Z�ty 0L K:NG' ,Hibi-,'vv: Y
TOWN CLERK
APPLICATION FOR
CERTIFICATE OF APPROPRIATENESS
SOUTH YARMOUTH
Application is hereby rrfa or 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 i/ 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: .t 1 U Bre (G lio.. pc(
/S__ O Map/Lot#
Owner(s): n V�'-L1 S, T-)Ct 4-1/1 C ;C_ 0 CbC)VIA Phone#: S'-D`' - Ste- 3 3 7 t
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: J CfVvvv,_-- Year built:
i
Email: CD2 /W\ 3 4--kb e Wlict. 1 Preferred notification method: Phone t.--------"Email
Agent/contractor: Se U(' �
' G''lva.&i c r Al/4A u.Alf nh Phone#:S 8 6 7 `xs-0
Mailing Address: 1 �n, 2- , , .Q 14- w,. Z� G 2 v -1
Email: S C C)44 (-A Otek c:7-;.la'0.i L { ✓I" I Preferred notification method: Phone 11•mail
Descri tion of Proposed Work:
u ✓�- � �, APPROVED
SOV � �; ZG19 '
YARMOUTH°19 /r /s,
Signed(Owner oragent): // a OLD KING ____- Date: /��l S
> 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: JO--1S-19 Reason for Denial:
Amount - O1
A.
Cash/CK#: ,kb t 3 .► , ~ JCC
Rcvd b �3 Signed: / /',j(,� A U _ _ Air�.IM/di l 10'r-sr MM..
,.�ra
MATIMPen
45 Days: d7�?
// f
Date Signed: /t/i Z/Zvi
1 T9 _ A0 92
APPLICATION#:
TOWN OF YARMOUTH
c
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEFF G ,
1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-4451 14)
Telephone(508) 398-2231 Ext.1292 Fax(508)398-0836 NQ
fr To 7 J 2019
STATEMENT OF UNDERSTANDING SQ '/1 'A
C�FRk
CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLAN 4400 "I Mq
As property owner/contractor/agent for construction at I b '6 X07 f re-r-, Aa
Map/Lot 1'-! 3 , 10 a C/A# Approval Date: / 1---1 a —1 9
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: /i//Z/ J/c Signed: Ji' /
(• o or/Agent)
fa_
Signed: '( ��...�
(Chairman, Old Ki•.'s Highway Committee)
H:\OKH COMMITTEE\Application Forms\Statement of Understanding 2015.docx
Updated 12/2015
R CEIVED
�' ;° REC rMr IuUIti
���' *� F�VE� OLD KING'S HIGHWAY
e+ 4I
�y9 _-/ �� NOV 7 ,D?019
ry �' Gt eRK
Yk 114,AoV rH
�.
,/ Fes. '�*
LOT 1 s�ti
�
u 15,102.5 ± S.
e
li o
/ %< l
I
°`
), Ny
I� ' \ ,4.
..-
1
ii
s ��oF�,.,1/41‘9'Cl' N N ES
APPROV f,
-`v7KROSIN s
ir.L.,- `
WILLIAM �n�,
o wiLCOX NOV 1. °,. i" • v
to No. 3131 / .' YAKIUIUU 11-i
\�`'� ^ C°'ei' OLD KING'S HIGHWAY
-%,.0,‹.::::„.:,.:\set
TO THE BEST OF MY INFORMATION, "PROPOSED" PLOT PLAN
KNOWLEDGE, AND BELIEF THE YARMOUTH, MASS.
STRUCTURES SHOWN ON THIS PLAN LOT 1, PL.BK. 377 PG. 88
HAS BEEN LOCATED ON THE GROUND DATE 8/7/19 SCALE 1" = 30'
9��19ICATED. / JOB 8219-00 CLIENT OSBORN
8/7/19 , �:-!" '1 -� SWEETSER ENGINEERING
203 SETUCKET ROAD
DATE PROFESSIONAL LA\D SURVEYOR PO BOX 713 SOUTH DENNIS, MA 02660
OFF. 508-385-6900 FAX 508-385-6991 I
C: 1 S8 I PROJ 18219-00 I dwg 18219-CPP1.DWG' 0 2019 SWEETSER ENGINEERING
19 - 4Ucil
1