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19-A092 COA
°` 0 TOWN OF YARMOUTH ' =kx ,�- °, s 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 RECEIVE `s Telephone(508)398-2231 Ext. 1292-Fax(508)398-0836 ° �� OLD ING'S HIGHWAY HISTORIC DISTRICT COM ITTEE mou" NOV 1 J 2019 OLI KING:SHIGH'NAY APPLICATION FOR TOwn, CLERK CERTIFICATE OF APPROPRIATENESS SOUTH YARMOUTH Application is hereby niaor 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, &SUPPLEMENTALENINFORMATION. Check All Categories That Apply: Indicate type of Building: Commercial 4.--i...1-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: 1 6 Sri (Gt..,/,n.. 12g go Map/Lot# Owner(s): w �nt 1 S, r�4-1/1C i 0 S(06 vrvx Phone#: 5Z - 3 L'-c- 3 3 -2 All applications mus(be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: S et.i/v 1 ----- Year built: i Email: bey r1A O 1-VID @ 3Wlrt, \ Preferred notification method: Phone t-Email Agent/contractor: SC U k ree 14v&.i c , /(J//1'A Xu,2,/, J Phone#:.Z1 8 •- 67 - y.S-0 Mailing Address: II I ien j 2 , Iti 4'. -- K„ Z.. c 2. G-3 Email: S CO 1-T ca((14, (,.'. 4,,,i� �i 1-4 - ( ✓ '' I Preferred notification method: Phone lEmail Descri tion of Proposed Work: irb u 4—,I ci. .1;,,_ APPROVED Thl I NOV 12 2019 YARMOUTH Signed(Owner or agent): //:......, t�LD KING'S`HIGHWAY Date: /67l S �l1 > 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-46--)9 Reason for Denial: Amount 144 Cash/CK#: 11b t 3 •I 'A. — Rcvd b : 1W Signed: / �,� ` . �.,,,_...,,�;� Y //moi/p1WW#,.7W) ,,i � 45 Days: L Nimi Date Signed: /// i 2/2-0 e. 1 19 — ADc. 2 APPLICATION#: •�dieAk TOWN OF YARMOUTH - OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEF� ; � 1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-4451 Ce'y1V Telephone(508)398-2231 Ext.1292 Fax(508)398-0836 � Nov STATEMENT OF UNDERSTANDING Sp T4 7���'9 CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLANy Y RM00Rk Ty Mq As property owner/contractor/agent for construction at /0 6ra-I 6 rer Aci-Som, Map/Lot 14 3 , 1 b Q C/A# Approval Date: / )-) 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. l i Date: /f /Z/2d/ Signed: ,.6 (•Air-P'o''"' or/Agent) a Signed: '( • 46,' (Chairman, Old Ki•.'s Highway Committee) H:\OKH COMMITTEE\Application Forms\Statement of Understanding 2015.docx Updated 12/2015 RECEIVED - ',r h > RFS+Fr niviUU I h �� IVHED OLD KING'S HIGHWAY h9 / NOV °1 hI .. ro ') ?019 .3. .vnin ` "'lJU H M F , — 1\11 NE45. ' , _ i LOT 1 4 %•�2c 0 15,102.5 ± S.F. c }, l e j I � `�`� <`' f /I .„„/ / `lN '•s. Ne c /IN /k1\ . 0 o. 0,eo?4 , , N 2N ic N APPR0V� s1- R0LIN ; `'.1.,,,,t: WILLIAM Nice•: i71 NQ�iv WILCOX -''f '-o No. 31341 YAKlviuu I *N,',..,.: %._ ''' „/ST�5` off OLD KING'S HIGHWAY N + TO THE BEST OF NY INFORMATION, "PROPOSED” PLOT PLAN KNOWLEDGE, AND BELIEF THE YARMOUTH, MASS. STRUCTURES SHOWN ON THIS PLAN LOT 1, PL.BK. 377 PG. 88 HAS SEEN LOCATED ON THE GROUND DATE 8/7/19 SCALE 1" = 30' AS INDICATED. JOB 8219-00 CLIENT OSBORN 9/2719 „----_-.-P- 8/7/19SWEETSER ENGINEERING 203 SETUCKET ROAD DATE PROFESSIONAL LAND SURVEYOR PO BOX 713 SOUTH DENNIS, MA 02660 OFF. 508-385-6900 FAX. 508-385-6991 I C: I S8 I PROJ 18219-00 I dwg 18219-CPP1.DWG © 2019 SWEETSER ENGINEERING 19 - A09 ? is t * • r` .. � • . . wif' I1**,- 1.,- r- I . ^ 'I .144'% , il ,9 a. Y , is - Lam/-... - ..., . _ _. (re'. i �,. �VO� 13 b _. 2099 ,g t "` ,'§ `' TOWN CLERK ` 1 • -.. * 1:1.'11;;,kst ' -,Vitl 3.1t '-' , - , . , ,., . , ,„... , \ ,. ,. ., , . ., - , r , , . — , r' fru, ' _ > F � (. \ ,7. l.. l . 1l,11n°fel.7 I 1 il It , 3 N. t« 7 . s!s--.. lttttflfl o,..1 {;, i r sffsl MP ` } •st;tfltl flit j°fi$i Ei,#! 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' f , I f •f 4L,, • GENERAL SPECIFICATION SHEET Project Address: FOUNDATION: Material: Exposure (Not to exceed 18"): CHIMNEY: Material/Color: /V/i4 GUTTERS: Material/Color: (�(/4; dl-, j 4/.,.,L,« ROOF: Material: Pitch (7/12 min) Height to Ridge: Color: SIDING: Material/Style: Front:I,4 C.6%,—.. Sides/Rear: COLOR CHIPS Color: Front: Sides/Rear: TRIM: All windows &doors to be trimmed with: lx 4 1x5 (Circle one.) REcli ,- ,1,-.. -- EDMaterial: Color: DOORS: Qty: ' Material: Color: L,Jtt, KI/ ll 'Style/Size (if not listed/shown on elevations): CV6z 5- Si,, e,YOLDG'S HIGHWpy STORM DOORS: Qty;/ V/Material: Color: GARAGE DOORS: Qty:A//AMat'I: Style: Color: WINDOWS: Qty/side:: Front: Left: Right: Rear: Color: Manufacturer/Series: l CAA(' ii. , Vt Aegr~Y Y ' Material: t,L) u 0j - U I•-f r`e4._ Grilles (Required): Pattern(6/6, 2/1,etc.) Grille Type: True Divided Lite: Snap-In: Between Glass: Permanently Applied: Exterior Interi.r STORM WINDOWS: Qty: Material: Color: PROS �D SHUTTERS: Mat'I: Style: Paneled Louvered Color: NOV 1 % `y1(,,d SKYLIGHTS: Qty: Fixed Vented Size Color: OLDKINGSUTH �HIGH�ygY DECK: Size: /V7 Decking Mat'l: Color: _"""-- Railing Mat'I: Style: Color: WALLS/FENCES*(Max 6'height): Height: Mat]: 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: RECEIVED LIGHTS: Qty: Style: Color: NOV 1 3 ?cPq Location(s): ` t h'1i`t/t!� fel r-::,,< SOUI \Wii/`Ifii, AAA LIGHT POSTS: Qty: Material: Color: Location(s): Additional information: 2-General APPLICATION#: J ? A ti ') 4••••••••••••••••,.. , - 4 \ .' / \._,,,.. .. . .. ... . . .., . _.__, 41 , ---, ///) O.-'4' ,.. .,... ,.,,,.. . o er ,_ N-1 o .!'"' siortb,,, 0 ''''X'..-. 4 .... ., Lt-) / „, "-....... / 4 -... , ... i . ; , . i _ , (-i ,' • -,,, o . .... / o o .-- .. ..-. 4 0 LDICATtlivi; 5 . i 7 G'S iGHWAy c 0 47, , trig 1 - E „ ( 23 7,-.., 0 C c ro ---.. N. u") / _. a E ..„ o --.. .- E 4-' u- . . L..... 0 v 17„.• "; '-.../.„,..........,.,,_ 2 / .., = :: ..- a F.-- 0 o .- 4 . 0 o rt, I -‘ cc , ..,. t / / ....„ -, ,.,,,, ,. ,., . • - , ----..2...\ '',.• ....„, -,-. "N.,,,, . / -i /) — / ./ - 4 i < (7) >- (1) (- 5- CI (1) (- 0 .,-n if, E a) Ln c- 0 0 c , 0. v, . 76 E (1) c ..,,, . r / , ---, --,,, / Ce k.0 IL▪I V) '.-..„, / 4 / -- . - E al 0 „ i , ,..) .. , ,-,, 11' ;\ IV/. / r -.. c „ , / .., , - ., ....— il __, . .., / ,..... l',.., MI Cl.) t '‘ ,-----,, ---4....... , . I i -.Q I ---.. . ..., . / .,. C 0 . - , a / .... ,, / H • co - .,....„ , ..., 1 — / / ro G . Q , .., / _ , ...,_ ., / / .... v, . , . „ / 0 • r--, „ ,.., , _....,.... / • c , r.-- 1 ..- o 7 -17 trt i ul . ri ., Uw) CL) . et / .- ., i ... •,- ' • 0 / '- .- . / , / 0 • . .., -... CZ ,▪ .... c , _ . op it, 0 • . . . ul 03 i ro— WU' ! ,0 0, RtCP JIVED E - Q .c.... • . , cf) 0 ! . Ce E c €. — . 4., cil, , - -- / c c-: i --..._ . • . --.. i'NOV 1 3 ?iii, / TOWNCLERK SOUTH YARMOUTH MA ,- , c , > 0 , , eq / ch 0 47, 1 ......40>". / .... €7. , ..... ' , up Ce , 1 Q - / / co . , , a) : ' . eNI , / ... / — c . 03 , . ... / . (c6o . Q . l{ /— /i / • , LCq.1O1 r ,_ .... , v / — , ,6 / 0 _ , . ...„-/- „..4— I -... // ,, ..,_ _ .... -... 1 9 A u 9 2 TOWN OF YARMOUTH . ,,F , � 1MI OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE D OCT i 5 "0^9 ABUTTERS' LIST YHKIVIUU I H p - c , - ' - KING'S HIGHWAY Applicant's (Owner) Name: i' M J / '4-- ��h 2 �5 Y�cD� v/L r Property Address/Location: JO / ray - vw, pci E.� 4,( Hearing Date: i1—1a9,-19 If Notices must be sent to the Applicant and abutters (including owners of land on any public or private street or way) who's property directly abuts or is across the street from the Applicant. Please provide the Assessor's Tax Map and Lot numbers only. 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, Applicant Information: / /13` (A 2.... Abutter Information: f 1 0 3 1 i ( q 3 . B8 ll4-/ 5 , 57 I . i (-13 - / 0 / 1 RECEIVED NOV 1 3 2019 TOWN CLERK SOUTH YARMOUTH, MA Application #: 1 9 - A 0 9 ? 8.2018 3 143/ 88/ / / 143/ 102/ / / 143/ 97/ / / ./ OLLIE ORMON LLC 1/ OSBORN TIMOTHY S ' RYAN JUDITH B 960 ROUTE 6A 10 BRAY FARM RD SOUTH 241 MAIN STREET UNIT 12 YARMOUTH PORT, MA 02675 YARMOUTH PORT, MA 02675 SALEM, NH 03079 143/ 101/ / / 143/ 103/ / / ADIL ANEES A(LIFE EST) .j ORMON BROTHERS REALTY TRUSTV 6 DOVER RD 27 FARM HILL RD YARMOUTH PORT, MA 02675 DENNIS, MA 02638-2454 Please use this signature to certify this list of properties directly abutting and across the street from the parcel located at: 10 Bray Farm Rd. South., Yarmouth Port, MA 02675 Assessors Map 115, Lot 83 4, 71.1.4.c`d 7 Andy Mao, Director of Assessing RECEIVED NOV 13 2019 SOUTH y M CLERK ARMOUTH MA Scott Beltrandi Ultra Building & Design, Inc. 59 Route 28 W. Harwich, MA 02671 �5� YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE DATE SUBMITTED: 10, /? DATE NEEDED BY: /&,3?. / TO: Assessors Office FROM: Beth Vozella, OKH Office Administrator A 9 RE: Mailing Labels for Application No.: 19 - A 0 2 Please provide 1 set and 1 hard copy of mailing labels for the Applicant and Abutters (direct and across the street) included on the attached listing. Feel free to call me at ext.1292 should you have any questions. Thank You.